by AllThingsECC.com | Apr 9, 2019 | Articles, Comm Center News
Download Original Paper
Abstract
Introduction: Rapid identification of sudden out-of-hospital cardiac arrest (OHCA) and delivery of bystander chest compressions in patients with ventricular fibrillation are key elements in the chain of survival. However, time to bystander compressions can be greatly affected by a wide variety of barriers, some beyond an EMD’s control.
Objectives: The aim of this study is to identify and quantify the impact that barriers have on the time taken to achieve bystander compressions for suspected OHCAs. Methods: This retrospective, quantitative cohort study was conducted by auditing audio recordings of 911 emergency calls, spanning November 25, 2014 – August 29, 2018, in which EMDs initiated bystander CPR.
Results: A total 496 audio recordings were reviewed, and 311 were excluded for various reasons. Therefore, 185 audio recordings were included in the study. Of these, in a majority (73.0%, n=135) of the calls, a bystander experienced at least one barrier to performing CPR. Overall, the elapsed median time to bystander compressions was significantly different for barrier versus non-barrier calls (272 seconds and 200.5 seconds, respectively). Time to bystander compressions for a baseline call was 171 seconds. Not surprisingly, as the number of barriers encountered during a call increased, the time to bystander compressions also increased significantly.
Conclusion: New instructions and modified scripting of protocols should be investigated to guide trained and certified EMDs in managing a wide variety of barrier types. Future studies should specifically investigate whether modified or new instructions reduce time to bystander compressions and/or increase survival from OHCA.
Topics:Barriers|Bystander CPR|Cardiac arrest|Cardiopulmonary resuscitation|compressions|DD-CPR|EMD|OHCA|Out-of-Hospital Cardiac Arrest
by AllThingsECC.com | Apr 2, 2019 | Articles, Comm Center News
By Dave Buchanan, Executive Director of Public Safety Advocacy
The latest stop along our public safety roadmap led the First Responder Network Authority (FirstNet Authority) to Atlanta, Ga., last week for a regional forum with the Police Executive Forum (PERF). As a policy and research organization for the nation’s law enforcement community, PERF is delivering a series of forums that explore the adoption of FirstNet by police and other public safety users around the nation.
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by AllThingsECC.com | Mar 31, 2019 | Articles, Comm Center News
By April Ward Senior Media Relations Advisor First Responder Network Authority
Hattiesburg, Mississippi’s AAA Ambulance Service subscribed to FirstNet to help connect its 24-hour emergency and non-emergency medical transport service. FirstNet is helping the ambulance service to seamlessly communicate as they serve the 1.2 million residents living across 16 counties in southern Mississippi.
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by AllThingsECC.com | Mar 24, 2019 | Articles, Comm Center News
By Richard Mirgon, Public Safety Consultant
Once again we have an article in another publication claiming to differentiate between “fact” and “fiction” with an individual portraying to be a FirstNet expert and claiming that they understand what the differences are between FirstNet and Verizon’s “me too” public safety offering. In this recent article this “expert” either clearly demonstrated their lack of understanding of FirstNet or they are intentionally trying to support Verizon by providing inaccurate information with the goal of muddying the waters, creating confusion with public safety.
One point that this article was trying to make is that there is nothing special about FirstNet’s Band 14 and that since Verizon has Band 13 they are the same since they are both in the 700 MHz band. They are not. Yes, they share many of the same characteristics because they are in the same band, but there are two very distinct elements that make the D Block unique which Verizon cannot replicate. First, Public Safety owns Band 14 by Congressional action assigning it for public safety use which is managed by the FirstNet Authority on behalf of public safety. Verizon owns Band 13 and it is clearly nothing more than commercial spectrum. What is key here is that there is significant oversight on how the D Block spectrum is used. It is dedicated to public safety and can be used on a secondary basis to help pay for the FirstNet network.
Another element that is missing is “where is Verizon building out Band 13? Is it being deployed with public safety in mind or is it just another part of their spectrum holdings being deployed without concern for public safety needs?”
The second key issue is that Band 14 is authorized for High Power User Equipment known as HPUE. Band 13 is not licensed for this feature. (For more information go to https://urgentcomm.com/2019/03/18/high-power-user-equipment-hpue-can-help-bridge-band-14-coverage-gaps-in-rural-in-building-locations/) Verizon does not have the ability to provide key beneficial features to public safety that come with HPUE because they can’t do it. Both points are significant. The fact that this “expert” disregarded these points indicates he either doesn’t realize their importance or he has decided to omit their significance.
