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, grant patients health ownership, and enable a business environment that brings emergency support and network access to all healthcare professionals.
The Hurry Kings are a proposed independent rescue Society made up of teaching and learning paramedics. They can deliver early intervention and definitive treatments effectively and economically on foot, transforming dense city cores into havens of life safety and community health.
A new educational programme uses SimCity to test children on vital problem-solving skills.
A Master’s from Yale would give credence to paramedicine, and if it can be accomplished largely online, this opportunity is truly visionary.
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.
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.
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. The end-to-end protocol can close that to 3 minutes with EMR’s.
“50 largest cities save only an estimated 6% to 10% of the victims of sudden cardiac arrest who realistically could be saved.”
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.
Total reliance on EMS vehicles is not necessary in high rises, where onsite resources and responders can meet early intervention goals reliably.
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?
By sharing a dedicated cellular network, the cost for funding early intervention in high rises is modest and reliability maintained to the highest standard.
The new LifePad phones have secure work spaces and allow text messages that are pre-programmed to be received, with volunteered medical information, from any building occupant facing a life or medical crisis.
Rusinek’s life ticked away on the corner where she fell. Twelve minutes passed before an ambulance crew connected a defibrillator to her chest.
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.