EMS

9/11 Fund Running Out of Money for Those with Illnesses

JEMS - News - Fri, 02/15/2019 - 16:27

NEW YORK (AP) — The compensation fund for victims of 9/11 is running out of money and will cut future payments by 50 to 70 percent, officials announced Friday.

September 11th Victim Compensation Fund special master Rupa Bhattacharyya said she was "painfully aware of the inequity of the situation" but stressed that awarding some funds for every valid claim would be preferable to sending some legitimate claimants away empty-handed. "I could not abide a plan that would at the end of the day leave some claimants uncompensated," Bhattacharyya said.

Nearly 40,000 people have applied to the federal fund for people with illnesses potentially related to being at the World Trade Center site, the Pentagon or Shanksville, Pennsylvania, after the 2001 terror attacks there, and about 19,000 of those claims are pending. Nearly $5 billion in benefits have been awarded out of the $7.3 billion fund.

Bhattacharyya said fund officials estimate it would take another $5 billion to pay pending claims and the claims that officials anticipate will be submitted before the fund's December 2020 deadline.

Absent that funding, officials determined that pending claims submitted by Feb. 1 would be paid at 50 percent of their prior value. Valid claims received after that date will be paid at just 30 percent.

Members of Congress responded to Friday's announcement by vowing to reauthorize the compensation fund.

"This is devastating news to the thousands of sick and injured 9/11 responders and survivors who were promised, and have been counting on, being fully compensated for the losses they have suffered," Democratic Reps. Jerry Nadler and Carolyn Maloney and Republican Peter King said in a statement.

They said they would introduce legislation to make the compensation fund permanent and to compensate all legitimate claimants. "Our bill would restore any cuts to awards, ensure that future eligible recipients are fully compensated, and make the VCF program permanent," the lawmakers said.

Categories: EMS

Gunman Opens Fire in Illinois Industrial Park

EMS-1 Major Incidents - Fri, 02/15/2019 - 15:42

AURORA, Ill. (AP) — At least one person was killed and four police officers were wounded when a shooter opened fire at an industrial park in Aurora, Illinois, officials said Friday.

Kane County Coroner Chris Nelson confirmed one person was killed. City spokesman Clayton Muhammad said four officers were wounded and in stable condition, but did not say if they were shot.

Muhammad also told ABC7 that the suspect had been "neutralized." He did not elaborate.

The Kane County coroner was at the scene.

Live TV reports showed dozens of first responder vehicles outside a building housing the Henry Pratt Co. in Aurora, a city of about 200,000 people about 40 miles (65 kilometers) west of Chicago.

 

Several ATF teams responded to the shooting and were at the scene, according to the agency's Chicago spokeswoman, and the FBI said it also was responding.

John Probst, an employee at the Henry Pratt Co. in Aurora, told ABC7 that he ran out of the back door as the shooting unfolded Friday afternoon. Probst says he recognized the gunman and that he works for the company.

"What I saw was the guy running down the aisle with a pistol with a laser on it," Probst said.

He said the gunman had "a pistol with a laser."  Probst said he wasn't hurt but that another colleague was "bleeding pretty bad."  

The company makes valves for industrial purposes.

Police said the situation had been contained and that there was "no ongoing threat to the public," according to a statement issued by the Kane County Sheriff's Department on behalf of the Aurora Police Department.

The statement said the Aurora Police Department was expected to hold a news conference at 5 p.m. CST.

Categories: EMS

Gunman Opens Fire in Illinois Industrial Park

JEMS - News - Fri, 02/15/2019 - 15:42

AURORA, Ill. (AP) — A shooter was apprehended after opening fire in an industrial park in in Aurora, Illinois, city officials said Friday, but police did not immediately say if anyone was shot.

Live TV reports show dozens of first responder vehicles outside a building housing the Henry Pratt Co. Several ATF teams responded to the shooting and were at the scene, according to the agency's Chicago spokeswoman, and the FBI said it also was responding.

