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Pre-hospital interventions : introduction to life support systems

J-C de Schoutheete, S Hachimi Idrissi and Jean-Baptiste Watelet UGent (2016) B-ENT. 12(suppl. 26). p.41-54
abstract
Crucial decisions in pre-hospital emergency care are often made; therefore, a tactical emergency medical support team (TEMS) should maintain the capacity to capture the situation instantaneously and in all circumstances. However, low exposure to severe trauma cases can be a weakness for emergency specialists, which makes pre-hospital assessment more difficult. Pre-hospital interventions (PHI) are usually classified in Western countries into BLS (basic life support) and ALS (advanced life support) levels, according to the methods used. This review introduces tactical combat casualty care for medical personnel (TCCC) guidelines, designed for basic care management under fire or in a hostile environment. The phases of TCCC are: (1) care under fire (or in an unstable environment); (2) tactical field care; and (3) tactical evacuation care, and are mainly dependent on the different hazard zones (hot, warm or cold). In a mass casualty situation due to disaster or cataclysm, standardized protocol and triage are unquestionably required for identifying the environmental risks, for categorizing the casualties in accordance with medical care priorities, and for the initial management of casualty care. When considering conflict situations, or chemical, biological, radiological, or nuclear (CBRN) events, processes always start at the local level. Even before the detection and analysis of agents can be undertaken, zoning, triage, decontamination, and treatment should be initiated promptly. Otorhinolaryngologists should be aware of PHI procedures for completing preliminary assessment and management together with emergency specialists or TEMS.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
journal title
B-ENT
B-ENT
volume
12
issue
suppl. 26
pages
41 - 54
Web of Science type
Article
Web of Science id
000391156400007
JCR category
OTORHINOLARYNGOLOGY
JCR impact factor
0.578 (2016)
JCR rank
40/42 (2016)
JCR quartile
4 (2016)
ISSN
0001-6497
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8511024
handle
http://hdl.handle.net/1854/LU-8511024
date created
2017-02-23 14:54:17
date last changed
2017-05-17 12:50:44
@article{8511024,
  abstract     = {Crucial decisions in pre-hospital emergency care are often made; therefore, a tactical emergency medical support team (TEMS) should maintain the capacity to capture the situation instantaneously and in all circumstances. However, low exposure to severe trauma cases can be a weakness for emergency specialists, which makes pre-hospital assessment more difficult. 
Pre-hospital interventions (PHI) are usually classified in Western countries into BLS (basic life support) and ALS (advanced life support) levels, according to the methods used. This review introduces tactical combat casualty care for medical personnel (TCCC) guidelines, designed for basic care management under fire or in a hostile environment. The phases of TCCC are: (1) care under fire (or in an unstable environment); (2) tactical field care; and (3) tactical evacuation care, and are mainly dependent on the different hazard zones (hot, warm or cold). 
In a mass casualty situation due to disaster or cataclysm, standardized protocol and triage are unquestionably required for identifying the environmental risks, for categorizing the casualties in accordance with medical care priorities, and for the initial management of casualty care. When considering conflict situations, or chemical, biological, radiological, or nuclear (CBRN) events, processes always start at the local level. Even before the detection and analysis of agents can be undertaken, zoning, triage, decontamination, and treatment should be initiated promptly. 
Otorhinolaryngologists should be aware of PHI procedures for completing preliminary assessment and management together with emergency specialists or TEMS.},
  author       = {de Schoutheete, J-C and Hachimi Idrissi, S and Watelet, Jean-Baptiste},
  issn         = {0001-6497},
  journal      = {B-ENT},
  language     = {eng},
  number       = {suppl. 26},
  pages        = {41--54},
  title        = {Pre-hospital interventions : introduction to life support systems},
  volume       = {12},
  year         = {2016},
}

Chicago
de Schoutheete, J-C, S Hachimi Idrissi, and Jean-Baptiste Watelet. 2016. “Pre-hospital Interventions : Introduction to Life Support Systems.” B-ent 12 (suppl. 26): 41–54.
APA
de Schoutheete, J-C, Hachimi Idrissi, S., & Watelet, J.-B. (2016). Pre-hospital interventions : introduction to life support systems. B-ENT, 12(suppl. 26), 41–54.
Vancouver
1.
de Schoutheete J-C, Hachimi Idrissi S, Watelet J-B. Pre-hospital interventions : introduction to life support systems. B-ENT. 2016;12(suppl. 26):41–54.
MLA
de Schoutheete, J-C, S Hachimi Idrissi, and Jean-Baptiste Watelet. “Pre-hospital Interventions : Introduction to Life Support Systems.” B-ENT 12.suppl. 26 (2016): 41–54. Print.