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C J Carney

Publications and source records attributed to C J Carney.

4 recordsLinked to original sources

Prehospital care--a UK perspective.

In the UK, emergency ambulances are responding to astonishing increases in levels of emergency calls, in the order of a 40% increase nationally in the last 5 years. Pressures in primary care service out-of-hours provision, and increasing community-based care of elderly patients, as well as increased expectation by the public are contributory causes. Services are also being pressed to improve response times, particularly to life-threatening cases. These various aspects are discussed below.

Ambulances↗

Entrapment, extrication and immobilization.

Management of the trapped casualty is a specialized area of prehospital care. It requires close cooperation between all the emergency services. Specific training courses are being developed in the UK for both rescue and medical terms. When approaching an entrapment incident medical teams must consider their own safety and liaise closely with the paramedical and rescue crews as to the best means of effecting casualty release. A variety of immobilization equipment is available, different equipment being suitable to different situations. The prehospital anaesthetist needs to understand the influence this equipment has on airway management and subsequent anaesthesia.

Accidents, Occupational↗

Support surfaces.

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Ambulances↗