787:
176:
617:
may enter the program. Medic One paramedics receive 2,000 hours of instruction, using both “book” studies and hands on field and clinical application through both the
University of Washington and Harborview Medical Center. The national standard for paramedic training is just 1,100 hours. Medic One paramedics will have more than 700 patient contacts during their training, which is three times the national standard. Upon completion of training Medic One paramedics are considered to be an extension of the ER doctors and may perform advanced medical care, open airways and administer a variety of medications.
795:
806:
1077:
709:
184:
783:
guidelines, established in 2005, are to provide a single shock from a defibrillator followed immediately by two minutes of CPR, beginning with chest compressions. This has dropped the average time between first shock to starting CPR from twenty-eight seconds to seven seconds, resulting in a near 50% increase in the previous rate of survival. For every one hundred cardiac arrest calls, now an additional thirteen patients will live.
192:
563:
22:
609:
instruction of CPR. Firefighters, with EMT training, respond first to deliver immediate Basic Life
Support (BLS), pending the arrival of the paramedics. Specially trained paramedics arrive within minutes to provide Advanced Life Support (ALS) and, if needed, can provide transportation to the nearest appropriate Medical Center.
255:
for patients in cardiac arrest since the EMTs were usually at the patient's side several minutes before the paramedics. Eisenberg began training 9-1-1 dispatchers to provide instructions to lay-persons on how to perform CPR in 1982. With the introduction of automatic external defibrillators (AEDs)
131:
There are six paramedic provider programs in the system. The
Seattle Fire Department operates Seattle Medic One. The program is funded by the city's general fund and has a different administrative structure than the five other Medic One programs. The five other Medic One programs with the exception
616:
Another critical element to the Medic One program is the comprehensive training program for the paramedics, one of the most stringent anywhere, making their paramedics some of the most thoroughly trained in the world. Only paramedics with at least three years of prior firefighter or EMT experience
243:
Medic One had saved 655 patients from cardiac arrest by 1976 and this success was gaining national and international attention. Medic One service was expanded into the rest of King County in 1976, and in conjunction with the Medic One
Foundation, other counties in Washington State began paramedic
612:
The system is successful due to the blended cooperation between the fire department and paramedic/ambulance services, as well as, a strict policy of meticulous measurement of system performance and cardiac arrest survival information. Strong leadership and regional programs promote uniformity in
782:
A change in the protocol of emergency response personnel is also credited as contributing to the high survival rate in the region. Guidelines set by the
American Heart Association in 2000, recommend repeated shocks from a defibrillator and to check for a pulse prior to starting CPR. Medic One
608:
One of the primary components to the success of Medic One is their “Tiered
Response System” which begins with the citizen call to the 9-1-1 center. Emergency Medical Dispatchers are trained to rapidly triage the call to dispatch the appropriate level of assistance, while providing pre-arrival
756:
The paramedic medical director for the one of six Medic One programs that provided care reviews every resuscitation, intubation, and central-line placement attempt. That director provides both positive and negative feedback. For probationary paramedics a more rigorous review is conducted.
231:
declared, "If you have to have a heart attack, have it in
Seattle". The phrase is still used frequently in conjunction with Medic One, due to its continued success which is reflected in the area's high survival rate for heart attacks and their comprehensive CPR training program.
217:
The first Medic One call was on March 7, 1970. During the program's first year, 31 lives were saved. The following year the program was changed, replacing the on-board doctors with fire department paramedics given advanced special training and remote access to the doctors.
632:
Medic One is operated as a partnership between physicians and administrators. Medical directors review patient care by paramedics and can make recommendations including decertification and termination. Administrators act upon the recommendations of the medical director.
239:
and established the Medic One
Foundation, which works on behalf of both fund raising and the expansion of the program. The program is financed by local property tax levies, which are voted on by the public every six years, along with private and corporate donations.
166:
respond simultaneously. Paramedics transport patients in critical condition. For less severe emergencies only firefighters will be dispatched. Basic life support personnel from either a fire department or private ambulance company transport non-critical patients.
817:, in a cardiac arrest registry. In 2008 Medic One's survival rate for witnessed cardiac arrests due to heart disease prior to EMS arrival with initial rhythm of ventricular fibrillation or ventricular tachycardia was 49%.
