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Driving the Course of Care, 2010

Leading-edge technologies can help improve patient care

This supplement, sponsored by Philips Healthcare, illustrates pre-planning and operational changes that EMS agencies have effectively used to improve their delivery of patient care and their resuscitation results. Articles address high-quality CPR, therapeutic hypothermia, the chain of survival and preparing for EMS care at mass-gathering events.

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The Challenges of Clinical Leadership

Clinical innovations start in the field

A.J. Heightman, MPA, EMT-P

The Quest for High-Quality CPR

Real-time CPR monitoring with feedback showed Henderson (Nev.) Fire Department that its personnel were pushing too fast during CPR. Now, it uses a feedback device to improve CPR effectiveness.

Scott A. Vivier, EMT-P, AGS

Links in the Chain

A recent success story in Berwyn, Pa., shows the chain of survival in action and how care connected from the street to the hospital is so important in saving lives.

Chris Griesser, NREMT-P | Patrick Boyle, NREMT-P

Driving Toward ‘Cool’ Resuscitation Care

In 2009, New York City began a regional hypothermia program that has helped standardize post-arrest care. Dr. John Freese reports on the next stage of this program: inducing cooling in the field.

John Freese, MD

EMS in the Fast Lane

Each Memorial Day weekend, the Indianapolis Motor Speedway fills with hundreds of thousands of people, creating a mass-gathering event like none other—and a huge EMS challenge as well. This article details the strategies the IMS uses to ensure that drivers and spectators get the care they need on race day.

Geoffrey L. Billows, MD, FACEP

In It for the Long Run

Although most marathon injuries are non-life-threatening, cardiac arrest is a constant threat, even in trained athletes. In this article, we look at best practices used at the Chicago and Boston Marathons to ensure that EMS personnel are ready to respond to any runner, anywhere on the course.

Chris Troyanos, ATC | George Chiampas, DO