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Having had a look at this content, it doesn't really fit into the Emergency medical services main page. That's not to say that there isn't all sorts of good information...my feeling was that it would do better as its' own page, with plenty of room for expansion. Rather than just deleting somebody's hard work, I've cut and pasted it here, so that when someone is ready to take a shot at doing a separate page, it's available:
The face of rural/frontier EMS has changed dramatically since the 1966 National Academy of Sciences, National Research Council (NAS-NRC) white paper “Accidental Death and Disability: the Neglected Disease of Modern Society” marked the conception of modern EMS. [1] [2] Ambulance service of that era was more about a fast ride than medical care. It was provided as a low-investment by-product service of funeral homes and others whose primary business already had the requisite type of vehicle.
The NAS-NRC white paper revealed the ill-equipped, ill-trained nature of these services, as well as the potential to do more harm than good. citation needed Subsequent reforms led to the birth of modern EMS with the Emergency Medical Services Systems Act of 1973. citation needed As standards for training, equipment and care changed, so did the providers of rural/frontier EMS. Dedicated ambulance vehicles staffed by trained EMT's operated by independent volunteer organizations, volunteer fire departments, local hospitals, and others replaced hearses.
In the past three decades, the EMS field, with its capabilities and role as a unique discipline at the crossroads of medicine, public health and public safety, has matured dramatically. At a rural car crash, the gold standard medical response has gone from hearse to helicopter. The pressure to provide advanced life support (ALS), created at first by enthusiastic EMTs within EMS agencies themselves, has become compounded by media-generated public expectation. [1] [2] The drive to provide ALS has had an effect similar to that experienced by funeral home ambulance operators pressed to provide safe, basic care in the early 1970s. More workplace issues arose. The 1950s brought much needed emphasis on the physical and mental health of EMS providers. citation needed
EMS agencies dependent on volunteers for staffing and fund-raising for revenue, have found advancement difficult. [1] Indeed, it is often a challenge to continue to assure the timely response of a basic life support ambulance in these settings. In the current era of preparing public safety for effective response to manage terrorist and other events, the reality of rural/frontier EMS is that the infrastructure upon which to build such a response is itself in jeopardy. [2] The 1996 NHTSA “EMS Agenda for the Future,”41 the visionary guide upon which this document is based, states that “EMS of the future will be community-based health management which is fully integrated with the overall health care system.” verification needed A theme running through the Rural/Frontier EMS Agenda for the Future is that such EMS integration is not only a reasonable approach to making community health care more seamless and to meeting community health care needs that might not otherwise be met, but that providing a variety of EMS-based community health services may be crucial to the survival and advancement of many rural/frontier EMS agencies. [1]
Another related theme is that EMS should not only weave itself into the local health care system but into the fabric of the community itself. [1] Communities can objectively assess and publicly discuss the level and type of EMS care available, consider other options and accompanying costs, and then select a model to subsidize. Where this happens through a well-orchestrated and timely process of informed self-determination, community EMS can be preserved and advanced levels of care can be attained. [1]
The National Rural Health Association National Rural and Frontier Emergency Medical Services Agenda for the Future document suggests other means of maintaining an effective EMS presence as well such as alternative methods of delivering advanced life support back-up, and the formation of regional cooperatives for medical oversight, quality improvement, data collection and processing. [1] [2] Emrgmgmtca ( talk) 15:13, 15 September 2008 (UTC)
References
References
I have reviewed and either validated or invalidated all of the references and external links in the article. Unfortunately, being relatively new to Wikipedia, I am unsure how to edit a reference list, as has been used here. If someone could help out with this, the following was the result for the References section:
Ref 1. Delete...no longer valid. Ref 4. Delete...no longer valid. Hijacks to another website. Ref 10. Delete...no longer valid. Ref 11. Delete...no longer valid. Ref 13. Delete...no longer valid. Ref 14. Delete...no longer valid. Ref 20. Delete...no longer valid. Ref 24. Delete...link to ISBN number, not reference source. Ref 27. ???...Reference is valid and would be acceptable academically, but link doesn't work. Ref 32. Delete...no longer valid. Ref 35. Delete...no longer valid. Ref 52. Delete...no longer valid.
