Skip to main content
SpringerLink
Log in

Prehospital Coronary Care in the Virginia Piedmont and United States

  • Chapter
Acute Phase of Ischemic Heart Disease and Myocardial Infarction

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 21))

  • 52 Accesses

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Pantridge JF, Geddes JS: Cardiac arrest after myocardial infarction. Lancet 1:807–808, 1966.

    Article  PubMed  CAS  Google Scholar 

  2. Pantridge JF, Geddes JS: A mobile intensive care unit in the management of myocardial infarction. Lancet 2:271–273, 1967.

    Article  PubMed  CAS  Google Scholar 

  3. Crampton RS, Stillerman R, Gascho JA, Aldrich RF, Hunter FP Jr, Harris RM Jr, McCormack RC: Prehospital coronary care in Charlottesville and Albemarle County. Virginia Med Month 99:1191–1196, 1972.

    CAS  Google Scholar 

  4. Crampton RS, Aldrich RF, Stillerman R, Gascho JA: Prehospital cardiopulmonary resuscitation in acute myocardial infarction. N Engl J Med 286:1320–1321, 1972.

    Article  PubMed  CAS  Google Scholar 

  5. Crampton RS, Aldrich RF, Gascho JA, Miles JR Jr, Stillerman R: Reduction of prehospital, ambulance, and community coronary death rates by the communitywide emergency cardiac care system. Am J Med 58:151–165, 1975.

    Article  PubMed  CAS  Google Scholar 

  6. Crampton R, Gascho J, Martin E: Taking coronary care to the patient. Lancet 1:1145–1146, 1978.

    Article  PubMed  CAS  Google Scholar 

  7. Crampton RS: Mobile coronary care: evaluation of efficiency. In: Acute Myocardial Infarction (Donoso E, Lipski J, eds.) pp. 27–36. New York, Stratton Intercontinental, 1978.

    Google Scholar 

  8. Crampton RS: Prehospital advanced cardiac life support: evaluation of a decade of experience. Top Emerg Med 1:27–36, 1980.

    PubMed  CAS  Google Scholar 

  9. Nagel EL, Hirschman JC, Mayer PW, Dennis F: Telemetry of physiologic data: an aid to fire-rescue personnel in a metropolitan area. Southern Med J 61:598–601, 1968.

    Article  PubMed  CAS  Google Scholar 

  10. Nagel EL, Hirschman JC, Nussenfeld SR, Rankin D, Lundblad E: Telemetry — medical command in coronary and other mobile emergency care systems. JAMA 214:332–338, 1970.

    Article  PubMed  CAS  Google Scholar 

  11. Cobb LA, Conn RD, Samson WE, Philbin JE: Early experiences in the management of sudden death with a mobile intensive/coronary care unit. Circulation 41–42(Suppl III): 144, 1970.

    Google Scholar 

  12. Baum RS, Alvarez H, Cobb LA: Survival after resuscitation from out-of-hospital ventricular fibrillation. Circulation 50:1231–1235, 1974.

    PubMed  CAS  Google Scholar 

  13. Lewis RP, Fulkerson PK, Stang JM, Sampson KL, Dutko HJ: The Columbus emergency medical service system. Ohio State Med J 75:391–394, 1979.

    PubMed  CAS  Google Scholar 

  14. Grace WJ, Chadbourn JA: The mobile coronary care unit. Dis Chest 55:452–455, 1969.

    Article  PubMed  CAS  Google Scholar 

  15. Lambrew CT: Experience in telemetry of the electrocardiogram to a base hospital. Heart Lung 3:756–764, 1974.

    PubMed  CAS  Google Scholar 

  16. Lewis AJ, Criley JM: An integrated approach to acute coronary care. Circulation 50:203–205, 1974.

    PubMed  CAS  Google Scholar 

  17. Criley JM, Lewis AJ, Ailshie GE: Mobile emergency care units. Implementation and justification. Adv Cardiol 15:9–24, 1975.

    PubMed  CAS  Google Scholar 

  18. Edwards BW: Medical control and the volunteer rescue squad. J Emerg Med Services (JEMS) 6:38–42, 1981.

    CAS  Google Scholar 

  19. Oliver MF, Julian DG, Donald KW: Problems in evaluating coronary care units. Their responsibilities and their relation to the community. Am J Cardiol 20:465–474, 1967.

