Front Page December 11 2006
… Raleigh, N.C., is not waiting.
The doctors who oversee Wake County EMS, which serves about 775,000 residents across 860 square miles surrounding the city, reviewed the scientific literature and in October began cooling their cardiac-arrest survivors.
“We believed it was not ethical to withhold the treatment in a randomized way,” says Brent Myers, EMS medical director. “All patients who meet criteria are considered for treatment.”
In Wake County, and across the nation, each segment of the emergency medical system tends to operate in its own narrowly focused trench. Paramedics are the first to treat cardiac arrest patients with advanced life support. The patient is then handed off to emergency room physicians. If they’re still alive after an hour or more, the patient is then moved to an intensive care unit, where that team takes over … [complete article]