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SKYAID |
New items added at Skyaid Aug 25 -> Oct 22, 2001 This file is located at http://www.skyaid.org/changes0110.htm
E-mail sent October 27, 2001 Top level news
- Boeing investors vetoed consideration of
Skycar
- I am now considering Lockheed, Toyota, and Ford as potential manufacturer - New Skycar design - with longer folding wings - IRS no response to Oct 1 reply for NonProfit status - Skyaid Watch - many new considerations, designs, uses
- Heart
Rate Variability continues to look very promising - there is an on-going
HRV virtual congress
- Details on EMS dispatch
protocol - available in many languages
- Review of EMS in various countries and Rural
US
- Continued information on Stroke
- look forward to easily
remembered set of actions of what a person should do in case of a stroke.
- Disposable $30 cell-phone may be excellent for emergency use. The topics are:
Transportation and Airline see also sections on Transportation Airline How Far is that By Air? The
Derivation of an Air-Ground Coefficient added 10/14/01 Airplane crash avoidance systems = TCAS - background added 10/07/01 Transportation - Las Vegas will have a 3.9 mile monorail in 2004 added 08/24/01 Skycar & VTOL see also sections on Details, VTOL
Skycar Manufacturer:
Skycar - short article and nice picture from SmartBusinessMag Oct 2001 added 09/27/01 eMedicine - web site claiming to have largest collection of medical review articles in the world (for doctors). updated 10/16/01 Includes International Emergency Medicine, Stroke - ischemic, Transient Ischemic Attack, Circadian Rhythms and emergency medicine, arterial fibrillation, EMS and Cardiac Arrest, Automatic External Defibrillation, etc. Electron Beam Computed Tomography appears to provide the earliest detection of blocked arteries, but costs $550 added 10/14/01 FAQ from Hearttest http://www.hscan.com/full-body-scan.html has the following: "Other traditional exams, such as treadmill stress tests, look for blockages of blood-flow, whereas the full body scan looks at the amount of calcium in the coronary arteries. By the time heart disease shows up on a treadmill stress test the arteries are usually more than 70 percent blocked. This percentage of blockage indicates advanced heart disease and the patient may already be experiencing chest pain or has had another cardiac event. Full body scanning can detect heart disease when the coronary arteries are only five percent blocked. The large majority of heart disease detected can be stabilized through simple lifestyle changes or minimal medications. Since the heart disease can be detected so early in its cycle, a physician can take aggressive action to prevent a patient from ever becoming symptomatic". 1999 Journal abstract said EBT was similar price to treadmill test, but provided much better diagnosis. A cautious meta-analysis. 15 or so abstracts on ECBT A dissenting view. Ambulance Equipment (pdf file) from American College of Emergency Physicians added 10/08/01 America is getting fat quickly . added
09/27/01 Off topic: Workplace deaths in British Columbia over 11 years: 59 fishing, 86 road building, 94 heavy manufacturing, 104 construction, 126 trucking, 252 logging, and 4,070 secondhand smoke (lung cancer and heart disease) which is 16X larger than the second cause of workplace death from nice web site: http://www.airspace.bc.ca It has a link to the American Heart Association's comment on Environmental Tobacco Smoke as well as many links to anti-tobacco sites added 08/21/01 Heart, AED, ICD see also Heart attack AED/CPR Biotronik got FDA approval Oct 2001 for their Home Monitoring Pacemaker which can periodically transmit data to doctor's office AP article taken from Wall St. Journal Biotronik web site has little information on this product added 10/12/01 Biotronik Paceart pacemaker can send some signals via telephone added 10/12/01 Biotronik pacemakers - a good description for 2 million ownersl added 10/12/01 site which has links to Pacemakers and defibrillators added 10/12/01 AED - continuing education for nurses - comprehensive self study article, complete with a reading comprehension test. see also AED-SCD added 08/23/01 ICD/AED could provide pre-pulses to greatly reduce the impact of the main pulse. added 08/24/01 Computers in Cardiology Conference Sept 2001 added
10/07/01 Testing of blood for sphingolipids may enable predicting those who are10X more likely to have cardiac ischemia. added 09/30/01 Slow recovery of heart rate after a stress test indicates 3-5% instead of normal 0.5% chance of death annually from heart disease added 09/30/01 Stress Testing can be used to test for heart disease. Perhaps Skyaid Watch could too. added 09/27/01 Virtual Hospital has good descriptions of stroke, heart, and arrhythemia problems added 08/25/01 Investigating Chest Pain Only about 15% of patients admitted to the hospital to undergo testing to rule out myocardial infarction will have had one" from Emergency Medicine Magazine added 08/28/01 Arrhythmias - 2nd edition, 2000, of 600 page book by John Kastor, M.D. This provides excellent insight into all of the different types of arrhythmias. The book makes it clear that it will be impossible to make a Skyaid Watch with a fixed set of arrhythmia rules for everyone. The Skyaid Watch will have to "train" itself to the wearer. added 08/25/01 Heart Rate Variability see also HRV HRV possibilities in the new millennium - added 10/17/01 HRV Congress Courses added 10/17/01 Computers in Cardiology Conference Sept 2001 added
