BACKGROUND The inability to secure a patient's airway in the prehospital setting is a major cause of potentially preventable death in the field of trauma and emergency medicine. METHODS The University of Arizona in Tucson has established two telepresence programs, the Southern Arizona Teletrauma and Telepresence Program and Tucson Emergency Room (ER)-Link for assisting with trauma and emergen...

Introduction Health care workers employed in the ambulance service should minimize their response time when responding to a medical emergency. Prehospital emergency services operate on 24-h basis; hence, management both work and social lives of staff is more difficult than other occupational groups. In case health services, no doubt most important aspect terms human health. The purpose this res...

BACKGROUND Physicians working in prehospital care are expected to handle radio communication both within their own sector as well as with other divisions of the National Emergency Services. To date, no study has been conducted on the level of training received by physicians in the use of the equipment provided or on the level of competency acquired by physicians. METHODS In order to investiga...

BACKGROUND Existing rural prehospital models have been criticised for being isolated from the healthcare system, and for following inflexible clinical protocols. Greater reliance on clinical judgement and informed decision making in the prehospital setting offer the potential to improve patient care. METHODS Soft systems methodology was used to develop and critically appraise the prehospital ...

OBJECTIVE Since March 1992, intravenous nalbuphine hydrochloride has been used prehospital by paramedics in the Plymouth area. This study assesses the impact of this intervention. METHODS A prospective study of the parenteral analgesic requirements of 1000 consecutive patients arriving by ambulance at the accident and emergency (A&E) department of a large district general hospital. Where pare...

Current System of Care Emergency Medical Services System Design Prehospital EMS systems have 3 major components: emergency medical dispatch, public safety (fire and law enforcement) first response, and EMS ambulance response. Each of these operates within a broader emergency care system, which includes acute care facilities and regionalized healthcare services. In most states, an EMS regulatory...

This article provides an overview of health promotion and disease and injury prevention concepts. It provides an emergency medicine perspective and reviews approaches that can be used in the emergency department. It discusses examples of innovative emergency medicine-based preventive activities including prevention in the prehospital setting. This article ends with a discussion of the importanc...