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International EMS Systems: United Kingdom

      Abstract

      This article will describe the access to, and delivery of, emergency medical care in the United Kingdom. We describe how UK Ambulance Services respond to emergency calls and how UK Emergency Departments are configured to provide emergency clinical care. Ambulance technician and paramedic training and clinical skill mix is outlined and UK emergency medicine training and the involvement of doctors in prehospital care is highlighted. We describe the strengths and weaknesses of current Emergency Medical Systems (EMS) in the UK and comment on future areas for improving and developing emergency patient care.

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      References

      1. 2001 UK Census: Crown Copyright.

      2. Ambulance Services, England:2002–2003, Bulletin 13, Department of Health, ISBN 184182741 X, 2003.

      3. Nicholl J, Turner N, Stevens K, et al., A review of the costs and benefits of Helicopter Emergency Ambulance Services in England and Wales, http://www.shef.ac.uk/uni/academic/R-Z/scharr/mcru/reports.htm.

      4. (West Midlands Central Accident Resuscitation and Emergency Team,)
      5. (Mid Anglia General Practitioner Accident Service (MAGPAS),)
      6. (Anaesthetic Trauma and Critical Care Team,)
      7. (a)

        Emergency Triage, Manchester Triage Group. In: Jones KM, editor. BMJ Publishing Group, 1997, ISBN: 0-7279-1126-0.

      8. (b)
        • Terris J.
        • Leman P.
        • O’Connor N.
        • Wood R.
        Making an IMPACT on emergency department flow: improving patient processing assisted by consultant at triage.
        Emerg Med J. 2004; 21: 537-541
        • Nicholl J.P.
        • Brazier J.E.
        • Snooks H.A.
        Effects of London's helicopter emergency medical service on survival after trauma.
        BMJ. 1995; 311: 217-222
        • Gorman D.F.
        • Tenby D.N.
        • Sinah M.P.
        • Wotherspoon J.
        • Boot D.A.
        • Molokhia A.
        The epidemiology of major injuries in Mersey Region and North Wales.
        Injury. 1995; 26: 51-54
      9. The care of severely injured patients in the United Kingdom. British Orthopaedic Association, London, 1997.

      10. Better care for the severely injured. A joint report from the Royal College of Surgeons of England and the British Orthopaedic Association, July 2000.

        • Albert J.
        • Phillips H.
        Trauma care systems in the United Kingdom.
        Injury. 2003; 34: 728-734
        • Black J.J.M.
        • Ward M.E.
        • Lockey D.J.
        Appropriate use of helicopters to transport trauma patients from incident scene to hospital in the United Kingdom: an algorithm.
        EMJ. 2004; 21: 355-361
        • Lockey D.J.
        • Black J.J.M.
        Emergency physicians: additional providers of emergency anaesthesia?.
        Anaesthesia. 2002; 57: 629-631
        • Kendall J.M.
        • Reeves B.
        • Clancy M.J.
        Point of care testing: randomized controlled trial of clinical outcome.
        BMJ. 1998; 316: 1052-1057
        • Dale J.
        • Green J.
        • Reid F.
        • Glucksman E.
        • Higgs R.
        Primary care in the accident and emergency department: II. comparison of general practitioners and hospital doctors.
        BMJ. 1995; 311: 427-430