By Steve Kelman

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A public/private partnership that is saving lives

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Mobile phones are key to Stockholm's innovative system for saving cardiac arrest victims by adding ordinary citizens to the emergency-response mix.

While spending time in Stockholm recently, I read an amazing, inspiring article in Sweden's leading newspaper, Dagens Nyheter, about an app that teams the public with health professionals to save the lives of people who fall victim to sudden cardiac arrest.

When a person goes into cardiac arrest, the survival rate decreases by 10 percent for each minute the person is not treated. Statistically, most cases of arrest occur in crowded places.

The cardiac arrest team at Sodersjukhuset, one of Stockholm's largest hospitals, decided to get the public involved in treating these cases. Volunteers can get trained in quick interventions for cardiac arrest (they sign up for training online). Once trained, volunteers are tied into the city's GIS-based system that alerts police, fire and ambulance units about the presence of any nearby cardiac arrest patient.

What this system does is include the real-time locations of all volunteers, based on information from their smart phones, so that the volunteer nearest to where the cardiac arrest occurs is also informed, by text message, of the victim's location. Because help can come from nearby volunteers as well as from police or emergency responders who might be farther away, it becomes more likely that the victim will be reached in time.

Ten years ago, Stockholm's survival rate for cardiac arrest patients was 3 percent. Last year, it was up to 10.9 percent.

The system is an example of the public/private cooperation of the future. A government-run alarm system is at the core, along with government police and firefighters, but individual members of the public have the opportunity -- in a very dramatic way -- to participate directly in a public purpose.

The idea came from doctors at the government-run hospital, and developing the system (and training volunteers) is supported by the Stockholm County Council (which runs the health care system), the Swedish Heart-Lung Foundation (a private charity) and companies that manufacture heart-restarter machines. A huge-hats off to Dr. Marten Rosenqvist of Sodersjukhuset, one of the leaders who developed this idea. He will never need to wonder what he accomplished in his life.

And for the rest of us, the challenge is to develop more approaches that use government resources in combination with individual or private-organization initiatives. I will be writing about both the potentials and the pitfalls of public/private partnerships in some upcoming posts.

Posted on Oct 24, 2013 at 2:19 PM


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