EMS

No on AB 263: EMS Providers Respond to Emergencies In Real Time When Minutes Matter

JEMS - News - Fri, 06/23/2017 - 11:59

Sacramento, CA  - Today, American Medical Response (AMR), California’s largest provider of 911 emergency ambulance services, launched an online media campaign in opposition to AB 263, authored by Assemblyman Freddie Rodriguez. AB 263 places patient care at risk by seeking to restrict or eliminate private EMS providers from operating in the state.

The standard practice of EMS is that the closest ambulance to an emergency responds because patient care takes precedent to rest and meal breaks. AB 263 will prohibit that standard.

The online media campaign ‘Lives Before Lunch’ highlights the onerous limitations AB 263 puts into place. Its purpose is to educate members of the public to the dangers of the bill, and urge them to contact their legislators to vote “NO” when it comes before them.

As written, AB 263 is an unprecedented political power grab, and will heavily penalize private – but not public – employers of EMTs and paramedics for break interruptions during responses to disasters, and prevent or delay responses to medical emergencies. What’s more, it requires private emergency responders to release their employees from patient care duties even if it places patient care at risk, and allows private EMTs and paramedics to walk away from their ambulances and station houses while on duty.

Putting that into perspective, private EMS providers were the primary paramedic ambulance service that responded to the San Bernardino shootings, the Asiana plane crash and the Oroville Dam evacuation. AB 263 will impact future responses to major events like these and potentially shutdown EMS systems in some of California’s poorest counties.

The reality is that only 6% of AMR’s workforce misses a meal period during their shift. Under current law, when a meal period is missed employees not only receive their paid lunch break compensation but also an additional hour of pay for not having their lunch break rescheduled. Employees that have rest breaks that are interrupted and not rescheduled are also issued an hour of additional compensation, but this impacts less than 1% of the workforce because 40% to 60% of our crews’ shift time can be spent inactive, not providing patient care or responding to an emergency.

Categories: EMS

Dinners at an EMS station

EMScapades Cartoon - Fri, 06/23/2017 - 11:50

New comics every Tuesday and Friday!

Categories: EMS, Syndicated Columnists

18 EMS Responders Complete New 'Rescue Task Force for EMS' Course at State Preparedness Training Center

JEMS - News - Fri, 06/23/2017 - 11:43

The New York State Division of Homeland Security and Emergency Services today announced that eighteen emergency medical services (EMS) responders from across the state recently completed a new ‘Rescue Task Force for EMS’ pilot course at the State Preparedness Training Center in Oriskany. The course provided EMS responders with tools and techniques to save civilian lives through the use of rescue task force and tactical emergency casualty care principles. Taught by a team of instructors from the State Preparedness Training Center, and the National Center for Security & Preparedness, students learned how to form a rescue task force with law enforcement to enable responders to treat and evacuate victims as quickly as possible in an emergency situation.

“Having a unified response by EMS and law enforcement to an active shooter will save lives,” said Roger L. Parrino, Sr., Commissioner of the Division of Homeland Security and Emergency Services. “It is imperative that EMS and law enforcement work together when responding to active shooter incidents so that essential first aid can be provided to those in need as quickly and safely as possible to minimize casualties.”

Recent events have spurred a national discussion on the survivability of victims and safety of first responders during active shooter events and other forms of aggressive deadly behavior. Developed in response to these types of incidents, the new course integrates lessons learned from the responses to recent attacks and emphasizes the importance of immediate interventions on potentially preventable causes of death.

During the two day course, students applied concepts discussed in the classroom to skill lanes, including rescue task force movement, hemorrhage control and triage. Students also discussed and applied concepts related to on-scene command, decision-making and peer leadership. Utilizing the extensive training venues at the State Preparedness Training Center, the course culminates with scenario-based situations where responders have to integrate skills and concepts into responses to simulated attacks.

Categories: EMS

Young EMS Providers from N.J., N.Y. Participate in Annual First Aid Competition

JEMS - News - Fri, 06/23/2017 - 10:36

Young emergency medical service providers from New Jersey and New York battled over bandages, splints and car wrecks all in good fun as part of the 4th Annual Keyport First Aid Cadet Competition.

The day-long event held June 10 in Keyport featured 115 competitors in 33 teams, who participated in events designed to test their abilities in basic and advanced skill categories, which included taking patient’s vital signs, cardiac arrest, CPR and for some with advanced abilities, removing a patient from a mangled car.

“They seem to be improving every year, really,” said Keyport First Aid Chief Ken Krohe, who spearheaded the competition. “They seem to know a lot more. They seem to be preparing themselves a lot better for the teams that are returning.”

Krohe said the event has grown year to year, with more teams participating and more additional assets on hand. Indeed, when not working on their skills, participants were able to explore assets from the New Jersey EMS Task Force, the Monmouth County Sheriff’s Office, Office of Emergency Management, a helicopter from the Monmouth Ocean Hospital Service Corporation (MONOC) and equipment from agencies around the state. Organizers also worked hard to provide realistic settings, including incorporating an ICS staging process.

“This is important because you can bring them down here, into a setting like this, and they get to see all the different phases of EMS, the basic, the ALS level, and they get to see the specialized equipment we have here,” said Mike Scibetti, a Deputy EMS Coordinator for the Monmouth County Sheriff’s Office,  Office of Emergency Management.  “EMS is a team sport across the board so it’s important that they come in here and they work as a team and they train as a team.”

Categories: EMS

Inside EMS Podcast: The value in balancing calls, downtime in EMS

FR1 and EMS Podcasts - Thu, 06/22/2017 - 15:56
Inside EMS Podcast: The value in balancing calls, downtime in EMS by FR1 and EMS1 Podcasts
Categories: EMS, Podcasts

First EMS Course Given in Sign Language in Israel

JEMS - News - Thu, 06/22/2017 - 10:58

Jerusalem, June 22nd, 2017 - After becoming the first deaf EMT in Israel, Nechama Loebel has once again broken barriers for the Deaf and Hard of Hearing Community in Israel by instructing the first EMS course in sign language. Loebel, who recently graduated from both a Psychotrauma and Crisis Response course as well as an EMS instructors course, is certified to instruct basic CPR and EMS classes. She wasted no time in organizing the first ever EMS course in sign language for fellow members of the deaf and hard of hearing community in Israel.

“It is my dream to be able to take this lifesaving information and pay it forward to other members of the deaf and hard of hearing community in Israel,” said Loebel, who only a few weeks prior completed her instructors course.  

The course took place in the community clubhouse for the Deaf and Hard of Hearing in Ashdod. United Hatzalah offers family safety courses that are comprised of basic EMS skills including CPR and proper procedures for treating common injuries such as burns, choking, light wounds and broken bones. As part of the network of courses which are offered across the country, Nechama felt that it was important to offer these classes to the Deaf and Hard of Hearing community in their own language. “The goal is to provide as many people as we can with the basic tools they need to save a life in an emergency. There is no reason that the Deaf community should be excluded from that,” said Loebel. “I am ecstatic that I am able to help provide this service for others who live with the same challenges that I face so that they too will be able to save lives.”     

The course was overseen by Yechiel Cohen who serves as the local chapter head for the organization in Ashdod. Nechama, translated the information into sign language simultaneously to Yechiel’s instruction.

“Nechama has been a treasure to our organization,” said United Hatzalah President and Founder Eli Beer. “Not only is she an active volunteer who has saved many lives and helped other volunteers in the field communicate with patients who are Deaf and Hard of Hearing, but she has been an inspiration to us all and challenges us to continue to expand our horizons and include people from all walks of life and all populations in Israel. She is always active and always looking for new ways to reach out to members of the Deaf and Hard of Hearing community in Israel. I have no doubt that she will continue to be an inspiration to us all for many years to come.”

Categories: EMS

EMS Council of New Jersey Awards Scholarships to Young EMS Volunteers

JEMS - News - Thu, 06/22/2017 - 10:20

The EMS Council of New Jersey (EMSCNJ) has awarded 16 scholarships to young EMS volunteers.

Winners of the 2017 Cadet Scholarship are:

  • Andrew Belanger – Keyport First Aid Squad
  • Emily Davis – Colts Neck First Aid
  • Victorian Dennison – Lambertville-New Hope Ambulance & Rescue Squad
  • Sara Dorrothy – Milton First Aid Squad
  • Brendan Erickson – Sparta Ambulance Squad
  • Shannon Kuehm – Wayne Township Memorial First Aid Squad
  • Jake Lepore – Sparta Ambulance Squad
  • Andrew Lopuch – Sparta Ambulance Squad
  • David Lugara – Scotch Plains Rescue Squad
  • Bret Pine – Keyport First Aid Squad
  • Kaitlyn Rainey – Dumont Volunteer Ambulance Corps

The $500 cadet scholarship is for qualifying graduating high school students who are cadet and/or junior members of EMSCNJ squads, and who plan to pursue college-level degrees.

