Tim Nutbeam is Lead Consultant for the Devon Air Ambulance, honorary Professor of Prehospital Emergency Medicine (PHEM) at the University of Plymouth and a Consultant in Emergency Medicine at University Hospitals Plymouth NHS Trust, UK. Matt Boylan is a Consultant in Military Emergency Medicine and PHEM, University Hospitals Birmingham NHS Foundation Trust, UK. Caroline Leech is a Consultant in Emergency Medicine and PHEM, University Hospitals Coventry & Warwickshire NHS Trust, UK and The Air Ambulance Service, Rugby, UK. Clare Bosanko is a Critical Care Doctor for the Devon Air Ambulance, a Consultant in Emergency Medicine, University Hospitals Plymouth NHS Trust, UK and a doctor for Carnival UK.

Dr Will Duffin, Joint Medical Director for World Extreme Medicine"The 2023 edition is a major update from the original, which hit the shelves 10 years ago, and brings home for me just how much clinical practice has evolved over the past decade … The emphasis is very much on core principles rather than detailed discussion and the key messages are brought home with strong diagrams and images…it's all about getting the basics right! I get a lot of value from the 'Tips from the field' box, which is a reminder that PHEM is an inherently applied and practical discipline, and this is where the formidable collective experience of the author group really shines through. Definitely a thumbs up from me!"

• Contributor List viiiForeword xiPreface xii1 Prehospital Emergency Medicine 1Part 1 Operational Practice 32 Activation and Deployment 5Stephanie Cowan, Iwan Davies, and Matthew Boylan3 Responder Safety 10Clare Bosanko and Dave Dungay4 Extrication 15Malcolm Russell and Rob Fenwick5 The First Five Minutes and the Primary Survey 23Tim Nutbeam and Matthew Boylan6 Airway Assessment and Management 26Tom Renninson, Mårten Sandberg, Tim Hooper, Marius Rehn, Per Kristian Hyldmo, and David Lockey7 Breathing Assessment and Management 38Per Kristian Hyldmo, Marius Rehn, and Mårten Sandberg8 Circulation Assessment and Management 46Jake Turner and Matthew Boylan9 Prehospital Monitoring 57Tim Harris and Peter Shirley10 Prehospital Ultrasound 63Tim Harris, Adam Bystrzycki, and Stefan Mazur11 Analgesia and Sedation 72Jonathan Hulme, Philip Keane, and Tony Sim12 Transfer and Retrieval 80Richard Browne and Scott GrierPart 2 Providing Prehospital Trauma Care 8913 Abdominal Injury 91Ed Barnard and Keith Roberts Copyrighted Material14 Pelvic Injury 94Keith Porter, Caroline Leech, and Matt O’Meara15 Head Injury 97Jeremy Henning, Clare Hammell, and Matthew Boylan16 Spinal Injuries 102Mark Wilson and Tim Nutbeam17 Extremity Injury 107Matt O’Meara, Caroline Leech, and Keith Porter18 Burns 110Christopher J. Lewis and Keith P. Allison19 Suspension and Crush Injury 119Jason van der Velde and Caroline Leech20 Ballistic and Blast Injury 123Matthew Boylan and William Charlton21 Cardiac Arrest 130Walter Kloeck, Martin Botha, David Kloeck, and Clare BosankoPart 3 Providing Prehospital Medical Care 13922 Acute Medical Emergencies 141Ewan Barron and Adam Low23 Overdose and Poisoning 151Peter Welby-Everard and Ian GurneyPart 4 Special Groups 15724 The Paediatric Patient 159Ben Lawton and John Glasheen25 The Obstetric Patient 166Tracy-Louise Appleyard and Caroline Leech26 The Bariatric Patient 176Hannah Bawdon and Surpreet Grewal27 The Older Patient 181Fionna Lowe and Keniesha Miller28 Mental Health Crisis 184Rob Cole, Richard Corrall, and Carly Lynch29 Capacity 189Rob Cole, Richard Corrall, and Carly LynchPart 5 Environmental 19330 Environmental Injuries 195William Charlton and Omar Tayari31 Drowning 203Mike Tipton and Paddy Morgan32 Diving Emergencies 207Tudor A. Codreanu33 Altitude Illness 212Harvey Pynn and Lucy ObolenskyPart 6 Emergency Preparedness 21934 Mass Casualty Incident Management 221Jamie Vassallo and Damian Keene35 Chemical Biological Radiation and Nuclear Incidents 228Niall Aye Maung and William Charlton36 Mass Gatherings 234Lee Wallis and Wayne SmithPart 7 Clinical Governance and Professional Skills 23737 Clinical Governance 239Clare Bosanko38 Medicolegal and Ethical Aspects 243Craig M. Klugman and Jennifer Bard39 Human Factors Ergonomics Safety and Culture 249Chris Frerk, Tom Hurst, and Neil Jeffers40 Human Performance 253Tom Evens, Alison Sanders, and Chris Shambrook41 Research and Development 259Jamie Miles, Willem Stassen, Niroshan Siriwardena, and Suzanne MasonIndex 262

