Block Paramedicine Fills in the “Last Mile”

The idea of having a community health worker on every big city block has to be qualified – does this really introduce early intervention of 3-4 minutes?

What would their duties be and who would pay for this?


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.

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.”

LifePad Phone

LifePad Phone is the Partner AEDs and Life Safety Have Waited For

Elevaed’s LifePad™ and Tandem AED/EMS for rescues in building complexes can reclaim these “no-survivor” zones for heart, stroke and overdose “events”. Survival could increase by a factor of ten!


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.


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.


New York Police Given Kits to Combat Overdoses

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


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.


Heading off a Junkie Nation

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


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.


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.

Response Times

Vertical Response Interval

Life Safety Protocol Can Reduce 13 minutes to 3

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 about 13 minutes to get alongside the patient.

LifePad Protocol

New Life Safety Protocol Enables High Rise 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.


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.”

lotus ambulance

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.


Ambulance Chief Defends Changes to Dispatch System

Total reliance on EMS vehicles is not necessary in high rises, where onsite resources and responders can meet early intervention goals reliably.


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.


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.



Cellular Co-ops Can Protect High Rises

By sharing a dedicated cellular network, the cost for funding reliable early intervention in high rises is modest.


Many lives are lost because EMS is late

Rusinek’s life ticked away on the corner where she fell. Twelve minutes passed before an ambulance crew connected a defibrillator to her chest.


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

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…

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.


Substantiation Statement for Building Coding Application

Here is the substantiation provided to the code examining committees.

AED Registry

The New AED Registry – Closer to the Heart?

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

Strategic placement of AEDs in public locations

Public-access defibrillation with AEDs is being implemented in many countries with considerable financial implications.



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

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 finds CPR before defibrillation insignificant

It doesn’t matter whether or not EMTs do a few minutes’ CPR before defibrillation of cardiac-arrest patients, researchers conclude.



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

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.