Medic Services


Since 1969, Hanover Hospital has provided pre-hospital care to the greater Hanover Area. Coronary 46, “the van”, was the first mobile coronary care unit in the state of Pennsylvania and 7th in the nation. This vehicle was in conjunction with Hanover Fire Department of Hanover Borough, Hanover General Hospital with Critical Care Registered Nurses and Dr. Bathon, Cardiologist with Hanover General Hospital.

Hanover Hospital has one of the few hospital-based non-transport, advanced life support units in the area—Medic 46. Following a 911 call, the unit brings medically trained personnel to the incident location. On-call 24 hours a day, 7 days a week, this health professional team consists of Paramedics and Pre-hospital Registered Nurses. Today’s Medic 46 vehicles are extensively equipped with the same apparatus found in the hospital’s Emergency Department. Medic 46 responds to a variety of emergencies: chest pain, stroke, severe car accident injuries, drug overdoses, diabetes, asthma and other severe cases.

Dispatched by the local 911 communications center, Medic 46 covers 25 municipalities throughout the South Western quadrant of York County, the Eastern area of Adams County, plus mutual aid coverage to Gettysburg and western York County areas.

View the history of coronary care at Hanover Hospital, compiled in 2006 for Medic 46's 20th anniversary.


Emergency Medical Technicians (EMT)

An Emergency Medical Technician (EMT) is a trained professional who responds to emergency medical or traumatic situations. EMT’s provide a basic level of care.


A paramedic has completed the Emergency Medical Technician program. In addition to EMT Training, they have completed an accredited program requiring academic and clinical training. They are able to provide an advanced level of care including endotracheal intubation, inter-venous access, administer medications through various routes, and electrical therapy.

Pre-hospital Nurses (PHRN)

Pre-hospital nurses are Registered Nurses who have obtained additional training in the out of hospital setting. The Registered Nurse is trained how to do the skills of a Paramedic plus have an expanded scope of practice which enables them to administer a wider array of medications and blood products.

Pre-hospital Physician Extender (PHPE)

A PHPE may perform skills within a paramedic’s scope of practice and other skills a physician assistant is authorized to perform by the Medical Practice Act of 1985 or the Osteopathic Medical Practice Act (whichever applies to the physician assistant) when authorized by a medical command physician or an applicable Statewide or Department-approved EMS protocol.

Pre-hospital Physician (PHP) 

A PHP may perform skills within a paramedic’s scope of practice and other skills within the practice of medicine or osteopathic medicine.