In this proposed pilot project up to 300,000 people could gain access to EMS fully ten minutes earlier than at present, with almost no capital cost or implementation wait. The densely populated city core of Vancouver offers benefits of scale within an educational model for community paramedicine.
- Canada drug trial could be pivotal for stroke patients
- California Paramedicine Pilot Needs Its Own Architecture
- Onsite Paramedic and Network Officer
- A Block EMS Pilot Project in Vancouver
- Funding Block EMS
- The Role of EMS in Community Paramedicine
- Community Paramedicine Survey
- US Mobile Integrated Health (MIH) Vision Statement
- Operational Structure and Costs of a Block EMS Team
- Canada Patient Safety Policy Report
Paramedicine has to be distributed and diversified, and it needs fixed territories, protocols and responsibilities. When architected together – the fabric is community health.
Defining the structure and role of EMS is required before we can integrate paramedicine and its practitioners.
This document is the Vision Statement for paramedicine in the USA, 2014.
It is fully supported by Elevaed Medical Inc.
This document underwrites the need for Mobile Health Services (MHS)
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.
Paramedics will be recognized as emergency personnel with access to the EMS medical network, and become the point guards of the coming community health revolution.
Block EMS creates a distribution template on which to build out community health services in cities. How can Block EMS be funded for highly populated city blocks?
A team of three EMRs supervised by one paramedic can protect 1000+ people for less than $20 each per month, with early intervention of 3-5 minutes.
Early intervention within 3-5 minutes can be achieved in cities using onsite paramedics, as block EMS anchors community health, rationalizes emergency vehicle deployment, and extends a much higher level of life and injury protection for residents and workers.
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 13 minutes or more 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.
“Maybe the best approach is not sending firefighters, not sending ambulances, but sending a community paramedic to deal with those health-care needs.”
Paramedicine is the unique domain of practice that represents the intersection of health care, public health, and public safety.
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.
“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 life safety to emerge as a welcome and affordable concept.
This revolutionary stroke neuro-protectant needs to be onsite and in the fridge. Right there in the field station.
A summary of evidence that provides background and research perspective for the implementation of paramedicine in community, i.e., the expanded roles and scopes of paramedics.
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.