Essay about History of Pre-hospital Care

Essay about History of Pre-hospital Care

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Pre hospital care and clinical practice in civilian life is not a new idea, in fact it is has been around in one form or another for roughly 200 years. Its foundations lie in the military. During the Napoleonic wars with a French surgeon named Dominique-Jean Larrey. (1) Pre hospital care has come a long way from hauling fallen soldiers off the battlefield in a horse drawn carriage (1) to transporting patients in a different kind of carriage, a four wheel drive one to be precise. Pre hospital care and clinical practice owes many of its advancements in the 200 years since it has existed to the military. Their practices or research conducted during military conflicts has influenced civilian pre hospital care and clinical practice in the areas of triage systems, transport systems, clinical management, equipment and education to name but a few, but where it has had the most influence has been on the transport systems and clinical practices used. Their uses in the military pre hospital care world have worked particularly well in the civilian world. As a result of such they have been adapted by civilian paramedics quite readily.

Helicopters were first used as an ambulance in the sky during the Korean War (1950-53) (2). But it wasn’t until the late 70’s and early 80’s that helicopters were used in civilian pre hospital care (3). They were introduced to transport people living in remote communities deep in the outback to hospital, to receive the care that they needed but lacked in their rural community. Helicopters are also perhaps more importantly used for transporting patients who have suffered severe trauma or are seriously ill to hospital as they provide a quicker method of transport than the conventional road ambulance. This speed i...

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...587. doi:10.1136/emj.2007.046359

Mercy Flight WNY (n.d.). History of Medevac. Retrieved March 2014, from

Meredith, J.W (2008, May). The Lack Of Hospital Emergency Surge Capacity: Will The Administration's Medicaid Regulations Make It Worse? Presented at The House Committee On Oversight And Government Reform. Retrieved March 2014, from

Queensland Ambulance Service (2011). Clinical Practice Procedures – Trauma (version 1.0). Retrieved from

Royal Flying Doctor Service (2014). Our History | Royal Flying Doctor Service. Retrieved March 2014, from

Schmidt, M. S. (2014, January 19). Reviving a Life Saver, the Tourniquet. The New York Times [New York], p. D3.

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