medical

Chinese medical aid lands in Madrid

A Boeing 777 carrying 56 tons of medical equipment from China landed in Madrid late on Saturday night, the regional government said.




medical

Coronavirus – Medical devices and biocide – Europe

While medical professionals everywhere around the globe are working as hard as they can, both them as well as consumers are trying to get protective products to remain healthy and, where possible, prevent being contaminated. It is clear that in seve...




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Medical Properties Trust: Oversold And Still Growing




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Coronavirus - Import duty and VAT on medical supplies, equipment and protective clothing - Europe

In order to help in the fight against COVID-19, the European Commission has adopted a Decision, addressed to the Member States, which allows for tax authorities across Europe to offer import tax reliefs to importers of personal protective equipment ...




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Avanos Medical, Inc. (AVNS) CEO Joe Woody on Q1 2020 Results - Earnings Call Transcript




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Final-year medical students say universities acting ‘recklessly’ over in-service training

Final-year medical students across the country are afraid to return to hospitals to complete their in-service training as Covid-19 continues to rapidly spread.




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Coronavirus – Impact on the medical device industry – Europe

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US governors aim to boost production of medical supplies

JEFFERSON CITY, Mo. (AP) " Frustrated by scarce supplies and a chaotic...




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US governors aim to boost production of medical supplies

By DAVID A. LIEB JEFFERSON CITY, Mo. (AP) — Frustrated by scarce supplies and a chaotic marketplace amid the coronavirus outbreak, some U.S. governors are seeking to bolster their home-state production of vital medical and protective equipment to ensure a reliable long-term source for state stockpiles. The efforts come as states have been competing against each other, the federal government, hospitals, emergency responders and even other countries to get items such as N95 masks, gloves, medical gowns and hand sanitizer — often paying higher-than-usual prices because of the high demand. Before the coronavirus pandemic, the U.S. got much of its medical supplies from China. But China limited...




medical

US governors aim to boost production of medical supplies

JEFFERSON CITY, Mo. (AP) — Frustrated by scarce supplies and a chaotic marketplace amid the coronavirus outbreak, some U.S. governors are seeking to bolster their home-state production of vital medical and protective equipment to ensure a reliable long-term source for state stockpiles. The efforts come as states have been competing against each other, the federal government, hospitals, emergency responders and even other countries to get items such as N95 masks, gloves, medical gowns and hand sanitizer — often paying higher-than-usual prices because of the high demand. Before the coronavirus pandemic, the U.S. got much of its medical supplies from China. But China limited exports earlier...




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Crash of Plane Carrying Coronavirus Medical Supplies Shrouded in Mystery

[DW] Kenya has demanded an investigation into a fatal crash of a humanitarian aircraft which killed all people on board.




medical

PPP, medical bodies demand end to privatisation of healthcare facilities

PESHAWAR: The Pakistan People’s Party and the representatives of medical organisations of Khyber Pakhtunkhwa have demanded an end to the privatisation of healthcare facilities in the province and provision of automated coronavirus testing machines to medical staff. The demand was made...




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Bacha Khan Medical College launches online classes

PESHAWAR: The Bacha Khan Medical College in Mardan has launched online classes for its students in order to enable them to pursue their studies without any hindrance.It was the first medical college that took the initiative after the government closed all educational institutions in the country...




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Coronavirus: China’s medical supply boom, lockdown backlog sparked surprise April exports rise

A surprise jump in Chinese exports in April will be short-lived, analysts said, with the world’s second largest economy unable to stay sheltered from the demand shock to come from the global economic downturn.A 3.5 per cent rise in shipments last month caught economists by surprise and left them scrambling for explanations as the consensus forecast was for an 11 per cent contraction.The rise was, in part, due to factories coming back online in China in March and April to fulfil orders that had…




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Medical professionals honored

LATIN AMERICAN MEDICINE DAY Medical professionals honored This December 3, celebrated in Cuba as Latin American Medicine Day, provided an opportunity to recognize those who, with disinterested humility, “struggle every day for the lives of our people and in other sister countries,”




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In a time of coronavirus, Iran parades medical gear, not missiles

It was a far cry from the typical Army Day parades, which normally feature spectacles of infantry, missiles, and armoured vehicles.




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PPP, medical bodies demand end to privatisation of healthcare facilities

PESHAWAR: The Pakistan People’s Party and the representatives of medical organisations of Khyber Pakhtunkhwa have demanded an end to the privatisation of healthcare facilities in the province...

