Post on 02-Jan-2016
transcript
Biblical times Good Samaritan Sumerians inscribed clay tablets that
provided step-by step instructions for care based on symptoms given
Also instruction on how to create and adm. Medications
Similar to EMS protocols today
The most significant difference between these first protocols and EMS today is a physical exam
Egyptologist Edwin Smith 1862 purchases a papyrus scroll dating to
about 1500 B.C.E. Contained 48 medical case histories
arranged in head-to-toe order of severity Very similar to our PA today
“Book of Wounds” One section of the scroll Explains the treatment of injuries such
as fractures and dislocations King Hammurabi King of Babylon “Code of Hammurabi
18th and 19th Centuries Napoleonic Wars Chief surgeon Jean Larrey formed the
ambulance volanteor flying ambulance which focused on
providing emergency surgery as close to the battlefield as possible
Horse drawn cart First to use triage and transport
Clara Barton during the Civil WarFirst civilian ambulance service 1865 Cincinnati Ohio 1869 the New York City Health Dept.
Ambulance Service operated out of Bellevue Hospital
Specially designed horse-drawn carts
Staffed with physician interns20th Century WWI average evacuation time of 18
hrs. WWII – battlefield ambulance corpTransported from front line to high level
care There were still delays, often days
Korean and Vietnam Conflicts Advances were made Battlefield treatment the air evacIn Vietnam often within 10 to 20 minutes
Throughout history significant advances occurred during wartime
To 1960 few places in the US had adequate pre-hospital care
Emergency care began in the E.R. Rescue techniques were crude Ambulance personnel poorly educated Equipment miminal