EMS
                                ===
þ Mass Gatherings
  <MassGath.TXT>

þ EMS RSI
 - 2003 San Diego study:  improved intubation success in San Diego Co. medics
   for traumatic brain injury patients. Matched with 3 controls from trauma
   registry. Excluded inabilty to intubate, death. People actually did worse
   with RSI. ? if sicker patients, hyperventilation, multiple attempts as a
   cause. On-scene time higher with RSI.

þ Hyperventilation in Head Injury
  <T-Head-H.TXT>

þ The Golden Hour
  <GoldHour.TXT>

þ Prehospital Thrombolysis
  <ThrombPH.TXT>

þ Prehospital Fluids
  <P-Fluid.TXT>

þ Prehospital IV access
  <P-Access.TXT>

þ CHF
  <P-CHF.TXT>

þ EMS Transport Times
 - Lights and sirens don't make much difference in transport time
   [Hunt RC, et al. Is ambulance tranport time with lights and siren faster than
   that without? Ann Emerg Med 1995;25(4):507.]
   (abstract: <EMSa.TXT -Hunt>)
 - effects of EMS vs. private transport on trauma survival
   <EMS-Taxi.TXT>

þ Rectal or sublingual glucose
 - Rectal glucose does not work!
   [Attvall S. Diabets Care 1985;8:412.]
   [Aman J. Acta Paediatr Scand 1984;73:560.]
 - Neither do sublingual (not intralingual which is a problem all of its own)
   preps such as the Insta-glucose corn starch preps.  You have to swallow
   this stuff.
   [Gunning RR. JAMA 1978;240:1611.]

þ Role of Physicians in EMS
  <EMS-MD.TXT>

þ Backboards
  <SpineBrd.TXT>

þ First Responder Defibrillation
  <FRAD.TXT>

þ MAST suits
  <MAST.TXT>