Her mentor in the fellowship was Dr. Peter Safar  known for his work in emergency medicine and cardiopulmonary resuscitation.
In 1974, the university received grant funding from the U.S. Department of Transportation to create a "curriculum for nation wide emergency medical services".
Dr. Safar oversaw this project, but recruited Dr. Caroline as the medical director for Freedom House in 1974, one of the first EMS medical directors in the United States.
The service had encountered police oppression and opposition as well as financial and administrative issues.
By the time Dr. Caroline first became involved, the service was on the brink of collapse.
However, she staged a successful comeback during her time as medical director.
This service was the first to train and use EMT paramedics in America as well as EKG in the ambulances.
Despite this, funding was cut in 1975 when the city launched its own ambulance service and Freedom House quickly folded.
In 1976, she took over as deputy director for the emergency department of Shadyside Hospital in Pittsburgh.

The Freedom House project, not to be confused with the organization created by Eleanor Roosevelt, was created to train ambulance attendants and teach paramedics in the Hill District.
In segregated Pittsburgh, ambulance service was privatized and rarely answered calls in black neighborhoods.
Police were the only emergency responders in most of these neighborhoods.
The service was very successful and became the national model for cities' ambulances.

Caroline wrote Emergency Care in the Streets, a textbook which was the first of its kind for paramedic training.
Her mentor in the fellowship was Dr. Peter Safar  known for his work in emergency medicine and cardiopulmonary resuscitation. In 1974, the university received grant funding from the U.S. Department of Transportation to create a "curriculum for nation wide emergency medical services". Dr. Safar oversaw this project, but recruited Dr. Caroline as the medical director for Freedom House in 1974, one of the first EMS medical directors in the United States. The service had encountered police oppression and opposition as well as financial and administrative issues. By the time Dr. Caroline first became involved, the service was on the brink of collapse. However, she staged a successful comeback during her time as medical director. This service was the first to train and use EMT paramedics in America as well as EKG in the ambulances. Despite this, funding was cut in 1975 when the city launched its own ambulance service and Freedom House quickly folded. In 1976, she took over as deputy director for the emergency department of Shadyside Hospital in Pittsburgh.
The Freedom House project, not to be confused with the organization created by Eleanor Roosevelt, was created to train ambulance attendants and teach paramedics in the Hill District. In segregated Pittsburgh, ambulance service was privatized and rarely answered calls in black neighborhoods. Police were the only emergency responders in most of these neighborhoods. The service was very successful and became the national model for cities' ambulances.
Caroline wrote Emergency Care in the Streets, a textbook which was the first of its kind for paramedic training.
Nancy Caroline