According to interviewees, the reason for the relatively late implementation of the SAMU in the capital was due to the fact that mobile prehospital care
was previously provided by the Firefighter Corps--thus requiring a specific coordination strategy--and difficulties in establishing intergovernmental partnerships up to that point.
Assessment of adequacy of prehospital care
has historically been relatively subjective.
Since the 1980s, programs have emerged to train physician specialists in trauma surgery, emergency medicine, and prehospital care
Data for fixed prehospital care
(specialised outpatient units, diagnostic and treatment services and non-hospital emergency care units) are presented first, followed by those for mobile prehospital care
The overall goal of treatment, beginning with prehospital care
, is to protect uninjured neural tissue, maximize recovery of injured tissues, and optimize conditions for the spinal column to heal in a satisfactory alignment.
Marianne Gausche-Hill, director of prehospital care
at Harbor-UCLA Medical Center in Torrance, Calif.
EMS personnel are usually restricted to prehospital care
, but in some areas they are being used inappropriately in emergency room settings to provide direct care.
The first section, "General Concepts in Trauma Nursing," covers economic, administrative, and legal issues in trauma nursing, injury prevention, and prehospital care
of the trauma patient.
It covers prehospital care
and transport medicine, resuscitation (including shock, CPR, newborn resuscitation and acute distress), various types of trauma including that to the head and spinal cord, environmental emergencies such as animal and human bites and heat-induced illness, toxicology, and specific diseases ranging from allergic and auto-immune disorders to child abuse and neglect, oncology disorders, pain control and psychiatric disorders, as well as a section on legal issues such as the duty to treat and the right to refuse.
Major components of a traditional plan include: command and control, surveillance, disease control (vaccine delivery, antiviral medication delivery, isolation and quarantine), prehospital care
, hospital care, communications and logistics.
Walraven, Harding, LeBlanc, Murphy, Nerney, Advanced Prehospital Care