Emergency Medical Services: At the Crossroads

Institute of Medicine

doi:10.17226/11629

Consensus Study Report

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Emergency Medical Services

At the Crossroads

(2007)

Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns:

• The evolving role of EMS as an integral component of the overall health care system.

• EMS system planning, preparedness, and coordination at the federal, state, and local levels.

• EMS funding and infrastructure investments.

• EMS workforce trends and professional education.

• EMS research priorities and funding.

Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Contributor(s): Institute of Medicine; Board on Health Care Services; Committee on the Future of Emergency Care in the United States Health System

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Suggested Citation

Institute of Medicine. 2007. Emergency Medical Services: At the Crossroads. Washington, DC: The National Academies Press. https://doi.org/10.17226/11629.

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Publication Info

310 pages | 6 x 9 |

ISBNs:

Hardcover: 978-0-309-10174-5
Ebook: 978-0-309-13378-4

DOI: https://doi.org/10.17226/11629

Chapters		skim
Front Matter	i-xxiv
Summary	1-14
1 Introduction	15-30
2 History and Current State of EMS	31-72
3 Building a 21st-Century Emergency and Trauma Care System	73-118
4 Supporting a High-Quality EMS Workforce	119-148
5 Advancing System Infrastructure	149-174
6 Preparing for Disasters	175-206
7 Optimizing Prehospital Care Through Research	207-230
Appendix A Committee and Subcommittee Membership	231-232
Appendix B Biographical Information for Main Committee and Prehospital Emergency Medical Services Subcommittee	233-246
Appendix C List of Presentations to the Committee	247-252
Appendix D List of Commissioned Papers	253-254
Appendix E Recommendations and Responsible Entities from the Future of Emergency Care Series	255-272
Index	273-286

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