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(Chest. 1973;63:477-482.)
© 1973 American College of Chest Physicians

Emergency Medical Transport Systems: Use of ECG Telemetry

Costas T. Lambrew M.D.1; Willliam L. Schuchman 2; and Thomas H. Cannon 3

1 Chief, Division of Cardiology, Nassau County Medical Center; Associate Professor of Medicine, State University of New York at Stony Brook
2 Inspector, In Charge of Special Services Bureau, Nassau County Police Department
3 Division of Cardiology, Nassau County Medical Center, East Meadow, N.Y., a Clinical Campus of the Health Sciences Center, State University of New York at Stony Brook and the Nassau County Police Department, Garden City, N.Y.

This article describes a rapid response, widely deployed emergency medical transport system utilizing trained nonprofessional personnel supervised and evaluated by physicians through a patient communications system incorporating ECG telemetry. This has been developed within the framework of existing resources at relatively low cost. Analysis of the course and of the telemetered ECG of 1,000 patients indicates that clinical deterioration, death, as well as life threatening arrhythmias occur in a significant number of patients en route to the hospital. These occurrences are not confined to patients with acute myocardial infarction. Such a system is feasible and justified to reduce prehospital morbidity and mortality in patients with acute illness or injury through arrhythmia control and cardiopulmonary resuscitation.






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Copyright © 1973 by the American College of Chest Physicians.