Читать книгу Emergency Medical Services - Группа авторов - Страница 192

A treatment protocol for treating shock in the field should address the following factors:

1 Performing the initial assessment.

2 The definitive or life‐saving interventions appropriate for these patients.

3 Access to definitive care without unnecessary prehospital delay.

4 Resources to be used in the field.

5 Skills of the various levels of EMS clinicians in the field.

Protocols developed for the out‐of‐hospital treatment of shock must consider the heterogeneity of the disease state, the limited assessment and treatment options, and the environment in which the protocols will be applied. Protocols for the inner city may not be appropriate for the rural setting. The level of training and clinical experience of the EMS personnel must also be considered. Ideally, the EMS medical director should use evidence‐based medical decision making, drawing from best practices when developing treatment protocols.