The Problem and Proposed Solution High rise buildings have EMS response times that average at least 13 minutes, which is too late for early intervention in acute medical crises. This results in needless deaths and severe injury to building residents and workers, while absorbing EMS resources that are required elsewhere. Universal cellular communications promise to enable onsite responders to attend within a 3 to 4 minute radius, and allow 911 dispatchers to distinguish serious emergencies from incidents that can be resolved locally, or in a safer sequence. The program has independent paramedics mentoring EMRs as a small team, registering and monitoring the occupants of integral city blocks.
Project Outline The goal is to assess whether one paramedic and four EMRs can fully protect groups of city blocks, economically, as an independent model. The blocks are assumed to have a mix of high rise and low rise buildings, both commercial and residential, comprising at least 1000+ people in total.
Early intervention and paramedicine add deep value to these blocks, and funding sources will include:
- Property managers will see higher value, demand and occupancy rates, lower security costs
- Residents and workers will support early intervention and community paramedicine
- The City will not have to fund fire truck responses to these blocks for medical calls
- Paramedics can deliver look-in and telehealth services requiring onsite personnel
- Health authorities will fund fewer ambulance sorties with less transport to hospitals and ED’s
- Federal and regional health budgets will see less costs related to avoidable injury
- Hospitals will gain opportunities for discharges and remote patient monitoring
Together these economies suggest that there are net savings, not costs when implementing block paramedicine. When operative, these large city blocks become islands of optimized care with premium life safety, lower healthcare costs, and models for planned and directed intervention in any city.
Infrastructure Required This pilot project will hire one paramedic and 4 EMRs for two years, to protect one or more integral blocks.
Scientific value The continuous accumulation of data around early intervention and treatment trials in high rise office and residential towers enables valuable medical surveillance. Hosting scientific studies on the network may generate significant (Society) income, once the program is expanded to full scale.
Example: an estimated 51% of SCA’s are “unwitnessed” and the patient dies. The paramedics will configure occupant cellphones with a “panic button” icon that will summon them within 3-4 minutes with one press. For the first time, these arrest victims may be able to save themselves.
Pilot Project Funding The City Health Officer assigns 1-5 representative city blocks with 1000+ occupants. Under the two year pilot project, the properties are not assessed any charges, and the operant consultants administer the project’s assembly, execution and reporting.
The estimated total cost of the 2 year pilot project, at union scale and benefits, is $750,000 shared among a wide mix of governing authorities and the private sector.
The Expected Benefits are considerable, and enduring:
- The occupants avoid needless death and injury, through early intervention
- Block residents and workers enjoy life safety equitably, to the highest standard
- Occupants register their medical information, have their cellphones configured
- The project complements the ambulance service – no fire trucks are rolled
- Ambulances arrive within a negotiated time frame, with fewer lights and sirens
- City streets are quieter and lanes are closed off less frequently
- 911 dispatchers have less pressure and can call the block EMRs first
- Occupants respect 911 and the ED, and consult their health workers first
- Paramedics gain a career option, and mentor student practicums
- EMRs earn while they learn, toward a profession as EMRs, PCPs, RNs, MDs etc.
- RPM (Remote Patient Monitoring) becomes a tended option for hospitals
- Municipalities conserve fire resources and reduce response times dramatically
- Life safety is funded by recognizing the net savings, not costs, that result
- Properties rise in appeal, as the public welcomes intervention and paramedicine
- Introduces medical LEED innovation and infrastructure globally, as an industry
As always, the intangible benefits of life and health are incalculable.
Prepared February 2015 by:
Elevaed Medical Inc. | Life Safety Consultants
T 604 836-7300 F 604 648-9690
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