765:
Medic One paramedic programs are funded by a property tax levy. Basic life support services receive partial funding from the levy. The levy passed in 1979, 1985, 1991, 1998, 2001, and 2008. The levy did not pass in 1997.
2053:
1064:
The average response time for basic life support personnel for cardiac arrests from time of 9-1-1 being dialed to arrival is 4 minutes 40 seconds and for advanced life support personnel is 9 minutes 45 seconds.
2012:
2017:
769:
The Medic One
Foundation is a nonprofit charitable foundation supporting paramedic training, research, medical oversight and quality review, and the purchasing of emergency medical equipment.
207:, Gordon Vickery, training firefighters to treat cardiac arrest. The department was attractive to Cobb because it already provided first aid and tracked its performance electronically.
154:
who gathers information from the caller, gives instructions to the caller, and determines what types of emergency personnel to send. For very serious and life-threatening emergencies
641:
The major components of Medic One's response system are universal access, dispatcher triage, basic life support services, advanced life support services, and transport to hospitals.
671:
guidelines to send the most appropriate care providers. The three response levels are basic with advanced life support units, emergency BLS only, and non-emergency BLS only.
55:
2058:
2048:
1834:
1705:
Rea TD, Olsufka M, Bemis B, et al. (February 2010). "A population-based investigation of public access defibrillation: role of emergency medical services care".
2022:
2043:
1483:
1795:"Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial"
1536:
1586:
798:
Survival rates from 2001 through 2008 for bystander witnessed cardiac arrest due to heart disease with an initial rhythm of ventricular fibrillation or
657:
578:
323:
133:
214:
into a Mobile
Coronary Care Unit nicknamed "Moby Pig", which would respond to calls with both the firefighter paramedics and a physician on board.
2002:
1997:
1992:
1987:
1982:
1977:
1972:
624:
area has the highest per capita number of citizens that are trained in the administration of CPR techniques, approximately 50% of its residents.
227:
profiled the success of Medic One, lauding the high standards of training and education provided by the Seattle training program. Correspondent
1550:
786:
1909:
1890:
720:
regardless of previous training. The training is 1,866 total hours consisting of 380 lecture hours, 120 lab hours, 466 clinical hours in the
661:
679:
385:
248:
1084:
Seattle Medic One's first-pass success rate for oral endotracheal intubation is 75% (years 2001–2005). Its overall success rate is 98.4%.
1068:
In 2008, 58% (530/920) of EMS-treated cardiac arrests not witnessed by EMS in Seattle & King County CPR was initiated by a bystander.
717:
1758:
Warner KJ, Sharar SR, Copass MK, Bulger EM (April 2009). "Prehospital management of the difficult airway: a prospective cohort study".
1114:
73:
210:
In 1969, they trained fifteen firefighters and used a grant from the Washington/Alaska Regional Medical Program to convert a large
175:
692:
Basic life support transports for 9-1-1 calls are provided by either a fire department or one of the private ambulance companies
547:. The paramedic medical director for Seattle Medic One is Michael Sayre. The Seattle program conducts field internships for the
41:
1317:
794:
649:
151:
1384:
2007:
1957:
1644:
805:
1952:
1076:
653:
729:
693:
464:
341:
146:
The system is a dynamic layered response system. An EMS response to an emergency begins with a telephone call to
2027:
548:
445:
414:
401:
369:
51:
668:
477:
143:
unit in Seattle. In 2009, there were 255 paramedics from six paramedic programs staffing 26 paramedic units.
799:
621:
544:
503:
361:
296:
236:
204:
37:
32:
570:
132:
of King County Medic One are operated by fire departments under a formal contract with the EMS Division of
1627:
353:
1641:"SCounty boosts cardiac survival rate - Reason may be a new resuscitation method used by emergency crews"
128:
is a fire-based two-tier response system providing prehospital basic and advanced life support services.
