Wednesday, January 20, 2016
Calling Dr Sailer! Stat! (or Stats)
Canadian researchers dealing with heart attacks and 911 response found that high-rise apartments are deadly.
During the study period, 7842 cases of out-of-hospital cardiac arrest met the inclusion criteria, of which 5998 (76.5%) occurred below the third floor and 1844 (23.5%) occurred on the third floor or higher. Survival was greater on the lower floors (4.2% v. 2.6%, p = 0.002). Lower adjusted survival to hospital discharge was independently associated with higher floor of patient contact, older age, male sex and longer 911 response time. In an analysis by floor, survival was 0.9% above floor 16 (i.e., below the 1% threshold for futility), and there were no survivors above the 25th floor.This agrees solidly with one of Sailer's valid rules. High status means high altitude. Rich fuckheads enjoy being ABOVE THE RABBLE, even if it means death by Towering Inferno. The first paragraph tells you that 3/4 of the heart attacks HAPPENED below the third floor, in the unhealthy riff-raff section of the status stack. [Rich people are healthier because high status means low stress, and because healthy and attractive people are more likely to get rich.] But among the 1/4 that HAPPENED in the higher and healthier parts of the status stack, rescuers had much more trouble reaching them in time. The richest fuckheads were killed by their arrogance. Thanks, Ralph. Sidenote: The article doesn't give the reasons for these problems. Was it legal limitations on use of main elevators? Had to use low-speed freight elevators? Couldn't get all the equipment and stretchers in, so had to use stairs? Seems like an important set of info, but not stated. Given the MUCH larger variability in ambulance driving time, I find it hard to believe that 20 floors on a passenger elevator can account for those differences in success. = = = = = Update 1/23: BBC did a rare piece of actual journalism exploring the reasons for this. It's not really the height, it's purely and directly status and wealth. Richer people live higher, and ALSO live with hardass SECURITY. Rescuers responding to rich buildings have serious trouble getting INTO the buildings in the first place.
Labels: Emersonian justice
¶ 2:34 AM
