CORE COMMUNICATIONS Developing the first nationwide broadband network for EMS & other public safety agencies

摘要

It's been an exciting privilege to grow up professionally as the nation's EMS system has also grown up, particularly in follow up to the 1966 white paper Accidental Death and Disability: The Neglected Disease of Modern Society and the EMS Systems Act of 1973. My forty plus years as a system builder and paramedic span the time of ambulances as horizontal taxicabs through the growth of EMS as a relatively sophisticated system of emergency mitigating-and occasionally lifesaving-service. We truly have changed the practice of emergency medical intervention since 1966. Along the way, many distinct subsystem developments added to the changing shape of the EMS system. The trauma subsystem concept of the early 1990s altered our clinical and operational thought processes in field care and transport-destination decision-making in serious trauma intervention. So too, more recently, has the development of subsystems of care for other time-dependent emergencies (e.g., stroke and ST-elevation myocardial infarction).