1828:
708:
686:
432:
349:
163:
114:
745:
741:
697:
574:
725:
594:
582:
495:
460:
357:
211:
1561:
1270:
821:
Survival to hospital discharge rates broken down by before and after EMS arrival and initial rhythm
183:
602:
499:
428:
393:
373:
620:
The final component is an emphasis on community based CPR training, called Medic Two. The Seattle/
737:
733:
675:
491:
397:
389:
381:
377:
345:
337:
159:
110:
1461:
Duvall's (4,000) + Kirkland's (45,000) + Redmond's (46,000) + Woodinvillie's (9,000) populations
1405:
813:
In King County outcomes of attempted out-of-hospital resuscitations are recorded, following the
1936:
1905:
1886:
1882:
1875:
1816:
1775:
1722:
1580:
562:
1295:
139:
The modern EMS system in King County began operation in 1970 with 15 paramedics staffing one
1967:
1928:
1806:
1767:
1714:
1217:
365:
1245:
200:
1794:
1718:
1159:
721:
252:
1932:
1849:"Dispatcher-Assisted Resuscitation Trial (DART) - Full Text View - ClinicalTrials.gov"
256:
in 1984, EMTs were able to defibrillate patients in cardiac arrest even more quickly.
2037:
2023:
2002 Strategic Plan Update of the 1998-2003 Emergency Medical Services Strategic Plan
1102:
Transthoracic Incremental Monophasic Versus Biphasic by Emergency Responders (TIMBER)
814:
1947:
1640:
1771:
228:
191:
1848:
809:
Growth of registered public access defibrillators in King County from 1999 to 2006
1330:"Michael Sayre, MD | Department of Emergency Medicine | University of Washington"
1902:
Resuscitate!: How Your Community Can Improve Survival from Sudden Cardiac Arrest
155:
21:
2003:
Public Health - Seattle & King County EMS Division's 2003 EMS Annual Report
1998:
Public Health - Seattle & King County EMS Division's 2004 EMS Annual Report
1993:
Public Health - Seattle & King County EMS Division's 2005 EMS Annual Report
1988:
Public Health - Seattle & King County EMS Division's 2006 EMS Annual Report
1983:
Public Health - Seattle & King County EMS Division's 2007 EMS Annual Report
1978:
Public Health - Seattle & King County EMS Division's 2008 EMS Annual Report
1973:
Public Health - Seattle & King County EMS Division's 2009 EMS Annual Report
700:. Advanced life support transports for 9-1-1 calls are provided by paramedics.
247:
In 1979, Cobb and UW professor Mickey Eisenberg began training fire department
223:
1877:
Life in the Balance: Emergency Medicine and the Quest to Reverse Sudden Death
1811:
1329:
1221:
1096:
551:
140:
1940:
1820:
1779:
1726:
1203:
Cardiac Arrest: The Science and Practice of Resuscitation Medicine, pg. 20
1172:
1170:
1168:
1505:
598:
540:
310:
1080:
Intubation success rates for Seattle Medic One April 2001 – April 2005
790:
Survival rates for ten communities from May 1, 2006, to April 30, 2007
593:
Founded on strong physician leadership Medic One is structured around
1962:
1298:. University of Washington Department of Research. September 1, 1996
1108:
Emergency Medical Technician Treatment of Hypoglycemia in the Field
1537:"Criteria Based Dispatch: Improving Emergency Medical Dispatching"
1160:
The local action plan to improve community cardiac arrest survival
1075:
804:
793:
785:
707:
658:
North East King County Regional Public Safety Communication Agency
645:
190:
182:
179:
Patient being loaded into a Seattle Medic One ambulance circa 1970
174:
147:
136:. King County Medic One is directly operated by the EMS Division.
1484:"Medic One/Emergency Medical Services – 2008-2013 Strategic Plan"
1099:
Assisted Prehospital International Resuscitation (ASPIRE) Trial
126:
The Seattle & King County Emergency Medical Services System
648:
call is handled by one of the following communication centers
15:
2018:
2008-2013 Medic One/Emergency Medical Services Strategic Plan
1919:
Eisenberg, Mickey (July 2002). "Leonard Cobb and Medic One".
1122:
At-Home Automated External Defibrillator (AED) Training Study
2054:
Medical and health organizations based in Washington (state)
1691:
1689:
1679:
1677:
539:
Seattle Medic One is the paramedic provider program serving
1452:
Bellevue's (120,000) + Mercer Island's (20,000) populations
264:
There are five paramedic programs in the Medic One system.