10/07/01 Two HRV graphs during sleep from Heart Rate Variability Congress added 10/06/01 HeartMath Institute "Over the years we have experimented with different psychological and physiological measures, but it was consistently heart rate variability, or heart rhythms, that stood out as the most dynamic and reflective of inner emotional states and stress." added 09/27/01 Heart Rate Variability Congress added 09/26/01 virtual congress started Sept 10, 2001 with 21 topic areas and about 200 papers Heart Rate Variability - Skyaid Watch-type device being developed to predict sudden cardiac arrest by another company - private communications for now - more news Oct 2001. added 08/25/01 Trauma, Injury, Emergency see also Trauma,Injury, Emergency Survey with 99% response rate showed that Skyaid might be able to suggest the destination hospital. added 10/15/01 Paramedics UnderTriage sometimes - but not often added 10/15/01 National Emergency Number Organization (NENA) - highlights @ Skyaid: 100,000 in 911 groups - with up to 200 in a group of dispatchers added 10/17/01 National Emergency Number Organization - www.nena.org National 9-1-1 Day was September 11, 2001 That web site says: "It is estimated that of the 150 million calls that were made to 9-1-1 in 2000, 45 million of them were made by wireless telephone users—that’s 30 percent." Their Oct 2000 thoughts about what 911 could be in the future Also they have a list of tragedies due to lack of E911. added 10/16/01 EMS Dispatch - describing the Medical Priority Dispatch System, below added 10/15/01 Medical Priority Dispatch System "is the world’s most widely used 911-type Pre-Arrival Instruction and Dispatch Life Support protocol". It is available in many languages: English (American, UK, Australian) French Canadian, Spanish (North American and European) German, Italian, and Finnish. Is it available in two formats: Software (ProQA) and 3’x5” card-pairs (dispatch card + information card). The information is certified by the National Academy of Emergency Dispatch SM. It has evolved over the past 20 years and is currently in version 11. added 10/14/01 Emergency Medical Dispatch: A Changing Profession magazine article Aug 1998 added 10/14/01 E9-1-1 brief review. Enhanced 9-1-1 in the U.S. of the 80's added calling number and address [ANI = Automatic Number Identification & ALI = Automatic Location Identification]. Now up to 40% of the 9-1-1 phone calls are made from cell phones. So, despite FCC mandates, 9-1-1 dispatchers can not automatically determine the location about 40% of the current U.S. emergencies. This percentage will increase past 50% as the use of cell-phones and Voice over the Internet (VoIP) increase. 9-1-1 calls: up to 40% already come from wireless phones added 10/12/01 How Well Do Paramedics Recognize and Treat Patients With Acute Myocardial Infarction. This is abstract number 53 printed in Oct 2001 Annals of Emergency Medicine added 10/14/01 The study looked at 1,173 patients who called 911 with chest pain and were more than 14 years old. These patients were put into 3 subgroups: AMI 7%, other cardiac 13% and non-cardiac 80%. - Note: only 20% of 911 calls for chest pain involve cardiac problems. see also chest pain 15% Automatic Collision Notification highlights of notes by Henry Lahore: The system to automatically notify 911 dispatchers of rural auto crashes worked well, except in areas with poor or no cellular coverage. added 10/14/01 see also Globestar, above Emergency Medicine in Japan Highlights of notes by Henry Lahore: Japanese clinics and hospitals may refuse to accept patients, “The prehospital care in unfortunately nothing more than poor compared with that in western countries”. added 10/14/01 Emergency Medicine in China - Highlights of notes by Henry Lahore: tPA is too expensive to use for most strokes in China, long EMS transport time, many smokers (25% of world's total smokers are Chinese men). added 10/14/01 Emergency Medicine Links at American Academy of Emergency Medicine added 10/14/01 Emergency Medical Treatment and Active Labor Act: "Hospital that offers services for emergency medical conditions agrees to maintain a list of physicians who are on-call for duty after the initial examination to provide treatment necessary to stabilize an individual with an emergency medical condition." 2nd web site added 10/14/01 Emergency Medicine in Rural America highlights of notes by Henry Lahore: The 25% of US population who live in rural areas get poor emergency medical care. added 10/14/01 Rural EMS links web site same site has links on U.S. Rural Demographics added 10/14/01 Rural EMS bibliography added 10/14/01 Rural
roads deadlier than urban highways
see also Auto
Accidents added
8/16/01 The SCC911.com company evolved into www.intradoc.com in June 2001 after adding Lucent Technologies Public Safety Answering Point (PSAP) This company provides Sprint with 911 PSAP - even though the customer if often away from his base cell-phone tower added 10/08/01 None of the wireless carriers appears to have met the Oct 1 date set by the FCC for 911 location information. Sprint has a $150 cell-phone with GPS capability from Samsung, but apparently no cell-towers are provide the reference GPS information added 10/08/01 Internal trauma wounds might be cauterized by High Intensity Focused Ultrasound (HIFU) before arriving at a hospital By a Univ of Wash. Bioengineer. in Dawn Aug 14, 2001 added 10/06/01 Continued on another page Stroke Skyaid Watch Elderly MISC. |