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Driving the Course of Care

From advanced STEMI detection to hypothermia protocols, techniques used in the field are revolutionizing inpatient care

This supplement, sponsored by Philips Healthcare, was developed to give you a look into some of the many ways EMS is leading the pack in offering advanced monitoring and medical care in the field and driving additional advancements to receiving emergency departments.

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Grant to Enhance EMS/Hospital Data Exchange

The University of California, San Diego (UCSD) has been awarded one of 15 Federal Beacon Grants to demonstrate the capacity of electronic medical records.

Introduction

Improvements in training and medical direction—in both prehospital and hospital systems—has allowed technology and advanced medical treatment to rapidly expand in the field, hospitals and EDs. In many instances, innovative prehospital systems and their medical directors are on the front lines leading the charge.

A.J. Heightman, MPA, EMT-P | Paul E. Pepe, MD, MPH

The Most Important Test

The 12-lead ECG is the most important initial test for diagnosing acute myocardial infarction (AMI). Changes have recently been incorporated into the Philips DXL ECG algorithm and the HeartStart MRx monitor/defibrillator that enhance the ECG’s ability to detect acute ischemia, AMI & STEMI.

Mohamud Daya, MD, MS

Regionalized Cardiac Arrest Care

FDNY created a regional protocol for initiating hypothermia on cardiac patients. This article reports initial results as well as lessons learned for EMS systems wanting to initiate similar protocols.

John Freese, MD

The Electronic Crossroads

ePCR solutions abound, but the key is choosing a system that’s NEMSIS-compliant, allowing medical managers to share data across agencies and significantly enhancing analysis and reporting capabilities.

Raymond L. Fowler, MD, FACEP

The Value of CPAP

Recent data from the Houston Fire Department suggests that about half the time paramedics use CPAP, they ultimately avoid an intubation.

David E. Persse, MD, FACEP

Critical Changes

Daya and Nakamura review three new enhancements available in the Philips HeartStart MRx monitor-defibrillator: the Acute Coronary Ischemia-Time Insensitive Predictive Instrument (ACI-TIPI), the Thrombolytic Predictive Index (TPI) and Connected Care Data Management solution systems.

Mohamud Daya, MD, MS | Yoko Nakamura, MD

Strengthening the Chain of Survival

The cardiac chain of survival depends first and foremost on early CPR, but once EMS professionals arrive, quality measures -- such as real-time feedback and integrated debriefing -- make a vital difference in patient outcomes.

Benjamin S. Abella, MD, MPhil | Emily C. Esposito, BA