235:
That same year Medic One incorporated as a privately held,
1667:
1665:
1663:
1661:
1486:. Public Health Seattle & King County. January 1, 2007
1370:
1368:
1366:
1364:
1354:
1352:
1350:
1469:
1467:
1190:
1188:
1186:
1184:
1182:
203:, cardiologist Leonard Cobb proposed to the chief of the
662:
Port of Seattle Police Department Communications Center
613:
medical care and response, regardless of jurisdiction.
47:
1155:
1153:
1443:
Bothell's (30,000) + Shoreline's (50,000) populations
1383:
King County Paramedics Association, IAFF Local 2595,
150:. Calls are transferred from a primary call taker to
2013:
Medic One/EMS 2014-2019 Strategic Plan - King County
1147:
EMS Division 2002, 2002 Strategic Plan Update pg. 24
1138:
EMS Division 2002, 2002 Strategic Plan Update pg. 53
2028:
South King County Medic One Feasibility Study, 2004
1793:Hallstrom A, Rea TD, Sayre MR; et al. (2006).
1218:"Seattle: Firefighters, medics unite to save lives"
819:
748:. Students see an average of 700 patient contacts.
718:
University of Washington Paramedic Training Program
716:All paramedics in King County are graduates of the
266:
109:
101:
93:
1874:
1430:
1428:
1426:
1424:
1422:
36:, potentially preventing the article from being
1904:. University of Washington Press. p. 256.
1111:Induced Hypothermia for Cardiac Arrest Patients
910:Bystander Witnessed VF/VT Due to Heart Disease
1105:Dispatcher-Assisted Resuscitation Trial (DART)
859:Ventricular Fibrillation/Tachycardia (VF/VT)
8:
1833:: CS1 maint: multiple names: authors list (
88:
1968:Medic One 40th Anniversary: Seattle Channel
1211:
1209:
2008:Seattle Fire Department Annual Report 2017
251:(EMT-Bs) to perform the administration of
87:
56:reliable, independent, third-party sources
1810:
1506:"In One Hour You Can Become a Gatekeeper"
1273:. Public Health Seattle & King County
579:Public Health - Seattle & King County
324:Public Health - Seattle & King County
134:Public Health - Seattle & King County
74:Learn how and when to remove this message
2059:Emergency services in Washington (state)
1617:EMS Division 2008, Strategic Plan pg. 12
1608:EMS Division 2008, Strategic Plan pg. 11
573:is the paramedic service serving all of
561:
50:by replacing them with more appropriate
2049:Ambulance services in the United States
1131:
33:too closely associated with the subject
1826:
1585:: CS1 maint: archived copy as title (
1578:
1119:SPHERE Hypertension Intervention Study
744:, and 900 field internship hours with
678:provided by cross-trained firefighter
2044:Government of King County, Washington
1948:USA Today: Six Minutes to Live or Die
1290:
1288:
1240:
1238:
680:emergency medical technician - basics
249:emergency medical technician - Basics
244:programs to serve their communities.
7:
1900:Eisenberg, Mickey (April 30, 2009).
1881:. Oxford University Press. pp.
1265:
1263:
944:Pulseless Electrical Activity (PEA)
815:Utstein uniform reporting guidelines
650:Seattle Fire Department Alarm Center
386:Seattle-Tacoma International Airport
1873:Eisenberg, Mickey (July 17, 1997).
1719:10.1016/j.resuscitation.2009.10.025
1639:Black, Cherie (December 12, 2006).
1176:Seattle Fire Department 2008, pg. 2
199:In 1968, motivated by the work of
14:
1115:Resuscitation Outcomes Consortium
1093:Cardiac Arrest Blood Study (CABS)
1246:"Medic One Facts – Did You Know"
31:may rely excessively on sources
20:
1316:Belew, Ellie 2004, pg. 78 - 79
1772:10.1016/j.jemermed.2007.10.058
1216:Davis, Robert (May 20, 2005).
