Downtown Vancouver

Editorial

A Block EMS Pilot Project in Vancouver

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.

EMS Research

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California Paramedicine Pilot Needs Its Own Architecture

Paramedicine has to be distributed and diversified, and it needs fixed territories, protocols and responsibilities. When architected together – the fabric is community health.

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The Role of EMS in Community Paramedicine

Defining the structure and role of EMS is required before we can integrate paramedicine and its practitioners.

US Mobile Integrated Health (MIH) Vision Statement

This document is the Vision Statement for paramedicine in the USA, 2014.
It is fully supported by Elevaed Medical Inc.

Canada Patient Safety Policy Report

This document underwrites the need for Mobile Health Services (MHS)

Outcomes

Quality of Care & Outcomes Management Movement

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.

High Rises

Early Intervention is the Foundation of Community Health

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.

Canary Wharf (Commons)

Endemic Risk in High Rises an Opportunity for Security Firms

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.

Tandem AED/EMS

No-Hope Highrise to HeartSmart Community with Tandem AED/EMS

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.

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A Silent killer stalking high-rises

Living or working in a high-rise just about eliminates your chance of surviving a sudden cardiac arrest.

Wireless transmission of ECGs could speed up heart attack diagnosis

A high-tech system that allows physicians to receive heart data from paramedics in the field is now live at Stanford Hospital & Clinics.

AED Registry

AED Registries – Closer to the Heart?

Efforts to improve survival should focus on the prompt delivery of medical interventions. CPR and AEDs both need human partners.

Block EMS

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Onsite Paramedic and Network Officer

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.

Assessment

Funding Block EMS

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?

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Operational Structure and Costs of a Block EMS Team

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.

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Block EMS distributes, diversifies and reinvents urban EMS

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.

Response Times

Vertical Response Interval

High Rise Buildings Take Longer to Access

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.

The End-to-End Protocol

End-to-End Protocol Enables Timely Rescues

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.

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Six Minutes to Live or Die

“50 largest cities save only an estimated 6% to 10% of the victims of sudden cardiac arrest who realistically could be saved.”

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A 160 MPH Ambulance May Not Be a Great Idea

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.

Deployment

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Paramedics Alternative to Firefighter OT

“Maybe the best approach is not sending firefighters, not sending ambulances, but sending a community paramedic to deal with those health-care needs.”

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What is Paramedicine?

Paramedicine is the unique domain of practice that represents the intersection of health care, public health, and public safety.

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The Tragedy of late Resuscitation

Twelve minutes passed before an ambulance crew connected a defibrillator to her chest. A block paramedic might have saved her.

SCA Deaths

A Cure for Sudden Cardiac Arrest, but Only if It’s Close By

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.

CPR

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For Drugs That Save Lives, a Steep Cost

“A simple syringe with a dose of naloxone should cost about $3 …but experts expect that Evzio could well be priced close to $500.”

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Naloxone epi-pen by prescription is just the first step

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.

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How CPR Became So Popular

‘Medical creep’ happens when doctors perform procedures or prescribe treatments for patients in the absence of clear evidence that patients will benefit.

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Cheap health insurance vs our deadliest threat

Given our overweight and aging boomer generation, expect life safety to emerge as a welcome and affordable concept.

Studies

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Canada drug trial could be pivotal for stroke patients

This revolutionary stroke neuro-protectant needs to be onsite and in the fridge. Right there in the field station.

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Community Paramedicine Survey

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.

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NIH Launches Trials to Evaluate CPR and Drugs

The continuing study of adjunct treatments for SCA; see also CPAP and the recent doubts about epinephrine

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Study Quantifies EMS Delays in High Rises

Significant delays present when accessing patients in high-rise buildings and evacuating them to the hospital.