Leonard B. Rose, MD, began his interest in resuscitation and a clinical study of external cardiac pacing during the early 50’s. Rose later moved to Portland, Oregon where was granted status as a cardiologist at Good Samaritan Hospital and developed the hospitals first mobile “crash cart.” He was a member of the hospital’s Coronary Care Committee and also a faculty member at the University of Oregon Medical School. At the same time, Edward Press, MD, MPH was a member of the Oregon State Board of Health and, along with Rose, recognized the importance of early defibrillation by out-of-hospital ambulance personnel in order to reduce the mortality and morbidity rate of cardiac arrest patients.
In 1969, early out-of-hospital defibrillation by ambulance attendants became the goal of an initiative of the Oregon Coronary Ambulance Project. This initiative was organized by the Oregon State Board of Health in cooperation with Bucks Ambulance Service, Inc. and also included a community hospital and the Multnomah County Medical Society. The project members all agreed and approval was made for the Bucks Ambulance Service to select highly-proficient members of their staff to receive training. The training program was designed to assure that a high degree of accuracy in was achieved in the arenas of life-threatening arrhythmias interpretation and treatment. The initial training was called the “Advanced EMT” curriculum which was actually published in the Journal of the American Medical Association (JAMA) publication.
According to public news accounts, proficient cardiopulmonary resuscitation (CPR), combined with defibrillation resulted in about 50% of the patients surviving cardiac arrest and who were all later discharged from the hospital. It was interesting to note that this was accomplished without the use of radio telemetry. Coronary care nurses originally rode with the Buck’s ambulance medics and occasionally a physician would ride, making Portland an early pioneer in the development of a mobile coronary care paramedic program.
Keywords: paramedic, Leonard Rose, MD, Dr. Rose, defibrillation, ambulance
Last Revision Date: 8/2/11 - 8:03 AM