Changes in Skyaid.org April
- May 15, 2001
   
Copies of images from http://www.moller.com/news/
about May 16 added 5/17/01
ZDNet article on
the Skycar May 15- with a few reader's comments added 5/17/01
Added new sections
Heart Rate
Variability
Fires
Auto Accidents
Causes of Death
By
2020, global adults deaths will be almost entirely due to non-communicable
disease and injuries
and, most of the disability life-years lost will be in low-income
countries added 5/13/01
Causes
of disability around the world = Global burden of disease added
5/13/01
Primary causes changes radically from 1990 to 2020
Lower respiratory disease falls from #1 down to #6
Ischaemic heart disease rises from #4 to become #1.
Traffic Accidents rise from #9 up to #3
Age-standardized
death rates for selected causes for scores of
countries added 5/13/01
This WHO report establishes a new standard for population vs. age.
Chances
of eventually dying from specified causes for scores of
countries added 5/13/01
Risk statistics
from a 1994 book added 5/12/01
Example: "Questionnaire research shows
that most people suppose that the chances of their dying of a heart attack to be
about 1 in 20; in fact the risk is closer to 1 in 3.
Potential years of life
lost prior to age 70 added 5/11/01
Potential life years lost to injury death is more than the total
of life years lost due to
heart disease and AIDS and stroke (since injuries tend to happen to younger
people).
Leading US
causes of death - 1998 added 4/21/01
Burden
of Disease finally published in Journal of American Medical
Association Feb 7, 2001
Lots of references to QALY and DALY added 4/27/01
Ambulance, emergency, and trauma
911 is NOT an
international emergency phone number.
If fact, while 23 countries have a single number for ambulance, fire, and
police,
911 is the emergency phone number for only 4
countries added 5/06/01
Should we call Skyaid Medic 2.0 - faster
than Medic 1.0
Humor: Upgrading from
Boyfriend 5.0 to Husband 1.0 added 5/19/01
International
Ambulances - short descriptions of ambulance services in
many countries:
- funded/volunteer: often volunteer- sometimes they pay for the medical supplies
- training: typically 120 hours
- support level: sometimes not allowed to any drug other than Oxygen
- vehicles - truck typically, but sometimes car or motorcycle
- number of people in vehicle: typically 2 or 3
- connection to red cross, government or fire,
etc. added 4/29/01
see also Ambulance
diversion Ambulance
economics Ambulance
slow response time
Injuries
are the 9th largest cause of disability now.
Injuries are expected to be the 3rd largest cause of disability worldwide by
2020.
Many injuries are to the head in auto accidents added 4/28/01
Injury and Emergency added 5/11/01
Ambulance
Economics: Far less costly to reduce response time by adding
ambulance capacity at peak times (e.g. Sat. evenings) or have crews sit in their
ambulances than to add ambulance capacity for all 168 hours per
week. added 4/28/01
Hip Fractures: updated
5/06/01
340,000 in US annually
95% caused by falls
Average cost $37,000
Leading cause of injury death for those over 65
10X higher rate for those over 85
20% of women over 65 will fracture a hip during their lifetime
Only about 25% of patients will make a full recovery:
40% will require nursing home care
50% will need a cane or walker
20% will die
within one year after the fall.
Should
not wait more than 15 minutes before calling emergency service if suspect a
heart attack. Fewer than 5% of heart attack victims are treated within the 'golden hour' added
4/27/01
Skyaid overview of trauma
added 04/22/01
It appears that trauma centers with high volume of business can be very cost
effective and "life-effective".
Trauma centers are not uniformly available in the US,
perhaps because they are
not effective for low-volume operation.
Trauma centers with low volume (less than 1 life-threatening injury per
day)
are not as effective, and are sometimes
closed.
These closures will happen more frequently in the future as
"economic measures become the principle criterion" with
the evolution to for-profit hospitals.
Trauma deaths happen about 10% as often as deaths due to
heart disease,
but trauma deaths subtract about 10 times as many years from a
person's life (45 years vs. 5 years)
Thus Skyaid might save more life-years reducing trauma deaths than reducing deaths due to
heart disease.
click here for references
added 4/19/01
Speed is important during medical emergencies, but the
destination is also important.
Far fewer deaths at high
volume trauma centers than at low-volume trauma centers
from JAMA March
2001 added 4/18/01
Skyaid overview
Updates of survey draft to discover
which Skyaid features are most important updated 5/05/01
Skyaid Emergency Response System updated
10/12/02
Skyaid Watch requests help after button is pushed or
by automatic
detection of heart rate change
Request is sent as far as 1,000 miles (1,600 km)
Request is received at a Regional Triage Center
Regional Triage Center establishes the nature of the emergency request:
Stroke / Heart Attack, Sudden Cardiac Arrest,
Fall and break hip, Crime, Fire, Auto Accident, or Other
The emergency request for help is sent to
Local Dispatch Center which sends out ambulance, police car,
fire truck, tow truck, and/or Skycar
An addition notification is sent to concerned individual(s) (child, parents,
etc.)
This diagram does not show how the Skycar will save
many lives by flying victim
to the correct critical care center (trauma, heart attack,
stroke, etc.)
Skyaid can help
in a great many types of emergencies updated 3/22/01
Skyaid business model might be similar to AAA (Auto Club of
America): provide
emergency aid to subscribers
100,000
lives to be saved annually by Skyaid updated 3/18/01
You should use landscape mode to print the spreadsheet.
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