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
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/
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
One life is worth $9.1 million - per the FAA - article about unsafe fuel tanks on small planes - added Nov 19 2017
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!
ReplyDeleteAdded 1 more piece of documentation on May 20 2016 - the 2008 in hospital study
ReplyDeleteMay 29 2016 - added chart of under performing EMS - and cleaned up some wording
ReplyDeleteNov 18 2017 - added Years of Life Lost info
ReplyDeleteNov 19 2017 - added One life is worth $9.1 million - per the FAA - article about unsafe fuel tanks on small planes
ReplyDeleteNov 20 2017 - added spreadsheet of response time statistics from around the world
ReplyDeleteNov 21 2017 - added article from JEMS - more than 90% of cardiac arrest victims die - more than 300,000 per year
ReplyDeletehttps://twitter.com/SEBLASD/status/933726966103937026 - police are receiving more medical training - Los Angeles Sheriff - added Nov 23
ReplyDelete2017