John Probst told ABC7 that he ran out of the back door of the Henry Pratt Co. building in Aurora as the shooting unfolded Friday afternoon. Probst says he recognized the gunman and that he works at the company. He said the gunman has "a pistol with a laser."  

Probst says he wasn't hurt but that another colleague was "bleeding pretty bad."  

The company makes valves for portable water, wastewater, power generation and industrial purposes.

West Aurora School District 129 said on its website that it was keeping all students in their classrooms as police investigate, but that "teaching will continue with reduced movement."

Spokespeople for Mercy Medical Center and Rush Copley Medical Center in Aurora and Good Samaritan Hospital in Downers Grove did not immediately return messages seeking information about whether either hospital was treating victims from the shooting.

Aurora is city of about 200,000 peole about 38 miles (61 kilometers) west of Chicago.

All contents © copyright 2019 Associated Press. All rights reserved.

Categories: EMS

Two Dead in California Mudslides, Flooding

JEMS - News - Fri, 02/15/2019 - 09:56

SAUSALITO, Calif. (AP) — Waves of heavy rain pounded California on Thursday, trapping people in floodwaters, washing away a mountain highway, triggering a mudslide that destroyed homes and forcing residents to flee communities scorched by wildfires last year.

At least two people died as the powerful system swept in from the Pacific Ocean and unleashed damaging rain, snow and wind.

The system was moving across the U.S. West into Wyoming and Colorado after walloping Northern California and southern Oregon a day earlier.

The National Weather Service reported staggering rainfall amounts across California, including more than 9.4 inches (24 centimeters) over 48 hours at one location in the San Bernardino Mountains east of Los Angeles.

A woman pulled from rising water in a low-lying area between those mountains and LA had a heart attack and died at a hospital, said Capt. Ryan Rolston with the Corona Fire Department. The unidentified woman was one of nine people and three dogs rescued in a flood control channel where homeless people camp, Rolston said.

In Escondido, northeast of San Diego, firefighters pulled the body of a man from a concrete-lined waterway. Witnesses told authorities the man had been paddle-boarding in the surging waters.

North of San Francisco, a mudslide barreled over cars, uprooted trees and sent a home sliding down a hill and smashing into another house in Sausalito.

A woman was rescued from the splintered wreckage with only cuts and bruises. Susan Gordon was buried under a tree and mud for two hours while crews dug her out, her son wrote on an online fundraising page.

Chris Parkman said it's been years since a storm so powerful has hit the hillside community, where at least 50 properties were evacuated.

"We don't see the rain most of the year, so most of the year you feel safe. But when the big storms come, your safety factor is gone," he said.

A deluge southeast of Los Angeles washed away a section of a two-lane mountain highway. Photos by the state Department of Transportation showed about 75 feet (23 meters) of pavement completely collapsed along State Route 243 near the remote community of Idyllwild.

Categories: EMS

Two Dead in California Mudslides, Flooding

EMS-1 Major Incidents - Fri, 02/15/2019 - 09:56

SAUSALITO, Calif. (AP) — Waves of heavy rain pounded California on Thursday, trapping people in floodwaters, washing away a mountain highway, triggering a mudslide that destroyed homes and forcing residents to flee communities scorched by wildfires last year.

At least two people died as the powerful system swept in from the Pacific Ocean and unleashed damaging rain, snow and wind.

The system was moving across the U.S. West into Wyoming and Colorado after walloping Northern California and southern Oregon a day earlier.

The National Weather Service reported staggering rainfall amounts across California, including more than 9.4 inches (24 centimeters) over 48 hours at one location in the San Bernardino Mountains east of Los Angeles.

A woman pulled from rising water in a low-lying area between those mountains and LA had a heart attack and died at a hospital, said Capt. Ryan Rolston with the Corona Fire Department. The unidentified woman was one of nine people and three dogs rescued in a flood control channel where homeless people camp, Rolston said.

