EMERGENCY MEDICAL SERVICES IN MARYLAND essays

EMERGENCY MEDICAL SERVICES IN MARYLAND essays The origin of all emergency medical services lies in the emergency techniques of Cardio Pulmonary Resuscitation made possible by the two Maryland pioneers in pre-hospital emergency care. In 1958, Johns physician Peter Safar published a study in the New England Journal of evaluated emergency artificial respiration techniques, which at that time, repeatedly raising the arms of the patient over the head to induce Specifically, Safar investigated the efficacy of the chest-pressure/arm compared to mouth-to-mouth and mouth-to-airway techniques, establishing the overwhelming superiority of the latter over the former (Safar). At approximately the same time, another Johns Hopkins physician, Kouwenhoven, was engaged in research into the development of effective defibrillation equipment, when he noted the dramatic effects of external applied to the chest compartment on the arterial pressure. His actual concerned the application of defibrillation panels on dogs, but during the establishing the proper paddle pressure, he discovered the value of chest compartment externally. Shortly thereafter, the National Academy of combined the findings of the two Maryland physician into a standardized Cardio Pulmonary Resuscitation rescue technique, now in use throughout the The first documentation in medical literature of a pre-hospital life- of CPR for acute cardiac arrest occurred in 1960, in Maryland as well. fighters had received CPR training at Johns Hopkins, which they implemented field, on a patient in full cardiac arrest. At that time, defibrillation been adapted to practical mobile use by first responders, so the patient treated with CPR at the scene and then rushed to Johns Hopkins, where he successfully defibrillated, eventually making a complete recovery (Bass). The development of CPR by Maryland physicians at Johns Hopkins the original basis for all first responder, ...