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France seizes 440,000 face masks as it breaks up medical smuggling networks

French police have dismantled smuggling networks trying to take advantage of a rush to buy medical supplies including face masks to tackle the coronavirus epidemic, the interior minister said Friday.




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Proper disposal of medical waste can help us cope with pandemics -- by Stephen Peters, Christine P. Chan

Medical waste disposal is a key part of pandemic planning and recovery that we must get right during the COVID-19 outbreak.




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ADB’s Trade Finance Program Supports Medical Supplies to Combat Pandemic in Sri Lanka

The Asian Development Bank (ADB) has provided a guarantee for a $25 million trade loan to the State Pharmaceuticals Corporation of Sri Lanka (SPC) to purchase medical supplies as part of the country’s response to the novel ....




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The sparkling history of tonic, from medical miracle to G&T essential

The story of how gin and tonic came together fizzes with adventure, discovery, imperial ambition, biopiracy and a generous splash of fake news




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Medical Marijuana May Ease Some MS Symptoms, Study Concludes

Title: Medical Marijuana May Ease Some MS Symptoms, Study Concludes
Category: Health News
Created: 4/28/2014 4:36:00 PM
Last Editorial Review: 4/29/2014 12:00:00 AM




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When Medical Marijuana Doesn't Work

Title: When Medical Marijuana Doesn't Work
Category: Health News
Created: 5/1/2014 11:00:00 AM
Last Editorial Review: 5/1/2014 12:00:00 AM




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Eating Gluten-Free Without a Medical Reason?

Title: Eating Gluten-Free Without a Medical Reason?
Category: Health News
Created: 5/2/2017 12:00:00 AM
Last Editorial Review: 5/3/2017 12:00:00 AM




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Most Americans Hit Hard by Medical Bills

Title: Most Americans Hit Hard by Medical Bills
Category: Health News
Created: 5/2/2019 12:00:00 AM
Last Editorial Review: 5/2/2019 12:00:00 AM




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UV Light Won't Treat COVID-19 -- But It Might Disinfect Medical Gear

Title: UV Light Won't Treat COVID-19 -- But It Might Disinfect Medical Gear
Category: Health News
Created: 4/28/2020 12:00:00 AM
Last Editorial Review: 4/29/2020 12:00:00 AM




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Pandemic Delaying Medical Care of Older Americans

Title: Pandemic Delaying Medical Care of Older Americans
Category: Health News
Created: 4/30/2020 12:00:00 AM
Last Editorial Review: 4/30/2020 12:00:00 AM




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Allow Dead Men to Be Sperm Donors, Medical Ethicists Say

Title: Allow Dead Men to Be Sperm Donors, Medical Ethicists Say
Category: Health News
Created: 1/22/2020 12:00:00 AM
Last Editorial Review: 1/22/2020 12:00:00 AM




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Redefining Medical Competencies for an Oral Medicine Specialty Training Curriculum Using a Modified Delphi Technique

This article describes the development of medical competencies for oral medicine specialty training in the UK and Ireland by a collaborative working group using a modified Delphi technique. The current specialty training curriculum for oral medicine (OM) in the UK was developed by a working group including members of the British Society for Oral Medicine (BSOM) and members of the Specialty Advisory Committee for Additional Dental Specialties (SACADS) and adopted by the UK General Dental Council (GDC) in 2010. When the curriculum was developed, the entry requirements for specialty training in OM included undergraduate degrees in both dentistry and medicine. At the time of adoption, the requirement for a medical degree was removed. Medical competencies were assumed to have been delivered in medical undergraduate and postgraduate training. Accordingly, there was a need to define the medical competencies for OM specialty training to benefit trainees, trainers, and assessors. In 2018, a group comprising specialty trainers, recent former specialty trainees, and current specialty trainees in OM held face-to-face meetings in addition to email discussions and developed an updated curriculum document to better reflect the medical competencies required in specialty training. A collaborative modified Delphi approach was used to evaluate medical foundation competencies and to include only those that were considered relevant to OM specialty training. A list of relevant and achievable medical competencies was determined that has been approved by SACADS and will be incorporated into a revised OM curriculum from the UK GDC. The newly agreed-upon document for medical competencies in OM specialty training will serve as a reference for trainees, trainers, and assessors and reflects a successful use of a modified Delphi approach.




