Naperville Fire Department Receives National Recognition for Cardiac Protocol

NAPERVILLE, Ill. — Fire Chief Mark Puknaitis constantly states, “be a model of continuous improvement.” With that in mind, in 2018, the Naperville Fire Department embarked on a 2-year mission to improve the return of spontaneous circulation (ROSC) and ultimately survivability of cardiac arrests. Under the direction of Fire Chief Mark Puknaitis, the EMS division of the Naperville Fire Department launched a new program called the Advanced Cardiac Protocol.

This protocol focused on a 2-year phased in approach that would not only educate and train firefighters on the new equipment and procedures, but would emphasize a wholistic, and detailed dive into the “why” certain equipment or procedures were critical. By utilizing the phased in approach and recording the data on each implementation, the department was able to identify what components of the protocol were having the most effect, and what could be reorganized. Much of this work was chronicled in a white paper, in the EMS1 journal on emergency medicine, titled “How one agency’s investment in resuscitation tools helps save more lives,” by Sarah Calams.

The Naperville Fire Department worked collaboratively with the Edward Hospital EMS System and Medical Director Dr. Daryl Wilson to develop and refine this process, which has led to the Naperville Fire Department doubling its ROSC, and survivability numbers over the 2-year trial. The Naperville Fire Department prides itself on providing the best possible care to the citizens of Naperville and this effort is an excellent example of that in practice.

About Naperville: Located 28 miles west of Chicago, Naperville, Ill., is home to approximately 145,000 people. This vibrant, thriving city consistently ranks as a top community in the nation in which to live, raise children and retire. The city is home to acclaimed public and parochial schools, the best public library system in the country, an array of healthcare options and an exceptionally low crime rate. Naperville has ready access to a variety of public transportation, housing and employment options. The city’s diversified employer base features high technology firms, retailers and factories, as well as small and home-based businesses. Residents also enjoy world-class parks, diverse worship options, the opportunity to serve on several City boards and commissions, a thriving downtown shopping and dining area, a renowned outdoor history museum known as Naper Settlement and an active civic community. For more information, please visit our website at