Mass Casualty Management
INTRODUCTION Print Section Listen A mass casualty incident (MCI) is an event that produces or has the potential to produce multiple casualties requiring medical care. The goal of prehospital care…
Fire Ground Operations and Rehab
INTRODUCTION Print Section Listen Firefighters tackle a wide variety of challenging operational scenarios and suffer significant stress and physiological demands during the discharge of their duties.1 Because the majority of…
Cruise Ship, Airline, and Resort Medicine
INTRODUCTION Print Section Listen The operational environment of commercial travel can be as challenging as any other for the EMS physician to provide quality emergency medical care. As an aging…
Tactical Medical Support
INTRODUCTION Print Section Listen Tactical emergency medical support, or TEMS, was patterned after the successful military model of specially trained medics embedded within remotely deployed fighting units. While the military…
International Deployment
INTRODUCTION Print Section Listen Emergency medicine service (EMS) personnel have opportunities to deploy in a variety of settings from urban international disaster response to sustained humanitarian missions for developing areas…
Mass Gatherings
INTRODUCTION Print Section Listen Mass gathering medical care generally refers to the organized care provided for groups of at least 1000 people, including both spectators and participants, although some authors…
Field Surgery
INTRODUCTION Print Section Listen Field surgical procedures are for the most part relatively uncommon with few cases reported and published. Barriers to reporting likely include a preponderance of poor or…
Obstetric Procedures
INTRODUCTION Print Section Listen Babies have been born for millions of years without EMS intervention. This is one “emergency” that almost always turns out well. The CDC reported that, in…
Pain Management, Sedation, and Anesthesia
Print Section Listen Pain is the most common emergency complaint. The World Health Organization supports optimal pain treatment as a fundamental human right (http://who.int.easyaccess2.lib.cuhk.edu.hk/mediacetre/news/notes/2007/np31/en/). Several prehospital studies have shown inadequate…
Extremity Injuries
INTRODUCTION Print Section Listen Musculoskeletal trauma is frequently encountered in the prehospital setting. In 2007, extremity injuries accounted for over 14 million emergency department visits within the United States.1 Injuries…
