AHA Pre-Hospital News & Resources

From the American Heart Association on February 10

Dear Pre-hospital Emergency Colleagues,

The American Heart Association®’s Quality, Outcomes Research and Analytics team is excited to launch the Pre-hospital News and Resources newsletter for prehospital emergency care providers. In this issue you will find information on 2021 Mission: Lifeline Recognition information, conferences and webinars, prehospital resources, American Heart Association guidelines and statement, prehospital articles, and 2020 Mission: Lifeline recognized agencies.


The 2021 Mission: Lifeline EMS recognition updates are now available. The Mission: Lifeline EMS recognition is a program designed to showcase emergency prehospital care organizations across the nation for excellent care based on American Heart Association guidelines.


For agencies that applied for 2020 recognition. An email fromAHASurveys@surveys.heart.org was sent on December 17, 2020 to the primary contacts from last year that will include a recognition application link, unique to the applicant agency. ACTION: If you applied last year and have not received your application link, please let your regional quality director know immediately.

For new applicants or agencies that did not apply in 2020.  ACTION: Please complete the 2021 New Mission: Lifeline EMS Application Request form. Upon completion of this form an application link will be sent via email within 2-business days.

Recognition Measures

For the 2021 recognition year (based on 2020 calendar year data) the required achievement measures will remain the same as those required for 2020 recognition, below.

Due to COVID-19, updates to the required achievement measures to include the two new stroke measures is being delayed until 2022.  On a related note, the National EMS Quality Alliance approved 11 measures in August 2019 including  “Stroke-01 Suspected Stroke Receiving Prehospital Stroke Assessment” which is one of the Mission: Lifeline EMS stroke recognition measures planned for 2022.

Data Submission

The data submission portal is open and will remain open and accessible through the application deadline, April 30, 2021.

Recognition Resources

To assist agencies, there are resources on the website including; Application Overview VideoRecognition CriteriaRecognition FAQApplication Category, and Webinars

Recognition Questions or Assistances

If you have questions or need assistance, please reach out to your regional Mission: Lifeline EMS contact below.

Eastern region (CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VA, VT, WV)
Rob Horton – rob.horton@heart.org
Midwest region (IA, IN, IL, KS, KY, MI, MN, MO, ND, NE, OH, SD, WI)
Alex Kuhn – alexander.kuhn@heart.org
Southeast region (AL, FL, GA, LA, MS, NC, PR, SC, TN)
Lori Hollowell – lori.hollowell@heart.org
Southwest region (AR, CO, NM, OK, TX, WY)
Loni Denne – loni.denne@heart.org
Western region (AK, AZ, CA, HI, ID, MT, NV, OR, UT, WA)
Paula Hudson – paula.hudson@heart.org


February 11, 2021 from 11am – 12pm CST
Resuscitation Education in the Real World: How the Columbus Fire Department transformed the way they practice High-Quality CPRFebruary 18, 2021 from 9am – 12pm CST
Innov8te NRP:  Introduction to the Neonatal Resuscitation Program, 8th Education

February 23, 2021 from 12pm-1pm CST
Getting to the Heart of the Issue: Rural Stroke and Cardiac System of Care Trends, Inequities and Opportunities

March 11, 2021 from 1pm-2pm CST 
Pre-Hospital Quality Roundtable Webinar

March 17-19, 2021
International Stroke ConferenceMarch 31, 2021 9am-4pm CST 
Strive to Revive Resuscitation Virtual Conference 
Agenda and registration coming soon. 

Recorded Webinars 

Outcomes of Targeted Temperature Management Webinar

RQI Pre-hospital and Public Safety Programs – RQI Telecommunicator Webinar


Mission: Lifeline Stroke  is excited to announce the release of the Severity-based Stroke Triage Algorithm for EMS and a one-page document explaining the algorithm.

The AHA Lifelong Learning Pre-Hospital Stroke Rapid Response(on demand) course is designed to assist pre-hospital and hospital personnel in the education of EMS providers in their communities. Approved for 0.75 CAPCE Advanced CEHs.

Nominate a Heartsaver Hero.  The award is our way of saying thank you for performing the heroic act of CPR, a critical link in our chain of survival.

Check out the American Heart Association’s Don’t Die of Doubt campaign for useful information and tools to educate your community on the importance of calling 911 during an emergency.

The American Heart Association has teamed up with RapidSOS to create the world’s first emergency response data platform that securely links life-saving data from connected devices or profiles to 911 and first responders in an emergency.


Heart Disease and Stroke Statistics—2021 Update: A Report From the American Heart Association

2020 American Heart Association Guidelines for CPR and ECC (GuidelinesInstructor UpdatesDigital Content Highlights)

Telecommunicator Cardiopulmonary Resuscitation: A Policy Statement from the American Heart Association


Catheterization Laboratory Activation Time in Patients Transferred With ST-Segment-Elevation Myocardial Infarction: Insights From the Mission: Lifeline STEMI Accelerator-2 Project

Prehospital Activation of Hospital Resources (PreAct) ST‐Segment–Elevation Myocardial Infarction (STEMI): A Standardized Approach to Prehospital Activation and Direct to the Catheterization Laboratory for STEMI Recommendations From the American Heart Association’s Mission: Lifeline Program

A Community-Engaged Stroke Preparedness Intervention in Chicago

Emergency Medical Services Utilization for Acute Stroke Care: Analysis of the Paul Coverdell National Acute Stroke Program, 2014-2019

Cardiac Arrest
Detailed post-resuscitation debrief reports: A novel example from a large EMS system

Delay to Initiation of Out-of-Hospital Cardiac Arrest EMS Treatments

Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest

Outcomes for Out-of-Hospital Cardiac Arrest in the United States During the Coronavirus Disease 2019 Pandemic

Other articles of interests
Firefighting as an Independent Risk Factor for Atrial Fibrillation


In 2020, more than 600 prehospital agencies were recognized for the quality of care provided for STEMI patients.

A special recognition goes out to the following 33 agencies that have been recognized every year.
Agency City State
Los Angeles County EMS Agency Santa Fe Springs CA
Oceanside Fire Department Oceanside CA
Ventura County EMS Oxnard CA
Western Connecticut Health Network Affiliates – EMS Danbury CT
Okaloosa County Department of Public Safety – EMS Division Niceville FL
MetroAtlanta Ambulance Service Marietta GA
Ada County Paramedics Boise ID
MidMichigan Health EMS Midland MI
Warren Fire Department Warren MI
Cabarrus EMS Concord NC
Rowan County Emergency Services – EMS Division Salisbury NC
NHRMC AirLink/VitaLink Critical Care Transport Wilmington NC
Mecklenburg EMS Agency Charlotte NC
Pender EMS & Fire Rocky Point NC
New Hanover Regional EMS Wilmington NC
Cumberland County EMS Fayetteville NC
F-M Ambulance Service Fargo ND
University Hospital EMS Newark NJ
Empress EMS Yonkers NY
Strongsville Fire Department Strongsville OH
Macungie Ambulance Corps Macungie PA
Riddle EMS Media PA
Western Berks Ambulance Association West Lawn PA
Lexington County EMS Lexington SC
Greenville County EMS Greenville SC
Charleston County EMS North Charleston SC
Grand Prairie Fire Department Grand Prairie TX
Williamson County EMS Georgetown TX
San Antonio Fire Department San Antonio TX
Garland Fire Department Garland TX
Austin Travis County EMS Austin TX
Alexandria Fire Department Alexandria VA
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