The External Links (See Also) have all been validated. Thanks for your help with this. Emrgmgmtca ( talk) 14:16, 12 September 2008 (UTC)
Ref. 30 invalid as well. JGard4159 ( talk) 03:28, 2 August 2020 (UTC)
I would strongly suggest that all of the content of this article be as generic as possible, without the loads of regional variations that are currently being presented as if they were universal. As a result, I am proposing that all of the content on the various subspecialties (none of which are universal) be given their own separate articles, and linked to the main, generic article. These would include all content related to Wilderness 'medics' (and I'm using that term interchangeably for paramedics, EMTs and other types of technicians in other jurisdictions), Fire-medics, Flight medics, tactical medics, critical care medics, paramedic practitioners, and the lot. The content is interesting and should be available, but it is by no means universal, and it creates erroneous impressions, particularly for Wiki users who are not actually involved in the field. This would also elminate about eight of the items currently on the 'to do' list for this article, and move it a lot closer to completion. I would welcome your comments on this proposal, and also some help in implementing it, if you agree. Emrgmgmtca ( talk) 12:49, 12 September 2008 (UTC)
I moved EMS from Emergency medical service to Emergency Medical Service because in the US, at least, it is called the Emergency Medical Service, with all three words starting with consonants capitalized. -- Tomtom 15:12, 19 Apr 2005 (UTC)
I added Registered Nurse (RN) to the levels of care listing. -geomedic
Emergency Medical Services is the standard terminology, in worldwide use.-- Napthene 19:09, 22 July 2005 (UTC)
It was suggested that this article should be renamed Emergency Medical Services. The vote is shown below:
This article has been renamed after the result of a move request. violet/riga (t) 21:33, 29 July 2005 (UTC)
That said, I would support a move to emergency medical service--most of the hits in caps appear to be titles of articles/webpages or proper nouns (EG "Some County Emergency Medical Service"), while in-text usage is more likely all lowercase. [2] [3] [4][ http://www.mishawakacity.com/ems.asp "Mishawaka’s emergency medical service needs continue to grow."] [5] Niteowlneils 07:29, 23 July 2005 (UTC)
Personally I would agree with the lowercase version, but I've moved it to Emergency Medical Services based on the voting results. Please consider discussing this further. violet/riga (t) 21:33, 29 July 2005 (UTC)
It should be Emergency Medical Service - all capitals - because you are spelling out an acronym. Also, emergency medical care is something EMS does, but it is also something that other facilities and agencies provide. They are not the same thing. —Preceding unsigned comment added by 69.119.73.206 ( talk) 01:56, 27 November 2007 (UTC)
It seems to me that play and run is no different from scoop and run. Although it is not explicitely mentioned, if a patient needs to be stabilized before moving, they usually are unless it is known they can be stabilized en route, or an ER/medic can be reached within a short period of time. This is particularly true of codes. Of course, perhaps there is a slight distinction between these two care strategies, but I don't think it is portrayed very strongly. Shaggorama 07:46, 5 January 2006 (UTC)
The terminology I am familiar with is "load and go" or "stay and play". Load and go is official terminology in PHTLS (Pre-Hospital Trauma Life Support) and BTLS (Basic Trauma Life Support) which dictates certain critera that a patient would meet resulting in an immediate transport of the patient without further on-scene stabilization. Stay and play is lingo showing the opposite of load and go showing the patient requires further stabilization on-scene. One other linguistic variation of this include "swoop and scoop".
The Wikipedia article Golden hour (medicine) details the differences quite well. Firerescuelieut 17:09, 18 May 2006 (UTC)
I think that we should include certain select subspecialties in this article. ie EMT-T (tactical medics), Fire-Medics, etc. At least the tactical medics for sure, since they are a unique and interesting branch of the EMS services.
In looking over this and other EMS related articles (consider ambulance, for example) I'm seeing a lot of information that is country-specific. I also note that some articles are becoming lengthy, in part due to the inclusion of country-specific information, but fail to adequately cover common aspects of their subjects. What do people think about culling the country-specific information from the EMS, EMT, ambulance &c articles and placing this info in country-specific emergency_medicine/ EMS/ title to-be-determined articles? -- Badger151 17:01, 1 December 2006 (UTC)
I note this issue hasn't been raised for a while. I support more country-specific information. There is so much variation between countries in the ways EMS is delivered, it would be better for this page to be divided into sections describing the various models of EMS practised in different regions/countries or, alternatively, be quite simple as a generic document with country-specific details of EMS included in those country's wikipedia entries. FlyingDoctor ( talk) 12:30, 12 July 2008 (UTC)
I edited the History section to include a link to The White Paper, as the article talks about "studies" in the 1960's but doesn't actually reference any. Yelruh 21:41, 3 September 2007 (UTC)
It has been suggested that the article Emergency Medical Care be merged into this Emergency medical services article. I oppose the merge on the basis of emergency medical care extending far beyond the EMS realm, and the qualification is much higher than everyday EMS personnel. It is similar to merging medical doctors into EMS on the basis that they are among the employed staff of the EMS.
Kindly state your opinion. —Preceding unsigned comment added by Princeattractive ( talk • contribs) 22:13, 11 September 2007 (UTC)
I would disagree with the merge. I have never heard the term Emergency medical care before. Although similar, they seem different enough to have seprate articles —Preceding unsigned comment added by 71.87.24.2 ( talk) 13:44, 28 October 2007 (UTC)
In the North Eastern US Emergency Medical Care would be a broader topic that includes in hospital care through at least admission to the hospital if not beyond. In this context of the term I would think that this merger is inappropriate.
In looking over the article for Emergency Medical Care it seems that they are roughly equivalent subjects and that the difference in terminology is one of country of origin. As a Wiki-novice I ask the other more experienced editor/reader “How do we merge these two without leaving one group of countries unable to find the article by searching their local term?”
If the target audience were known to be familiar with the professional terminology, I might suggest "Pre-hospital care and rescue" as a new topic for a merged article but that is a term that is little known outside of the professional community in the US.
