Читать книгу Emergency Medical Services - Группа авторов - Страница 364

EMS clinicians should be sure to consider early the potential for causes of AMS that require time‐sensitive evaluation treatment at the hospital or a specialty center. For example, a patient who meets trauma criteria should have a short scene time and rapid transport to a trauma specialty center. Trauma, particularly of the head and neck, is always a possibility for patients with AMS. Although AMS (decreased GCS) is a criterion for specialty transport to a trauma center, a patient with AMS and otherwise minimal signs of trauma may have another competing or underlying etiology for his or her AMS [10]. In addition to trauma patients, those with ST‐segment elevated myocardial infarction (STEMI) and those who have positive stroke screens require rapid recognition and expeditious transport.