Prehospital Emergency Medicine Secrets

• Contents

  [draft of TOC - upon approval, I would seek additional reviews by experts on contents before finalizing, including Dr. Peter Cameron]

  Top 100 Secrets

  Section 1 History of Emergency Medical Services

• History of Emergency Medical Services

Section 2 Emergency Medical Services Operations

Destination Guidelines and Hospital Designation

Emergency Vehicle Operation

EMS System Design

Media and Public Relations

Medical Direction

Medicolegal Issues

Prehospital Communications

Public Health and EMS

Quality Improvement

Research in EMS

Section 3 Personal Safety and Wellness

Critical Incident Stress

Infectious Disease Exposure

Occupational Health Issues in EMS

Scene Safety

Section 4 Adult Medical Care

Decision making and critical interpretation of vital signs

Prehospital physical assessment

Abdominal pain, vomiting and diarrhea, dehydration

Altered mental status

Arrhythmias

Cardiac arrest, including ECMO

Cardiac emergencies - chest pain, STEMI, ACS, CHF

Cardiac device emergencies - pacemaker/implanted defibrillator dysfunction, left ventricular assist devices

Diabetic emergencies

Gastrointestinal hemorrhage

Hypotension and shock

Infectious disease emergencies/sepsis

Psychiatric emergencies/Care of the agitated or suicidal patient

Obstetrics and Gynecologic emergencies

Overdose

Poisonings

Renal failure and dialysis

Respiratory emergencies - anaphylaxis, COPD, asthma, pneumonia

Seizures

Stroke and TIA

Syncope

Section 5 Adult Trauma Care

General Adult trauma principles and triage

Head injuries and facial trauma

Cervical spine and spinal cord injuries

Chest, abdominal, and pelvic injuries

Extremity injuries

Penetrating injuries

Thermal burns and inhalational injuries

Care of the entrapped patient, including crush injury

Section 6 Pediatric Medical Care

Decision making and critical interpretation of vital signs

Abdominal pain, vomiting and diarrhea, dehydration

Altered mental status

Cardiac arrest and arrhythmias

Chest pain and syncope

Infectious disease emergencies/sepsis

Prehospital physical assessment

Respiratory distress emergencies - asthma, bronchiolitis, croup, pneumonia, anaphylaxis

Seizures

Shock

Technology dependent children

Poisonings

Section 7 Pediatric Trauma Care

General Pediatric trauma principles and triage

Head injuries and facial trauma

Cervical spine and spinal cord injuries

Chest, abdominal, and pelvic injuries

Extremity injuries

Penetrating injuries

Thermal burns and inhalational injuries

Section 8 Disaster and Multiple Casualty Incidents

General principles in disasters and multiple casualty incidents

Prehospital triage for mass casualties

Mass casualty evacuation and patient movement

Biological terrorism

Chemical terrorism

Radiation and radiation injury

Blast injuries

Hazardous materials response

Tactical EMS

Search and rescue

Community disaster preparedness

Section 9 Wilderness EMS and Austere medicine

General principles in wilderness medicine

Bites, stings, and envenomations

Decompression illnesses

Dysbarisms

Heat related illness

Hypothermia

Lightning and electrical emergencies

Submersion injuries/drownings

Wilderness survival

Section 10 Special Prehospital Situations

Interfacility transport, including Ground Critical Care Transport

Bariatric emergencies

Geriatric emergencies

Aeromedical Transport

Community Paramedicine

Intimate partner violence, sexual assault, and child maltreatment

End of life issues

Section 11 Prehospital Skills and Procedures

Airway Management

Analgesia and sedation

CPR, AED, mechanical compression

Electrocardiogram interpretation

Field amputation

Hemorrhage control

Intravascular/ interosseous access and fluids resuscitation

Oxygenation and ventilation

Perimortem caesarian section

Point of care testing

Procedures in the trauma patient

Splinting and spinal immobilization

Telemedicine and emerging telecommunications

Termination of resuscitation

Transport of the highly infectious patient