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

8 comments:

  1. The use of the the term holocaust in this post is incredibly insensitive and offensive to those who lost loved ones to the Nazi attempted extermination of the Jews. Really, slow EMS is awful but not even close to a holocaust!

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

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

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

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

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

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