Case Study: Preventive Medical Surveillance for First Responders

suppose that there is a trend of heart disease or stroke requiring emergency attention as a predictable proportion of the population of a region. a forward proscribing doctrine of medical surveillance metes out capacity of emergency health workers for this pro-rated demand preventivelly by “casing” the medical scenarios beforehand in the event that one of these proscribed potential outcomes does triggering a sequence of treatment parameters like a database trigger. thus proscriptively knowing at-risk cases and developing the corresponding procedural heuristic that would likely apply would not only save lives and money, but afford for advances in treatment at the scene of an emergency such as stocking specialized vehicles and crew with particular knowledge. medical surveillance attributes the need for emergency medical help much like the criminal “probable cause” statute in the law and identifies and observes “at-risk” client claims as if they were conspiring to commit a crime. this approach to preventive medicine offers several advance directives before an actual medical emergency occurs allowing for potential intervening alternatives such as change in diet, visit to hospital or prescribing physician.


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