A telemetry package was put together in a milk crate, and a defibrillator was ordered from a little-known Seattle company called Physio-Control. The first LifePak 33 shook apart within two weeks of service. It was returned to the company to be redesigned. Fire-rescue personnel were taught to defibrillate, start IVs, administer drugs and intubate without guidelines, textbooks or legislation. Through this work, Nagel helped form the Medical Committee of the International Association of Fire Chiefs in the late 1960s.
He later served on one the first federal HEW review committees that gave grants to communities for EMS systems. He saw the global importance of EMS as well and lobbied successfully in Washington in 1973 to overturn President Richard Nixon’s veto of the EMS Systems Act. His later posts included Harbor General Hospital (UCLA) in 1974 and Johns Hopkins in 1976, where he was a fire surgeon with Baltimore County Fire Department. Nagel was a frequent contributor to EMS Magazine during the 1970s and early 1980s and served on the editorial advisory board for many years.
Submitted to NEMSM May 2008 by Cygnus Business Publications; Photos courtesy Tom Watson and Charlie Perez