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

The Evolution of Civilian High Threat Medical Guidelines

How mass killing events have proven a need for new guidelines.
More >

Multimedia Thumb

British Medics Bid Farewell to Afghanistan Base

Medical team and troops leave Camp Bastion.
Watch It >


Multimedia Thumb

Plane Crash at Wichita Airport

Small plane crashes into airport safety building.
Watch It >


Multimedia Thumb

Authorities Investigate Firefighters at Arizona EMS Call

Confrontation caught on video involving Glendale firefighters.
Watch It >


Multimedia Thumb

Radio Problems for New York Medics

Medic’s radio failed during a call with an armed patient.
Watch It >


Multimedia Thumb

Ottawa Shooting Incident

Solider is shot by gunman at national memorial in Ottawa.
More >


Multimedia Thumb

Life Link III Trauma Tactics Conference in Minnesota

Conference was designed to enhance the skills of providers of all levels, covering rescue and prehospital situations, to transport and in-hospital treatment.
More >


Multimedia Thumb

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

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


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

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


More Product Videos >