EMERGENCY MEDICAL SERVICES, 2 VOLS.. CLINICAL PRACTICE AND SYSTEMS OVERSIGHT.

Emergency Medical Services: Clinical Practice and Systems Oversight is the official textbook of the National Association of EMS Physicians™ (NAEMSP™) National EMS Medical Directors Course and Practicum™.
Now paired with a companion website featuring self-assessment exercises, audio and video clips of EMS best practices in action, and more, this essential study aid guides students through the core knowledge they need to successfully complete their training and begin their careers as EMS physicians.

Emergency Medical Services: Clinical Practice and Systems Oversight consists of:
- Volume 1: Clinical Aspects of EMS
- Volume 2: Medical Oversight of EMS
- Companion website featuring supportive self-assessment exercises, audio and video clips

Authors
David C. Cone, MD (Editor-in-Chief), Professor of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA
Jane H. Brice, MD, MPH, Orange County EMS Director, Professor of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Theodore R. Delbridge, MD, MPH, Professor of Emergency Medicine, East Carolina University Brody School of Medicine, Greenville, NC, USA
J. Brent Myers, MD, MPH, Director Medical Director, Wake County EMS System, Raleigh, NC, USA

Table of Contents
Volume 1: Clinical aspects of EMS
1 History of EMS 1
Section I: Airway
2 EMS airway management 19
3 Airway procedures 30
4 Airway management: special situations 43
Section II: Breathing
5 Respiratory distress 53
6 Oxygenation and ventilation 60
Section III: Circulation
7 Hypotension and shock 69
8 Vascular access 78
Section IV: Medical Problems
9 The challenge of the undifferentiated patient 87
10 Altered mental status 92
11 Cardiac arrest systems of care 98
12 Cardiac arrest: clinical management 109
13 Chest pain and acute coronary syndrome 120
14 Cardiac dysrhythmias 129
15 Cardiac procedures and managing technology 137
16 Abdominal pain 144
17 Submersion injuries/drowning,= 151
18 Choking 155
19 Syncope 158
20 Seizures 163
21 Stroke 171
22 Allergic reactions 179
23 Diabetic emergencies 184
24 Renal failure and dialysis 190
25 Infectious and communicable diseases 198
Section V: Trauma Problems
26 Trauma Systems of Care 211
27 Blunt trauma considerations 216
28 Motor vehicle crashes 222
29 Penetrating trauma 228
30 Traumatic brain injury 237
31 Electrical injuries 243
32 Blast injury 248
33 Thermal and chemical burns 253
34 Crush injury 261
35 Hemorrhage control 265
36 Orthopedic injuries 272
37 Ocular trauma 280
38 Bites, stings, and envenomations 284
39 Field trauma triage 289
40 Trauma-stabilizing procedures 297
Section VI: Obstetrics and Gynecological Problems
41 Physiology of pregnancy: EMS implications 307
42 Emergencies of pregnancy 312
43 Normal childbirth 318
44 Childbirth emergencies 322
45 Perimortem cesarean section 325
Section VII: Toxicological Problems
46 Principles of toxicology 333
47 Treatment and evaluation of specific toxins 341
Section VIII: Environmental Problems
48 Cold exposure illness and injury 351
49 Heat-related illness 358
50 High-altitude illnesses 363
51 Effects of flight 368
52 Diving injury 372
Section IX: Special Populations
53 The special needs of children 381
54 Pediatric medical priorities 386
55 Pediatric trauma priorities 393
56 Technology-dependent children 397
57 Approach to the geriatric patient 401
58 Bariatric patient challenges 407
59 Behavioral health emergencies 412
Section X: Special Considerations
60 Intimate partner violence 423
61 Sexual assault 430
62 Child maltreatment 435
63 Ethical challenges 439
64 End-of-life issues 444
Volume 2: Medical Oversight of EMS
Section I: System Infrastructure
1 Principles of EMS system designs 3
2 Air medical services 17
3 Interfacility transportation 29
4 Legislation, regulation, and ordinance 36
5 State EMS offices 44
6 EMS personnel 51
7 Principles of finance 60
Section II: Clinical Leadership and Oversight
8 Medical oversight of EMS systems 71
9 Leadership and team building 85
10 EMS dispatch 94
11 Communications 113
12 Emergency care regionalization 123
13 EMS–public health interface 134
14 Political realities for the medical director 140
15 EMS physicians as public spokespersons 146
16 Legal issues 160
17 Due process 182
18 Risk management 192
Section III: Human Resources
19 EMS provide reducation 201
20 EMS provider wellness 211
21 Occupational injury prevention and management 217
22 Ambulance safety and crashes 222
23 Medical surveillance of emergency response personnel 231
24 Prevention and intervention for psychologically stressful events 236
25 Protection of EMS personnel from occupationally acquired infections 243
Section IV: Extraordinary Circumstances
26 Incident command system and national incident management system 257
27 Medical management of mass gatherings 264
28 Disaster preparedness and management 272
29 The federal medical response to disasters 278
30 Special considerations in disaster zones 283
31 Prehospital triage for mass casualties 288
32 Mass casualty management 292
33 Mass casualty evacuation and patient movement 303
34 Temporary treatment facilities 313
Section V: Special Hazards
35 Medical support for hazardous materials response 323
36 Chemical properties of hazardous materials 334
37 Radiation and radiation injury 339
38 Weapons of mass destruction 349
Section VI: Special Environments
39 Tactical EMS 355
40 EMS on the fireground 363
41 Confined space and limited access situations 373
42 Care in the wilderness 377
43 Telemedicine and emerging telecommunications 392
Section VII: Advancing Knowledge
44 EMS research basics 403
45 Informed consent for EMS research 410
46 Cardiac arrest-related research methodology 415
47 Trauma-related research methodology 420
48 Pediatric-related research methodology 427
49 Economic evaluation of EMS-related interventions 433
50 Data handling and statistics essentials 439
Appendix, 449