Physio-Control – Voices of Life Saving

In August of 2007 I attended the Company Officer Leadership Symposium at the IAFC’s Fire Rescue International (FRI) in Atlanta, GA (which was awesome).

Physio-Control had a large section on the conference floor, so I stopped by to say hello, pick up a really cool pen, and see what was new.

I had an interesting meeting with some of Physio’s more knowledgeable technical folks, and I gave a short interview in exchange for a rolling book bag! 🙂

Now I’m a voice of lifesaving! Check it out here (link no longer active).


  • SoCal Medic says:

    I like the EMS 2 Baloon plug in there, but it is the truth, the clock starts from the first person identifying the STEMI. Great interview.

  • Tom B says:

    It is the truth, Christopher! The only question in my mind is whether or not “medical contact” starts with the 9-1-1 call, EMS arrival at the patient’s side, or “discovery” (first medical contact to identify acute STEMI).Obviously not all EMS systems have 12 lead capability, and some STEMI patients will not receive a prehospital 12 lead ECG due to paramedic error.Is the hospital cut any slack if it takes them 45 minutes to perform a 12 lead ECG on a sycope patient that ends up showing STEMI?Nope.The “door” time is still the time the patient showed up at the ED.Ideally, we would measure from the time of symptom onset, but that’s impossible! The next best thing in my mind is the time of the 9-1-1 call.Tom

  • SoCal Medic says:

    I would tend to agree with you. Even though not everyone has the ability to perform 12 Leads, EMT’s to Medics are all capable of performing an assessment, and that dictates a lot of what we do and the tools that we use. You still have to be able to say, this patient would benefit from a 12 Lead ecg, and then find the appropriate method to making that happen. In my mind, the only way of being able to track the time elapsed with that statement in mind would be from the 911 call, whether BLS was dispatched and had to get the patient/or request ALS so that the patient gets that tool, to ALS bringing it with them. Dispatch to ballon is what we should be trying to affect.

  • ecgblog says:

    Great interview(s). I watched them all! I’m wondering, does the cath lab get activated based on the paramedic’s 12 lead interpretation? Or is the cath lab activated based on faxed in ekgs?Here in Norway, all prehospital 12 lead ekgs are faxed in if the patient has symptoms of MI. Then a physician eventually activates the cath lab based on his/her interpretation.

  • Tom B says:

    Klaus – The options are 1.) on-site interpretation by appropriately trained paramedics, 2.) on-site computerized interpretation, 3.) 12-lead transmission with off-site physician interpretation.The most effective approach may be a combination of the above methods.Research is ongoing, and there is no “one size fits all” solution.Thanks for the comment! Tom

Leave a Reply

Your email address will not be published. Required fields are marked *