Studies have linked climate change to an increased risk of nautral disasters. As demonstrated during hurricanes Harvey and Maria, the medical system has the potential to be compromised during a disaster event. One news organization estimated that over 1,000 additional people died in Puerto Rico after Maria, not from direct storm injuries, but from the lack of medical care after the storm. EMS systems that respond to sudden cardiac arrest (SCA) are particularly vulnerable during a disaster, as their response is often so delayed that there is little chance of meaningful resuscitation.

While hurricanes are are rare in Cleveland, natural events such as blizzards, severe storms, and flooding often delay EMS response. Man made events, such as championship parades, protests. and road races, also stress EMS systems because not only do large crowds restrict travel, but many participants also require EMS services. Large events also impact the health and wellness of those located near the event. A recent study in the New England Journal of Medicine documented an increased mortality among nearby residents during major marathon events. The author's speculated this was likely due to a delayed EMS response.

One way to combat the increased morbidity and mortality that comes with a delayed response is via a Public Access AED program. A recent American Heart Association study found that public access AEDs were effective in increasing survival in areas with a prolonged EMS response. By placing more public access AEDs and providing CPR/AED training, Gordon Square CPR is not only preparing for everyday emergencies, but also building critical resilience infastructure for times when EMS will be delayed.

A recent study found that the chances of surviving a cardiac arrest double when an AED is applied before EMS arrives at the scene.