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It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
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.
The examples and perspective in this article deal primarily with the United States and do not represent a worldwide view of the subject. You may improve this article , discuss the issue on the talk page , or create a new article , as appropriate.
Fire-based EMS is the most common model in the United States, where nearly all urban fire departments provide EMS [31] and a majority of emergency transport ambulance services in large cities are part of fire departments. Examples of this model are the New York City Fire Department (FDNY) and the Baltimore City Fire Department.
Paramedic (see Paramedics in the United States): Paramedic is specialist health care provider, autonomous practitioner , providing advanced assessment and management skills, various invasive skills, and extensive pharmacology interventions, Paramedic is the highest level in EMS and its extension to the emergency physician . [45]
One is Community Paramedic, who care for patients at home or in other non-urgent settings to provide access to basic healthcare services which may be difficult for patients to access. Another is Wilderness Paramedic, who receives special training to address the unique challenges of providing emergency medical care in remote and austere ...
For example, in the United Kingdom, the Health and Care Professions Council regulates paramedics and can censure or strike a paramedic from the register. In some cases paramedics may gain further qualifications to extend their status to that of a paramedic practitioner or advanced paramedic, which may allow them to administer a wider range of ...
For example, an ambulance service may cancel their own services if the patient becomes violent, compromising scene safety. Services may also be canceled by on-scene personnel, such as the police or, in the case of a Intensive Care Unit (MICU) service, the on-scene Basic Life Support (BLS) Emergency medical technician (EMT)). Additionally, a ...