“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.

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 cardiovascular protection in complexes.

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

The NFPA and ICC both rejected Elevaed’s proposals to place AEDs in high rises. In retrospect, block paramedicine is a superior strategy, with much wider promise.

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