Millin Michael G, Hawkins Seth C
Department of Emergency Medicine, Johns Hopkins University School of Medicine, Maryland Search and Rescue, 5801 Smith Avenue, Davis Building, Suite 3220, Baltimore, MD 21209, USA.
Department of Emergency Medicine, Wake Forest University School of Medicine, Burke County EMS Special Operations Team, 200 Avery Avenue, Morganton, NC 28655, USA.
Emerg Med Clin North Am. 2017 May;35(2):377-389. doi: 10.1016/j.emc.2016.12.001. Epub 2017 Mar 15.
Wilderness emergency medical services (WEMS) are designed to provide high quality health care in wilderness environments. A WEMS program should have oversight by a qualified physician responsible for protocol development, education, and quality improvement. The director is also ideally fully trained as a member of that wilderness rescue program, supporting the team with real-time patient care. WEMS providers function with scopes of practice approved by the local medical director and regulatory authority. With a focus on providing quality patient care, it is time for the evolution of WEMS as an integrated element of a local emergency response system.
野外紧急医疗服务（WEMS）旨在在野外环境中提供高质量的医疗保健。一个WEMS项目应由一名负责制定协议、开展教育和改进质量的合格医生进行监督。理想情况下，主任也应作为该野外救援项目的一员接受全面培训，在实时患者护理方面为团队提供支持。WEMS提供者的工作范围由当地医疗主任和监管机构批准。鉴于重点是提供优质的患者护理，现在是时候让WEMS发展成为当地应急响应系统的一个综合组成部分了。
