Abstract
The entity of professional emergency medical services (EMS) has enjoyed a popular reputation for “saving lives”. However, this public notion has come under recent scrutiny and the value of certain prehospital critical care services has now been debated. In addition, with the evolving introduction of scientific evaluation into the prehospital care arena, there also comes a growing concern about evolving ethical issues, not only regarding the prehospital care services, but also the actual scientific evaluation process itself. The purpose of this chapter will be to examine some of these issues and then suggest some interim resolutions for these academic and clinical dilemmas in the important and maturing discipline of prehospital critical care.
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