RT Book, Section
A1 Emmons, Jerome
A1 Cooney, Derek R.
A2 Cooney, Derek R.
SR Print(0)
ID 1126790983
T1 Scene Safety and Size-Up
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=1126790983
RD 2025/05/22
AB Practicing  emergency  medicine  in  the  prehospital  setting  is  rife  with  opportunities,  special  considerations,  and  perils  not  encountered  routinely  in  the  hospital  emergency  department.  EMS  physicians  transport  themselves  to  the  scene,  rather  than  the  scene  being  brought  to  them  as  in  standard  medical  practice.  They  many  times  initially  perform  the  functions  their  triage  nurse  otherwise  would,  in  a  deliberate  and  expedited  fashion.  Patients  in  the  field  are  seen  at  first  in  parallel  rather  than  in  series.  The  physician  is  given  the  opportunity  to  see  the  scene  as  a  reflection  of  the  general  health  of  the  patient,  or  as  a  first-hand  account  of  mechanism  of  injury.  Consequently,  the  physician  is  subject  to  the  unique  environmental  dangers  associated  with  patient  care  in  the  field  that  often  contributed  to,  or  are  a  result  of,  the  patient’s  injury  or  illness.  A  successful  EMS  physician  in  active  field  operations  assesses  the  scene,  acts  on  this  assessment,  and  mitigates  danger  prior  to  the  provision  of  any  patient  care  or  evaluation.