EXPANDING THE STRATEGY OF EHAC MESSAGE INTO DIFFERENT SECTORS OF THE COMMUNITY

As part of this website, information will be provided on various sectors as they develop. EMS-EHAC is the first sector currently being developed. There may he some articles on the EHAC website, but a dedicated EMS-EIIAC website (www.info@emsEHAC.org) is being set up and will serve as a communications base for the Emergency Medical System under the editorship of Steve Steiner. A recent article on this EMS concept appeared in JEMS (May 1998, Vol.23, No.5). Mentioned on the cover as Cardiac Care: Early Recognition Shocks the System, it refers to the article The Chain of Survival Revisited by Mary Newman. With permission this will be published on our website and that of the EMS in the very near future.

Since behavioral change is very much needed to activate both patient and first responder in the EHAC approach, psychologist Jack Long will continue to add articles on this subject in his column on our website. Various articles have already been included and more are planned.

Finally, since EHAC education is needed at all levels, especially in the school system, it is important to develop articles in this sector. Helen Stemler, Ph.D. will be the editor of EHAC education. Initially her columns will appear on the EHAC website. In the near future however, we hope to establish an independent website (EHAC.education.org) and we will let you know when this becomes available. Biographic information on Helen Stemler, Jack Long and Steve Steiner will be included in the next column.

Finally, having just made rounds of Emergency Medical Systems (EMS) and CPR education in the United States at the Emergency Cardiac Care 1998 Update Conference in Orlando, at the World Congress of Cardiology in Rio de Janeiro, Brazil in April, 1998 and at the Resuscitation 1998 Conference in Copenhagen, Denmark, I can only come away with an awareness of the excitement taking place in the EMS for EHAC education and the need to add this link to the present Chain of Survival, to strengthen it for patients with acute myocardial infarction. Already I am beginning to see CPR programs incorporating the EHAC message (see enclosed). Seeing heart attack and cardiac arrest on the same spectrum, with CPR at one end and EHAC at the other, enables instructors and providers to see the bigger picture and the real potential for optimizing their efforts with the EHAC approach.

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