Nancy Caroline's Emergency Care in the Streets

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Dr. Caroline was a member of the faculty at the University of Pittsburgh in 1974, when the school received a grant from the US Department of Transportation to create a curriculum for emergency medical services. Dr. Peter Safar oversaw the project, but most of the work was delegated to Dr. Caroline. Dr. Safar also persuaded her to assume direction of the Freedom House Ambulance Service in Pittsburgh, a nonprofit group founded by Safar to serve the minority community. It was with the Freedom House Ambulance Service that she got her first hands-on experience. Environmental Emergencies: New review of the terminology relating to the EMS specialty of wilderness EMS; Expanded coverage of the importance of regulating body temperature and fluid levels; Updated procedures for managing heat-related emergencies, including current (2020) AHA resuscitation guidelines. Nancy Lee Caroline was born on June 27, 1944, in Newton, Massachusetts, to Leo and Zelda Caroline. From a young age, Nancy had a strong social conscience and a strong sense of her identity as a Jew. [2] She began her medical career while still a teenager, working as a photographer and lab worker at Massachusetts General Hospital. In 1966 she received a B.A. in linguistics from Radcliffe College and her M.D. from Case Western Reserve University in 1971. She stayed in Cleveland to complete her residencies, and then began a fellowship in critical care medicine at the University of Pittsburgh in 1973. During the late 1970s, spurred by the fact that paramedics had to utilize nursing or medical textbooks that did not take into account EMS’ unique working environments, she authored the now-revered original paramedic textbook, Emergency Care in the Streets . For a decade her book was the only resource available for paramedic care.

She was a pioneer who went to bat for paramedics when paramedic wasn’t a household word,” A.J. Heightman, editor of the Journal of Emergency Medical Services, said yesterday. “She believed that prehospital care could be rendered efficiently by lay people, like firefighters and others who took on the task.” Her book is a model of concision and simplicity. “She managed to explain extremely complicated medical concepts in words and images that people can understand,” said Heightman. Since 1997, the AAOS has proudly partnered with Jones & Bartlett Learning, a division of Ascend Learning, to develop outstanding educational resources for EMS providers at all levels. This partnership has resulted in market-leading resources that provide assessment, continuing education, and professional resources to support EMS providers through every step of their education and career—from first responders to critical care transport paramedics. The AAOS and Jones & Bartlett publish more than 1,000 print and digital products throughout the world to train EMS providers, including the following titles:

The language of the Ninth Edition has been thoroughly and carefully reviewed to ensure gender neutrality, racial inclusivity , and nonstigmatizing descriptions of patient conditions. Nancy Lee Caroline, (June 27, 1944 – December 12, 2002), was an American physician and writer who worked in emergency medical services (EMS). She was a Medical Director of Freedom House, an emergency ambulance service that assisted underserved populations in Pittsburgh in the 1960s and 1970s. She was also the first medical director of Magen David Adom, Israel's Red Cross Society, and was later called by colleagues, "Israel's Mother Teresa". [1] Early life [ edit ] She insisted that mobile intensive care units were needed for serious cases and that every ambulance had to reach the patient within three minutes,” he recalled. “MDA medics thought she was crazy.” Airway Management: An expanded discussion of end-tidal carbon dioxide assessment; Tips for avoiding disease transmission in the context of airway management and ventilation procedures. Psychiatric Emergencies: Tips for providing sensitive, nonstigmatizing care to a person experiencing a mental health emergency; Expanded discussion of excited delirium and tips to provide care that is safe for the patient and provider; Guidance for providing care to a patient experiencing PTSD.

