Paramedicine is emergency care provided in out-of-hospital environments. Services include ambulance services, patient transport, military medic services, remote/rescue operations, disaster response and other first-responder emergency care services. See Emergency Medicine for more information. Emergency medical services are made up of a network of first responders, including phone operators, drivers, ambulance care assistants, paramedics, and other retrieval medical staff, who link with emergency departments in hospitals and other acute care/trauma care and rehabilitation facilities. Teamwork, communication and decision-making skills are very important parts of paramedicine, the ambulance service and emergency care. Services involve multi-disciplinary teams of specialist doctors, nurses, surgeons, emergency responders, paramedics, drivers, pilots, support staff, administration staff, and volunteers.