sentences:  To reduce costs, many ambulance organisations have tried to reduce the number of Ambulance Technicians, increasing the number of Emergency Care Support Worker or Emergency Care Assistants.Ambulance Technicians, or Emergency Medical Technicians, form a large proportion of the workforce in emergency medical care, although the title lacks formal definition or protection.Generally, ambulance Technicians can either work autonomously, making their own clinical decisions within their training and remit, or as assistants to a paramedic.