McSwain N E
Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana.
Emerg Med Clin North Am. 1990 Feb;8(1):145-54.
Many controversies exist in prehospital care. The most visible from a physiologic point of view are what is done in the field, how thorough medical accountability should be, and what amount of education is required for EMTs to perform their jobs correctly. The bottom line is good patient care. Such care cannot be achieved without the proper ingredients. These include a knowledgeable EMT, an involved medical director, and community support.
院前急救存在诸多争议。从生理学角度来看，最明显的争议在于现场采取的措施、医疗责任追究应达到何种程度以及急救医疗技术员（EMT）正确履行职责需要多少教育。归根结底是要提供优质的患者护理。没有合适的要素，就无法实现这种护理。这些要素包括知识渊博的急救医疗技术员、积极参与的医疗主任以及社区支持。
