RT Book, Section
A1 Fullagar, Christopher J.
A2 Cooney, Derek R.
SR Print(0)
ID 1126791442
T1 Shock and Hemorrhage
T2 Cooney's EMS Medicine
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071775649
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1126791442
RD 2024/04/19
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.