221:In 1974, the TV news-magazine
1:
1933:10.1016/S0300-9572(02)00146-6
1599:Seattle Channel, minute 33:18
566:Logo of King County Medic One
1628:2006-07 Financial Highlights
654:Valley Communications Center
152:emergency medical call taker
105:Fire-based two-tier response
742:Seattle Children's Hospital
282:Paramedic medical director
2075:
1645:Seattle Post-Intelligencer
667:Medic One dispatchers use
581:. Its medical director is
195:King County Paramedic Unit
162:and paramedics trained in
1739:EMS Division 2006, pg. 55
1695:EMS Division 2008, pg. 64
1683:EMS Division 2007, pg. 61
1671:EMS Division 2009, pg. 70
1434:EMS Division 2009, pg. 11
1413:Shoreline Fire Department
1395:EMS Division 2009, pg. 15
1385:The Stations of IAFF 2595
1374:EMS Division 2009, pg. 21
1194:EMS Division 2009, pg. 75
730:Harborview Medical Center
694:American Medical Response
415:Shoreline Fire Department
1812:10.1001/jama.295.22.2620
1473:EMS Division 2009, pg. 9
549:University of Washington
543:. It is operated by the
446:Bellevue Fire Department
1526:Eisenberg 2009, pg. 123
1358:Eisenberg 2009, pg. 129
1271:"King County Medic One"
1072:Endotracheal intubation
800:ventricular tachycardia
669:criteria based dispatch
545:Seattle Fire Department
478:Redmond Fire Department
297:Seattle Fire Department
237:non-profit organization
205:Seattle Fire Department
1748:Eisenberg 2009, pg. 69
1626:Medic One Foundation,
1248:. Medic One Foundation
1081:
810:
802:
791:
713:
712:Break down of training
567:
320:King County Medic One
196:
188:
187:Seattle Paramedic Unit
180:
1958:King County Medic One
1508:. QPR Institute. 1999
1318:History of Local 2595
1079:
808:
797:
789:
711:
687:advanced life support
571:King County Medic One
565:
558:King County Medic One
194:
186:
178:
164:advanced life support
1963:Medic One Foundation
1415:. November 20, 2008.
726:emergency department
411:Shoreline Medic One
876:Before EMS Arrival
822:
685:The second tier is
603:quality improvement
488:Adrian Whorton, MD
442:Bellevue Medic One
90:
1082:
978:After EMS Arrival
820:
811:
803:
792:
738:labor and delivery
734:critical care unit
714:
676:basic life support
674:The first tier is
568:
554:Training Program.
474:Redmond Medic One
307:Michael Sayre, MD
293:Seattle Medic One
288:Population served
270:Paramedic program
197:
189:
181:
160:basic life support
1953:Seattle Medic One
1911:978-0-295-98889-4
1892:978-0-19-510179-9
1805:(22): 2620–2628.
1062:
1061:
746:Seattle Medic One
698:Tri-Med Ambulance
575:South King County
535:Seattle Medic One
532:
531:
123:
122:
84:
83:
76:
2066:
1944:
1915:
1896:
1880:
1860:
1859:
1857:
1855:
1845:
1839:
1838:
1832:
1824:
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1790:
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1755:
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1731:
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1606:
1600:
1597:
1591:
1590:
1584:
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1572:
1567:on June 18, 2009
1566:
1560:. Archived from
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1541:
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1527:
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1314:
1308:
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1303:
