Читать книгу Emergency Medical Services - Группа авторов - Страница 306

Stewart commented, “Without dedicated medical leadership, the EMS system of a community flirts with mediocrity” [100]. The medical director plays a pivotal role in community systems of cardiac arrest care. It is the medical director’s responsibility to ensure that all components of the system are in place. The importance of medical director involvement cannot be overemphasized. Indeed, Williams et al. showed significant variation in EMS scope of practice with varying involvement of a medical director, and Greer showed that EMS agencies with paid medical directors or agencies with medical director interaction with EMTs in the preceding 4 weeks were more likely to have prehospital cardiovascular procedures in place [101, 102].