TY - CHAP M1 - Book, Section TI - Shock and Hemorrhage A1 - Fullagar, Christopher J. A2 - Cooney, Derek R. PY - 2016 T2 - Cooney's EMS Medicine AB - The evaluation and treatment of shock in the prehospital environment presents unique challenges to the EMS physician. Decisions regarding the balance between sophisticated field treatment and minimizing transport time to definitive care must continually be evaluated. The benefit of advanced care in the field has been questioned.1–3 Some studies have demonstrated that the addition of the physician on the scene may increase scene time in certain scenarios, while other studies have not observed this effect.3 This is likely related to the prehospital training and experience of the physician. Balancing physician intervention with scene time is an important part of the care of the patient in shock and must be explored during the EMS education of residents and fellows. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1126791442 ER -