1296:"1970 Medic One"
1292:
1283:
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1278:
1267:
1258:
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1253:
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1232:
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1201:
1195:
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1177:
1174:
1163:
1157:
1148:
1145:
1139:
1136:
823:
425:Gary Somers, MD
285:Service area(s)
276:Paramedic units
267:
91:
79:
72:
68:
65:
59:
24:
16:
2074:
2073:
2069:
2068:
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1918:
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1703:
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1616:
1612:
1607:
1603:
1598:
1594:
1577:
1570:
1568:
1564:
1558:www.hecb.wa.gov
1553:
1551:"Archived copy"
1549:
1548:
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1535:
1534:
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1521:
1511:
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1499:
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1442:
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1408:
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1399:
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1180:
1175:
1166:
1158:
1151:
1146:
1142:
1137:
1133:
1129:
1090:
1074:
879:16% (164/1015)
854:19% (199/1046)
851:18% (191/1035)
845:17% (190/1124)
780:
775:
763:
754:
706:
639:
630:
591:
583:Peter Kudenchuk
560:
537:
459:I-90 corridor,
262:
201:Frank Pantridge
173:
80:
69:
63:
60:
45:
25:
12:
11:
5:
2072:
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1033:
1030:
1026:
1025:
1022:
1019:
1016:
1013:
1009:
1008:
1005:
1002:
999:
996:
992:
991:
988:
985:
982:
979:
975:
974:
971:
968:
965:
962:
958:
957:
954:
951:
948:
945:
941:
940:
937:
934:
931:
928:
924:
923:
922:49% (102/208)
920:
917:
914:
911:
907:
906:
905:39% (112/286)
903:
900:
899:36% (100/279)
897:
896:29% (113/386)
894:
890:
889:
888:17% (160/920)
886:
885:16% (143/899)
883:
882:17% (145/875)
880:
877:
873:
872:
871:47% (151/323)
869:
868:40% (120/302)
866:
865:40% (125/310)
863:
862:30% (132/436)
860:
856:
855:
852:
849:
848:18% (174/993)
846:
843:
839:
838:
835:
832:
829:
826:
779:
778:Cardiac arrest
776:
774:
771:
762:
759:
753:
750:
722:operating room
705:
702:
638:
635:
629:
626:
590:
587:
559:
556:
536:
533:
530:
529:
526:
524:
522:
519:
516:
514:
510:
509:
506:
489:
486:
483:
480:
475:
471:
470:
467:
457:
456:Jim Boehl, MD
454:
451:
448:
443:
439:
438:
435:
426:
423:
420:
417:
412:
408:
407:
404:
335:
332:
329:
326:
321:
317:
316:
313:
308:
305:
302:
299:
294:
290:
289:
286:
283:
280:
277:
274:
271:
261:
258:
253:defibrillation
172:
169:
121:
120:
117:
107:
106:
103:
99:
98:
95:
82:
81:
28:
26:
19:
13:
10:
9:
6:
4:
3:
2:
2071:
2060:
2057:
2055:
2052:
2050:
2047:
2045:
2042:
2041:
2039:
2029:
2026:
2024:
2021:
2019:
2016:
2014:
2011:
2009:
2006:
2004:
2001:
1999:
1996:
1994:
1991:
1989:
1986:
1984:
1981:
1979:
1976:
1974:
1971:
1969:
1966:
1964:
1961:
1959:
1956:
1954:
1951:
1949:
1946:
1942:
1938:
1934:
1930:
1926:
1922:
1921:Resuscitation
1917:
1913:
1907:
1903:
1898:
1894:
1888:
1884:
1879:
1878:
1871:
1870:
1865:
1850:
1844:
1841:
1836:
1830:
1822:
1818:
1813:
1808:
1804:
1800:
1796:
1789:
1786:
1781:
1777:
1773:
1769:
1766:(3): 257–65.