JC Jjc1775 ( talk) 14:02, 11 December 2007 (UTC)
I would have to agree with the unregistered author above. I have never heard of emergency medical care being the combination of EMS and rescue. Emergency medical care was the care provided by EMS providers AND hospital providers, especially physicians (hence their specialty being Emergency Medicine. They provide emergency medical care.). Does anyone have a source (since there isn't one on the other page) that actually shows that EMC is how the article states it to be? JPINFV ( talk) 02:06, 11 March 2008 (UTC)
Article has been deleted... - JPINFV ( talk) 20:32, 2 April 2008 (UTC)
References should not be towards specific agencies, so stop adding them. Book references should be in the manner of the Chicago Manual of Style, please learn what that is. Demantos ( talk) 18:39, 18 November 2007 (UTC)
Since it was submitted before I could finish the entry note, I added the term "prehospital" in "highest medical care" to clarify that the paramedic level is the highest level of prehospital care. Obviously (I hope, at least), the highest level of medical care is the physician level (specialty of Emergency Medicine in this case). —Preceding unsigned comment added by 70.22.228.240 ( talk) 03:43, 3 March 2008 (UTC)
I am currently working on cleaning up the categorization of articles in Category:Prehospital care. Additionally, I have proposed renaming Category:Prehospital care to Category:Emergency medical services (as a more accurate, well known name to parallel Category:Firefighting, Category:Law enforcement, and Category:Rescue). If you have an opinion on the renaming of this category, please make a comment at Wikipedia:Categories for discussion/Log/2008 April 3#Category:Prehospital care. So far, there has been very little interest this category one way or the other. -- Scott Alter 11:25, 4 April 2008 (UTC)
We have selected this article as Wikipedia talk:WikiProject Medicine/Emergency medicine and EMS task force good article drive. We feel this article is of the utmost importance and would like to spear head a drive! We hope we can have a good collaborative effort, appreciate any help editors can give. Medicellis ( talk) 20:15, 5 August 2008 (UTC)
Something to add to this article, either under "First responder", or separately, is the difference between road-based and wilderness first responders. The logistics are so different. Ordinary first responder training involves patient assessment, use of equipment, and preparation for transport. Wilderness first responder also has patient assessment, but then stresses improvization. The available equipment may be limited, and transport by stretcher and ambulance may be days out of reach. -- Una Smith ( talk) 14:53, 6 August 2008 (UTC)
Medicellis ( talk) 02:05, 7 August 2008 (UTC)
The article currently confuses emergency ("emergent") and urgent medical care. One short hand is for the difference is this: emergent = call 911, urgent = call or visit doctor today. -- Una Smith ( talk) 14:58, 6 August 2008 (UTC)
The article content should be moved to Emergency medical service (singular of the current title), which now is a redirect here. -- Una Smith ( talk) 15:02, 6 August 2008 (UTC)
I appreciate that citations are important, and i have spent a lot of time on WP adding them, but i think that there may be too many citation tags on this article. Citations are only for statements which are liekly to be challenged, and may not be common knowledge to someone with a grasp of the subject. Specifically, cite requests, such as on the first paragraph, where one is requested for stating that EMS is invovled with treatment and transport of patients in an emergency. I can't imagine that isn't common knowledge to anyone with a passing knowledge of the subject, or even to 90% of the world's population? I didn't want to remove the tags without raising it first, so i would appreciate opinions.
More info on WP:CITE and Wikipedia:When to cite
Any thoughts? OwainDavies ( about)( talk) edited at 12:14, 7 August 2008 (UTC)
Emrgmgmtca ( talk) 17:11, 12 September 2008 (UTC)
I would like opinions on wither we should add back in EMS in different countries with short paragraphs, or keep the section the way it is? Medicellis ( talk) 14:29, 7 August 2008 (UTC)
Owain, great work so far on helping me with the GA drive! It seems myself and you are the only two interested in improving this article and Im glad I have someone to help!. In regards to the pic, I love it but there is a typo. The caption built into the picture - Healing is spelled wrong. It is a easy fix with the pic and since you developed it prob is easier for you to change it with your edit program. Again thanks for all your hard work and help!! Cheers - Medicellis ( talk) 18:36, 10 August 2008 (UTC)
Please vote to keep/delete or rewrite the section, It has WP:N and WP:V but very little. I say we re-name the section and have a complete re-write to make it complaint for a GA.
re-name and re-write Medicellis ( talk) 21:33, 10 August 2008 (UTC)
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Confusing english use of Emergency Medical Systems Terms and biasses induced by Emergency Medical Technicians or Paramedics US/English Terminology and lobying do not inform about the reality: USA decentralized and no Public Health integrated EMS nor on UK Public Health NHS Centralized but near "Demedicalized" System. The two systems are not even comparable and set in Anglo American EMS systems !!. Even American or English lectors can not be informed in English Wikipedia about their systems inconsistencies because very few read in other lenguages and even they do not know that (I have experencied it)they are censured and foreigner participation deleted.
EMS in .... Wikipedia articles in English are writen with te same biasses of American or English point of vue of paramedics and tunnel vision physicians .
Biases are not a Anglosaxon speciality !!!!! I am trying in French, Spanish and Portuguese on Samu/IEMS articles to evit the same cultural and sociologic biases in these lenguages i Know better than Enhlish.
Integrated Emergency Medical Care Services (IEMS) taking caring the patient from the Emergency Call to the Operating Room or Intensiva care unit through a MICU or a Emergency GP or Ambulance coud be a precision for differenciation of "EMS" that could stay with First Aid and Rescue 188.115.4.170 ( talk) 10:43, 8 August 2010 (UTC) 188.115.4.170 ( talk) 10:54, 8 August 2010 (UTC)
I disagree with the your asertions about UK EMS (National Public Health ambulance System) is at the opoosite of US one,and German (Federal State decentralized EMS) is very diffrenent than french (Centralized EMS State).
Your arguments about who liderizes EMS in different countries is also a bias of your point of vue Physician led EMS do not existe even in france all depend on Public Health Authority! I never said that Physician Led Systems are superior but I suppose you Physician has in near all countries has the technical laedership of Medical care.
Paramedical Personals are not to be put in Competition with Physicians and the Paramedic agressive lobying in this sense has to be regulated in Wikipedia ! Conflits between Paramedics, Ambulance Technicians , Nurses and Doctors have not to be accepted in Wikipedia.
English lenguage has not to vehiculate also any linguisteic US or UK colonialism. I stay thinking that "Paramedic"(Ambulance Paramedical Care Personals) "Emergency Medical Systems" (Prehospital Emergency Ambulance Service) are current english linguistic "errors" that Public Health Authorities have to day to regulate because they have not done it in the begining using normal current english clear terminology. I think nevertheless that your are convinced taht both of us are going up.
