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Preface

Since the earliest version of this textbook in 1989, the subspecialty of EMS medicine has evolved dramatically. In addition to increasing sophistication and application of expertise, EMS has developed to encompass a unique body of knowledge. Recognizing these features and an ongoing need to nurture the professionalism of those physicians who are and might become committed to EMS, the American Board of Medical Specialties recognized EMS as a subspecialty in 2010. The American Board of Emergency Medicine administered the first certification examination in 2013, and at this writing there are 880 ABEM‐certified EMS physicians, with substantially more emergency physicians certified in EMS than in any other emergency medicine sub‐specialty. The Accreditation Council for Graduate Medical Education has accredited 71 EMS fellowship programs as of this writing.

This third edition of Emergency Medical Services: Clinical Practice and Systems Oversight builds on the foundations of its predecessors: EMS Medical Directors Handbook (1989), Prehospital Systems and Medical Oversight (1994, 2002), and the first two editions of this book (2009 and 2015). As with the 2015 edition, this text is intended to be the primary textbook for EMS fellowship programs, structured around the 2019 version of the core content of EMS medicine [1], which forms the basis for the ABEM certification examination. The Appendix maps the current EMS fellowship core content to specific chapters for easy reference. Noting that the ABEM certification exam is written to help assure the qualifications of the minimally qualified EMS physician who has attained “proficiency in managing the breadth of clinical conditions and operational aspects encountered by EMS systems in non‐traditional healthcare settings [2]”, this text is written at the “essentials‐plus” level. The intent is to cover the essential material that the exam candidate needs to know, with additional detail in key areas.

We thank the dozens of authors who have generously donated their time and effort to this new edition, and the hundreds of authors and editors of the past editions, upon whose efforts this latest edition are built.

D Cone

J Brice

T Delbridge

B Myers

April 2021

References

1 1 Delbridge TR, Dyer S, Goodloe JM, et al. The 2019 core content of emergency medical services medicine. Prehosp Emerg Care. 2020; 24:32–45.

2 2 American Board of Emergency Medicine. Emergency medical services. Available at: https://www.abem.org/public/become‐certified/subspecialties/emergency‐medical‐services. Accessed February 22, 2021.