    Article  PubMed  CAS  Google Scholar 

  20. Stillerman R, Aldrich RF, McCormack RC, Crampton RS: Coronary artery disease (CAD) Death in a community before and after the advent of hospital coronary care units (CCU). Circulation 42(Suppl III): 202, 1970.

    Google Scholar 

  21. Pantridge JF: Mobile coronary care. Chest 58:229–234, 1970.

    Article  PubMed  CAS  Google Scholar 

  22. Aldrich RF, Stillerman R, McCormack RC, Crampton RS: Sudden coronary artery disease (CAD) Death in a community and the prospective role of mobile coronary care (MCCU). Circulation 42(Suppl III):83, 1970.

    Google Scholar 

  23. Pantridge JF, Adgey AAJ, Geddes JS, Webb SW: The Acute Coronary Attack. New York: Grune & Stratton, 1975.

    Google Scholar 

  24. Thompson RG, Hallstrom AP, Cobb LA: Bystander-initiated cardiopulmonary resuscitation in the management of ventricular fibrillation. Ann Intern Med 90:737–740, 1979.

    PubMed  CAS  Google Scholar 

  25. Lewis RP, Lanese RR, Stang JM, Chirikos TN, Keller MD, Warren JV: Reduction of mortality from prehospital myocardial infarction by prudent patient activation of mobile coronary care system. Am Heart J 103:123–130, 1982.

    Article  PubMed  CAS  Google Scholar 

  26. Keller MD: A study of the impact of mobile coronary care units. In: Emergency Medical Services Systems Research Projects, p. 74. Washington, DC, DHEW Publication No (PHS) 79-3220, 1979.

    Google Scholar 

  27. Hoffer EP: Emergency medical services. N Engl J Med 301:1118–1121, 1979.

    Article  PubMed  CAS  Google Scholar 

  28. Eisenberg MS, Bergner L, Hallstrom A: Out-of-hospital cardiac arrest: improved survival with paramedic services. Lancet 1:812–815, 1980.

    Article  PubMed  CAS  Google Scholar 

  29. Eisenberg M, Bergner L, Hallstrom A: Paramedic programs and out-of-hospital cardiac arrest. II. Impact on community mortality. Am J Publ Health 69:39–42, 1979.

    CAS  Google Scholar 

  30. Eisenberg MS, Copass MK, Hallstrom AP, Blake B, Bergner L, Short FA, Cobb LA: Treatment of out-of-hospital cardiac arrests with rapid defibrillation by emergency medical technicians. N Engl J Med 302:1379–1383, 1980.

    Article  PubMed  CAS  Google Scholar 

  31. Myerburg RJ, Conde CA, Sung RJ, Mayorga-Cortes A, Mallon SM, Sheps DS, Appel RA, Castel-lanos A: Clinical, electrophysiologic and hemodynamic profile of patients resuscitated from prehospital cardiac arrest. Am J Med 68:568–576, 1980.

    Article  PubMed  CAS  Google Scholar 

  32. Rockswold G, Sharma B, Ruiz E, Asinger R, Hodges M, Brieter M: Follow-up of 514 consecutive patients with cardiopulmonary arrest outside the hospital. J Am Coll Emerg Phys 8:216–220, 1979.

    Article  CAS  Google Scholar 

  33. Lund I, Skulberg A: Cardiopulmonary resuscitation by lay people. Lancet 2:702–704, 1976.

    Article  PubMed  CAS  Google Scholar 

  34. Eisenberg MS, Bergner B, Hallstrom A: Paramedic programs and out-of-hospital cardiac arrest. I. Factors associated with successful resuscitation. Am J Publ Health 69:30–38, 1979.

    CAS  Google Scholar 

  35. Guzy PM, Pearce ML, Greenfield S, Beck L, McElroy CR: Effectiveness of citizen cardiopulmonary resuscitation during out-of-hospital emergencies in metropolitan Los Angeles. Circulation (Suppl II) 60:46, 1979.

    Google Scholar 

  36. Tweed WA, Bristow G, Donen N: Resuscitation from cardiac arrest: assessment of a system providing only basic life support outside of hospital. Can Med Assoc J 122:297–300, 1980.

    PubMed  CAS  Google Scholar 

  37. Hampton JR, Dowling M, Nicholas C: Comparison of results from a cardiac ambulance manned by medical or non-medical personnel. Lancet 1:526–529, 1977.

