Contents

[draft of TOC – upon approval, I would seek additional reviews by experts on contents before finalizing, including Dr. Peter Cameron]

Top 100 Secrets

Section 1 History of Emergency Medical Services

1. 1. History of Emergency Medical Services

Section 2 Emergency Medical Services Operations

Destination Guidelines and Hospital Designation Emergency Vehicle Operation EMS System Design Media and Public Relations Medical Direction Medicolegal Issues Prehospital Communications Public Health and EMS Quality Improvement Research in EMS

Section 3 Personal Safety and Wellness

Critical Incident Stress Infectious Disease Exposure Occupational Health Issues in EMS Scene Safety

Section 4 Adult Medical Care

Decision making and critical interpretation of vital signs Prehospital physical assessment Abdominal pain, vomiting and diarrhea, dehydration Altered mental status Arrhythmias Cardiac arrest, including ECMO Cardiac emergencies – chest pain, STEMI, ACS, CHF Cardiac device emergencies – pacemaker/implanted defibrillator dysfunction, left ventricular assist devices Diabetic emergencies Gastrointestinal hemorrhage Hypotension and shock Infectious disease emergencies/sepsis Psychiatric emergencies/Care of the agitated or suicidal patient Obstetrics and Gynecologic emergencies Overdose Poisonings Renal failure and dialysis Respiratory emergencies – anaphylaxis, COPD, asthma, pneumonia Seizures Stroke and TIA Syncope

Section 5 Adult Trauma Care

General Adult trauma principles and triage Head injuries and facial trauma Cervical spine and spinal cord injuries Chest, abdominal, and pelvic injuries Extremity injuries Penetrating injuries Thermal burns and inhalational injuries Care of the entrapped patient, including crush injury

Section 6 Pediatric Medical Care

Decision making and critical interpretation of vital signs Abdominal pain, vomiting and diarrhea, dehydration Altered mental status Cardiac arrest and arrhythmias Chest pain and syncope Infectious disease emergencies/sepsis Prehospital physical assessment Respiratory distress emergencies – asthma, bronchiolitis, croup, pneumonia, anaphylaxis Seizures Shock Technology dependent children Poisonings

Section 7 Pediatric Trauma Care

General Pediatric trauma principles and triage Head injuries and facial trauma Cervical spine and spinal cord injuries Chest, abdominal, and pelvic injuries Extremity injuries Penetrating injuries Thermal burns and inhalational injuries

Section 8 Disaster and Multiple Casualty Incidents

General principles in disasters and multiple casualty incidents Prehospital triage for mass casualties Mass casualty evacuation and patient movement Biological terrorism Chemical terrorism Radiation and radiation injury Blast injuries Hazardous materials response Tactical EMS Search and rescue Community disaster preparedness

Section 9 Wilderness EMS and Austere medicine

General principles in wilderness medicine Bites, stings, and envenomations Decompression illnesses Dysbarisms Heat related illness Hypothermia Lightning and electrical emergencies Submersion injuries/drownings Wilderness survival

Section 10 Special Prehospital Situations

Interfacility transport, including Ground Critical Care Transport Bariatric emergencies Geriatric emergencies Aeromedical Transport Community Paramedicine Intimate partner violence, sexual assault, and child maltreatment End of life issues

Section 11 Prehospital Skills and Procedures

Airway Management Analgesia and sedation CPR, AED, mechanical compression Electrocardiogram interpretation Field amputation Hemorrhage control Intravascular/ interosseous access and fluids resuscitation Oxygenation and ventilation Perimortem caesarian section Point of care testing Procedures in the trauma patient Splinting and spinal immobilization Telemedicine and emerging telecommunications Termination of resuscitation Transport of the highly infectious patient