In Escondido, northeast of San Diego, firefighters pulled the body of a man from a concrete-lined waterway. Witnesses told authorities the man had been paddle-boarding in the surging waters.

North of San Francisco, a mudslide barreled over cars, uprooted trees and sent a home sliding down a hill and smashing into another house in Sausalito.

A woman was rescued from the splintered wreckage with only cuts and bruises. Susan Gordon was buried under a tree and mud for two hours while crews dug her out, her son wrote on an online fundraising page.

Chris Parkman said it's been years since a storm so powerful has hit the hillside community, where at least 50 properties were evacuated.

"We don't see the rain most of the year, so most of the year you feel safe. But when the big storms come, your safety factor is gone," he said.

A deluge southeast of Los Angeles washed away a section of a two-lane mountain highway. Photos by the state Department of Transportation showed about 75 feet (23 meters) of pavement completely collapsed along State Route 243 near the remote community of Idyllwild.

Categories: EMS

So It Begins

EMScapades Cartoon - Fri, 02/15/2019 - 08:43
Categories: EMS, Syndicated Columnists

Medicare Ambulance Rides May No Longer End Up at ER

JEMS - News - Fri, 02/15/2019 - 08:42

WASHINGTON (AP) — Medicare wants to change how it pays for emergency ambulance services to give seniors more options besides going to a hospital emergency department, officials said Thursday.

Other options could include going to an urgent care center, a doctor's office, or even treatment at home under supervision of a doctor via telehealth links.

It's just a pilot project for now, but if adopted nationwide the idea could save Medicare more than $500 million a year and allow local fire departments and ambulance services to focus the time and energy of first responders on the most serious emergencies.

HHS Announces Groundbreaking EMS Payment Reform: ET3 Model

Some advocates for patients welcomed the plan, but said it needs careful review and supervision.

"We definitely think this is intriguing and exciting, but it really does need to be monitored very closely," said Julie Carter, a federal policy expert with the Medicare Rights Center, which advocates on behalf of beneficiaries. "We see this as a potential opportunity to keep people out of the ER when they don't need to be there."

Medicare officials said nothing's going to change overnight, and they pledged the pilot program would be closely evaluated. Patients will retain the option of going to a hospital emergency room if that's their wish.

Later this year, Medicare will announce up to 40 grants available to local governments or agencies that operate 911 dispatch centers. The pilot program would start early next year and run for two years. If successful, it could be adopted nationwide. Medicare says it also wants to get state Medicaid programs and private insurance companies interested in the approach.

The idea came out of the Center for Medicare and Medicaid Innovation, created under the Obama health care law to improve quality and reduce wasteful spending in the two giant health care programs. Although President Donald Trump tried to repeal the Affordable Care Act, his administration has now tapped the center in its own efforts to cut costs and help patients become more knowledgeable consumers of services.

Categories: EMS

HHS Announces Groundbreaking EMS Payment Reform: ET3 Model

JEMS - News - Thu, 02/14/2019 - 14:43

We are very pleased to report on an exciting breakthrough for EMS that was announced today by HHS Secretary Alex Azar. Beginning in early 2020, the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) will offer a new payment model for EMS to allow Medicare Fee-For-Service (FFS) beneficiaries to receive the most appropriate level of care at the right time and place with the potential for lower out-of-pocket costs.

The new model – Emergency Triage, Treat and Transport (ET3) Model – will make it possible for participating ambulance suppliers and providers to partner with qualified healthcare practitioners to deliver treatment in place (either on-the-scene or through telehealth) and with alternative destination sites (such as primary care doctors’ offices or urgent-care clinics) to provide care for Medicare beneficiaries following a medical emergency for which they have accessed 911 services. In doing so, the model seeks to engage healthcare providers across the care continuum to more appropriately and effectively meet beneficiaries’ needs. Additionally, the model will encourage development of medical triage lines for low-acuity 911 calls in regions where participating ambulance suppliers and providers operate. The ET3 Model will have a five-year performance period, extending through 2025.

