RT Book, Section
A1 Cooper, Jimmy L.
A1 Cuenca, Peter J.
A2 Cooney, Derek R.
SR Print(0)
ID 1126794406
T1 Army Emergency Medical Response
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=1126794406
RD 2024/04/25
AB The  first  formally  trained  ambulance  service  owes  its  existence  to  military  operations.  The  first  formal  emergency  medical  service  is  traced  back  to  the  middle  ages  during  the  crusades  of  the  11th  century.  The  Knights  of  Saint  John  received  instruction  in  first-aid  treatment  from  both  Arab  and  Greek  doctors.  These  Knights  of  Saint  John  then  acted  as  the  first  formally  trained  prehospital  medical  personnel,  treating  soldiers  on  both  sides  of  the  war  on  the  battlefield  and  bringing  in  the  wounded  to  nearby  tents  for  further  medical  treatment.1  The  military  again  played  a  significant  role  in  the  development  of  prehospital  care  in  1487  during  the  Siege  of  Malaga,  in  Spain.  This  was  the  first  recorded  use  of  an  ambulance—a  horse  drawn  cart  with  a  trained  attendant.2  In  the  1700s,  Napoleon  Bonaparte  appointed  Baron  Dominique-Jean  Larrey  to  develop  the  first  systematic  collection  of  wounded  on  the  battlefield.  In  1797,  Larrey  created  “ambulance  volantes”  or  light  with  carriages  with  trained  personnel  to  collect,  transport,  and  treat  injured.3  Larrey  developed  all  of  the  precepts  of  emergency  medical  care  that  are  used  today  by  all  modern  EMS  systems:  rapid  access  to  the  patient  by  trained  personnel,  field  treatment  and  stabilization,  and  rapid  transportation  back  to  the  medical  facility  while  providing  medical  care  en  route.4