 The first emergency medical technicians were trained by some fire departments, organizations and even universities.1977 the first nationwide educational standard for non-physician emergency medical providers was introduced, the "Rettungssanitäter".The system was largely improved in the 1980s and 1990s, leading not only to the then-new profession of "Rettungsassistent" (1989) but also to the availability of modern medical equipment in outdoor quality.