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Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
Written by a multidisciplinary team of residents, fellows, and faculty at the Massachusetts General Hospital, this new addition to the LWW Handbook Series is a practical, accessible guide to the evaluation and management of trauma and burn patients. In a format designed for quick reference, this pocket-sized book presents hospital tested guidelines and procedures for pre-hospital care and transport, immediate assessment and interventions, and evaluation and management of specific injuries at each anatomic site. Chapters on specific injuries follow a consistent structure: epidemiology and mechanisms, important surgical anatomy, important physiology, initial evaluation, diagnostic methods, nonoperative management, operative techniques, postoperative care, rehabilitation, and long-term follow-up.
Emergency Management of the Trauma Patient: Cases, Algorithms, Evidence provides a practical and realistic approach to managing a trauma code with a complete review of ATLS protocols. Each chapter begins with the presentation of a trauma scenario and emphasizes the clinical skills needed to make important management decisions. Literature references are highlighted within the chapters and provide a discussion of pivotal journal articles relevant to the topic at hand. Algorithms are integrated into the chapters to serve as a roadmap for patient management.
The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the 'real world', the book offers specific management tools that will be useful in the reader's own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level. The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book's offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of: A thorough introduction to the history of EMS An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions An examination of EMS systems, structure, and leadership