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Editorial

Field Paramedics as EMS Communications Officers

Paramedics are emerging as the footsoldiers of community healthcare, ready for deployment and duties that are not yet fully defined. For too long they have been underpaid and exploited, with shifts and workloads that are as exhausting as they can be harrowing.

The cellular revolution enables widespread telemedicine, delivered from secure medical networks. Field telemedics as communications officers will rationalize EMS, granting patients ownership, and a business environment that brings emergency support and telemedicine to all healthcare professionals.

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EMS Research

IOM

IOM Report Released – Next Cycle to Cellphones?

The Report really just bangs the same drum harder. Then a cellphone rang.

NOC Interior

Pilot: Regulated EMS Telemedicine Network

This pilot project will develop best practices for deploying field telemedics, evolve protocols, and establish telemedicine procedures for very early intervention in a variety of neighborhoods.

Downtown Vancouver

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 field paramedicine.

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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.

ems-at-healthcare-table

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.

Block EMS

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?

3 block unit

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.

Registering

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.

29-ems-inside[1]

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.”

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.

28-ems-rusinek[1]

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.

CPR

ROSENTHAL-articleLarge[1]

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.”

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.

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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.

Studies

NOC Interior

Pilot: Regulated EMS Telemedicine Network

This pilot project will develop best practices for deploying field telemedics, evolve protocols, and establish telemedicine procedures for very early intervention in a variety of neighborhoods.

heart-women

The Sad Statistics Around Cardiac Arrest Survival

The statistics are harsh – and they document failure – this legacy system cries out for VEI (Very Early Intervention) by a healthcare professional, as the optimal human partner.

stroke

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.