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Why the ABCs Matter More than Ever in Medical Education

Addressing social drivers of health in medical education—through community engagement experiences—is essential for health equity and the development of future physicians. While this was written before the COVID-19 pandemic, these practices will gain even more importance as we come together to better understand its health and community implications in North Carolina and the United States.




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Preparing Residents for Children With Complex Medical Needs




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Triptolide suppresses IDH1-mutated malignancy via Nrf2-driven glutathione metabolism [Medical Sciences]

Isocitrate dehydrogenase (IDH) mutation is a common genetic abnormality in human malignancies characterized by remarkable metabolic reprogramming. Our present study demonstrated that IDH1-mutated cells showed elevated levels of reactive oxygen species and higher demands on Nrf2-guided glutathione de novo synthesis. Our findings showed that triptolide, a diterpenoid epoxide from Tripterygium...




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Development of a therapeutic anti-HtrA1 antibody and the identification of DKK3 as a pharmacodynamic biomarker in geographic atrophy [Medical Sciences]

Genetic polymorphisms in the region of the trimeric serine hydrolase high-temperature requirement 1 (HTRA1) are associated with increased risk of age-related macular degeneration (AMD) and disease progression, but the precise biological function of HtrA1 in the eye and its contribution to disease etiologies remain undefined. In this study, we have...




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Inner Workings: Molecular biologists offer “wartime service” in the effort to test for COVID-19 [Medical Sciences]

As the novel coronavirus spreads, communities across the United States are struggling to offer public testing. The need is urgent. Testing got off to a delayed start in the United States as a result of technical missteps and a slow response from government officials. Now cities across the country are...




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Profile of Xiaowei Zhuang, winner of the 2020 Vilcek Prize in Biomedical Science [Profiles]

In 2006, the New York City-based Vilcek Foundation created an annual prize program for foreign-born biomedical scientists who have made major contributions to their fields while living and working in the United States. The founders, themselves immigrants from Czechoslovakia, established the program to raise public awareness of the indispensable role...




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Marketing Messages in Continuing Medical Education (CME) Modules on Binge-Eating Disorder (BED)

Background:

In 2015, Vyvanse (lisdexamfetamine) became the first Food and Drug Administration (FDA)-approved treatment for binge-eating disorder (BED), a condition first recognized by the DSM–V in 2013. Because pharmaceutical companies use continuing medical education (CME) to help sell drugs, we explored possible bias in CME modules on BED.

Methods:

We utilized a qualitative thematic analysis research approach to identify and classify patterns in CME activities focusing on BED.

Results:

We identified 27 online CME activities on BED in 2015. All were funded by Shire, which manufactures lisdexamfetamine. Seven of 16 presenters disclosed financial ties with Shire. Twenty-nine slides recurred in at least 2 CME modules, and 12 slides were repeated in 5 or more modules. Diagnosis-related themes included: BED is a real, treatable disease; BED is highly prevalent but often missed; BED can occur in anyone; BED results in poor quality of life; many patients with BED are obese; and BED makes losing weight difficult. Treatment-related themes included: lisdexamfetamine is highly effective; topiramate is limited by substantial adverse effects; and other therapeutic options for BED are inferior to lisdexamfetamine because they do not cause weight loss. Although amphetamines can cause addiction, myocardial infarction, stroke, and death, no module mentioned these serious adverse effects.

Conclusions:

It seems that CME is being used to promote lisdexamfetamine for weight loss (a contraindicated use) and to highlight benefits of lisdexamfetamine while underplaying the risks.




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Impact of a Multidisciplinary, Endocrinologist-Led Shared Medical Appointment Model on Diabetes-Related Outcomes in an Underserved Population

A multidisciplinary endocrinologist-led shared medical appointment (SMA) model showed statistically significant reductions in A1C from baseline over 3 years that were not significantly different from appointments with endocrinologists or primary care providers alone within a resource-poor population. Similarly, the SMA model achieved clinical outcomes on par with endocrinologist-only visits with the added benefit of improving endocrine provider productivity and specialty access for patients. Greater patient engagement with the SMA model was associated with significantly lower A1C.




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Survival benefit of lung transplantation compared with medical management and pulmonary rehabilitation for patients with end-stage COPD

Background

COPD patients account for a large proportion of lung transplants; lung transplantation survival benefit for COPD patients is not well established.

