Wilderness emergency medical services: The experiences at Sequoia and Kings Canyon National Parks
| Autor: | Marc Shalit, Tucker J. Bierbaum, Robert A. Lowe, Douglas E. Goldman, Mark Maertins, Jeffrey Johnson |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Male Emergency Medical Services Time Factors Scope of practice Adolescent Resuscitation media_common.quotation_subject Poison control Rural Health California Hypersensitivity medicine Emergency medical services Humans Wilderness Child Aged media_common Aged 80 and over National park business.industry Rural health Infant Basic life support General Medicine Middle Aged medicine.disease Advanced life support Life Support Care Emergency Medical Technicians Transportation of Patients Child Preschool Emergency Medicine Recreation Wounds and Injuries Female Medical emergency Emergencies business |
| Zdroj: | The American Journal of Emergency Medicine. 9:211-216 |
| ISSN: | 0735-6757 |
| DOI: | 10.1016/0735-6757(91)90078-x |
| Popis: | This article describes the National Park Service wilderness emergency medical services (EMS) system, as implemented at Sequoia-Kings Canyon National Park. EMS records on all 434 patients in the period from August 1, 1986, to July 31, 1987, were reviewed. Most patients had minor problems. Overall, 77% of patients contacting the EMS system were released at the scene, and base hospital contact was made in only 28% of cases. However, there were three deaths, 44 (10%) patients who received advanced life support, and 292 (67%) patients who received basic life support. Seven patients who received advanced life support were released without transport. Decisions regarding scope of practice in a low-volume, wilderness EMS system are complicated by long transport times and problems with skills maintenance. Differences between the times and problems with skills maintenance. Differences between the patients treated by a wilderness system and those seen in most urban systems may make it appropriate to release a greater portion of patients without ambulance transport. In a system with long response and transport times, use of personnel with different training than in the urban setting becomes necessary. |
| Databáze: | OpenAIRE |
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