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This is VERY country specific. In some countries ambulances focus on fast transport with minimal care in the ambulance (IIRC this is the case in the US), elsewhere they can provide significant first aid while on the way. If it takes you 15 minutes to the hospital and the ambulance needs 10 to get to you and 10 to the hospital, you'll be at the hospital 5 minutes later but will receive care 5 minutes sooner.
In Germany the ambulance will have what I think would be equivalent to one EMT-B and one paramedic, but a emergency physician may be brought to the scene with a separate car.
American ambulances are usually an EMT and a Paramedic that can start some pretty advanced care en route. Paramedics can intubate, defibrillate, and give medications on their own authority or with clearance from the EMS medical director.
Here we have different ambulances for different use cases and locations. For example, in the city, they will mostly have those sleek fast ambulances and in rural areas, they use more boxy ambulances with more capabilities.