 

Currently, Medicare primarily pays for unscheduled, emergency ground ambulance services when beneficiaries are transported to a hospital emergency department (ED), creating an incentive to transport all beneficiaries to the hospital even when an alternative treatment option may be more appropriate. To counter this incentive, the ET3 Model will test two new ambulance payments, while continuing to pay for emergency transport for a Medicare beneficiary to a hospital ED or other destination covered under current regulations:

Categories: EMS

Bus Crashes into Ravine in Macedonia Killing 14

JEMS - News - Thu, 02/14/2019 - 14:21

SKOPJE, North Macedonia (AP) — A bus carrying workers in North Macedonia crashed into a ravine outside the capital of Skopje Wednesday, killing 14 people and injuring about 30, officials said.

Venko Filipce, the newly renamed European nation's health minister, said seven people were pronounced dead at the scene and the rest died after being taken to a hospital. Six of those injured had life-threatening conditions.

Prime Minister Zoran Zaev declared two days of national mourning.

The bus was carrying about 50 people when it veered off a highway linking Skopje with the western town of Tetovo and plunged 10 meters (30 feet) into a small ravine, landing upside down. The cause of the crash, about 25 kilometers (15 miles) west of Skopje, wasn't yet known.

Firefighters and residents of a nearby village rushed to the scene of the crash to help pull survivors, including the driver, from the wreckage.

Witness Samet Musliu told private Telma TV that rescuers had to cut open the bus to reach the injured.

"There was a strong smell of gasoline and we were afraid the bus would explode," he said.

The bus had been carrying workers back from Skopje to the town of Gostivar, about 80 kilometers (50 miles) southwest of the capital, where most of them lived, said Gostivar Mayor Arben Taravari.

All contents © copyright 2019 Associated Press. All rights reserved.

Categories: EMS

Bus Crashes into Ravine in Macedonia Killing 14

EMS-1 Major Incidents - Thu, 02/14/2019 - 14:21

SKOPJE, North Macedonia (AP) — A bus carrying workers in North Macedonia crashed into a ravine outside the capital of Skopje Wednesday, killing 14 people and injuring about 30, officials said.

Venko Filipce, the newly renamed European nation's health minister, said seven people were pronounced dead at the scene and the rest died after being taken to a hospital. Six of those injured had life-threatening conditions.

Prime Minister Zoran Zaev declared two days of national mourning.

The bus was carrying about 50 people when it veered off a highway linking Skopje with the western town of Tetovo and plunged 10 meters (30 feet) into a small ravine, landing upside down. The cause of the crash, about 25 kilometers (15 miles) west of Skopje, wasn't yet known.

Firefighters and residents of a nearby village rushed to the scene of the crash to help pull survivors, including the driver, from the wreckage.

Witness Samet Musliu told private Telma TV that rescuers had to cut open the bus to reach the injured.

"There was a strong smell of gasoline and we were afraid the bus would explode," he said.

The bus had been carrying workers back from Skopje to the town of Gostivar, about 80 kilometers (50 miles) southwest of the capital, where most of them lived, said Gostivar Mayor Arben Taravari.

All contents © copyright 2019 Associated Press. All rights reserved.

Categories: EMS

Parkland School Shooting Victims Remembered on One Year Anniversary

JEMS - News - Thu, 02/14/2019 - 09:08

PARKLAND, Fla. (AP) — The Marjory Stoneman Douglas High School massacre a year ago renewed the national debate on guns and school safety, turned some victims' parents and surviving students into political activists and at least temporarily ended the local sheriff's career.

But Thursday's anniversary will primarily be about remembering the 14 students and three staff members who died in the third high-profile mass shooting in Florida since 2016. An interfaith service will be held at a Parkland park, near the school, to remember the victims.

