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Lindsay Alexander | May 31, 2018

Raising the Quality of Care One EMS Protocol/Standard at a Time

Within a year of working as the EMS Coordinator, Raymond (Ray) Proa made Fort Mojave Mesa Fire Department (FMMFD) a progressive EMS provider that is one of only a handful in the country, and the first in the state, doing Head Up CPR. Ray was able to juggle all crew training, QA/QI, grant writing, meetings and equipment research while working a 48/96 schedule over the span of a year. He was recently awarded Firefighter of the Year for his hard work and accomplishments. Ray is a ZOLL Pulse Award winner. Here’s why:


Making the Necessary Changes to Standards & Procedures

After doing an honest department assessment of FMMFD’s EMS capabilities Ray decided to make certain changes needed to bring FMMFD to a top EMS provider level. This involved:

  1. Rewriting protocols and procedures
  2. Upgrading and purchasing new equipment
  3. Standardized monthly training of at least 1 CEU class a month
  4. Picking one EMS Protocol/standard a year and bringing it up to cutting edge practices


Leveraging Tools to Consistently Deliver High-Quality CPR

By purchasing and using the X Series, AutoPulse, ResQpod and ZOLL software, the agency decided they had the necessary tools to target cardiac arrest as the goal of improvement. Using Rialto Fire and ZOLL as resources, a Head Up CPR standard was drawn up and approved by the medical director. As a new Handtevy instructor, Ray is also planning to bring the best practices to how the agency provides care to pediatric cardiac arrest.


In His Own Words: Why We Should All Strive to Continually Raise the Bar

“My personal crew has more than 50 years of combined paramedic experience. I basically took what they knew of cardiac arrest and threw it in the trash. Remember, these changes don't occur overnight. It's the equivalent of moving a huge pile of dirt. Somedays you only move a spoonful. Some days you move a truck load. As long as you’re moving it, that’s all that counts. I can't think of any fire department that should be able to look their citizens in the face and tell them they are comfortable meeting the minimum standard in cardiac arrest.”

Blog Post: Taking a Deeper Look at the Guidelines for CPR

Take a Deeper Look at the Guidelines for CPR

The new AHA Guidelines offer greater specificity on the rate and depth of compressions in order to improve favorable outcomes from a heart event. Here's a look at the AHA's key recommendations for CPR.

More About the Author:

Lindsay Alexander

Lindsay Alexander (Gross) is a content marketer, brand journalist and digital strategist with 15 years experience creating, enhancing, managing and promoting multi-channel, integrated marketing and editorial campaigns for the healthcare and technology industries.