The other point this “expert” tried to make is that Verizon’s “private core” for public safety is the same as the FirstNet core. This is categorically incorrect. It may have similar functions, but they are not the same and the differences are critical to public safety. The FirstNet core is dedicated to public safety and built for public safety. Only primary public safety users and extended primary are allowed on this core. This FirstNet dedicated core is not shared with commercial users. When you have a partitioned core like what Verizon has done, you are sharing that computer power and that physical resource. It is not unlike having someone else use your home Wi-Fi. The more users on the network, the slower it gets. You wouldn’t share your home Wi-Fi with the public. Why would public safety want to share vital care services with the public? That is exactly what Verizon is doing. Also, would you want commercial users polluting your network with their information and jeopardizing your security? You wouldn’t and Verizon clearly states in their FCC filing (Nov 9th, 2012 Verizon response to Docket No. 12092850-2505-01) that public safety shouldn’t do it. Let me quote a specific statement in Verizon’s filing. They say that FirstNet “should not share core network components, i.e., the IP Multimedia Subsystem (IMS) and Evolved Packet Core (EPC), as doing so would undermine its ability to provide secure, high priority communications for first responders.” I find it disingenuous that Verizon now tries to tell public safety that sharing core is okay when their own public record states otherwise.
This expert is clearly wrong. He may be an expert in certain aspects of technology, but definitely not an expert in FirstNet and public safety communications. Everyone should take note that the same points this “expert” is making are the same talking points Verizon has been using for the last six months. Anyone who has been following this subject for several years can easily see this is nothing more than a Verizon prompted article. And let me make one thing clear. I am not contending to be unbiased. I am very biased in support of public safety and FirstNet. As a former first responder and one of the handful of public safety leaders who fought for the legislation, I am offended by the fact that Verizon is intentionally trying to confuse public safety and the facts around FirstNet.
FirstNet is about public safety and meeting public safety needs. FirstNet is not just about a network. It is about public policy, governance and providing a mechanism for public safety to have a voice in public safety broadband. If Congress had not created FirstNet at our request, public safety would still be getting average service as just another wireless user. If it hadn’t been for AT&T stepping up to take the risk to commit to a 25-year contract, Verizon would be treating public safety as just another commercial user. In fact Verizon is treating public safety as just another user by doing nothing more than sharing commercial services and labeling it as public safety.
Let’s not ever forget Verizon had their chance and they walked away from public safety. The lame argument stated in this article about Verizon not bidding because they didn’t need 700 MHz spectrum is a smoke screen. After months of being criticized for not bidding, they came up with this marketing pitch that they didn’t need the spectrum. Verizon didn’t want to be locked into a 25-year commitment, they didn’t want to build dedicated resources, they didn’t want to take the risk and now they are coming up with fancy dialog to try and hold onto public safety customers. The ONLY reason they offer commercial service labeled as public safety like services today is to keep from losing customers. Let’s also not forget they have abandoned the public safety 911 ESI market and left many PSAPs stranded. How’s that for public safety dedication?
The views and opinions expressed in this article are solely those of the author and do not necessarily reflect the official policy or position of this company or any company with whom the author may be associated.
Richard Mirgon is a Public Safety consultant focused on FirstNet. He is a Past President of APCO International and has over 35 years of public safety and first responder experience. For more information about the author please go to http://www.next-paradigm.com/about/
by AllThingsECC.com | Mar 14, 2019 | Articles, Comm Center News
By Wisconsin Department of Military Affairs, Office of Emergency Communications
SOURCE: FirstNet.gov
DATE: March 13, 2019
Every February, 30,000 skiers and spectators descend on northwestern Wisconsin to take part in the largest cross-country race in North America, the American Birkebeiner. The more than 30-mile race from Cable to Hayward, known as the “Birkie,” tests the endurance of skiers. It also creates a huge emergency communications challenge for first responders.
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by AllThingsECC.com | Mar 9, 2019 | Articles, Comm Center News
By Lori Stone, Region III Lead
When it comes to emergency communications in the National Capital Region, Dave Mulholland has seen it all. Originally a member of the U.S. Park Police, Mulholland later took on the role of Statewide Communications Interoperability Coordinator (SWIC) for the District of Columbia where, among other duties, he helped plan and manage emergency communications for large-scale events in the nation’s capital. Today, he serves as the Administrator for the Arlington County (Va.) Emergency Communications Center, which supports more than 225,000 residents and handles upwards of 440,000 calls every year. Public Safety Advocacy Director Dave Buchanan recently sat down with him to discuss his experiences with public safety communications in the National Capital Region for the Public Safety First podcast.
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