The Challenges of Clinical Leadership


 
 

A.J. Heightman, MPA, EMT-P | From the Driving the Course of Care, 2010 Issue


This supplement is both a tribute and challenge to prehospital EMS systems. It’s a tribute because it recognizes multiple areas where EMS agencies have been leading the way in clinical innovation, technology, educational and operational planning, and resuscitation advances.

It’s a challenge because in illustrating pre-planning and operational changes that EMS agencies have effectively used to improve their delivery of patient care and resuscitation results, it challenges your agency to do the same.

You’ll read some common themes throughout this supplement, starting with the need for a team approach to deliver high-quality chest compressions through the consistent application of currently accepted standards, and the use of feedback devices as a key to ensuring that consistency.

“Links in the Chain” points out what we often forget: Despite our best efforts, we often can’t arrive in the critical first 3–5 minutes after a cardiac arrest. Bystander CPR continues to be a necessary, but often neglected, area in every EMS system’s response plan. Systems must focus more on this area.

With some EMS agencies still trying to get their local hospitals to accept therapeutic hypothermia (TH) patients from the field, “Driving Toward ‘Cool’ Resuscitation Care” arms you with important facts about the use of cold normal saline in the post-arrest setting and updates you on some dramatic discharge results in New York.

Dovetailing off the critical aspects of optimal response times, early patient access/care and consistency in the delivery of compressions, this supplement also focuses on two other important EMS challenges: providing care at mass-gathering events and large participatory events such as marathons.

Although most agencies currently cover special events, progressive agencies pre-plan strategic deployment of AEDs and ALS teams, and use Bluetooth transmission devices to send patient data and progress reports to field treatment centers in advance of a patient’s arrival.

It is our hope that these articles will prompt you to think about, and improve, your daily EMS response plans, procedures and equipment and enhance your mass-gathering EMS approach, pre-planning well in advance of your next event.

This article originally appeared in an editorial supplement to the September 2010 JEMS as “The Challenges of Clinical Leadership”
 




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Patient Care, Cardiac and Circulation, “A.J. Heightman”; “CPR”; “cardiac arrest”; “Q-CPR”; “quality CPR”; “mass-gathering EMS”; “EMS preplanning”; “bystander CPR”; “AED”; “hypothermic resuscitation”

Author Thumb

A.J. Heightman, MPA, EMT-P

JEMS Editor-in-Chief A.J. Heightman, MPA, EMT-P, has a background as an EMS director and EMS operations director. He specializes in MCI management.

BROWSE FULL BIO & ARTICLES >

What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS





 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Simulation-Based Assessment Facilitates Learning & Enhances Clinical Judgment

Simulation is an educational tool that can be used to develop and refine clinical skills of the student in a controlled environment before they progress to becoming practicing clinicians.
More >

Multimedia Thumb

Buffalo Medics, Firefighter Keep Working in Crash

Rural Metro medics describe crash that overturned their ambulance.
Watch It >


Multimedia Thumb

Drone Delays Landing of Ohio Medical Helicopter

Miami Valley Hospital incident raises questions over legalities of drones.
Watch It >


Multimedia Thumb

Four Killed in New Mexico Medical Plane Crash

Crash near fairgrounds claims patient and crew of three.
Watch It >


Multimedia Thumb

Texas Ambulance Involved in Crash

Odessa ambulance and car collide during response.
Watch It >


Multimedia Thumb

Building Explosion, Collapse in Paris Suburb

Death toll rises to eight after blast in Rosny-sous-Bois.
More >


Multimedia Thumb

New Mexico Air Ambulance Crash

NTSB investigates crash that killed four.
More >


Multimedia Thumb

Where in the World of EMS is A.J.? Scranton

JEMS Editor-in-Chief visits his hometown of Scranton, Pa.
More >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


More Product Videos >