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What is happening in Kings County, Washington State?

Well, you know, here's this setting, John, I know it well.

I did my internal medicine

residency at the University of Washington in Seattle, which at the time he had five hospitals,

our lead hospital, Harborview Medical Center, which is I think probably one of the best

county public hospitals in the United States. It has a famed paramedic system in

Seattle called Medic One that was started in the 1970.

One of my mentors, Dr. Michael Kopus, another one, Leonard Cobb.

They had the vision of having a tiered response in Seattle, which is a compact

city, but it's complicated because it's very hilly and it has a lot of water and bridges,

and this tiered system meant that when there's a cardiac arrest the closest respondent

whether it be a police officer or a fire dispatch unit would get there and then the paramedics

which had a lot more medical

skill they would follow. Seattle had educational efforts to teach the public

CPR. They led the way in resuscitation research.

And one of the things they did, John,

is they kept meticulous data over the years on cardiac arrests,

and they

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