Early intervention within 3-5 minutes can be achieved in cities using onsite paramedics, at little extra cost. Block paramedicine promises to control EMS budgets while extending a much higher level of life and injury protection for residents and workers.
- Block Paramedicine Distributes and Diversifies EMS
- California Paramedicine Pilot Needs Its Own Architecture
- Quality of Care & Outcomes Management Movement
- Sample Pilot Project Outline – Block Paramedicine
- Pilot Project – Community Health as Early Intervention in High Rises
- Communications Partner to Join a Canada Public Health Pilot Project
- Cellular Cloud Co-ops Can Protect High Rises
- Early Intervention is the Foundation of Community Health
- Endemic Risk in High Rises an Opportunity for Security Firms
- High Rise Buildings Take Longer to Access
Paramedicine has to be distributed and diversified, and it needs fixed territories, protocols and responsibilities. When architected together – the fabric is community health.
Medical payers are pivoting from treatment claims to outcomes, and early intervention will certainly influence outcomes. Onsite paramedics may be compensated for successful and timely treatments – a possible major source of their funding.
Using the simplest strategy possible, onsite paramedics can reliably deliver very early intervention in 3 to 5 minutes, with all the priceless benefits that brings to health care.
The sky’s the limit for high rise construction it seems, around the world. They are tall, graceful, and of course green. But they have one dirty little secret, which is about to be cleaned up.
The Tandem AED/EMS strategy has an in-house AED delivering its lifesaving treatment well within four minutes. EMS then arrives some minutes later to consolidate the rescue.
Living or working in a high-rise just about eliminates your chance of surviving a sudden cardiac arrest.
A high-tech system that allows physicians to receive heart data from paramedics in the field is now live at Stanford Hospital & Clinics.
Efforts to improve survival should focus on the prompt delivery of medical interventions. CPR and AEDs both need human partners.
Two studies have found that high rise buildings add 2.7 minutes to medical emergency responses, which means that from an event’s onset it takes about 13 minutes to get alongside the patient.
Medical protocols exist so that quality care can be delivered reliably. We now have to hand the ball to our public health administrators to allow such basic strategies to take hold and enable change.
“50 largest cities save only an estimated 6% to 10% of the victims of sudden cardiac arrest who realistically could be saved.”
The scary thing is nobody thought of onsite responders, even in monster Dubai high rises. And they try to convince everyone (except the pros) that 15 min responses are OK. The public needs to be told.
Twelve minutes passed before an ambulance crew connected a defibrillator to her chest. A block paramedic might have saved her.
The famous article from the NYT in 2002, which nailed the problem, and a dozen years later – little progress. Clearly, onsite first responders are the premium solution for cardiovascular protection in complexes.
AED overkill is expensive and presents educational issues (even in a university) when multiple brands are involved…
The NFPA and ICC both rejected Elevaed’s proposals to place AEDs in high rises. In retrospect, block paramedicine is a superior strategy, with much wider promise.
“A simple syringe with a dose of naloxone should cost about $3 …but experts expect that Evzio could well be priced close to $500.”
The FDA approved the equivalent of an “epi-pen” for overdose prevention, an antidote auto-injector that even untrained people can use to save the lives of those who have overdosed on drugs like Vicodin or heroin.
‘Medical creep’ happens when doctors perform procedures or prescribe treatments for patients in the absence of clear evidence that patients will benefit.
Given our overweight and aging boomer generation, expect heart safety to emerge as a welcome and affordable concept.
The continuing study of adjunct treatments for SCA; see also CPAP and the recent doubts about epinephrine
Significant delays present when accessing patients in high-rise buildings and evacuating them to the hospital.
US National NEMSIS cardiac arrest elapsed patient care times as an average (table) and as a 90th Fractile (graph).
Pivotal 2005 study establishes no survival benefit from EMS arrival within 8 min – only if within 4 min.