Methods

We identified 4521 COPD patients in the United Network for Organ Sharing (UNOS) dataset transplanted from May 2005 to August 2016, and 604 patients assigned to receive pulmonary rehabilitation and medical management in the National Emphysema Treatment Trial (NETT). After trimming the populations for NETT eligibility criteria and data completeness, 1337 UNOS and 596 NETT patients remained. Kaplan–Meier estimates of transplant-free survival from transplantation for UNOS, and NETT randomisation, were compared between propensity score-matched UNOS (n=401) and NETT (n=262) patients.

Results

In propensity-matched analyses, transplanted patients had better survival compared to medically managed patients in NETT (p=0.003). Stratifying on 6 min walk distance (6 MWD) and FEV1, UNOS patients with 6 MWD <1000 ft (~300 m) or FEV1 <20% of predicted had better survival than NETT counterparts (median survival 5.0 years UNOS versus 3.4 years NETT; log-rank p<0.0001), while UNOS patients with 6 MWD ≥1000 ft (~300 m) and FEV1 ≥20% had similar survival to NETT counterparts (median survival, 5.4 years UNOS versus 4.9 years NETT; log-rank p=0.73), interaction p=0.01.

Conclusions

Overall survival is better for matched lung transplant patients compared with medical management alone. Patients who derive maximum benefit are those with 6 MWD <1000 ft (~300 m) or FEV1 <20% of predicted, compared with pulmonary rehabilitation and medical management.




medical

Epidemiological features and medical care-seeking process of patients with COVID-19 in Wuhan, China

Background

We aimed to investigate the epidemiological and clinical features, and medical care-seeking process of patients with the 2019 coronavirus disease (COVID-19) in Wuhan, China, to provide useful information to contain COVID-19 in other places with similar outbreaks of the virus.

Methods

We collected epidemiological and clinical information of patients with COVID-19 admitted to a makeshift Fangcang hospital between 7 and 26 February, 2020. The waiting time of each step during the medical care-seeking process was also analysed.

Results

Of the 205 patients with COVID-19 infection, 31% had presumed transmission from a family member. 10% of patients had hospital-related transmission. It took as long as a median of 6 days from the first medical visit to receive the COVID-19 nucleic acid test and 10 days from the first medical visit to hospital admission, indicating early recognition of COVID-19 was not achieved at the early stage of the outbreak, although these delays were shortened later. After clinical recovery from COVID-19, which took a mean of 21 days from illness onset, there was still a substantial proportion of patients who had persistent SARS-CoV-2 infection.

Conclusions

The diagnostic evaluation process of suspected patients needs to be accelerated at the epicentre of the outbreak and early isolation of infected patients in a healthcare setting rather than at home is urgently required to stop the spread of the virus. Clinical recovery is not an appropriate criterion to release isolated patients and as long as 4 weeks' isolation for patients with COVID-19 is not enough to prevent the spread of the virus.




medical

Medical Cannabinoid Products in Children and Adolescents




medical

Books: Making a Medic: the Ultimate Guide to Medical School




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Digital medical photography recording: a personal view




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STFM OFFERS MEDICAL SCHOOL FACULTY FUNDAMENTALS CERTIFICATE PROGRAM [Family Medicine Updates]




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Reinventing the Medical Assistant Staffing Model at No Cost in a Large Medical Group [Innovations in Primary Care]




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General Practitioners in US Medical Practice Compared With Family Physicians [Original Research]

PURPOSE

General practitioners (GPs) are part of the US physician workforce, but little is known about who they are, what they do, and how they differ from family physicians (FPs). We describe self-identified GPs and compare them with board-certified FPs.

METHODS

Analysis of data on 102,604 Doctor of Medicine and Doctor of Osteopathy physicians in direct patient care in the United States in 2016, who identify themselves as GPs or FPs. The study used linking databases (American Medical Association Masterfile, American Board of Family Medicine [ABFM], Area Health Resource File, Medicare Public Use File) to examine personal, professional, and practice characteristics.

RESULTS

Of the physicians identified, 6,661 self-designated as GPs and 95,943 self-designated as FPs. Of the self-designated GPs, 116 had been ABFM certified and were excluded from the study. Of the remaining 102,488 physicians, those who self-designated as GPs but were never ABFM certified constituted the GP group (n = 6,545, 6%). Self-designated FPs that were ABFM certified made up the FP group (n = 79,449, 78%). The remaining self-designated FPs not ABFM certified constituted the uncertified group (n = 16,494, 16%). GPs differed from FPs in every characteristic examined. Compared with FPs, GPs are more likely to be older, male, Doctors of Osteopathy, graduates of non-US medical schools, and have no family medicine residency training. GPs practice location is similar to FPs, but GPs are less likely to participate in Medicare or to work in hospitals.

