Emergency medical technicians (EMTs) certified at the basic level (EMT-B) can provide these services. Prehospital medicine typically consists of two levels of care: basic life support (BLS) and advanced life support (ALS).įor trauma care, basic skills include airway management (eg, maneuvers to open an airway, oral and nasal airway adjuncts, and bag-mask ventilation), cardiopulmonary resuscitation and automated external defibrillation, hemorrhage control, and fracture and spine immobilization. Wide variation exists in the level and skill of treatment provided in the prehospital setting. (See "Basic airway management in adults".)ĮMERGENCY MEDICAL SERVICE (EMS) SYSTEM DESIGN - The priority of any EMS system is to deliver quality patient care in the briefest period of time following injury, regardless of system design or level of care. Discussions of specific procedures are found elsewhere.
This topic review will discuss prehospital care of the adult trauma patient. The result was a dramatic improvement in prehospital care.
Subsequently, a national effort to develop EMS systems was initiated, and standards for provider education, scope of practice, equipment, vehicles, and system design were introduced. Excessive speeds coupled with poorly designed vehicles had led to an increase in serious vehicular crashes, and few cities possessed the EMS systems needed to manage such patients. During the first half of the 20 th century, ambulance services were most often provided by private individuals, particularly morticians as a service to families and to promote their funeral business.īeginning in the mid-1950s in the United States, emergency medical service (EMS) systems began to mature in parallel with the burgeoning interstate highway system. Four years later, New York City's Bellevue Hospital started the first municipal service.
In 1865, the first hospital-based ambulance service was developed at the Commercial Hospital in Cincinnati, Ohio. INTRODUCTION - The concept of emergency medical transport originated from the need to move wounded soldiers from the battlefield to aid stations and other medical facilities.
0 kommentar(er)
