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The hallmark of an EMS (Emergency Medical Services) system is its comprehensive arrangement for medical emergencies. This system is designed to provide immediate medical assistance and transport to individuals experiencing acute health crises, thereby ensuring a swift response to emergencies.

An EMS system encompasses various components such as emergency medical personnel, communication systems, healthcare facilities, and public health policies. It integrates pre-hospital and hospital-based services to deliver seamless care throughout the entirety of an emergency event, from the moment of the incident through to definitive care in a medical facility. This holistic approach is critical in improving patient outcomes during emergencies.

The other options do not adequately reflect the nature of EMS systems. A centralized hospital-based care system implies a focus on hospital services rather than emergency response, which is not characteristic of EMS. A lack of coordination among agencies would undermine the effectiveness of an EMS, as successful emergency response relies heavily on collaboration and communication between multiple entities. Lastly, a focus on primary care rather than emergencies disregards the very essence of EMS, which is to address urgent and critical healthcare needs.