POLST, and DNAR orders.Figure 65.4 Sample–National POLST form.Figure 65.5 U.S. map of POLST programs.Figure 65.6 Hospice symptom management at end of life. Important considerati...Figure 65.7 Guidance for crisis care in the setting of severe, pervasive sur...31 Chapter 66Figure 66.1a‐d Civilian‐led rescue organizations such as the Cajun Navy use ...Figure 66.2 Form for on‐scene physicians.
32 Chapter 71Figure 71.1 Real‐time geographic information system display, showing a heat ...
33 Chapter 72Figure 72.1 The 360°/ 365 Emergency Medical Care System circle.Figure 72.2 Sequential versus simultaneous process.
34 Chapter 78Figure 78.1 The model rehab area. This accommodates the various key function...Figure 78.2 Sample rehab tag, showing identification, vital signs, and dispo...
35 Chapter 79Figure 79.1 Percentage of EMS workers with poor sleep quality across years a...Figure 79.2 Proportion of EMS workers who self‐report severe mental and phys...
36 Chapter 80Figure 80.1 EMS worker self‐reported injury.
37 Chapter 81Figure 81.1 PTE protocol flow chart PTE = potentially traumatic event; TF‐CB...
38 Chapter 82Figure 82.1 EMS agenda 2050 summary.Figure 82.2 The EMS Education Agenda for the Future describes an interdepend...Figure 82.3 Terms related to regulatory concepts.
39 Chapter 87Figure 87.1 2019 “EMS On The Hill Day”; Drs. Paul Rosytkus and Ritu Sahni at...
40 Chapter 88Figure 88.1 Example of a “First Card.” Source:Figure 88.2 Sample chief complaint protocol. Source:Figure 88.3 Sample determinant codes and responses. Source:Figure 88.4 Sample QI matrix PSAP dispatch priority vs. EMS disposition
41 Chapter 89Figure 89.1 An ambulance crash in 2019. The ambulance in this picture was st...
42 Chapter 90Figure 90.1 Access/demand management for regional system.Figure 90.2 From current system to future system.Figure 90.3 Steps in building an interoperable communications system.
43 Chapter 92Figure 92.1 Model state EMS system agency. From: State Emergency Medical Ser...Figure 92.2 As identified in the 2019 National EMS Scope of Practice Model, ...
44 Chapter 93Figure 93.1 Adult per capita cigarette consumption and major smoking and hea...Figure 93.2 Mortality per 1,000 persons was calculated for the central water...
45 Chapter 95Figure 95.1 Small structure ICS. ICS for small structure fire requiring only...Figure 95.2 Incident command transition. Transition of incident command duri...Figure 95.3 Incident command board. This command board allows the IC to trac...Figure 95.4 Control and unity. Maintaining span of control and unity of comm...Figure 95.5 Large‐scale event chart. Organizational chart for a large‐scale ...
46 Chapter 97Figure 97.1 Core capabilities by mission area. Planning, public information ...Figure 97.2 Example of an incident command system organization with a single...
47 Chapter 99Figure 99.1 SALT triage scheme. LSI, life‐saving interventionsFigure 99.2 START triage algorithm.Figure 99.3 JumpSTART pediatric triage algorithm. AVPU scale: alert, voice, ...
48 Chapter 100Figure 100.1 Incident command system organizational chart for unified comman...Figure 100.2 Mass casualty incident protocol.Figure 100.3 Role of medical director.
49 Chapter 101Figure 101.1 Estimate, planning, and execution cycle.Figure 101.2 Hospital evacuation by the National Disaster Medical System.Figure 101.3 Federal coordinating centers.
50 Chapter 102Figure 102.1 Partial setup of national disaster mobile hospital showing oper...Figure 102.2 Resuscitation treatment area, DMAT NC‐1 at Sea Island G8 Confer...
51 Chapter 103Figure 103.1 a and b Level A ensemble.Figure 103.2 a and b: Level B ensemble.Figure 103.3 a and b Level C ensemble.Figure 103.4 NIOSH/OSHA decontamination setup illustration.Figure 103.5 a and b Decontamination corridors using fire apparatus.
52 Chapter 104Figure 104.1 Liquids may be difficult to contain. Source:Figure 104.2 Soot, an aerosolized solid from a structure fire.
53 Chapter 105Figure 105.1 Relative penetration in human tissue of ionizing radiation.Figure 105.2 Distance causes decrease in radiation exposures exponentiallyFigure 105.3 Radiation‐induced skin injuries from fluoroscopy.Figure 105.4 Andrews lymphocyte nomogram.Figure 105.5 REAC/TS hemogram showing the effects of exposure of 300 rad (30...
54 Chapter 107Figure 107.1 A tactical medic confers with a hazmat technician during an ope...Figure 107.2 A tactical medic establishing intravenous access while wearing ...Figure 107.3 Tactical medical clinicians providing immediate care to a falle...Figure 107.4 A tactical physician providing direct medical oversight of airw...
55 Chapter 108Figure 108.1 Confined space simulator, Indiana County (PA) Public Safety Tra...Figure 108.2a Confined space familiarization for Yale emergency medicine res...Figure 108.2b The resident has been lowered into the entry chamber of the si...Figure 108.3 Confined space familiarization for Yale emergency medicine resi...Figure 108.4 Pennsylvania US&R Task Force 1 training at a demolished 13‐stor...
56 Chapter 109Figure 109.1 Low‐angle rescue with guiding line.Figure 109.2 High‐angle rescue.Figure 109.3 Cave/confined space rescue.Figure 109.4 Snow rescue.Figure 109.5 Incident Command apparatus.Figure 109.6 Wilderness EMS Incident Command.
57 Chapter 111Figure 111.1 The Swiss cheese model of accidents. Multiple approaches are ta...
58 Chapter 113Figure 113.1 Diagram of the Deming System of Profound Knowledge.Figure 113.2 Model for Improvement. Source: Langley G, Moen R, Nolan K et al...Figure 113.3 Plan‐Do‐Study‐Act Cycle.Figure 113.4 Sample fishbone or Ishikawa diagram. AHA, American Heart Associ...Figure 113.5 Sample driver diagram. This diagram shows a driver diagram acco...Figure 113.6 Run chart demonstrating a down‐scoping trend in average compres...Figure 113.7 Control chart demonstrating fluid bolus administration for all ...Figure 113.8 Global Trigger Tool.
59 Chapter 115Figure 115.1 The researcher looks to determine who was exposed to the risk f...Figure 115.2 The principal advantages of a cohort study are that the tempora...Figure 115.3 Adaptive design planning process.
60 Chapter 120Figure 120.1 At position A, there is compelling evidence for adoption of the...
61 Chapter 121Figure 121.1 Example of a 2 × 2 table.This figure shows data from a hypothet...
Guide
5 Foreword
6 Preface
7 About