CONCLUSIONS

GPs in the United States are a varied group that differ from FPs. Researchers, educators, and policy makers should not lump GPs together with FPs in data collection, analysis, and reporting.




medical

Unnecessary antibiotic prescribing in a Canadian primary care setting: a descriptive analysis using routinely collected electronic medical record data

Background:

Unnecessary antibiotic use in the community in Canada is not well defined. Our objective was to quantify unnecessary antibiotic prescribing in a Canadian primary care setting.

Methods:

We performed a descriptive analysis in Ontario from April 2011 to March 2016 using the Electronic Medical Records Primary Care database linked to other health administrative data sets at ICES. We determined antibiotic prescribing rates (per 100 patient–physician encounters) for 23 common conditions and estimated rates of unnecessary prescribing using predefined expected prescribing rates, both stratified by condition and patient age group.

Results:

The study included 341 physicians, 204 313 patients and 499 570 encounters. The rate of unnecessary antibiotic prescribing for included conditions was 15.4% overall and was 17.6% for those less than 2 years of age, 18.6% for those aged 2–18, 14.5% for those aged 19–64 and 13.0% for those aged 65 or more. The highest unnecessary prescribing rates were observed for acute bronchitis (52.6%), acute sinusitis (48.4%) and acute otitis media (39.3%). The common cold, acute bronchitis, acute sinusitis and miscellaneous nonbacterial infections were responsible for 80% of the unnecessary antibiotic prescriptions. Of all antibiotics prescribed, 12.0% were for conditions for which they are never indicated, and 12.3% for conditions for which they are rarely indicated. In children, 25% of antibiotics were for conditions for which they are never indicated (e.g., common cold).

Interpretation:

Antibiotics were prescribed unnecessarily for 15.4% of included encounters in a Canadian primary care setting. Almost one-quarter of antibiotics were prescribed for conditions for which they are rarely or never indicated. These findings should guide safe reductions in the use of antibiotics for the common cold, bronchitis and sinusitis.




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Palliative care clinical rotations among undergraduate and postgraduate medical trainees in Canada: a descriptive study

Background:

The number of medical undergraduate and postgraduate students completing palliative care clinical rotations in Canadian medical schools is currently unknown. The aim of this study was to assess the proportion of Canadian medical trainees completing clinical rotations in palliative care and to determine whether changes took place between 2008 and 2018.

Methods:

In this descriptive study, all Canadian medical schools (n = 17) were invited to provide data at the undergraduate and postgraduate levels (2007/08–2015/16 and 2007/08–2017/18, respectively). Information collected included the number, type and length of palliative care clinical rotations offered and the total number of medical trainees or residents enrolled at each school.

Results:

All 17 Canadian medical schools responded to the request for information. At the undergraduate level, palliative care clinical rotations were not offered in 2 schools, mandatory in 2 and optional in 13. Three schools that offered optional rotations were unable to provide complete data and were therefore excluded from further analyses. In 2015/16, only 29.7% of undergraduate medical students completed palliative care clinical rotations, yet this was a significant improvement compared to 2011/12 (13.6%, p = 0.02). At the postgraduate level, on average, 57.9% of family medicine trainees completed such rotations between 2007/08 and 2016/17. During the same period, palliative care clinical rotations were completed by trainees in specialty or subspecialty programs in anesthesiology (34.2%), geriatric medicine (64.4%), internal medicine (30.9%), neurology (28.2%) and psychiatry (64.5%).

Interpretation:

Between 2008 and 2018, a large proportion of Canadian medical trainees graduated without the benefit of a clinical rotation in palliative care. Without dedicated clinical exposure to palliative care, many physicians will enter practice without vital palliative care competencies.




medical

Canadian Medical Association Journal




medical

Zipline Deploys Medical Delivery Drones with U.S. Military

A military exercise in Australia demonstrates how small drones can airdrop critical medical supplies to soldiers in combat




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Drones: For When Medical Intervention Has to Get There Before an Ambulance Can

New York City study shows that drones could deliver life-saving medical supplies several minutes before an ambulance arrives