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Changes in Skyaid.org  April - May 15, 2001

skycar0501_bulkhead.jpg (32807 bytes) skycar0501control_system.jpg (94981 bytes)skycar0501_engine.jpg (20801 bytes)skycar0501_fullview.jpg (46062 bytes)skycar0501_test.jpg (65669 bytes)

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

global burden of disease.gif (15085 bytes)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 

lives_spreadsheet.gif (111110 bytes)100,000 lives to be saved annually by Skyaid   updated 3/18/01
 You should use landscape mode to print the spreadsheet.