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Abstract
This article describes emergency medical services (EMS) systems in Connecticut, beginning with a historical perspective. The discussion of statewide oversight of the EMS system includes legislative andregulatory mandates as well as recent external reviews of the system. Medical oversight of EMS care andservices is provided by sponsor hospitals rather than individual medical directors. Most of the 169 cities andtowns in the State maintain or contract for local EMS, andhave traditionally resisted regionalization. This snapshot of the EMS system in Connecticut can serve as a reference for comparison of EMS systems in other jurisdictions.