Lewis R P, Stang J M, Fulkerson P K, Sampson K L, Scoles A, Warren J V
JAMA. 1979 May 4;241(18):1902-4.
The mobilized coronary care system in Columbus, Ohio, began with operation of a single vehicle with a physician in attendance. Currently, advanced emergency medical technician-paramedics work without direct physician supervision. When both experiences are compared, the results indicate that advanced emergency medical technician-paramedics working independently perform as well as physician counterparts.
俄亥俄州哥伦布市启动的冠心病监护系统，最初是一辆配备医生随车出诊的车辆开展工作。目前，高级急救医疗技术人员-护理人员在没有医生直接监督的情况下工作。对比这两种情况的结果表明，独立工作的高级急救医疗技术人员-护理人员的表现与医生相当。
