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In the United States, standards for ambulance design have existed since 1976, where the standard is published by the General Services Administration and known as KKK-1822-A.

This standard has been revised several times, and is currently in version 'F' change #10, known as KKK-A-1822F, although not all states have adopted this version.

and in some instances will also provide out of hospital medical care to the patient.

The word is often associated with road going emergency ambulances which form part of an emergency medical service, administering emergency care to those with acute medical problems.

The term ambulance does, however, extend to a wider range of vehicles other than those with flashing warning lights and sirens.

The term also includes a large number of non-urgent ambulances which are for transport of patients without an urgent acute condition (see below: Functional types) and a wide range of urgent and non-urgent vehicles including trucks, vans, bicycles, motorbikes, station wagons, buses, helicopters, fixed-wing aircraft, boats, and even hospital ships (see below: Vehicle types).

Advances in technology throughout the 19th and 20th centuries led to the modern self-powered ambulances.

Ambulance design must take into account local conditions and infrastructure.

Maintained roads are necessary for road going ambulances to arrive on scene and then transport the patient to a hospital, though in rugged areas four-wheel drive or all-terrain vehicles can be used.

Their purpose is simply to transport patients to, from or between places of treatment.

In most countries, these are not equipped with flashing lights or sirens.

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