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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.
A paramedic has a high level of pre-hospital medical training and usually involves key skills not performed by technicians, often including cannulation (and with it the ability to use a range of drugs to relieve pain, correct cardiac problems, and perform endotracheal intubation), cardiac monitoring, 12-lead ECG interpretation, ultrasound ...
Prehospital Emergency Care is a peer-reviewed medical journal that covers the practice, educational advancement, and investigation of pre-hospital emergency medicine and emergency medical services. It is published in collaboration with the National Association of EMS Physicians , [ 1 ] National Association of State EMS Officials , [ 2 ...
Therefore, in most all rescue environments, whether it is an EMS or fire department that runs the rescue, the actual rescuers who cut the vehicle and run the extrication scene or perform any rescue such as rope rescues or swift water rescue, etc., are emergency medical responders, emergency medical technicians, or paramedics, as most every ...
An emergency medical technician (often, more simply, EMT) is a medical professional that provides emergency medical services. [1] [2] EMTs are most commonly found serving on ambulances and in fire departments in the US and Canada, as full-time and some part-time departments require their firefighters to at least be EMT certified.
ET absorption of medications is poor, and optimal ET drug dosings are unknown. IO administration is becoming more common in civilian and military pre-hospital emergency medical services (EMS) systems globally. [11] Intraosseous access has roughly the same absorption rate as IV access, and allows for fluid resuscitation.
Such services may focus on critical care patient transport, support ground-based EMS on scenes, or may perform a combination of these roles. In almost all cases, the government provides guidelines to hospitals and EMS systems to control operating costs—and may specify operating procedures in some level of detail to limit potential liability.
Emergency medicine is a specialty that was first developed in the United States in the 1960s. [4] For the United States, the high number of traffic and other accident fatalities in the 1960s spurred a white paper from the National Academy of Sciences; it exposed the inadequacy of the current emergency medical system and led to the establishment of modern emergency medical services. [5]