Many Stoneman Douglas students arrived on campus Thursday wearing headphones and the burgundy #MSDStrong T-shirts that have become an emblem of the tragedy.

Outside the school, angel stakes for each of the 17 victims bordered the school's landscaped sign. While absenteeism was expected to be high Thursday, freshman Matthew Sabia said he attended to show support and participate in activities.

"I want to show respect to what happened. The students who were here are probably sad and don't want to think too much about it. We don't really talk about it," he said.

Classes were almost over last Valentine's Day when authorities say a 19-year-old former student arrived on campus and began shooting. The rampage left 14 students and three school staffers dead.

Jogger Kara Cannizzaro stopped Thursday morning to pray at the memorial outside the school. She says "every single person of the community has been affected by this."

Students also will perform service projects and observe a moment of silence and a non-denominational, temporary temple will open in neighboring Coral Springs for people to pay their respects. The structure will later be burned in a purification ceremony. Security throughout the community and at schools will be high.

"We don't need (the anniversary) to remind us what happened. We live with it every day," said businessman Andrew Pollack, whose 18-year-old daughter Meadow died in the attack. He met with President Donald Trump at the White House after the shooting and became an adviser to Gov. Ron DeSantis and his predecessor, Rick Scott. Other fathers like Fred Guttenberg and Manuel Oliver have become active in Democratic politics.

Categories: EMS

Parkland School Shooting Victims Remembered on One Year Anniversary

EMS-1 Major Incidents - Thu, 02/14/2019 - 09:08

PARKLAND, Fla. (AP) — The Marjory Stoneman Douglas High School massacre a year ago renewed the national debate on guns and school safety, turned some victims' parents and surviving students into political activists and at least temporarily ended the local sheriff's career.

But Thursday's anniversary will primarily be about remembering the 14 students and three staff members who died in the third high-profile mass shooting in Florida since 2016. An interfaith service will be held at a Parkland park, near the school, to remember the victims.

Many Stoneman Douglas students arrived on campus Thursday wearing headphones and the burgundy #MSDStrong T-shirts that have become an emblem of the tragedy.

Outside the school, angel stakes for each of the 17 victims bordered the school's landscaped sign. While absenteeism was expected to be high Thursday, freshman Matthew Sabia said he attended to show support and participate in activities.

"I want to show respect to what happened. The students who were here are probably sad and don't want to think too much about it. We don't really talk about it," he said.

Classes were almost over last Valentine's Day when authorities say a 19-year-old former student arrived on campus and began shooting. The rampage left 14 students and three school staffers dead.

Jogger Kara Cannizzaro stopped Thursday morning to pray at the memorial outside the school. She says "every single person of the community has been affected by this."

Students also will perform service projects and observe a moment of silence and a non-denominational, temporary temple will open in neighboring Coral Springs for people to pay their respects. The structure will later be burned in a purification ceremony. Security throughout the community and at schools will be high.

"We don't need (the anniversary) to remind us what happened. We live with it every day," said businessman Andrew Pollack, whose 18-year-old daughter Meadow died in the attack. He met with President Donald Trump at the White House after the shooting and became an adviser to Gov. Ron DeSantis and his predecessor, Rick Scott. Other fathers like Fred Guttenberg and Manuel Oliver have become active in Democratic politics.

Categories: EMS

FEMA Administrator Brock Long Resigns

JEMS - News - Thu, 02/14/2019 - 08:25

WASHINGTON (AP) — The head of the Federal Emergency Management Agency resigned Wednesday after a two-year tenure in which he managed the response to historic wildfires and major hurricanes but was dogged by questions over his use of government vehicles.

Brock Long said in a letter to FEMA employees that he was resigning to spend more time at home with his family. His last day is March 8.

He did not mention the investigation by the agency's watchdog that found he had used government vehicles without authorization, costing taxpayers tens of thousands of dollars. Homeland Security Secretary Kirstjen Nielsen said last fall that Long would repay the government and would not lose his job.

Nielsen said Long led the agency admirably. "I appreciate his tireless dedication to FEMA and his commitment to fostering a culture of preparedness across the nation," she said in a statement.

His deputy, Pete Gaynor, will become acting head of the agency.

Word leaked of the internal probe in September, just as Hurricane Florence was landing in the Carolinas. Homeland Security officials said there had been a longstanding practice of FEMA administrators using government vehicles to ensure they could remain connected during a crisis. But the use of government vehicles for home-to-work travel was not officially authorized, and that practice was eliminated in April.

The report by Homeland Security's Office of Inspector General also found Long used government vehicles for non-official reasons. It said this cost taxpayers $94,000 in staff salary, $55,000 in travel expenses and $2,000 in vehicle maintenance.

The House Oversight Committee had also been looking into the allegations.

Long said he accepted full responsibility for the unauthorized use of the vehicles.

He took over FEMA in June 2017, presiding over a particularly grueling hurricane season that included Irma, Harvey and Maria, plus wildfires in California that were the deadliest ever for the state. The response to Maria, which devastated Puerto Rico, has been heavily criticized, and Long has said FEMA learned lessons on how to better prepare.

Categories: EMS

Dallas Firefighter/Paramedic Injured in Ambulance Crash Expected to Make Full Recovery

JEMS - News - Wed, 02/13/2019 - 11:02

DALLAS (CBSDFW.COM) – A Dallas Fire-Rescue firefighter/paramedic is expected to make a full recovery after being involved in a weekend ambulance crash that sent him and his partner to the hospital; but resulted in the death of the driver who struck them.

The collision, which happened on the passenger side of the ambulance, left Officer Nicholas Granados, 29, with a collapsed lung, a fractured rib and multiple lacerations, contusions and abrasions over multiple areas of his body, Dallas Fire-Rescue explained in a news release Monday.

 

Categories: EMS

Preliminary Report Released in Ohio Medevac Crash

JEMS - News - Wed, 02/13/2019 - 09:45

COLUMBUS, Ohio (AP) — An Ohio medical helicopter on its way to pick up a hospital patient made "a sharp left turn" before a crash that killed three people including the pilot last month, according to a preliminary federal report.

JEMS: Three Dead in Ohio Medical Helicopter Crash

The report released Monday by the National Transportation Safety Board said the Survival Flight helicopter, a Bell 407, made a turn to the right about 15 minutes after takeoff in suburban Columbus Jan. 29, followed by the left turn.

A Survival Flight operations control specialist observed the movements on flight tracking software, the report said.

The report said a "no-tracking alarm" activated after the left turn.

After the company lost track of the helicopter about 7:20 a.m., authorities located the wreckage nearly three hours later in rugged terrain in an area connected only by logging trails near the community of Zaleski, about 75 miles (121 kilometers) southeast of Columbus. Debris was scattered downslope over about 600 feet (183 meters).

The first rescuers on the scene detected a strong smell of fuel, the NTSB report said.

All three crew members were from Ohio: pilot Jennifer Topper, 34, of Sunbury and flight nurses Bradley Haynes, 48, of London and Rachel Cunningham, 33, of Galloway.

Two other air-medical companies opted not to accept the assignment over concerns about the weather that day.

Andy Arthurs, a Survival Flight vice president, declined comment while the investigation continues.

A follow-up report in six to nine months will include more details about the crash, with a final report several months after that to include the likely cause, NTSB spokesman Keith Holloway said Tuesday.