Workforce Safety and Wellness: Updated discussion of emotional well-being, including recognizing the signs of compassion fatigue , using peer support , and critical incident stress debriefing (CISD); Tips for avoiding and deescalating potentially violent situations . Nancy Caroline’s Emergency Care in the Streetsis the next step in the evolution of the premier paramedic education program. The textbook was first developed by Dr. Nancy Caroline in the 1970s and has transformed paramedic education with its world-class medical content, accessible language, and clear approach to patient assessment. This much-loved text is unrivaled in its ability to speak directly to the paramedic with both humor and wisdom. The text emphasizes leadership and professionalism, challenging students to become compassionate health care professionals as well as exceptional clinicians. Caroline was working until her death in 2002. She remained an adjunct visiting professor at the University of Pittsburgh's medical school and, on a volunteer basis, as a physician and medical adviser of Magen David Adom, the Oncology Department of the Sheba Medical Center, and the Tel Hashomer Hospice. [2] For the last fifteen years of her life, she dedicated her work to cancer treatment and hospice care in Israel. In 1995, concerned about the limited options she saw in hospice care in Israel, she founded the Hospice of Upper Galilee (HUG). [5] The Emergency Care and Safety Institute (ECSI)is an internationally recognized organization that provides world-class training resources in the areas of first aid, cardiopulmonary resuscitation (CPR), automated external defibrillation (AED), infection control, and more. These print and digital resources lead to certifications that meet job-related requirements as defined by regulatory authorities such as OSHA, The Joint Commission, and state offices of EMS, education, and health. ECSI programs are offered in association with the AAOS and the American College of Emergency Physicians (ACEP). Safar initiated the Freedom House project, in which people from the Hill District were trained to be ambulance attendants. He delegated much of the work to Dr. Caroline, asking her to teach them to become paramedics. The program was very successful. Among other books, she wrote “Emergency Care in the Streets,” a textbook that was the first and, for a decade, only resource for paramedic care. It is currently in its fifth printing.i84256217 |b1080005986044 |dcusmb |g@ |m231202 |h5 |x0 |t1 |i0 |j18 |k140527 |n07-19-2018 23:45 |o- |aRC86.7 |r.C38 2013 |vv.1 She was the most opinionated and obstinate person I ever met,” said her brother. “Unfortunately, she was always right.”

When she was working at the hospice, the area was getting shelled by the Palestinians every other day,” said her brother. “I told her, `Why don’t you come home and set up a medical practice where it’s safe.’” Dr. Caroline replied, “At least the streets are safe. I know I can go out for walk after midnight if I feel like it.” She had maintained her status as a visiting professor in Pitt’s anesthesiology and critical care department. In February, a two-year research fellowship was named in her honor.

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Dr. Caroline attended Radcliffe College and got her medical degree from Case Western Reserve University in Ohio. In 1973, she came to the University of Pittsburgh for training in critical care medicine under the mentorship of Dr. Peter Safar, renowned for his work in emergency medicine and cardiopulmonary resuscitation. A graduate of Newton High School and Radcliffe College, she earned her medical degree at Case Western Reserve University. “Nobody could tell her she couldn’t do something,” her brother, Peter, of Green Valley, Ariz., said yesterday. “They told her she couldn’t apply to Radcliffe when she was in her junior year at Newton High; she did and was accepted. They told her she couldn’t take a year off between high school and college, and she did. They told her she couldn’t take a year off between college and medical school and she did that, too. She took a year off to study linguistics or something.” Dr. Caroline was the author of “Emergency Care in the Streets,” a primer on prehospital care that has been an integral part of the training of thousands of emergency medical care technicians. First published in 1979, it is currently in its fifth printing. “Without Caroline’s work and support, EMS would not have evolved into the profession it has become,” said Dr. Bryan Bledsoe, author of “Paramedic Medical Care” and several other texts. Physician Nancy Caroline originally authored Emergency Care in the Streets in 1979. Nearly 43 years later her approach to simplifying complex material to readers continues to lead paramedic and emergency medical training in the United States and beyond.

Critical Care Transport is like no other textbook in this market. The Second Editionthoroughly prepares medical professionals to function as competent members of a critical care team by covering the material that everyone—paramedics, nurses, physicians, and specialty crew—needs to know to operate effectively in the prehospital critical care environment. This resource meets the curricula of major critical care transport training programs. It covers both ground and flight transport, and meets the 2015 CPR/ECC Guidelines and the objectives of certification exams such as the Certified Flight Paramedic (FP-C) exam administered by the Board for Critical Care Transport Paramedic Certification. Topics include flight physiology, airway management, trauma, lab analysis, and specialized devices such as the intra-aortic balloon pump. Besides her brother, she leaves her husband, Dr. Lazarus Astrachan of Cleveland; and her mother, Zelda Caroline of Chestnut Hill. The text is accompanied by student and instructor resources, including a student workbook, interactive eBook, audiobook, test prep exercises, test items, interactive lectures, PPTs, videos, animations, and simulations. Partnership with Jones & Bartlett Learning Dr. Caroline then spent five years in East Africa, flying around as a “bush doctor” and again teaching non-physicians to provide medical services. When she returned to Israel, she set up the nonprofit Hospice of Upper Galilee, which delivered end-of-life care to cancer patients. The hospice was taking care of her when she died of multiple myeloma at home in Metulla. Each chapter of the Ninth Edition has been reviewed and enhanced. Some of the key enhancements include: