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.
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.
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.
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.
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.
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.
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