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.[continue reading...]
- The Sad Statistics Around Cardiac Arrest Survival
- Field Paramedics as EMS Communications Officers
- A Block EMS Pilot Project in Vancouver
- Canada drug trial could be pivotal for stroke patients
- California Paramedicine Pilot Needs Its Own Architecture
- 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
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.
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.
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.”
“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.
“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.
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.
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.