The Tiered Response Mobile Intensive Care System in the Managment of Out-of-Hospital Cardiac Arrest

  • Mickey S. Eisenberg
  • Lawrence Bergner
  • Alfred P. Hallstrom

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.

Keywords

Transportation Immobilization Assure Dition Dispatch 

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References

  1. 1.
    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.PubMedCrossRefGoogle Scholar
  2. 2.
    Pantridge JF, Geddes JS: A mobile intensive care unit in the management of myocardial infarction. Lancet 2: 271–273, 1967.PubMedCrossRefGoogle Scholar
  3. 3.
    Grace WJ, Chadbourn JA: The mobile coronary care unit. Dis Chest 55: 454–455, 1969.CrossRefGoogle Scholar
  4. 4.
    Liberthson RR, Nagel EL, Hirschman JC, et al: Prehospital ventricular fibrillation: prognosis and followup course. N Engl J Med 291: 317–320, 1974.PubMedCrossRefGoogle Scholar
  5. 5.
    Nagel EL, Hirschman JC, Nussenfeld SR, et al: Telemetry —medical command in coronary and other mobile emergency care systems. JAMA 214: 332–334, 1970.PubMedCrossRefGoogle Scholar
  6. 6.
    Lewis RP, Stang JM, Fulkerson PK, et al: Effectiveness of advanced paramedics in a mobile cor’onary care system. JAMA 241: 1902–1904, 1979.PubMedCrossRefGoogle Scholar
  7. 7.
    Cobb LA, Baum RS, Copass MK: A rapid response system for out-of-hospital cardiac emergencies. Med Clm North Am 60: 283–289, 1976.Google Scholar
  8. 8.
    Graf WS, Plin SS, Paegel BL: A community program for emergency cardiac care. JAMA 226: 136–160, 1973.CrossRefGoogle Scholar
  9. 9.
    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.CrossRefGoogle Scholar
  10. 10.
    Romano TL, Eisenberg S, Frenandez-Caballero C, et al: Paramedic services: nationwide distribution and management structure. JACEP 7: 99–102, 1978.PubMedGoogle Scholar
  11. 11.
    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.Google Scholar
  12. 12.
    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.Google Scholar
  13. 13.
    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.Google Scholar
  14. 14.
    Eisenberg MS, Bergner L, Hallstrom A: Out-of- hospital cardiac arrest: improved survival with paramedic services. Lancet 1: 812–815, 1981.Google Scholar
  15. 15.
    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.PubMedCrossRefGoogle Scholar

Copyright information

© Martinus Nijhoff Publishing, Boston/Dordrecht/Lancaster 1985

Authors and Affiliations

  • Mickey S. Eisenberg
  • Lawrence Bergner
  • Alfred P. Hallstrom

There are no affiliations available

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