PS Wikipedia writen by "EMS" in ... the same writers are also full af linguistic biases and mistraductions. I ams am doing the same critics in to French or Belgians in French Wikipedia! even if I have other problems with the errors that all countreis ahave done implementing EMS (in your Sense) "Aide Médicale Urgente" . In Spanish Italian and Portuguese wikipedia is the same fight against errors of the past.... Friendly —Preceding unsigned comment added by 90.24.213.253 ( talk) 17:40, 10 August 2010 (UTC)
On Physician Leadership :Yes I confirm that I think that a Medical Care Sytem has to be headed by a Professional , Responsible Service Head Physician af a medical care team , I mean Professional with the deffinition of Sociologist Friedson who analyzes the conflicts with their assistants , like in an other Medical Care Service. In this sense I think that a emergency care service with a Medical Doctor in charge on the site and at command posts is "better for treatment" than where only a Paramedical Personal is alone even with "protocols". I do not mean that Doctors can work without the indispensable Paramedical Assistants care Team!!!. But Doctors are not to be confined in an Admistrative and Consultant role in an Emergecy Medical Care Service abandoning their proper responsability to their Paramedical Assistants Care Givers they must be present if necessary in all the steps of care.
I confirm my feeling Paramedical exists in English (why not to use it like Indian English do) , Medic, Paramedic , Nurse, Matron, and Physician are old ambiguous medical terms that canot be traduced litteraly in other lenguages like Sage Femme or Toobib in French or Galeno or Matrona in Spanish and Portuguese , we have to improove linguistic exhange between us! and En:Wikipedia has to write in International English not in local Jargon reporting a censoring local point of vue.
I feel that the current begin to pass between us and you are near to understand that We can make a bridge over the Channel or the Atlantic about what is an Emergency Ambulance Medical Service and a Paramedical Ambulance Professional... Nevertheless Friendly yours 90.24.186.153 ( talk) 13:04, 11 August 2010 (UTC)
OK, so we get to the heart of the issue! which, as you see it, Yes I object to the principle of paramedics and EMTs leading care in the out of hospital environment. Out Emergency medical care is done in all countries by General Practionners and Primary care personals not by paremedics ! And in my long experience I knew and participated the difficult gestation of new Emergency and ambulance and Medical Regulation paraprofessionals (I have 72 ans and I Worked all my Professional career as consultant in these systems I knew many Medical Emergency Systems and their defects do not care about that).
An other problem is the linguistic problem English is neither an exclusivity of North American or UK inhabitants and nor of Emergency Medical Systems/Services in your sense (EMS) which introducted EMS as their jargon restricted meaning that is intraduisible. You canot forget if a "minority of other languages" do not have a direct translation has a conceptual and semantic profound meaning. If you are an american Citizen and your are bilingual the Spanish litteral traduction is of EMS is SUM Servicio de Urgencias medicas what it means? An ambulance Service or an Integrated Medical Emergency System?. See what it means in your north american neighbours like the Cuba SIUM that is much more pertinent.
I suggest you to aid the rewriting of these EMS english biased wikipedia articles by each country professionals and not to censure them with your point of vue but to aid them to write an International English.
I suggest you also to merge for , calming the game ,this EMS general article with "Ambulance" article of en: Wikipedia that is much more international and has a yet a good spanish equivalent in es: Wikipedia (the french one is not so good) .I am working for that in French and Spanish prevent local biases.
I would wish also to have any reaction of Your Emergency Medical Medecine "authorities" and "academics" about many assertions writen in these articles that to be despised simply by then . For my part I will continue to react to because I think that Wikipedia has not to be left abandoned by Care Professionals , Public Health Authorities and Medical Academic People and they are a little responsible of your present problems .
Nevertheless staying Friendly reactive -- Miguel Martinez Almoyna ( talk) 09:49, 12 August 2010 (UTC)-- Miguel Martinez Almoyna ( talk) 09:49, 12 August 2010 (UTC)
I'm sorry to keep harping on about it, Wikipedia has not to reflect what happens in USA or England or in the World of Emergency Medical Services seen by an only local point of vue of a only local paramedic point of vue . en: Wikipedia writes in English that is not only the UK or US english readers. It is like if you see to me that also Spanish is an American also US monopol in Wikipedia!
Articles writen by US spanish writing paramedics are in the same way contestable.
EMS Emergency Medical Services are not good English terms and the same for SUM Servicios de Urgencias Medicas they are untraductible and confusion bearing in international English or Spanish.
I wish than any Wikipedia "Editor" or responsible will read this discussion! Can you transmit?
Friendly yours —Preceding unsigned comment added by 90.24.186.168 ( talk) 11:10, 18 August 2010 (UTC)
I'm new to editing wikipages, so i'm looking for a little guidance. I'd like to add an external link to "The DIEMS Project - the Database for International EMS Systems" www.trekmedics.org/projects/diems/
At first, i wanted to add it beneath the last country listed, but then i got the feeling that it might technically belong as an External Link.
However, after continuing to read about the guidelines, i am suspicious that there could be problems with this, possibly regarding accusations of COI: the website belongs to a non-profit organization, Trek Medics International, which I run. However, aside from the field work we do, I have also begun compiling information on as many international EMS systems as i can find into a database (26 countries and counting) which is all supported by referenced material from reputable medical journals (we will not post anything unless it can be cited).
However, because the source page is a part of my non-profit's website, I suspect there might be some potential to be accused of COI, even though I aspire to do nothing but make this database available to as many people as possible for educational purposes (there are no ads or any other fundraising efforts included in this database).
Please advise how (if) i may go about adding this valuable educational resource to the page. Thanks TrekMedics ( talk) 17:46, 21 September 2010 (UTC)
During some research I discovered that the "rendez-vous" term is used somewhat differently. However the majority seems to use it as meeting with e.g. paramedic or doctor on the way to the hospital. I am sure that there is a term for both meeting at the patient. But what is it called?
When this question has been clarified it could be nice to incorporate it in the article. -- |EPO| da: 19:22, 6 October 2010 (UTC)
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Psycho-social emergency services? None existing in GB, USA, Canada, Australia?
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Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 20:29, 16 January 2022 (UTC)
Having had a look at this content, it doesn't really fit into the Emergency medical services main page. That's not to say that there isn't all sorts of good information...my feeling was that it would do better as its' own page, with plenty of room for expansion. Rather than just deleting somebody's hard work, I've cut and pasted it here, so that when someone is ready to take a shot at doing a separate page, it's available:
The face of rural/frontier EMS has changed dramatically since the 1966 National Academy of Sciences, National Research Council (NAS-NRC) white paper “Accidental Death and Disability: the Neglected Disease of Modern Society” marked the conception of modern EMS. [1] [2] Ambulance service of that era was more about a fast ride than medical care. It was provided as a low-investment by-product service of funeral homes and others whose primary business already had the requisite type of vehicle.
The NAS-NRC white paper revealed the ill-equipped, ill-trained nature of these services, as well as the potential to do more harm than good. citation needed Subsequent reforms led to the birth of modern EMS with the Emergency Medical Services Systems Act of 1973. citation needed As standards for training, equipment and care changed, so did the providers of rural/frontier EMS. Dedicated ambulance vehicles staffed by trained EMT's operated by independent volunteer organizations, volunteer fire departments, local hospitals, and others replaced hearses.
In the past three decades, the EMS field, with its capabilities and role as a unique discipline at the crossroads of medicine, public health and public safety, has matured dramatically. At a rural car crash, the gold standard medical response has gone from hearse to helicopter. The pressure to provide advanced life support (ALS), created at first by enthusiastic EMTs within EMS agencies themselves, has become compounded by media-generated public expectation. [1] [2] The drive to provide ALS has had an effect similar to that experienced by funeral home ambulance operators pressed to provide safe, basic care in the early 1970s. More workplace issues arose. The 1950s brought much needed emphasis on the physical and mental health of EMS providers. citation needed
EMS agencies dependent on volunteers for staffing and fund-raising for revenue, have found advancement difficult. [1] Indeed, it is often a challenge to continue to assure the timely response of a basic life support ambulance in these settings. In the current era of preparing public safety for effective response to manage terrorist and other events, the reality of rural/frontier EMS is that the infrastructure upon which to build such a response is itself in jeopardy. [2] The 1996 NHTSA “EMS Agenda for the Future,”41 the visionary guide upon which this document is based, states that “EMS of the future will be community-based health management which is fully integrated with the overall health care system.” verification needed A theme running through the Rural/Frontier EMS Agenda for the Future is that such EMS integration is not only a reasonable approach to making community health care more seamless and to meeting community health care needs that might not otherwise be met, but that providing a variety of EMS-based community health services may be crucial to the survival and advancement of many rural/frontier EMS agencies. [1]
Another related theme is that EMS should not only weave itself into the local health care system but into the fabric of the community itself. [1] Communities can objectively assess and publicly discuss the level and type of EMS care available, consider other options and accompanying costs, and then select a model to subsidize. Where this happens through a well-orchestrated and timely process of informed self-determination, community EMS can be preserved and advanced levels of care can be attained. [1]
The National Rural Health Association National Rural and Frontier Emergency Medical Services Agenda for the Future document suggests other means of maintaining an effective EMS presence as well such as alternative methods of delivering advanced life support back-up, and the formation of regional cooperatives for medical oversight, quality improvement, data collection and processing. [1] [2] Emrgmgmtca ( talk) 15:13, 15 September 2008 (UTC)
References
References
I have reviewed and either validated or invalidated all of the references and external links in the article. Unfortunately, being relatively new to Wikipedia, I am unsure how to edit a reference list, as has been used here. If someone could help out with this, the following was the result for the References section:
Ref 1. Delete...no longer valid. Ref 4. Delete...no longer valid. Hijacks to another website. Ref 10. Delete...no longer valid. Ref 11. Delete...no longer valid. Ref 13. Delete...no longer valid. Ref 14. Delete...no longer valid. Ref 20. Delete...no longer valid. Ref 24. Delete...link to ISBN number, not reference source. Ref 27. ???...Reference is valid and would be acceptable academically, but link doesn't work. Ref 32. Delete...no longer valid. Ref 35. Delete...no longer valid. Ref 52. Delete...no longer valid.
The External Links (See Also) have all been validated. Thanks for your help with this. Emrgmgmtca ( talk) 14:16, 12 September 2008 (UTC)
Ref. 30 invalid as well. JGard4159 ( talk) 03:28, 2 August 2020 (UTC)
I would strongly suggest that all of the content of this article be as generic as possible, without the loads of regional variations that are currently being presented as if they were universal. As a result, I am proposing that all of the content on the various subspecialties (none of which are universal) be given their own separate articles, and linked to the main, generic article. These would include all content related to Wilderness 'medics' (and I'm using that term interchangeably for paramedics, EMTs and other types of technicians in other jurisdictions), Fire-medics, Flight medics, tactical medics, critical care medics, paramedic practitioners, and the lot. The content is interesting and should be available, but it is by no means universal, and it creates erroneous impressions, particularly for Wiki users who are not actually involved in the field. This would also elminate about eight of the items currently on the 'to do' list for this article, and move it a lot closer to completion. I would welcome your comments on this proposal, and also some help in implementing it, if you agree. Emrgmgmtca ( talk) 12:49, 12 September 2008 (UTC)
I moved EMS from Emergency medical service to Emergency Medical Service because in the US, at least, it is called the Emergency Medical Service, with all three words starting with consonants capitalized. -- Tomtom 15:12, 19 Apr 2005 (UTC)
I added Registered Nurse (RN) to the levels of care listing. -geomedic
Emergency Medical Services is the standard terminology, in worldwide use.-- Napthene 19:09, 22 July 2005 (UTC)
It was suggested that this article should be renamed Emergency Medical Services. The vote is shown below:
This article has been renamed after the result of a move request. violet/riga (t) 21:33, 29 July 2005 (UTC)
That said, I would support a move to emergency medical service--most of the hits in caps appear to be titles of articles/webpages or proper nouns (EG "Some County Emergency Medical Service"), while in-text usage is more likely all lowercase. [2] [3] [4][ http://www.mishawakacity.com/ems.asp "Mishawaka’s emergency medical service needs continue to grow."] [5] Niteowlneils 07:29, 23 July 2005 (UTC)
Personally I would agree with the lowercase version, but I've moved it to Emergency Medical Services based on the voting results. Please consider discussing this further. violet/riga (t) 21:33, 29 July 2005 (UTC)
It should be Emergency Medical Service - all capitals - because you are spelling out an acronym. Also, emergency medical care is something EMS does, but it is also something that other facilities and agencies provide. They are not the same thing. —Preceding unsigned comment added by 69.119.73.206 ( talk) 01:56, 27 November 2007 (UTC)
It seems to me that play and run is no different from scoop and run. Although it is not explicitely mentioned, if a patient needs to be stabilized before moving, they usually are unless it is known they can be stabilized en route, or an ER/medic can be reached within a short period of time. This is particularly true of codes. Of course, perhaps there is a slight distinction between these two care strategies, but I don't think it is portrayed very strongly. Shaggorama 07:46, 5 January 2006 (UTC)
The terminology I am familiar with is "load and go" or "stay and play". Load and go is official terminology in PHTLS (Pre-Hospital Trauma Life Support) and BTLS (Basic Trauma Life Support) which dictates certain critera that a patient would meet resulting in an immediate transport of the patient without further on-scene stabilization. Stay and play is lingo showing the opposite of load and go showing the patient requires further stabilization on-scene. One other linguistic variation of this include "swoop and scoop".
The Wikipedia article Golden hour (medicine) details the differences quite well. Firerescuelieut 17:09, 18 May 2006 (UTC)
I think that we should include certain select subspecialties in this article. ie EMT-T (tactical medics), Fire-Medics, etc. At least the tactical medics for sure, since they are a unique and interesting branch of the EMS services.
In looking over this and other EMS related articles (consider ambulance, for example) I'm seeing a lot of information that is country-specific. I also note that some articles are becoming lengthy, in part due to the inclusion of country-specific information, but fail to adequately cover common aspects of their subjects. What do people think about culling the country-specific information from the EMS, EMT, ambulance &c articles and placing this info in country-specific emergency_medicine/ EMS/ title to-be-determined articles? -- Badger151 17:01, 1 December 2006 (UTC)
I note this issue hasn't been raised for a while. I support more country-specific information. There is so much variation between countries in the ways EMS is delivered, it would be better for this page to be divided into sections describing the various models of EMS practised in different regions/countries or, alternatively, be quite simple as a generic document with country-specific details of EMS included in those country's wikipedia entries. FlyingDoctor ( talk) 12:30, 12 July 2008 (UTC)
I edited the History section to include a link to The White Paper, as the article talks about "studies" in the 1960's but doesn't actually reference any. Yelruh 21:41, 3 September 2007 (UTC)
It has been suggested that the article Emergency Medical Care be merged into this Emergency medical services article. I oppose the merge on the basis of emergency medical care extending far beyond the EMS realm, and the qualification is much higher than everyday EMS personnel. It is similar to merging medical doctors into EMS on the basis that they are among the employed staff of the EMS.
Kindly state your opinion. —Preceding unsigned comment added by Princeattractive ( talk • contribs) 22:13, 11 September 2007 (UTC)
I would disagree with the merge. I have never heard the term Emergency medical care before. Although similar, they seem different enough to have seprate articles —Preceding unsigned comment added by 71.87.24.2 ( talk) 13:44, 28 October 2007 (UTC)
In the North Eastern US Emergency Medical Care would be a broader topic that includes in hospital care through at least admission to the hospital if not beyond. In this context of the term I would think that this merger is inappropriate.
In looking over the article for Emergency Medical Care it seems that they are roughly equivalent subjects and that the difference in terminology is one of country of origin. As a Wiki-novice I ask the other more experienced editor/reader “How do we merge these two without leaving one group of countries unable to find the article by searching their local term?”
If the target audience were known to be familiar with the professional terminology, I might suggest "Pre-hospital care and rescue" as a new topic for a merged article but that is a term that is little known outside of the professional community in the US.
