Articles: emergency-medical-services.
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Effective prehospital treatment of the severely injured and acutely ill by an Advanced Emergency Care system may change symptoms and signs by the time patients arrive at the hospital. To provide optimal care, physicians must appreciate the capabilities and limitations of the EMT-paramedic. ⋯ Cardiac rhythms must be documented for review. It should be the responsibility of the medical directors of such Advanced Emergency Care systems to provide supervision, refresher training, critiques, and evaluation, to establish medical responsibility and credibility.
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Pre-hospital trauma care and management in the United Kingdom, West Germany, Denmark, the United States of America, Australia and New Zealand, are briefly compared. An analysis is presented of 738 serious motor vehicle accidents attended in Canterbury from November 1972 until February 1977, showing that the accidents with life threatening conditions commonly occurred more than 20km from the base hospital.