1765:
1761:
1754:
1751:
1745:
1742:
1736:
1733:
1728:
1724:
1720:
1716:
1712:
1708:
1707:Resuscitation
1701:
1698:
1692:
1690:
1686:
1680:
1678:
1674:
1668:
1666:
1664:
1662:
1658:
1650:September 25,
1646:
1642:
1635:
1632:
1629:
1623:
1620:
1614:
1611:
1605:
1602:
1596:
1593:
1588:
1582:
1563:
1559:
1552:
1546:
1543:
1538:
1532:
1529:
1523:
1520:
1512:September 25,
1507:
1501:
1498:
1490:September 25,
1485:
1479:
1476:
1470:
1468:
1464:
1458:
1455:
1449:
1446:
1440:
1437:
1431:
1429:
1427:
1425:
1423:
1419:
1414:
1407:
1406:"2009 Budget"
1401:
1398:
1392:
1389:
1386:
1380:
1377:
1371:
1369:
1367:
1365:
1361:
1355:
1353:
1351:
1347:
1335:
1331:
1325:
1322:
1319:
1313:
1310:
1302:September 25,
1297:
1291:
1289:
1285:
1277:September 25,
1272:
1266:
1264:
1260:
1252:September 25,
1247:
1241:
1239:
1235:
1227:September 25,
1223:
1219:
1212:
1210:
1206:
1200:
1197:
1191:
1189:
1187:
1185:
1183:
1179:
1173:
1171:
1169:
1165:
1161:
1156:
1154:
1150:
1144:
1141:
1135:
1132:
1126:
1121:
1118:
1116:
1113:
1110:
1107:
1104:
1101:
1098:
1095:
1092:
1091:
1087:
1085:
1078:
1071:
1069:
1066:
1057:
1054:
1051:
1048:
1045:
1044:
1040:
1037:
1034:
1031:
1028:
1027:
1023:
1020:
1017:
1014:
1011:
1010:
1006:
1003:
1000:
997:
994:
993:
990:31% (39/126)
989:
987:35% (48/136)
986:
984:25% (29/118)
983:
981:24% (26/108)
980:
977:
976:
972:
969:
966:
963:
960:
959:
956:14% (39/277)
955:
953:14% (39/281)
952:
950:15% (38/253)
949:
947:12% (18/155)
946:
943:
942:
938:
935:
932:
929:
926:
925:
921:
919:45% (84/188)
918:
916:41% (80/196)
915:
913:45% (86/193)
912:
909:
908:
904:
902:36% (97/267)
901:
898:
895:
892:
891:
887:
884:
881:
878:
875:
874:
870:
867:
864:
861:
858:
857:
853:
850:
847:
844:
841:
840:
836:
833:
830:
827:
825:
824:
818:
816:
807:
801:
796:
788:
784:
777:
772:
770:
767:
760:
758:
751:
749:
747:
743:
739:
735:
731:
727:
723:
719:
710:
703:
701:
699:
695:
690:
688:
683:
681:
677:
672:
670:
665:
663:
659:
655:
651:
647:
642:
636:
634:
627:
625:
623:
618:
614:
610:
606:
604:
600:
596:
588:
586:
584:
580:
576:
572:
564:
557:
555:
553:
550:
546:
542:
534:
527:
525:
523:
520:
517:
515:
512:
511:
507:
505:
501:
497:
493:
490:
487:
484:
481:
479:
476:
473:
472:
468:
466:
465:Mercer Island
462:
458:
455:
452:
449:
447:
444:
441:
440:
436:
434:
430:
427:
424:
421:
418:
416:
413:
410:
409:
405:
403:
399:
395:
391:
387:
383:
379:
375:
371:
367:
363:
359:
355:
351:
347:
343:
342:Black Diamond
339:
336:
333:
330:
327:
325:
322:
319:
318:
314:
312:
309:
306:
303:
300:
298:
295:
292:
291:
287:
284:
281:
278:
275:
272:
269:
268:
265:
259:
257:
254:
250:
245:
241:
238:
233:
230:
226:
225:
219:
215:
213:
208:
206:
202:
193:
185:
177:
170:
168:
165:
161:
157:
153:
149:
144:
142:
137:
135:
129:
127:
119:35 BLS, 6 ALS
118:
116:
112:
108:
104:
100:
96:
92:
86:
78:
75:
67:
57:
53:
49:
43:
39:
35:
34:
29:This article
27:
23:
18:
17:
1924:
1920:
1901:
1876:
1854:February 21,
1852:. Retrieved
1843:
1829:cite journal
1802:
1798:
1788:
1763:
1759:
1753:
1744:
1735:
1713:(2): 163–7.
