Richard P. Lewis, M.D., F.A.C.P.; Stephen F. Schaal, M.D.; John T. Frazier; James V. Warren, M.D., F.A.C.P.
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Although mobile coronary care units can save lives, the prototype systems have proved relatively expensive. Furthermore, it has not proved feasible to have physicians accompany the unit. After 26 months of experience directly supervised by a physician, the Columbus unit was incorporated into the municipal fire rescue squad system. Physician attendance on the vehicle was terminated. Rescue squad personnel were trained in diagnosis and therapy of cardiovascular emergencies, including administration of certain drugs. Analysis of results with (before) and without (after) a physician present are given below.
The patient population seen before and after was comparable. The paramedical team sees
Lewis RP, Schaal SF, Frazier JT, et al. Mobile Cardiac Care: A Community Approach.. Ann Intern Med. 1972;76:865. doi: https://doi.org/10.7326/0003-4819-76-5-865_3
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Published: Ann Intern Med. 1972;76(5):865.
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