TY - CHAP M1 - Book, Section TI - Training and Board Certification A1 - Perina, Debra G. A2 - Cooney, Derek R. PY - 2016 T2 - Cooney's EMS Medicine AB - In the United States, over 15.9 million patients per year are transported to emergency departments (ED) by emergency medical services (EMS), and 40% of all hospital inpatient admissions arrive by ambulance.1 Physicians have dedicated a significant portion of their practice to EMS since the late 1960s. EMS physicians acquired their expertise primarily by direct experience and together built the subspecialty through professional association, collaborative research, and standards development. EMS medicine has many roots, with growth spurts largely coming out of casualty care during warfare. Modern EMS started in Great Britain and Los Angeles in the early 1960s, driven by cardiologists who wanted a way to resuscitate cardiac arrest patients in the field.2 In the late 1960s with Death and Disabilities white paper, EMS saw exponential growth at the hands of surgeons who wanted a rapid way to evacuate and treat trauma victims on the nation's highways similar to the care and resuscitation of trauma victims during the Vietnam War.3 The majority of these surgeons also worked and staffed the “accident units,” precoursers of today's ED. When emergency medicine became an organized specialty in the late 1970s, it was a natural transition for these “new kids on the block” to take an active role in EMS since the interface was far more than that for physicians from other specialties. The growth of EMS medicine actually parallels the growth of emergency medicine to a large degree. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1126788949 ER -