A three-year, controlled trial of the use of telemetry in the prehospital care of cardiac patients was conducted in a major metropolitan area. Five of the ten paramedic squads in the city used telemetry; the other five squads did not. We studied the effect of telemetry on the following: 1) paramedic
Effect of telemetry on urban prehospital cardiac care
โ Scribed by CG Cayten; J Oler; K Walker; J Murphy; J Morganroth; R Staroscik
- Publisher
- Elsevier Science
- Year
- 1984
- Tongue
- English
- Weight
- 152 KB
- Volume
- 13
- Category
- Article
- ISSN
- 1097-6760
No coin nor oath required. For personal study only.
โฆ Synopsis
perature deflection of the aortic probe was recorded and cardiac output was calculated. Three control CO were determined. After giving the challenge dose, CO was measured at 3, 5, 10, i5, 25, 35, 45, and 60 min. All 6 animals showed a significant (P < .01) fall in CO, cardiac index (CI), and blood pressure (BP) within 3 rain after administering the challenge dose. The fall in cardiac index was 50% or greater in all animals. No animals died as a result of shock. All animals showed spontaneous recovery to baseline values of CO, CI, and BP by 60 min. By avoiding anesthesia, which can depress the cardiovascular system, the baseline values of CO, CI, and BP are essentially unchanged from unanesthetized rabbits. This model is reproducible and relatively inexpensive, yet affords good hemodynamic parameters with which one can evaluate new treatment procedures.
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To determine the value of algorithms in the field, a set of cardiac clinical algorithms was developed for and tested by the City of Philadelphia paramedics. A controlled test was carried out by revising the narrative standard operating procedure to reflect algorithm content and giving the algorithms