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1 .4 APPROVED 4 <br /> The term "approved" shall mean approved by the North <br /> Carolina Medical Care Commission pursuant to the <br /> latter' s rules and regulations promulgated under <br /> N. C. General Statutes 143E-165 . <br /> 1 . 5 SECONDARY AMBULANCE PROVIDER <br /> The term "secondary ambulance provider" shall mean the <br /> system of personnel and equipment meeting the same <br /> criteria as a primary ambulance provider, but not <br /> normally dispatched on first call response. <br /> 1. 6 COUNCIL <br /> The term "council " shall mean the Orange County <br /> Emergency Medical Services Advisory Council . <br /> 1 . 7 COUNTY <br /> The term "county" shall mean the Orange County and its <br /> Board of Commissioners or their designated <br /> representative. <br /> 1. 8 TELECOMMUNICATOR <br /> The term "telecommunicator" shall mean a person who is <br /> available at all times to receive requests for emergency <br /> services, to dispatch emergency services , and to advise <br /> local law enforcement agencies, fire departments , <br /> rescue squads , and emergency medical services and <br /> facilities of any existing or threatened emergency. <br /> 1.. 9 EMERGENCY <br /> The terms "emergency" and emergency "transportation <br /> service" shall mean the use of a service, its equipment <br /> and personnel to provide medical care, rescue, and/or <br /> transportation of a patient who is in need of immediate <br /> rescue or medical treatment in order to prevent loss of <br /> life or further aggravation or physiological or <br /> psychological illness or injury. <br /> 1. 10 FIRST RESPONDER <br /> The term "first responder" shall mean an organization <br /> with personnel trained in emergency medical care that is <br /> dispatched to the scene of a medical emergency for the <br /> primary purpose of providing emergency medical <br /> assistance to a patient until the ambulance and <br /> additional medical aid arrives . <br /> Page 2 <br />