1710:
1706:
1700:
1648:. Retrieved
1634:
1622:
1613:
1604:
1595:
1569:. Retrieved
1562:the original
1557:
1545:
1531:
1522:
1510:. Retrieved
1500:
1488:. Retrieved
1478:
1457:
1448:
1439:
1412:
1400:
1391:
1379:
1337:. Retrieved
1333:
1324:
1312:
1300:. Retrieved
1275:. Retrieved
1250:. Retrieved
1225:. Retrieved
1199:
1143:
1134:
1083:
1067:
1063:
1041:18% (14/78)
1038:24% (20/82)
1035:19% (13/70)
1007:62% (23/37)
1004:66% (23/35)
1001:48% (15/31)
998:38% (19/50)
812:
781:
768:
764:
755:
715:
691:
684:
673:
666:
643:
640:
631:
619:
615:
611:
607:
592:
577:provided by
569:
538:
528:1.8 million
402:White Center
370:Maple Valley
334:Tom Rea, MD
273:Operated by
263:
246:
242:
234:
229:Morley Safer
222:
220:
216:
209:
198:
156:firefighters
145:
138:
130:
125:
124:
94:Jurisdiction
85:
70:
64:October 2021
61:
46:Please help
30:
1760:J Emerg Med
1571:January 14,
1162:, section 7
1024:16% (2/12)
1021:26% (5/19)
1015:25% (4/16)
964:100% (1/1)
939:2% (8/354)
936:2% (6/346)
933:1% (5/335)
930:1% (6/473)
773:Performance
752:Improvement
622:King County
504:Woodinwille
362:Federal Way
279:Paramedics
158:trained in
97:1.8 million
2038:Categories
1927:(1): 5–9.
1866:References
1032:7% (3/41)
1018:7% (1/14)
973:25% (1/4)
970:33% (1/3)
967:25% (2/8)
644:A medical
628:Leadership
354:Des Moines
224:60 Minutes
212:motor home
102:Dept. type
48:improve it
38:verifiable
1334:em.uw.edu
1222:USA Today
1127:Footnotes
1097:AutoPulse
1052:0% (0/3)
1049:0% (0/1)
1012:Asystole
927:Asystole
704:Education
589:Structure
552:Paramedic
433:Shoreline
350:Covington
141:paramedic
89:Medic One
52:citations
1941:12104102
1821:16772625
1780:18439793
1727:19962225
1581:cite web
1088:Research
1046:Unknown
961:Unknown
637:Response
599:training
595:response
508:104,000
496:Kirkland
469:140,000
461:Bellevue
406:712,000
358:Enumclaw
315:600,000
260:Programs
1339:May 17,
761:Funding
541:Seattle
500:Redmond
437:70,000
429:Bothell
394:Tukwila
374:Pacific
311:Seattle
171:History
42:neutral
1939:
1908:
1889:
1819:
1778:
1725:
1058:(0/0)
1055:(0/0)
995:VF/VT
893:VF/VT
601:, and
513:Total
492:Duvall
398:Vashon
390:Skyway
382:Seatac
378:Renton
346:Burien
338:Auburn
1565:(PDF)
1554:(PDF)
1409:(PDF)
837:2008
834:2007
831:2006
828:2005
660:, or
646:9-1-1
148:9-1-1
1937:PMID
1906:ISBN
1887:ISBN
1856:2010
1835:link
1817:PMID
1799:JAMA
1776:PMID
1723:PMID
1652:2009
1587:link
1573:2022
1514:2009
1492:2009
1341:2023
1304:2009
1279:2009
1254:2009
1229:2009
1029:PEA
842:All
736:and
732:and
724:and
696:and
521:251
366:Kent
40:and
1929:doi
1883:320
1807:doi
1803:295
1768:doi
1715:doi
740:at
728:at
518:26
485:31
453:36
422:29
331:77
304:78
115:ALS
113:or
111:BLS
54:to
2040::
1935:.
1925:54
1923:.
1885:.
1831:}}
1827:{{
1815:.
1801:.
1797:.
1774:.
1764:36
1762:.
1721:.
1711:81
1709:.
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1676:^
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1643:.
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1579:{{
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1466:^
1421:^
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1363:^
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1287:^
1262:^
1237:^
1220:.
1208:^
1181:^
1167:^
1152:^
689:.
682:.
664:.
656:,
652:,
605:.
597:,
585:.
502:,
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494:,
482:3
463:,
450:4
431:,
419:3
400:,
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392:,
388:,
384:,
380:,
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372:,
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356:,
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348:,
344:,
340:,
328:9
301:7
1943:.
1931::
1914:.
1895:.
1858:.
1837:)
1823:.
1809::
1782:.
1770::
1729:.
1717::
1654:.
1589:)
1575:.
1539:.
1516:.
1494:.
1343:.
1306:.
1281:.
1256:.
1231:.
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71:(
66:)
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44:.
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
