Improving Emergency Medical Care

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Abstract
The delivery of advanced emergency medical care in the field has heretofore depended on highly trained and properly equipped technicians (paramedics) supervised by responsible and knowledgeable physicians. Recently, Eisenberg and his colleagues reported1 that paramedical services improved survival from out-of-hospital cardiac arrest over that obtained with basic-level emergency medical technicians (EMT's). They found that the initiation of paramedical services increased the proportion of patients who survived arrest and were admitted to the hospital from 19 to 34 per cent, and the proportion discharged from the hospital from 7 to 17 per cent. In this issue of the Journal, they . . .