Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.
A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital. Paramedics work as part of the emergency medical services (EMS), most often in ambulances. They also have roles in emergency medicine, primary care, transfer medicine and remote/offshore medicine. The scope of practice of a paramedic varies between countries, but generally includes autonomous decision making around the emergency care of patients.
Anesthesiology, anaesthesiology, or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. A physician specialized in anesthesiology is called an anesthesiologist, anaesthesiologist, or anaesthetist, depending on the country. In some countries, the terms are synonymous, while in other countries they refer to different positions, and anesthetist is only used for non-physicians, such as nurse anesthetists.
A medical director is a physician who provides guidance and leadership on the use of medicine in a healthcare organization. These include the emergency medical services, hospital departments, blood banks, clinical teaching services and others. A medical director devises the protocols and guidelines for the clinical staff and evaluates them while they are in use.
A paramedic is a healthcare professional, providing pre-hospital assessment and medical care to people with acute illnesses or injuries. In Canada, the title paramedic generally refers to those who work on land ambulances or air ambulances providing paramedic services. Paramedics are increasingly being utilized in hospitals, emergency rooms, clinics and community health care services by providing care in collaboration with registered nurses, registered/licensed practical nurses and registered respiratory therapists.
In the United States, the paramedic is a allied health professional whose primary focus is to provide advanced emergency medical care for patients who access Emergency Medical Services (EMS). This individual possesses the complex knowledge and skills necessary to provide patient care and transportation. Paramedics function as part of a comprehensive EMS response under physician medical direction. Paramedics often serve in a prehospital role, responding to Public safety answering point (9-1-1) calls in an ambulance. The paramedic serves as the initial entry point into the health care system. A standard requirement for state licensure involves successful completion of a nationally accredited Paramedic program at the certificate or associate degree level.
An intensivist, also known as a critical care doctor, is a medical practitioner who specializes in the care of critically ill patients, most often in the intensive care unit (ICU). Intensivists can be internists or internal medicine sub-specialists, anesthesiologists, emergency medicine physicians, pediatricians, or surgeons who have completed a fellowship in critical care medicine. The intensivist must be competent not only in a broad spectrum of conditions among critically ill patients but also with the technical procedures and equipment used in the intensive care setting such as airway management, rapid sequence induction of anaesthesia, maintenance and weaning of sedation, central venous and arterial catheterisation, renal replacement therapy and management of mechanical ventilators.
The British Association for Immediate Care (BASICS) is an organisation which has the stated aim to encourage and aid the formation and extension of immediate care schemes. The British Association for Immediate Care was founded as a charity in 1977 and combines bringing people together who have an interest in pre-hospital immediate care with supporting and promoting regional and local immediate care schemes across the UK.
Emergency medical services in the Netherlands is a system of pre hospital care provided by the government in partnership with private companies.
The Emergency Medical Retrieval Service (EMRS) provides aeromedical critical care retrieval and pre-hospital critical care to people in Scotland in the form of two retrieval teams. The service provides patients in remote and rural areas with rapid access to the skills of a consultant or senior doctor in emergency medicine, intensive care medicine or anaesthesia, and facilitates transfers to larger, better equipped urban hospitals. The EMRS functions supplementary to the regular Scottish Ambulance Service Air Ambulance service. Unlike air ambulance services in other parts of the UK, both services are funded by the Scottish Government.
The following outline is provided as an overview of and topical guide to emergency medicine:
Lincolnshire Integrated Voluntary Emergency Service, known commonly as LIVES, is a registered charity staffed by volunteers providing pre-hospital care services across Lincolnshire. LIVES operates alongside the East Midlands Ambulance Service to provide clinical and critical care skills as well as immediate medical responses in the form of community first responders. LIVES operates under the national pre-hospital care co-ordinating body, the British Association for Immediate Care. LIVES is a registered provider of healthcare with the Care Quality Commission
Prehospital ultrasound is the specialized application of ultrasound by paramedics, to guide immediate care and treatment procedures. Like conventional ultrasound, it is a device that produces cyclic sound pressure to penetrate a medium (flesh) and reveal details about the inner structure of the medium.
Air medical services are the use of aircraft, including both fixed-wing aircraft and helicopters to provide various kinds of medical care, especially prehospital, emergency and critical care to patients during aeromedical evacuation and rescue operations.
The West Midlands Central Accident, Resuscitation & Emergency (CARE) team is a charitable organisation who respond to serious medical incidents within the West Midlands, UK. Working in teams alongside West Midlands Ambulance Service, volunteer doctors, nurses and other healthcare professionals deliver enhanced critical care to seriously injured and unwell patients.
Spinal precautions, also known as spinal immobilization and spinal motion restriction, are efforts to prevent movement of the spine in those with a risk of a spine injury. This is done as an effort to prevent injury to the spinal cord. It is estimated that 2% of people with blunt trauma will have a spine injury.
Critical emergency medicine (CREM) refers to the acute medical care of patients who have medical emergencies that pose an immediate threat to life, irrespective of location. In particular, the term is used to describe the role of anaesthesiologists in providing such care.
The British Association for Immediate Care Scotland is an organisation involved with prehospital care. It has the aims of providing encouragement and aid with the formation of immediate care schemes and to provide training to support those working in prehospital care. It shares its origins with the British Association for Immediate Care (BASICS), which has UK wide coverage. In 1993, the British Association for Immediate Care began running prehospital care courses in Scotland, which were met with a warm welcome and it became clear there was a large audience for such education, especially in remote and rural areas of Scotland. This need for training and organisational leadership became clearer after the 1994 Scotland RAF Chinook crash on the Mull of Kintyre. This led to the training provided by BASICS to be modified for a more rural setting, and to the development of BASICS Scotland as a separate organisation in 2002.
Peter John Firth Baskett (1934–2008) was a Northern Irish physician, specializing in anaesthesia. He was responsible for the introduction of paramedics into the United Kingdom, created specialist ambulances for delivering on-scene pain relief to patients, and was the first chairman of the European Resuscitation Council.
The Prehospital Immediate Care and Trauma (PICT) Team is a prehospital care team which operates from Raigmore Hospital emergency department in Inverness, Scotland. It receives funding from NHS Highland, BASICS Scotland and the Scottish Trauma Network.
