Suchergebnisse

Within the intricate narrative of emergency medical services (EMS), there lies a rich and evolving history of innovation and strategy, a saga that weaves through the fabric of prehospital emergency care. At the heart of this narrative is a compelling dichotomy, often whimsically encapsulated as the "stay and play" vs. "scoop and run" philosophies. These seemingly polar approaches to emergency care represent a tapestry of diverse opinions and practices, each tailored to its unique environmental context, clinical demands, and the relative availability of prehospital and hospital resources. Our comprehensive review delves into the historical evolution of these notions, tracing their roots from the ancient world to the present day. We cast a particular focus on the French model of "prehospital medicalization" and the Anglophone "Scoop and Run" approach, exploring their distinct trajectories and influences. Additionally, we turn our gaze to the Israeli system, a unique hybrid shaped by the American prehospital framework yet distinctively molded by the region's enduring conflict. By drawing on an array of interviews, historical records, and scholarly discourse, this document presents an in-depth exploration of the development of prehospital emergency medicine and its pivotal role in contemporary healthcare. Through this investigation, we aim to elucidate the historical tensions surrounding these concepts, shedding light on their implications for the landscape of modern emergency medical services and the intricate web of factors that shape their organization.

The aim of this paper was to describe the development of 'Traum'cast', an ambitious project to create a high-quality, open-access, 12-week video podcast programme providing evidence-based continuing medical education for civilian and military healthcare practitioners dedicated to the management of trauma caused by weapons of war. The management of such patients became a particular public health issue in France following the 2015 terrorist attacks in Paris, which highlighted the need for all healthcare professionals to have appropriate knowledge and training in such situations. In 2016, the French Health General Direction asked the French Military Medical Service (FMMS) to create a task force and to use its unique and considerable experience to produce high-quality educational material on key themes including war injuries, combat casualty care, triage, damage control surgery, transfusion strategies, psychological injury and rehabilitation. The material was produced by FMMS and first broadcast in French and for free, on the official FMMS YouTube channel in September 2020. Traum'cast provides evidence-based continuing medical education for civilian and military healthcare practitioners. Traum'cast is an educational innovation that meets a public health requirement.