Thursday, May 19, 2016

The Great American Holocaust

If the average response time for emergency services in the USA dropped from 6 minutes to 1 minute, how many lives could be saved every year?

Presently in the USA we have 400,000 'out of hospital' sudden cardiac arrests annually - this includes medical and trauma caused arrests - only 5 % are saved with the present system

With 1 minute response times - maybe 250,000 would be saved    ----->>>  maybe a 95% save rate on medical heart attacks (apparently 200,000 of them) - and maybe 50,000 of 200,000 trauma related cardiac arrests could be saved - especially if all cops started to respond to EMS calls and carry blood clot and tourniquets

Bottom line - apparently 250,000 USAers are dying needlessly every year due to slow emergency response times. Could they be saved within the presently existing budgets? Yup I really think they could. It just will take a huge mind shift by the PDs and FDs.

Documentation

http://www.jems.com/articles/2017/11/bystander-cpr-save-underscores-importance-of-community-role.html - more than 90% of cardiac arrest patients die - more than 300,000 per year

https://docs.google.com/spreadsheets/d/1XhC5GpvE-3bWMiC35xHS3_PzZWA-aBB4qkbGVS7DuQo/edit?usp=sharing&authkey=CKCX7aAM - response time statistics from around the world

https://webappa.cdc.gov/sasweb/ncipc/ypll.html - go to bottom - click on SUBMIT REQUEST - the output will tell you that 10 million years of life were lost in 2015 due to primarily accidental injury, heart attacks, suicide, and homicide - all of which are typically handled as 911 emergencies

https://twitter.com/SEBLASD/status/933726966103937026 - police are receiving more medical training - Los Angeles Sheriff - Nov 2017

http://circ.ahajournals.org/content/102/suppl_1/I-60.full#xref-ref-43-1 - apparently we have known since 1977 that defib in under 1 minute will save 90% of VF cases - see the 4 references under "Principle of Early Defibrilatiion - added June 14 2016

https://youtu.be/F67ehSogJ_Y - Eli Beer talks about Hatzolah in Israel - a 2013 TEDMED talk - he is really talking about rapid dispatch and rapid response

http://www.ems1.com/cardiac-arrest/articles/2255015-Report-U-S-out-of-hospital-cardiac-arrest-survival-rates-unacceptably-low/ - this article includes a link to the actual study / info referenced above

https://sites.google.com/site/nfpamobilizationstudy2010/ - typical 1 minute dispatch time and 1 minute turnout time for USA fire departments

https://sites.google.com/site/2015decembernew/home/2008-in-hospital-defib-study - 40% save rate for defib in under 2 minutes - 20% otherwise

https://twitter.com/pulsepoint/status/734443576571105280 - PulsePoint has sent 9,500 alerts with 24,000 citizen responders

https://twitter.com/SASCONSULTPARA/status/736873344453226496 - chart shows relationship between response time and under performing EMS - unknown source

http://www.acoem.org/uploadedFiles/Continuing_Education/Tools_for_Occ_Health_Professional/AED/aedsurvey.pdf - 2003 report - 3 citations here concerning 90% save rates within 1 minute - also - people have survived 10 minutes of VF with no neurological deficits - added 6/9/2016

One life is worth $9.1 million - per the FAA - article about unsafe fuel tanks on small planes - added Nov 19 2017

7 comments:

  1. Added 1 more piece of documentation on May 20 2016 - the 2008 in hospital study

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  2. May 29 2016 - added chart of under performing EMS - and cleaned up some wording

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  3. Nov 18 2017 - added Years of Life Lost info

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  4. Nov 19 2017 - added One life is worth $9.1 million - per the FAA - article about unsafe fuel tanks on small planes

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  5. Nov 20 2017 - added spreadsheet of response time statistics from around the world

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  6. Nov 21 2017 - added article from JEMS - more than 90% of cardiac arrest victims die - more than 300,000 per year

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  7. https://twitter.com/SEBLASD/status/933726966103937026 - police are receiving more medical training - Los Angeles Sheriff - added Nov 23
    2017

    ReplyDelete