Prehospital Coronary Care in the Virginia Piedmont and United States

  • Richard S. Crampton
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 21)


During the 16 years since the inception of prehospital coronary care in Belfast, Northern Ireland [1, 2], the lives of thousands of acutely ill cardiac patients have been saved and their quality of life has been improved by a lowered morbidity. Nowhere has this been more apparent than in the United States where Pantridge’s concept of mobile coronary care revolutionized emergency medical services. The ease of detection of prefatal and fatal arrhythmias in acute ischemic heart disease and the portability of the relevant instruments and drugs to monitor, defibrillate and treat the coronary patient, expedited experimental emergency care systems staffed first by physicians and then by nurses, paramedics and emergency medical technicians (EMTs). Since costs, benefits and outcomes were easily assessed, innovative improvements attended rapid feedback of favorable results. This chapter will discuss the adaptation of mobile coronary care in the Virginia Piedmont, the United States, Canada and Europe, the influence of cardiopulmonary resuscitation (CPR) by the citizen, the noncontroversy about mobile coronary care, the financial burden and benefit to the community, and the important role of the physician who is responsible for medical control of prehospital coronary care.


Ventricular Fibrillation Emergency Medical Service Basic Life Support Advanced Life Support Coronary Death 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Martinus Nijhoff Publishers, The Hague 1982

Authors and Affiliations

  • Richard S. Crampton

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