What do the bars on the shoulders of paramedics signify?
Paramedics wear epaulettes on their shoulders. Each bar on the epaulette represents his or her attained level of paramedicine, from level I to Level III. You might also see Toronto EMS management staff wearing epaulettes. These men and women wear white shirts, and the bars on their epaulettes are as follows 1: Alternate Rate Supervisor, 2: Supervisor, 3: Manager, 4: Director, 5: Chief.