JC Jjc1775 ( talk) 14:02, 11 December 2007 (UTC)
I would have to agree with the unregistered author above. I have never heard of emergency medical care being the combination of EMS and rescue. Emergency medical care was the care provided by EMS providers AND hospital providers, especially physicians (hence their specialty being Emergency Medicine. They provide emergency medical care.). Does anyone have a source (since there isn't one on the other page) that actually shows that EMC is how the article states it to be? JPINFV ( talk) 02:06, 11 March 2008 (UTC)
Article has been deleted... - JPINFV ( talk) 20:32, 2 April 2008 (UTC)
References should not be towards specific agencies, so stop adding them. Book references should be in the manner of the Chicago Manual of Style, please learn what that is. Demantos ( talk) 18:39, 18 November 2007 (UTC)
Since it was submitted before I could finish the entry note, I added the term "prehospital" in "highest medical care" to clarify that the paramedic level is the highest level of prehospital care. Obviously (I hope, at least), the highest level of medical care is the physician level (specialty of Emergency Medicine in this case). —Preceding unsigned comment added by 70.22.228.240 ( talk) 03:43, 3 March 2008 (UTC)
I am currently working on cleaning up the categorization of articles in Category:Prehospital care. Additionally, I have proposed renaming Category:Prehospital care to Category:Emergency medical services (as a more accurate, well known name to parallel Category:Firefighting, Category:Law enforcement, and Category:Rescue). If you have an opinion on the renaming of this category, please make a comment at Wikipedia:Categories for discussion/Log/2008 April 3#Category:Prehospital care. So far, there has been very little interest this category one way or the other. -- Scott Alter 11:25, 4 April 2008 (UTC)
We have selected this article as Wikipedia talk:WikiProject Medicine/Emergency medicine and EMS task force good article drive. We feel this article is of the utmost importance and would like to spear head a drive! We hope we can have a good collaborative effort, appreciate any help editors can give. Medicellis ( talk) 20:15, 5 August 2008 (UTC)
Something to add to this article, either under "First responder", or separately, is the difference between road-based and wilderness first responders. The logistics are so different. Ordinary first responder training involves patient assessment, use of equipment, and preparation for transport. Wilderness first responder also has patient assessment, but then stresses improvization. The available equipment may be limited, and transport by stretcher and ambulance may be days out of reach. -- Una Smith ( talk) 14:53, 6 August 2008 (UTC)
Medicellis ( talk) 02:05, 7 August 2008 (UTC)
The article currently confuses emergency ("emergent") and urgent medical care. One short hand is for the difference is this: emergent = call 911, urgent = call or visit doctor today. -- Una Smith ( talk) 14:58, 6 August 2008 (UTC)
The article content should be moved to Emergency medical service (singular of the current title), which now is a redirect here. -- Una Smith ( talk) 15:02, 6 August 2008 (UTC)
I appreciate that citations are important, and i have spent a lot of time on WP adding them, but i think that there may be too many citation tags on this article. Citations are only for statements which are liekly to be challenged, and may not be common knowledge to someone with a grasp of the subject. Specifically, cite requests, such as on the first paragraph, where one is requested for stating that EMS is invovled with treatment and transport of patients in an emergency. I can't imagine that isn't common knowledge to anyone with a passing knowledge of the subject, or even to 90% of the world's population? I didn't want to remove the tags without raising it first, so i would appreciate opinions.
More info on WP:CITE and Wikipedia:When to cite
Any thoughts? OwainDavies ( about)( talk) edited at 12:14, 7 August 2008 (UTC)
Emrgmgmtca ( talk) 17:11, 12 September 2008 (UTC)
I would like opinions on wither we should add back in EMS in different countries with short paragraphs, or keep the section the way it is? Medicellis ( talk) 14:29, 7 August 2008 (UTC)
Owain, great work so far on helping me with the GA drive! It seems myself and you are the only two interested in improving this article and Im glad I have someone to help!. In regards to the pic, I love it but there is a typo. The caption built into the picture - Healing is spelled wrong. It is a easy fix with the pic and since you developed it prob is easier for you to change it with your edit program. Again thanks for all your hard work and help!! Cheers - Medicellis ( talk) 18:36, 10 August 2008 (UTC)
Please vote to keep/delete or rewrite the section, It has WP:N and WP:V but very little. I say we re-name the section and have a complete re-write to make it complaint for a GA.
re-name and re-write Medicellis ( talk) 21:33, 10 August 2008 (UTC)
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Confusing english use of Emergency Medical Systems Terms and biasses induced by Emergency Medical Technicians or Paramedics US/English Terminology and lobying do not inform about the reality: USA decentralized and no Public Health integrated EMS nor on UK Public Health NHS Centralized but near "Demedicalized" System. The two systems are not even comparable and set in Anglo American EMS systems !!. Even American or English lectors can not be informed in English Wikipedia about their systems inconsistencies because very few read in other lenguages and even they do not know that (I have experencied it)they are censured and foreigner participation deleted.
EMS in .... Wikipedia articles in English are writen with te same biasses of American or English point of vue of paramedics and tunnel vision physicians .
Biases are not a Anglosaxon speciality !!!!! I am trying in French, Spanish and Portuguese on Samu/IEMS articles to evit the same cultural and sociologic biases in these lenguages i Know better than Enhlish.
Integrated Emergency Medical Care Services (IEMS) taking caring the patient from the Emergency Call to the Operating Room or Intensiva care unit through a MICU or a Emergency GP or Ambulance coud be a precision for differenciation of "EMS" that could stay with First Aid and Rescue 188.115.4.170 ( talk) 10:43, 8 August 2010 (UTC) 188.115.4.170 ( talk) 10:54, 8 August 2010 (UTC)
I disagree with the your asertions about UK EMS (National Public Health ambulance System) is at the opoosite of US one,and German (Federal State decentralized EMS) is very diffrenent than french (Centralized EMS State).
Your arguments about who liderizes EMS in different countries is also a bias of your point of vue Physician led EMS do not existe even in france all depend on Public Health Authority! I never said that Physician Led Systems are superior but I suppose you Physician has in near all countries has the technical laedership of Medical care.
Paramedical Personals are not to be put in Competition with Physicians and the Paramedic agressive lobying in this sense has to be regulated in Wikipedia ! Conflits between Paramedics, Ambulance Technicians , Nurses and Doctors have not to be accepted in Wikipedia.
English lenguage has not to vehiculate also any linguisteic US or UK colonialism. I stay thinking that "Paramedic"(Ambulance Paramedical Care Personals) "Emergency Medical Systems" (Prehospital Emergency Ambulance Service) are current english linguistic "errors" that Public Health Authorities have to day to regulate because they have not done it in the begining using normal current english clear terminology. I think nevertheless that your are convinced taht both of us are going up.
