Ambulance personnel must be able to (1) appraise the extent of first aid rendered by others, (2) carry out additional measures at the scene and en route, (3) operate vehicles safely, (4) maintain communication with traffic authorities, dispatchers, and emergency departments, and (5) keep records for medical and other authorities. Guidelines for training organize instruction into three major sections: (1) Emergency Care includes anatomy and physiology, vital signs, life threatening emergencies, injuries, burns, environmental emergencies, acute poisoning, medical emergencies, emergency childbirth, and management of the emotionally disturbed, (2) Ambulance Services includes personnel, emergency vehicles, use of equipment and supplies, communication, relationships with hospital emergency departments, control of the accident scene, rescue procedures, mediocolegal problems, and records and reports, (3) In-Hospital Training discusses observation, demonstration, and participation in hospital departments. Recommendations for development of a nationwide training program and an extensive bibliography are included. (JK)