Pre-Hospital Care Programs & Resources

Sep 17th, 2011 | By | Category: Education


Pre-Hospital Care provision is rapidly expanding across the world, however in a number of countries this is still a very new concept. In some areas of the world there are no first responders or paramedics, and people have to walk many miles to get to their nearest hospital for emergency treatment.



The aim of this project is to develop a set of resources for first responders, paramedics and doctors who are interested in setting up and developing pre-hospital care programs. Frequently these schemes are run by medical professionals who volunteer their time and money to start these schemes. We hope that by linking key people and resources others can learn from those who have gone before them.

Over time we hope to develop the following topics in more detail:-



  • Starting a Community Response Scheme

- Initiating a Response Scheme can be challenging, and takes considerable thought and determination to set up

- It is important to carefully assess the need for a response scheme before embarking on anything

- Involvement and support from the Governmental Emergency Services is vital to the success of any scheme, even if the scheme is volunteer based or a private buisness

- In areas where there are no Emergency Services, communication with local government officials is essential

- Any scheme needs clear goals and objectives, and a carefully thought out process to establish the level of medical care provision

- It also requires involvement of people who are passionate about patient care and pre-hospital care provision




  • Responder Qualifications

- Anyone involved in a Community Response Scheme needs to be appropriately trained and qualified

- The level of care provided will depend on an individual’s  training / qualifications / scope of practise

- Responders involved in response schemes frequently include:-

a) EMT’s / Paramedics

b) Fire fighters

c) Police Officers

d) First Responders

e) Nurses

f) Doctors

g) Military

 - Anyone working within the ‘Pre-Hospital Environment’ requires special training and should be qualified to work within this field of medicine

- Training requirements for working in the pre-hospital arena vary from country to country and also depend on the individual groups involved with a scheme




  • Pre-Hospital Care Education & Training

 - There are a number of organisations who provide pre-hospital courses and ongoing clinical education for those involved with pre-hospital care provision and response work

- The below list is by no means exhaustive, but these organisations and courses can be extremely helpful for individuals wanting to enhance their skill base and knowledge:-

1) The British Association of Immediate Care (BASICS)

2) Anaesthetics Trauma & Critical Care (ATACC)

3) Pre-Hospital Trauma Life Support (PHTLS) Course

- Further information about these organisations / courses can be found under our ‘links’ or ‘courses’ pages




  • Mass Casuality / Disaster Management Training

  - Pre-Hospital care providers, whether working as part of a governmental service provider or part of a private / volunteer organisations, need a good working knowledge of  the Incident Command System and close networking with other emergency service providers

- Knowledge of  the local Triage system and plans for multiple casuality incidents and disaster planning is essential

- Where possible this should be practiced frequently, and all physicians working in the pre-hospital arena should be Incident Command System (ICS) trained

- In the UK, training courses include the MIMMS (Major Incident Medical Management & Support Course) and in the United States course include the IS – 700, ICS-100, ICS-200  

- Local hospitals should also be involved with the planning of how to deal with mass casualties and disaster management

- For further information on training courses, please see the links at the bottom of the page.




  • Clinical Governance & Quality Improvement

 - Coming soon !






Pre-Hospital Schemes  - A rural pre-hospital care scheme currently being used in Arran, Scotland


Clinical Guidelines - Pre-Hospital Emergency Care Council (Ireland) provides public access to clinical practice guidelines for paramedics. A great resource !


Mass Casuality Incident Training - MIMMS Course (UK)  - Federal Emergency Management Agency (FEMA) – USA


Pre-Hospital Forums

Pre-Hospital Care Google group -  currently hosting discussions on this topic

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