Report:

"On January 29, 2019, at 0650 Eastern standard time, a single-engine, turbine-powered, Bell 407 helicopter, N191SF, collided with forested, rising terrain about 4 miles northeast of Zaleski, Ohio. The helicopter was registered to and operated by Viking Aviation, LLC, doing business as Survival Flight, Inc., as a visual flight rules helicopter air ambulance flight under the provisions of 14 Code of Federal Regulations Part 135 when the accident occurred. The certificated commercial pilot, flight nurse, and flight paramedic were fatally injured, and the helicopter was destroyed. Visual meteorological conditions existed at the departure location, and company flight following procedures were in effect. The flight departed Mt. Carmel Hospital, Grove City, Ohio at 0628, destined for Holzer Meigs Hospital, Pomeroy, Ohio, about 69 miles southeast.

Categories: EMS

Expect The… Expected?

EMScapades Cartoon - Tue, 02/12/2019 - 09:37
Categories: EMS, Syndicated Columnists

Las Vegas Mass Shooting Hospital Response Case Study

JEMS - News - Tue, 02/12/2019 - 08:03

United States Fire Administration - The Nevada Hospital Association released a case study on the medical response to the Las Vegas, Nevada, Harvest Festival shooting. The purpose of this case study is to provide hospitals and public health agencies points of discussion to further their emergency management and mass casualty planning.

A Day Like No Other: A Case Study of the Las Vegas Mass Shooting covers an incredible amount of detail on several topics, reviewing triage, staffing, safety and security, communications, surge plans, mortuary care, and mental health and wellness. Any hospital or EMS agency writing or reworking its mass casualty response plan should review this case study. These are a few take-aways from this case study:

  • Injured and deceased people were spread over four square miles around the venue, a very large area for EMS to manage.
  • The majority of injured (approximately 800) self-transported, using phone mapping apps to find the closest hospital. This should be a planning consideration for events and venues as well as hospitals.
  • Hospitals had no notice of the shooting before the injured started arriving.
  • The influx of families and friends — and the issues they created — were not planned for. A Family Assistance Center wasn’t established until the next day.
  • Infection control and contamination was a serious concern due to the amount of blood being spread everywhere. Environmental cleaning was continuous. Ensure you have enough staff and supplies to handle such an incident.
  • Hospitals interpreted the Health Insurance Portability and Accountability Act (HIPAA) differently, creating confusion. Review HIPAA policy with a mass casualty incident in mind.
  • One hospital used a military-type triage system that worked quite well; however, triage was problematic at best in most locations.

One added problem was that the festival used Radio Frequency Identification Device (RFID) armbands containing ticket and credit card information, and many attendees did not carry identification. This increased confusion as hospitals could not tell anyone, law enforcement or family members, who they were treating because they didn’t know.

Categories: EMS

Las Vegas Mass Shooting Hospital Response Case Study

EMS-1 Major Incidents - Tue, 02/12/2019 - 08:03

United States Fire Administration - The Nevada Hospital Association released a case study on the medical response to the Las Vegas, Nevada, Harvest Festival shooting. The purpose of this case study is to provide hospitals and public health agencies points of discussion to further their emergency management and mass casualty planning.

A Day Like No Other: A Case Study of the Las Vegas Mass Shooting covers an incredible amount of detail on several topics, reviewing triage, staffing, safety and security, communications, surge plans, mortuary care, and mental health and wellness. Any hospital or EMS agency writing or reworking its mass casualty response plan should review this case study. These are a few take-aways from this case study:

  • Injured and deceased people were spread over four square miles around the venue, a very large area for EMS to manage.
  • The majority of injured (approximately 800) self-transported, using phone mapping apps to find the closest hospital. This should be a planning consideration for events and venues as well as hospitals.
  • Hospitals had no notice of the shooting before the injured started arriving.
  • The influx of families and friends — and the issues they created — were not planned for. A Family Assistance Center wasn’t established until the next day.
  • Infection control and contamination was a serious concern due to the amount of blood being spread everywhere. Environmental cleaning was continuous. Ensure you have enough staff and supplies to handle such an incident.
  • Hospitals interpreted the Health Insurance Portability and Accountability Act (HIPAA) differently, creating confusion. Review HIPAA policy with a mass casualty incident in mind.
  • One hospital used a military-type triage system that worked quite well; however, triage was problematic at best in most locations.

