Tác phẩm: Oxford Handbook of Pre-Hospital Care Tác giả: Ian Greaves and Keith Porter Nhà xuất bản: Oxford University Press, Inc., New York Năm xuất bản: 2006 Trích: Why bother? There are very few prospective randomized clinical studies proving the value of immediate medical care and its impact on morbidity and mortality. Whilst there are reported series on the value of pre-hospital basic life support and defibrillation, there are very few reports relating to trauma. Yet many people continue to sacrifice their free time to provide medical care everywhere from racecourses to oil rigs, from country cottages to tower blocks. Every active immediate care doctor can recount an incident where a life was saved or a tragic future avoided by early acute medical intervention at scene. Whether the life-saving intervention is the establishment of a patent airway, the splintage of a shattered pelvis, the rapid extrication of an entrapped patient, or defibrillation of a VF arrest, we can all recollect an incident where being there didmake a difference. In addition, although in many cases intervention alters neither long-term morbidity nor mortality, there can be no doubt that it greatly improves the patient’s comfort and confidence, thereby making a potentially dreadful experience slightly less so. For all these reasons, pre-hospital care is supremely worth doing. It is also a hugely challenging (and sometimes frustrating) speciality which demands a great deal of its practitioners. Despite the difficult situations in which it is practiced, there can be no excuse for anything but the highest professionalism. ‘Better than nothing’ is no justification for getting involved: the keys to effective pre-hospital care are education, practice, experience, and revalidation—and enthusiasm. These are the keys to one of the most challenging branches of modern medicine. IG KP North Yorkshire, 2006 Vui lòng đăng nhập hoặc đăng ký để xem link.