Considerable controversy exists regarding the prehospital management of critically injured patients by EMS personnel. A "scoop and run" approach may neglect key issues, such as a compromised airway, while prolonged attempts at resuscitation in the field simply cannot stabilize a patient in need of operative intervention. Few prospective, randomized clinical trials exist that address those advanced life support (ALS) interventions performed in the prehospital setting that improve patient outcome.
Salomone JP. Emergency Medical Services (EMS) vs Non-EMS Transport of Critically Injured Patients—Invited Critique. Arch Surg. 2000;135(3):319. doi:10.1001/archsurg.135.3.319