    Article  PubMed  CAS  Google Scholar 

  38. Hill JD, Hampton JR, Mitchell JRA: A randomized trial of home-versus-hospital management for patients with suspected myocardial infarction. Lancet 1:837–841, 1978.

    Article  PubMed  CAS  Google Scholar 

  39. Hill JD, Hampton JR, Mitchell JRA: Home or hospital for myocardial infarction-who cares? Am Heart J 98:545–547, 1979.

    Article  PubMed  CAS  Google Scholar 

  40. Webb SW: Mobile coronary care. Lancet 1:559–560, 1974.

    Article  PubMed  CAS  Google Scholar 

  41. Macintosh AF, Crabb ME, Grainger R, Williams JH, Chamberlain DA: The Brighton resuscitation ambulances; review of 40 consecutive survivors of out-of-hospital cardiac arrest. Br Med J 1:1115–1118, 1978.

    Article  Google Scholar 

  42. Vetter NJ, Pocock S, Julian DG: Measuring the effect of a mobile coronary care unit upon the community. Br Heart J 41:418–425, 1979.

    Article  PubMed  CAS  Google Scholar 

  43. Siltanen P, Sundberg S, Hytonen I: Impact of a mobile coronary care unit on the sudden coronary mortality in a community. Acta Med Scand 205:195–200, 1979.

    Article  PubMed  CAS  Google Scholar 

  44. McNeill GP, Bouchier IAD, Watson H: Mobile coronary care available to the general public. Lancet 1:975, 1979.

    Article  PubMed  CAS  Google Scholar 

  45. Adgey AAJ, Crampton RS: Hospital or home for acute myocardial infarction: another look at whether or not we should bother to care. Am Heart J 102:473–477, 1981.

    Article  PubMed  CAS  Google Scholar 

  46. Nagel EL: Prehospital care as a cause for coronary heart disease mortality decline. In: Proceedings of a Conference on the Decline in Coronary Heart Disease Mortality (Havlik RJ, Feinleib M, eds.) pp. 149–151. Washington DC: DHEW (NIH Publ No 79-1610), 1979.

    Google Scholar 

  47. Crampton RS, Michaelson SP, Aldrich RF, Gascho JA: Prehospital care for myocardial infarction. N Engl J Med 291:418, 1974.

    PubMed  CAS  Google Scholar 

  48. Sidel VW, Acton J, Lown B: Models for the evaluation of prehospital coronary care. Am J Cardiol 24:674–688, 1969.

    Article  PubMed  CAS  Google Scholar 

  49. Hallstrom A, Eisenberg MS, Bergner L: Modeling the effectiveness and cost-effectiveness of an emergency service system. Soc Sci Med 15C; 13–17, 1981.

    CAS  Google Scholar 

  50. Cobb LA, Alvarez H, Copass MK: A rapid response system for out-of-hospital emergencies. Med Clin North Am 60:283–290, 1976.

    PubMed  CAS  Google Scholar 

  51. Cobb LA, Hallstrom AP, Thompson RG, Mandel LP, Copass MK: Community cardiopulmonary resuscitation. Ann Rev Med 31:453–462, 1980.

    Article  PubMed  CAS  Google Scholar 

  52. McElroy CR: Citizen CPR: the role of the lay person in prehospital care. Top Emerg Med 1:37–46, 1980.

    PubMed  CAS  Google Scholar 

  53. Committee on Emergency Medical Services: Medical control in emergency medical services systems, p. 4–5. Washington, DC: National Academy Press, 1981.

    Google Scholar 

  54. Pozen MW, D’Agostino RB, Sytkowski PA, Schneider RJ, Berezin MM, Brewer LH, Riggin RJ: Effectiveness of a prehospital medical control system: an analysis of the interaction between emergency room physician and paramedic. Circulation 63:442–447, 1981.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. Richard S. Crampton
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Regional Medical Cardiology Centre, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, N. Ireland

    A. A. Jennifer Adgey

Rights and permissions

Reprints and permissions

Copyright information

© 1982 Martinus Nijhoff Publishers, The Hague

About this chapter

Cite this chapter

Crampton, R.S. (1982). Prehospital Coronary Care in the Virginia Piedmont and United States. In: Adgey, A.A.J. (eds) Acute Phase of Ischemic Heart Disease and Myocardial Infarction. Developments in Cardiovascular Medicine, vol 21. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-7579-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-7579-8_7

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-7581-1

  • Online ISBN: 978-94-009-7579-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation