Medical Control in Emergency Medical Services Systems

摘要

This report reviews the ways in which medical control of paramedic advanced life-support intervention is carried out, i.e., directly via telecommunication between physician and paramedic, and indirectly via protocols and standing orders. The impact of federal requirements on the development of medical control systems is analyzed, and guidelines are provided for the development of medical control systems, both for advanced life support as well as for basic life support. The conclusions of the report stress that medical control should be an integral part of every emergency medical service system, and specific recommendations are given in the area of planning, implementation, governmental regulations, legal considerations, personnel qualifications, and new technological advances. The complete Proceedings of the Conference on Medical Control, May 12-13, 1980, National Academy of Sciences, Washington, DC are given in Appendix A.