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Minnesota EMS Evidence I Every Second Counts <br />UNIVERSITY OF MINNESOTA — CARDIAC ARREST <br />The University of Minnesota Medical School's Center for Resuscitation Medicine explains that during cardiac arrest the brain stops <br />receiving oxygen. Its director states that "Every minute we don't do anything about it, the chance of survival drops by 10%." U <br />of M resuscitation researchers separately summarize the time sensitivity of advanced cardiac -arrest care this way: "Not just every <br />minute counts, every second counts." <br />MINNESOTA MOBILE RESUSCITATION CONSORTIUM <br />When the U of M and Minnesota health -system partners launched the statewide mobile -resuscitation initiative, the University <br />reported that among the targeted cardiac -arrest population, each additional 10-minute delay in treatment increased mortality <br />approximately 15-25%. The program was designed specifically to move advanced resuscitation capability closer to patients and <br />reduce treatment delay. <br />MINNESOTA DEPARTMENT OF HEALTH — STROKE <br />MDH's Minnesota Stroke Program uses the message "Every Second Counts." MDH emphasizes rapid 911 activation, identifies <br />EMS as part of the acute stroke team, and designs Minnesota's stroke system around getting patients rapidly to stroke -ready <br />hospitals. <br />MINNESOTA DEPARTMENT OF HEALTH — TRAUMA <br />MDH states that for a severely injured patient, the time between injury and definitive care is the most important predictor of <br />survival and that survival diminishes as time passes. Minnesota's trauma system therefore uses specific EMS transport and <br />performance -time measures. <br />WHAT IT ESTABLISHES <br />For cardiac arrest, stroke and major trauma, Minnesota medical institutions treat elapsed time as an outcome variable —not an <br />administrative convenience. Delays measured in minutes, and in some circumstances seconds, can materially affect the opportunity <br />for successful treatment. <br />WHY IT MATTERS FOR STREET DESIGN <br />A cul-de-sac does not cause a cardiac arrest, stroke or traumatic injury. The roadway becomes relevant after the <br />emergency occurs. On a single -access residential street, the reliability of that one route becomes part of the <br />emergency -response chain. Minnesota medical evidence therefore supports treating access reliability, redundancy <br />and network design as legitimate EMS considerations independently of whether minimum Fire Code dimensions are <br />satisfied. <br />RAMSEY CONNECTION <br />Ramsey Police has already articulated the operational connection in its own words: providing a second access to a <br />long single -access street would "increase our ability to quickly render aid." Minnesota's medical evidence explains <br />why that operational concern can matter to patient outcomes. <br />Source note: I ne clinical percentages anove aescrloe the speciric caralac-arrest populations aiscussea by the cites u or ivi sources ana snoula not be <br />generalized to every EMS call. <br />U of M Medical School — cardiac arrest and survival by minute <br />University of Minnesota — Every Second Counts <br />U of M — Minnesota Mobile Resuscitation Consortium <br />Minnesota Department of Health — Every Second Counts / Stroke <br />Minnesota Department of Health — Minnesota Trauma System <br />Ramsey Bowers Drive oublic-safetv record <br />Minnesota EMS evidence I time -sensitive emergencies <br />