Abstract
The tiered response mobile intensive care system has been very successful in the management of out-of-hospital cardiac arrest. Communities utilizing such a system have reported high resuscitation rates, with as many as 60% of patients with cardiac arrest due to ventricular fibrillation being admitted to hospital [1]. This group of patients had a hospital discharge rate of 30%. This chapter discusses the development of tiered response systems and the factors accounting for successful resuscitation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Eisenberg M, Bergner L, Hearne T: Out-of- hospital cardiac arrest: a review of major studies and a proposed uniform report system. Am J Public Health 70: 236–240, 1980.
Pantridge JF, Geddes JS: A mobile intensive care unit in the management of myocardial infarction. Lancet 2: 271–273, 1967.
Grace WJ, Chadbourn JA: The mobile coronary care unit. Dis Chest 55: 454–455, 1969.
Liberthson RR, Nagel EL, Hirschman JC, et al: Prehospital ventricular fibrillation: prognosis and followup course. N Engl J Med 291: 317–320, 1974.
Nagel EL, Hirschman JC, Nussenfeld SR, et al: Telemetry —medical command in coronary and other mobile emergency care systems. JAMA 214: 332–334, 1970.
Lewis RP, Stang JM, Fulkerson PK, et al: Effectiveness of advanced paramedics in a mobile cor’onary care system. JAMA 241: 1902–1904, 1979.
Cobb LA, Baum RS, Copass MK: A rapid response system for out-of-hospital cardiac emergencies. Med Clm North Am 60: 283–289, 1976.
Graf WS, Plin SS, Paegel BL: A community program for emergency cardiac care. JAMA 226: 136–160, 1973.
Crampton RS, Aldrich RF, Gascho JA, et al: Reduction of pre-hospital, ambulance and community coronary death rates by the community wide emergency cardiac care system. Am J Med 38: 151–155, 1975.
Romano TL, Eisenberg S, Frenandez-Caballero C, et al: Paramedic services: nationwide distribution and management structure. JACEP 7: 99–102, 1978.
National Academy of Sciences, National Research Council, Division of Medical Sciences, Report: Accidental death and disability: the neglected disease of modern society. Washington DC, 1966.
Alvarez H, Cobb LA: Experiences with CPR training of the general public: proceedings of the national conference on standards for CPR and emergency cardiac care. American Heart Association, 1975.
Bergner L, Eisenberg M, Hallstrom A, et al: Evaluation of paramedic services for cardiac arrest. Hyattsville MD: National Center for Health Services Research (DHHS publication [PHS] 82–3310 ), 1981.
Eisenberg MS, Bergner L, Hallstrom A: Out-of- hospital cardiac arrest: improved survival with paramedic services. Lancet 1: 812–815, 1981.
Eisenberg M, Copass M, Hallstrom A: Treatment of out-of-hospital cardiac arrest with rapid defibrillation by emergency medical technicians. N Engl J Med 302: 1379–1383, 1980.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1985 Martinus Nijhoff Publishing, Boston/Dordrecht/Lancaster
About this chapter
Cite this chapter
Eisenberg, M.S., Bergner, L., Hallstrom, A.P. (1985). The Tiered Response Mobile Intensive Care System in the Managment of Out-of-Hospital Cardiac Arrest. In: Califf, R.M., Wagner, G.S. (eds) Acute Coronary Care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3828-4_27
Download citation
DOI: https://doi.org/10.1007/978-1-4613-3828-4_27
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-3830-7
Online ISBN: 978-1-4613-3828-4
eBook Packages: Springer Book Archive