One added problem was that the festival used Radio Frequency Identification Device (RFID) armbands containing ticket and credit card information, and many attendees did not carry identification. This increased confusion as hospitals could not tell anyone, law enforcement or family members, who they were treating because they didn’t know.

Categories: EMS

Fire Chief Calls for Incident Command Changes in Wake of Vegas Mass Shooting

JEMS - News - Tue, 02/12/2019 - 07:45

CARSON CITY, Nev. (AP) — A Las Vegas-area fire chief who warned lawmakers months before a 2017 mass shooting at a music festival that Nevada should bolster its emergency management planning says he wants to bypass state lawmakers to get changes made.

Six months before the Oct. 1, 2017, shooting on the Las Vegas Strip that killed 58 and left hundreds injured, Clark County Fire Department Chief Greg Cassell testified before state legislators in favor of a bill that would have required more coordination of emergency medical resources ahead of such a large event.

Las Vegas Mass Shooting Hospital Response Case Study

Investigators say gunman Stephen Paddock acted alone when he fired from a high-rise suite in the Mandalay Bay casino-resort into the crowd of 22,000 at the Route 91 Harvest festival. The FBI concluded Paddock sought notoriety in the attack but said it found no "single or clear motivating factor" to explain why he opened fire on the concert.

Cassell said Friday that had the legislation passed, the fire department would likely have had a fire incident commander on the scene before the shooting.

Having a fire incident commander at the event could have improved communication and made for a cleaner response plan, Cassell said. Months before the event, he told lawmakers the effort would avoid delays in ordering and directing emergency help.

The legislation he supported in 2017 passed the Assembly unanimously but failed to make it out of the Senate. It's unclear why the bill failed to pass, and Cassell said he never received a clear answer on why the bill did not cross the finish line. Generally, he said, changes at the statehouse can get bogged down by the number of people and interests involved.

This year, he is instead pushing for Clark County to make changes requiring events of a certain size to have fire personnel on scene and in unified command with police.

Categories: EMS

Fire Chief Calls for Incident Command Changes in Wake of Vegas Mass Shooting

EMS-1 Major Incidents - Tue, 02/12/2019 - 07:45

CARSON CITY, Nev. (AP) — A Las Vegas-area fire chief who warned lawmakers months before a 2017 mass shooting at a music festival that Nevada should bolster its emergency management planning says he wants to bypass state lawmakers to get changes made.

Six months before the Oct. 1, 2017, shooting on the Las Vegas Strip that killed 58 and left hundreds injured, Clark County Fire Department Chief Greg Cassell testified before state legislators in favor of a bill that would have required more coordination of emergency medical resources ahead of such a large event.

Las Vegas Mass Shooting Hospital Response Case Study

Investigators say gunman Stephen Paddock acted alone when he fired from a high-rise suite in the Mandalay Bay casino-resort into the crowd of 22,000 at the Route 91 Harvest festival. The FBI concluded Paddock sought notoriety in the attack but said it found no "single or clear motivating factor" to explain why he opened fire on the concert.

Cassell said Friday that had the legislation passed, the fire department would likely have had a fire incident commander on the scene before the shooting.

Having a fire incident commander at the event could have improved communication and made for a cleaner response plan, Cassell said. Months before the event, he told lawmakers the effort would avoid delays in ordering and directing emergency help.

The legislation he supported in 2017 passed the Assembly unanimously but failed to make it out of the Senate. It's unclear why the bill failed to pass, and Cassell said he never received a clear answer on why the bill did not cross the finish line. Generally, he said, changes at the statehouse can get bogged down by the number of people and interests involved.

This year, he is instead pushing for Clark County to make changes requiring events of a certain size to have fire personnel on scene and in unified command with police.

Categories: EMS

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