Tim Nutbeam is Lead Consultant for the Devon Air Ambulance, honorary Professor of Prehospital Emergency Medicine (PHEM) at the University of Plymouth and a Consultant in Emergency Medicine at University Hospitals Plymouth NHS Trust, UK.

Matt Boylan is a Consultant in Military Emergency Medicine and PHEM, University Hospitals Birmingham NHS Foundation Trust, UK.

Caroline Leech is a Consultant in Emergency Medicine and PHEM, University Hospitals Coventry & Warwickshire NHS Trust, UK and The Air Ambulance Service, Rugby, UK.

Clare Bosanko is a Critical Care Doctor for the Devon Air Ambulance, a Consultant in Emergency Medicine, University Hospitals Plymouth NHS Trust, UK and a doctor for Carnival UK.

Contributor List viii

Foreword xi

Preface xii

1 Prehospital Emergency Medicine 1

Part 1 Operational Practice 3

2 Activation and Deployment 5
Stephanie Cowan, Iwan Davies, and Matthew Boylan

3 Responder Safety 10
Clare Bosanko and Dave Dungay

4 Extrication 15
Malcolm Russell and Rob Fenwick

5 The First Five Minutes and the Primary Survey 23
Tim Nutbeam and Matthew Boylan

6 Airway Assessment and Management 26
Tom Renninson, Mårten Sandberg, Tim Hooper, Marius Rehn, Per Kristian Hyldmo, and David Lockey

7 Breathing Assessment and Management 38
Per Kristian Hyldmo, Marius Rehn, and Mårten Sandberg

8 Circulation Assessment and Management 46
Jake Turner and Matthew Boylan

9 Prehospital Monitoring 57
Tim Harris and Peter Shirley

10 Prehospital Ultrasound 63
Tim Harris, Adam Bystrzycki, and Stefan Mazur

11 Analgesia and Sedation 72
Jonathan Hulme, Philip Keane, and Tony Sim

12 Transfer and Retrieval 80
Richard Browne and Scott Grier

Part 2 Providing Prehospital Trauma Care 89

13 Abdominal Injury 91
Ed Barnard and Keith Roberts Copyrighted Material

14 Pelvic Injury 94
Keith Porter, Caroline Leech, and Matt O'Meara

15 Head Injury 97
Jeremy Henning, Clare Hammell, and Matthew Boylan

16 Spinal Injuries 102
Mark Wilson and Tim Nutbeam

17 Extremity Injury 107
Matt O'Meara, Caroline Leech, and Keith Porter

18 Burns 110
Christopher J. Lewis and Keith P. Allison

19 Suspension and Crush Injury 119
Jason van der Velde and Caroline Leech

20 Ballistic and Blast Injury 123
Matthew Boylan and William Charlton

21 Cardiac Arrest 130
Walter Kloeck, Martin Botha, David Kloeck, and Clare Bosanko

Part 3 Providing Prehospital Medical Care 139

22 Acute Medical Emergencies 141
Ewan Barron and Adam Low

23 Overdose and Poisoning 151
Peter Welby-Everard and Ian Gurney

Part 4 Special Groups 157

24 The Paediatric Patient 159
Ben Lawton and John Glasheen

25 The Obstetric Patient 166
Tracy-Louise Appleyard and Caroline Leech

26 The Bariatric Patient 176
Hannah Bawdon and Surpreet Grewal

27 The Older Patient 181
Fionna Lowe and Keniesha Miller

28 Mental Health Crisis 184
Rob Cole, Richard Corrall, and Carly Lynch

29 Capacity 189
Rob Cole, Richard Corrall, and Carly Lynch

Part 5 Environmental 193

30 Environmental Injuries 195
William Charlton and Omar Tayari

31 Drowning 203
Mike Tipton and Paddy Morgan

32 Diving Emergencies 207
Tudor A. Codreanu

33 Altitude Illness 212
Harvey Pynn and Lucy Obolensky

Part 6 Emergency Preparedness 219

34 Mass Casualty Incident Management 221
Jamie Vassallo and Damian Keene

35 Chemical Biological Radiation and Nuclear Incidents 228
Niall Aye Maung and William Charlton

36 Mass Gatherings 234
Lee Wallis and Wayne Smith

Part 7 Clinical Governance and Professional Skills 237

37 Clinical Governance 239
Clare Bosanko

38 Medicolegal and Ethical Aspects 243
Craig M. Klugman and Jennifer Bard

39 Human Factors Ergonomics Safety and Culture 249
Chris Frerk, Tom Hurst, and Neil Jeffers

40 Human Performance 253
Tom Evens, Alison Sanders, and Chris Shambrook

41 Research and Development 259
Jamie Miles, Willem Stassen, Niroshan Siriwardena, and Suzanne Mason

Index 262