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Emergency Medical Services


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Family support in patient care Ethnicity and culture of EMS clinicians The future of EMS and the role of family Social isolation Bystanders Spontaneous volunteers and civilian‐led rescue Bystanders and physicians on the scene EMS and violent bystanders Summary References CHAPTER 67: Analgesia Introduction Oligoanalgesia Opioids Nitrous oxide Ketamine Nonsteroidal anti‐inflammatory drugs (NSAIDs) Acetaminophen Nonpharmacological interventions Assessment of pain Addressing common myths Summary References CHAPTER 68: Point‐of‐care testing in EMS Introduction Is POC right for EMS? Is this POC test right for my service? Specific POC tests for consideration in the EMS setting Unique aspects of POC testing in mobile integrated health/community paramedicine Conclusion References CHAPTER 69: Ultrasound applications in the prehospital setting Introduction Why Prehospital Ultrasound? Settings of Field Use Indications Disaster and Mass Casualty Triage Military Role of Non‐Physicians/EMS Training Tele‐ultrasound Feasibility of Ultrasound in the Field Future Directions References Appendix: Chapter Mapping to the 2019 Core Content of EMS Medicine Glossary Index

      3  Volume II Title Page Copyright Page Contributors Foreword Preface References About the Companion Site SECTION I: Principles of Oversight and Design CHAPTER 70: Medical oversight of EMS systems Introduction The evolution of the subspecialty of EMS State requirements for EMS medical direction Barriers to effective medical oversight of EMS Indirect medical oversight Direct medical oversight Direct patient care in the field Conclusion Acknowledgment References CHAPTER 71: Principles of EMS system design Introduction System Design Goals Services Vehicles Equipment and Supplies Delivery Settings Provider Organization Considerations Deployment Planning Performance Standards and Assurances Acknowledgments References CHAPTER 72: Emergency care regionalization Regionalization A case example The