PS Wikipedia writen by "EMS" in ... the same writers are also full af linguistic biases and mistraductions. I ams am doing the same critics in to French or Belgians in French Wikipedia! even if I have other problems with the errors that all countreis ahave done implementing EMS (in your Sense) "Aide Médicale Urgente" . In Spanish Italian and Portuguese wikipedia is the same fight against errors of the past.... Friendly —Preceding unsigned comment added by 90.24.213.253 ( talk) 17:40, 10 August 2010 (UTC)
On Physician Leadership :Yes I confirm that I think that a Medical Care Sytem has to be headed by a Professional , Responsible Service Head Physician af a medical care team , I mean Professional with the deffinition of Sociologist Friedson who analyzes the conflicts with their assistants , like in an other Medical Care Service. In this sense I think that a emergency care service with a Medical Doctor in charge on the site and at command posts is "better for treatment" than where only a Paramedical Personal is alone even with "protocols". I do not mean that Doctors can work without the indispensable Paramedical Assistants care Team!!!. But Doctors are not to be confined in an Admistrative and Consultant role in an Emergecy Medical Care Service abandoning their proper responsability to their Paramedical Assistants Care Givers they must be present if necessary in all the steps of care.
I confirm my feeling Paramedical exists in English (why not to use it like Indian English do) , Medic, Paramedic , Nurse, Matron, and Physician are old ambiguous medical terms that canot be traduced litteraly in other lenguages like Sage Femme or Toobib in French or Galeno or Matrona in Spanish and Portuguese , we have to improove linguistic exhange between us! and En:Wikipedia has to write in International English not in local Jargon reporting a censoring local point of vue.
I feel that the current begin to pass between us and you are near to understand that We can make a bridge over the Channel or the Atlantic about what is an Emergency Ambulance Medical Service and a Paramedical Ambulance Professional... Nevertheless Friendly yours 90.24.186.153 ( talk) 13:04, 11 August 2010 (UTC)
OK, so we get to the heart of the issue! which, as you see it, Yes I object to the principle of paramedics and EMTs leading care in the out of hospital environment. Out Emergency medical care is done in all countries by General Practionners and Primary care personals not by paremedics ! And in my long experience I knew and participated the difficult gestation of new Emergency and ambulance and Medical Regulation paraprofessionals (I have 72 ans and I Worked all my Professional career as consultant in these systems I knew many Medical Emergency Systems and their defects do not care about that).
An other problem is the linguistic problem English is neither an exclusivity of North American or UK inhabitants and nor of Emergency Medical Systems/Services in your sense (EMS) which introducted EMS as their jargon restricted meaning that is intraduisible. You canot forget if a "minority of other languages" do not have a direct translation has a conceptual and semantic profound meaning. If you are an american Citizen and your are bilingual the Spanish litteral traduction is of EMS is SUM Servicio de Urgencias medicas what it means? An ambulance Service or an Integrated Medical Emergency System?. See what it means in your north american neighbours like the Cuba SIUM that is much more pertinent.
I suggest you to aid the rewriting of these EMS english biased wikipedia articles by each country professionals and not to censure them with your point of vue but to aid them to write an International English.
I suggest you also to merge for , calming the game ,this EMS general article with "Ambulance" article of en: Wikipedia that is much more international and has a yet a good spanish equivalent in es: Wikipedia (the french one is not so good) .I am working for that in French and Spanish prevent local biases.
I would wish also to have any reaction of Your Emergency Medical Medecine "authorities" and "academics" about many assertions writen in these articles that to be despised simply by then . For my part I will continue to react to because I think that Wikipedia has not to be left abandoned by Care Professionals , Public Health Authorities and Medical Academic People and they are a little responsible of your present problems .
Nevertheless staying Friendly reactive -- Miguel Martinez Almoyna ( talk) 09:49, 12 August 2010 (UTC)-- Miguel Martinez Almoyna ( talk) 09:49, 12 August 2010 (UTC)
I'm sorry to keep harping on about it, Wikipedia has not to reflect what happens in USA or England or in the World of Emergency Medical Services seen by an only local point of vue of a only local paramedic point of vue . en: Wikipedia writes in English that is not only the UK or US english readers. It is like if you see to me that also Spanish is an American also US monopol in Wikipedia!
Articles writen by US spanish writing paramedics are in the same way contestable.
EMS Emergency Medical Services are not good English terms and the same for SUM Servicios de Urgencias Medicas they are untraductible and confusion bearing in international English or Spanish.
I wish than any Wikipedia "Editor" or responsible will read this discussion! Can you transmit?
Friendly yours —Preceding unsigned comment added by 90.24.186.168 ( talk) 11:10, 18 August 2010 (UTC)
I'm new to editing wikipages, so i'm looking for a little guidance. I'd like to add an external link to "The DIEMS Project - the Database for International EMS Systems" www.trekmedics.org/projects/diems/
At first, i wanted to add it beneath the last country listed, but then i got the feeling that it might technically belong as an External Link.
However, after continuing to read about the guidelines, i am suspicious that there could be problems with this, possibly regarding accusations of COI: the website belongs to a non-profit organization, Trek Medics International, which I run. However, aside from the field work we do, I have also begun compiling information on as many international EMS systems as i can find into a database (26 countries and counting) which is all supported by referenced material from reputable medical journals (we will not post anything unless it can be cited).
However, because the source page is a part of my non-profit's website, I suspect there might be some potential to be accused of COI, even though I aspire to do nothing but make this database available to as many people as possible for educational purposes (there are no ads or any other fundraising efforts included in this database).
Please advise how (if) i may go about adding this valuable educational resource to the page. Thanks TrekMedics ( talk) 17:46, 21 September 2010 (UTC)
During some research I discovered that the "rendez-vous" term is used somewhat differently. However the majority seems to use it as meeting with e.g. paramedic or doctor on the way to the hospital. I am sure that there is a term for both meeting at the patient. But what is it called?
When this question has been clarified it could be nice to incorporate it in the article. -- |EPO| da: 19:22, 6 October 2010 (UTC)
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Psycho-social emergency services? None existing in GB, USA, Canada, Australia?