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The EMS system is activated when an emergency is recognized by a bystander, patient, or first responder. NREMT describes EMS activation as a sequence that begins with recognizing an emergency and then accessing the system. Option D (Recognition) is correct because without recognition, no call for help occurs. Option C (Notification) follows recognition. Option B (Dispatch) occurs after notification. Option A (Response) is the physical movement of EMS resources after dispatch. NREMT emphasizes public education on recognizing emergencies as a key component of effective EMS systems.