Poort LifePad1 300x225

Editorial

LifePad May be the Partner AEDs Have Waited For

Elevaed’s LifePad™ and Responder tandem for rescues in building complexes can reclaim these “no-survivor” zones for cardiac and overdose “events”.

Featured

Mel Evans/Associated Press A naloxone kit.

An Antidote to Overdose, in Time to Save Lives

The New York Times continues its excellent advocacy of Naloxone vs the expanding opioid pandemic.

Overdose and Naloxone FAQ

Frequently asked questions about Narcan/Naloxone, an anti-opioid for heroin, morphine, vicodin, oxycontin etc.

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.”

oxy

We need the right tools to tackle the overdose pandemic

As overdose deaths surge, the existence of an antidote as effective as Naloxone is making itself evident. Too bad the medical associations can’t show more leadership on this critical issue.

epi

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.

Naloxone

New York Police Given Kits to Combat Overdoses

The availability of naloxone/narcan as a nasal spray holds much promise for its wider deployment.

od

Attorney General says heroin overdoses are ‘an urgent and growing public health crisis’

“It makes sense to focus attention on the most dangerous types of drugs.”

youth OD

Another plea for Naloxone deployment

For too many, ‘protection’ by the government leads to their needless death.

DrugarticleLarge

Heading off a Junkie Nation

With “deaths from narcotic painkillers, or opioids, quadrupling since 1999″ wider distribution of Narcan (anti-opioid) is critical.

23fixes-kitimg-blog427[1]

A Life-Saving Drug Out of Reach

Naloxone is a benign drug that CPR volunteers could use to rescue overdose victims, who now outnumber auto fatalities.

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.

assassin

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.

Are Some AEDs Underpowered?

Patients in ventricular fibrillation benefit from higher biphasic energy levels if multiple defibrillation shocks are required.

How big companies can adopt AEDs

A large company takes responsibility for its employees and buildings around the world, in the event of sudden cardiac arrest.

SCA (Sudden Cardiac Arrest Facts)

More people die each year from SCA than the number who die from colorectal cancer, breast cancer, prostate cancer, auto accidents, AIDS, firearms, and house fires COMBINED.

Response Times

9742269[1]

Ambulance Officials Downgrade Chest Pains, Admit to 10 minute+ Response Times

OK, they can do no more, when AEDs have a 4 min limit – understandable. On behalf of the 95% who die – might we try something new, something onsite?

ambulance back in the day

Giving up on Urgent Medical Emergencies

Adding two minutes to the “8:59 standard” leaves a trail of dead and brain damaged victims everywhere. But in high rises, which already take an estimated 2 more minutes to access, they had may as well ask the coroner to saddle up the horses and roll the morgue wagon one more time.

Fire Department responses

Dispatch lag slows Los Angeles FD call response

Dispatchers obviously need more autonomy, and less data entry, before sending.

dewaynemiller-75[1]

Stroke: Time is brain in delivering EMS care

EMS1 is the leading website and news service for EMS people, and this ‘blog’ is a sterling example of its quality information.

iStock_000011321000XSmall[1]

The Ongoing Ambulance Response Time Debate

“Matt Zavadsky dared to ask a provocative question in his presentation at the American Ambulance Association conference this past November, “Do Ambulance Response Times Really Matter?”

cardiac arrest

Question and Answer Sheet: Heart Safety in High Rises

Safety agencies need to address the fact that thousands of people are dying needlessly in high rise and office buildings each year, because EMS simply can’t get to them in time. Arrest victims and rescuers have no access to the only device that can save them – an AED.

rescue

New Data Released from CARES Program on SCA’s

If a pulse is not restored before EMS transport, additional efforts at the receiving hospital almost invariably fail.

Deployment

images

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 SCA protection in complexes. And for OD’s too.

iLamp Counter Computer

The Shocking Truth about Defibrillators

Elevaed’s Dwight Jones explains his new deployment topology, termed “distributed AEDs”.

100 defibs

Extreme Deployment of AEDs is Expensive

AED overkill is expensive and presents educational issues (even in a university) when multiple brands are involved…

Lobby AED

Heart Safety Co-ops Could Protect High Rises

Heart safety co-ops may improve serious emergency survivability from <8% to 50% plus.

ICC Committee

Elevaed Code Provisions for AEDs in Elevator Lobbies are Rejected

The NFPA and IFC both rejected Elevaed’s proposals to place AEDs in high rises. EMS is a closed shop, and will not admit that they very rarely get to victims in high rises under ten minutes, which is far too late. We will have to save ourselves, and pay them as well.

substanitation

Substantiation Statement for Building Coding Application

Here is the substantiation provided to the code examining committees.

american-heart-association[1]

The AHA on AEDs – Where, How Many?

The presence and location of AEDs in large office complexes or high-rise buildings can greatly impact survival rates.

CPR

8663c99bf

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.

heart safety

Cheap health insurance vs our deadliest threat

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

LIFEPAD Recessed

Questions & Answers about AEDs and PADs

Common questions about AEDs and Public Access Defibrillation (PADs), with answers from the American Heart Association

DOMINIC MONAGHAN, EMILIE DE RAVIN, HENRY IAN CUSICK

Red Cross offering “Citizen CPR” training

The American Red Cross now offers Citizen CPR training, a brief course in providing hands-only CPR to victims of cardiac arrest.

Friends with AEDs

Public Places Safer during Cardiac Arrests

This article demonstrates little awareness of the need to protect high-rises as homes or workplaces as well.

Study prioritizes chest compressions

Concentrating on chest compressions rather than mouth-to-mouth can produce better results, says The Lancet.

FAQ: AED Fast Facts

Another article that indicates EMS and AEDs should have a sequential relationship during SCA’s, with EMS consolidating the earlier rescue by an AED.

Studies

Projects

People who live in poorer areas at more risk for SCA

If there is an elevator, put a PAD in the lobby and watch poor people save themselves. Safety is cheaper than a TBI for all concerned.

Lidocaine

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

AED-300px[1]

Study: One-fifth of AED failures traced to battery, power problems

Evidently more AEDs should be in powered and networked enclosures – not bare.

Survival Study

AED Use: Survival before EMS Study

Application of an AED in communities is associated with nearly a doubling of survival after out-of-hospital cardiac arrest.

Study Quantifies EMS Delays in High Rises

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

EMS Response Times from National Database

US National NEMSIS cardiac arrest elapsed patient care times as an average (table) and as a 90th Fractile (graph).

Paramedic response time: does it affect patient survival?

Pivotal 2005 study establishes no survival benefit from EMS arrival within 8 min – only if within 4 min.