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Pre-hospital emergency medicine (abbreviated PHEM), also referred to as pre-hospital care, immediate care, or emergency medical services medicine (abbreviated EMS medicine), is a medical subspecialty which focuses on caring for seriously ill or injured patients before they reach hospital, and during emergency transfer to hospital or between hospitals.
Since most EMS teams are small and have high turnover, retaining qualified personnel can be difficult. [citation needed] Pre-hospital ultrasound like every exam or procedure taken out in the pre-hospital environment carries the risk to delay patient transfer to a place where more accurate diagnosis and definitive care can be given, e.g. a hospital.
A spinal board, [4] is a patient handling device used primarily in pre-hospital trauma care. It is designed to provide rigid support during movement of a person with suspected spinal or limb injuries. [5] They are most commonly used by ambulance staff, as well as lifeguards and ski patrollers.
Equipment and procedures are necessarily limited in the pre-hospital environment, and EMS professionals are trained to follow a formal and carefully designed decision tree (more commonly referred to as a "protocol") which has been approved by Medical Control. This protocol helps ensure a consistent approach to the most common types of ...
In some respects, the development seemed almost faddish. Technologies also evolved and changed, and as medical equipment manufacturers quickly learned, the pre-hospital environment was not the same as the hospital environment; equipment standards that worked fine in hospitals could not cope well with the less controlled pre-hospital environment.
Emergency medical services (EMS), also known as ambulance services, pre-hospital care or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. [1]
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