WWW.JEMS.COM DECEMBER 2017 | JEMS 43
New technology dramatically improves
cardiac arrest survival in Collierville, Tenn.
By Joe Holley, MD, FACEP, FAEMS
Serving in the medical oversight role for nearly 30 EMS services in and around Memphis, Tenn., I have the challenging task of tailoring equipment and protocols
to each site’s population, budget and needs.
Collierville is a Memphis suburb, with a
population of around 45,000. Its residents
are relatively affluent and well-educated, and
community education efforts have improved
the frequency and quality of bystander CPR.
It’s a perfect example of a small town that’s
done very well in improving survival from cardiac arrest, which is why I felt additional technology could take the town to the next level.
Collierville Fire and Rescue (CFR) is a
full-time department with approximately 70
personnel. CFR provides life safety, fire pro-
tection and customer service to the community
through the delivery of fire suppression, ALS,
specialized technical rescue operations and
Each year, CFR responds to an average of
3,500 calls, 70% of which are EMS-related,
including around 40 cardiac arrest calls each
year. The department maintains an average
response time of 4 minutes 50 seconds to all
incidents from five strategically located firehouses throughout the community.
All firefighters are cross-trained in EMS
and are licensed as paramedics or Advanced
Historically, the incidence of bystander
CPR was good in Collierville, the result of
years of community education and training.
The town’s EMS cardiac arrest protocol is
comprehensive, including dispatch-assisted
CPR instruction for 9-1-1 calls with immedi-
ate response by a fire apparatus that’s followed
quickly by a contracted ambulance service.
Two engines are dispatched to every potential cardiac arrest call, providing a response of
9–1-1 personnel trained at both the paramedic
and AEMT level to each cardiac arrest call.
ADOPTING NEW TOOLS
Shortly after the ResQCPR System was
FDA-approved in March 2015, I recommended it to the CFR EMS team as a way
of further improving their survival rates.
The FDA had reviewed data supporting
the approval of the ResQCPR System, including a randomized clinical trial that compared
survival rates of 813 subjects who received
standard CPR to 842 subjects who received
CPR with the ResQCPR System. 1 The results
The ResQCPR System has been shown to dramatically improve cardiac output and blood flow to the
brain and other vital organs during CPR.
Photos courtesy Joe Holley