Tim Nutbeam is Lead Consultant for the Devon Air Ambulance, honorary Professor of Prehospital Emergency Medicine (PHEM) at the University of Plymouth and a Consultant in Emergency Medicine at University Hospitals Plymouth NHS Trust, UK. Matt Boylan is a Consultant in Military Emergency Medicine and PHEM, University Hospitals Birmingham NHS Foundation Trust, UK. Caroline Leech is a Consultant in Emergency Medicine and PHEM, University Hospitals Coventry & Warwickshire NHS Trust, UK and The Air Ambulance Service, Rugby, UK. Clare Bosanko is a Critical Care Doctor for the Devon Air Ambulance, a Consultant in Emergency Medicine, University Hospitals Plymouth NHS Trust, UK and a doctor for Carnival UK.

Dr Will Duffin, Joint Medical Director for World Extreme Medicine"The 2023 edition is a major update from the original, which hit the shelves 10 years ago, and brings home for me just how much clinical practice has evolved over the past decade … The emphasis is very much on core principles rather than detailed discussion and the key messages are brought home with strong diagrams and images…it's all about getting the basics right! I get a lot of value from the 'Tips from the field' box, which is a reminder that PHEM is an inherently applied and practical discipline, and this is where the formidable collective experience of the author group really shines through. Definitely a thumbs up from me!"

• Contributor List viiiForeword xiPreface xii1 Prehospital Emergency Medicine 1Part 1 Operational Practice 32 Activation and Deployment 5Stephanie Cowan, Iwan Davies, and Matthew Boylan3 Responder Safety 10Clare Bosanko and Dave Dungay4 Extrication 15Malcolm Russell and Rob Fenwick5 The First Five Minutes and the Primary Survey 23Tim Nutbeam and Matthew Boylan6 Airway Assessment and Management 26Tom Renninson, Mårten Sandberg, Tim Hooper, Marius Rehn, Per Kristian Hyldmo, and David Lockey7 Breathing Assessment and Management 38Per Kristian Hyldmo, Marius Rehn, and Mårten Sandberg8 Circulation Assessment and Management 46Jake Turner and Matthew Boylan9 Prehospital Monitoring 57Tim Harris and Peter Shirley10 Prehospital Ultrasound 63Tim Harris, Adam Bystrzycki, and Stefan Mazur11 Analgesia and Sedation 72Jonathan Hulme, Philip Keane, and Tony Sim12 Transfer and Retrieval 80Richard Browne and Scott GrierPart 2 Providing Prehospital Trauma Care 8913 Abdominal Injury 91Ed Barnard and Keith Roberts Copyrighted Material14 Pelvic Injury 94Keith Porter, Caroline Leech, and Matt O’Meara15 Head Injury 97Jeremy Henning, Clare Hammell, and Matthew Boylan16 Spinal Injuries 102Mark Wilson and Tim Nutbeam17 Extremity Injury 107Matt O’Meara, Caroline Leech, and Keith Porter18 Burns 110Christopher J. Lewis and Keith P. Allison19 Suspension and Crush Injury 119Jason van der Velde and Caroline Leech20 Ballistic and Blast Injury 123Matthew Boylan and William Charlton21 Cardiac Arrest 130Walter Kloeck, Martin Botha, David Kloeck, and Clare BosankoPart 3 Providing Prehospital Medical Care 13922 Acute Medical Emergencies 141Ewan Barron and Adam Low23 Overdose and Poisoning 151Peter Welby-Everard and Ian GurneyPart 4 Special Groups 15724 The Paediatric Patient 159Ben Lawton and John Glasheen25 The Obstetric Patient 166Tracy-Louise Appleyard and Caroline Leech26 The Bariatric Patient 176Hannah Bawdon and Surpreet Grewal27 The Older Patient 181Fionna Lowe and Keniesha Miller28 Mental Health Crisis 184Rob Cole, Richard Corrall, and Carly Lynch29 Capacity 189Rob Cole, Richard Corrall, and Carly LynchPart 5 Environmental 19330 Environmental Injuries 195William Charlton and Omar Tayari31 Drowning 203Mike Tipton and Paddy Morgan32 Diving Emergencies 207Tudor A. Codreanu33 Altitude Illness 212Harvey Pynn and Lucy ObolenskyPart 6 Emergency Preparedness 21934 Mass Casualty Incident Management 221Jamie Vassallo and Damian Keene35 Chemical Biological Radiation and Nuclear Incidents 228Niall Aye Maung and William Charlton36 Mass Gatherings 234Lee Wallis and Wayne SmithPart 7 Clinical Governance and Professional Skills 23737 Clinical Governance 239Clare Bosanko38 Medicolegal and Ethical Aspects 243Craig M. Klugman and Jennifer Bard39 Human Factors Ergonomics Safety and Culture 249Chris Frerk, Tom Hurst, and Neil Jeffers40 Human Performance 253Tom Evens, Alison Sanders, and Chris Shambrook41 Research and Development 259Jamie Miles, Willem Stassen, Niroshan Siriwardena, and Suzanne MasonIndex 262