This document provides an overview of advanced pre-hospital care and the role of paramedics. It discusses that paramedics are the highest level of pre-emergency medical services and leaders of the pre-hospital care team. They must advocate for patients and adhere to professional ethics. The document also outlines the history and development of emergency medical service systems, the roles and responsibilities of paramedics, important concepts like triage and protocols, and issues of medical ethics, law, and patient well-being.