Winners of the 2017 Gail Lawrence Memorial Scholarship are:

Karolyn Buckridee

  • Scotch Plains Rescue Squad
  • Fanwood Rescue Squad

Brian Dowing

  • Scotch Plains Rescue Squad
  • Fanwood Rescue Squad
  • Ocean Grove First Aid Squad

Jennifer Germinario

  • Lyndhurst Police Emergency Squad

Kaitlyn Oldewurtel

  • Dumont Volunteer Ambulance Corps

Evan H. Schulz

  • Cranford First Aid Squad

The Gail Lawrence Memorial Scholarship is awarded to EMSCNJ-affiliated volunteers earning advanced degrees in any medical field. The $1,000 grant was established in memory of Lawrence, a mobile intensive care nurse, advanced practice nurse and educator with Rutgers University.

The 88-year-old nonprofit EMSCNJ represents 20,000 EMS volunteers affiliated with nearly 300 rescue squads throughout the state.

Categories: EMS

FDA Approves New, Cheaper Rival to EpiPen Allergy Shot

JEMS - News - Wed, 06/21/2017 - 17:19

There are now several cheaper alternatives to the exorbitantly priced EpiPens that should please EMS agencies. ABC News has shared this story:  

U.S. regulators have approved new competition for EpiPen, the emergency allergy medicine that made Mylan a poster child for pharmaceutical company greed. The Food and Drug Administration on Thursday approved Adamis Pharmaceuticals Corp.'s product, which should go on sale later this year. Read more...

This month’s cover story on the King County Washington EMS system (click here for a link to the article) focuses on their system’s move away from Mylan’s exorbitantly priced EpiPens.  The change has saved their system $334,000 annually in restocking alone simply by training their EMTs to draw up and inject epi intramuscularly.

Now, a second alternative is available to BLS and ALS services, as well as the public, because the FDA had approve the sale of the new Symjepi injector that will go on sale later this year.

The Symjepi injector, manufactured by San Diego-based Adamis Pharmaceutical Corp., is easier to use than an EpiPen (important for training of EMS personnel and first responders), smaller than an EpiPen (easier to store in EMS kits), sold in syringe pairs and comes with a training device.

EPI Pens currently cost an outrageous $630 - $700 without insurance coverage and the new Adamis generic Symjepi injector will retail for $225 - $425 about 1/3rd to 1/2 the cost of the larger, harder-to-use, EpiPen. Read More at ABC News

Categories: EMS

New Report Addresses the Risks and Benefits of EMS Lights and Siren

JEMS - News - Tue, 06/20/2017 - 18:01

In a newly released whitepaper, EMS physician, paramedic and Pennsylvania EMS Medical Director Douglas Kupas, MD, takes an evidence-based approach to examining the controversial issue of using lights and sirens in EMS response and transport. The report discusses the impact of emergency lights and sirens driving on response and transport time, safety, public perception and patient outcome.

Lights and Siren Use by Emergency Medical Services (EMS): Above All Do No Harm is one of the most thorough investigations of the topic ever published. Approaching lights and siren use as a medical therapy, Dr. Kupas lays out the evidence and then makes recommendations that can be implemented by states, regional authorities and local EMS agencies.

"For far too long in EMS we've let culture and tradition keep us from objectively looking at when lights and sirens should be used - and when using them puts our patients, our communities and ourselves at needless risk," said Jon Krohmer, MD, Director of the NHTSA Office of EMS, which commissioned the report. "This data-driven approach to the issue is a must-read for every leader of an EMS agency, including safety officers and medical directors, and for every EMS provider who ever has to decide whether to use emergency lights and sirens during a call."

Recommendations in the report include the establishment of performance measures and quality improvement programs for EMS agencies to ensure the proper use of emergency medical dispatch (EMD) protocols and to track the rates of lights and siren response and transport.

Download and read the report at ems.gov. 

Categories: EMS

Read About H&H Medical Corp.’s New Hydrogel Seal Packaging to Expedite Trauma Treatment

JEMS - News - Tue, 06/20/2017 - 13:40

H&H Medical Corp.’s new DualSeal occlusive chest dressing pack has been covered in a June 12 article on Qmed, “Trauma Care Eased with New Package,” by Daphne Allen.

Corina Bilger, director of global sales, H&H Medical, told Qmed that “The DualSeal occlusive dressing pack is geared towards military and civilian users, primarily in emergency medicine and public safety (e.g., police, fire, EMS). We have seen interest in the product from wilderness/adventure customers for adding this to their first aid kits. There are needs in the field to respond to a casualty with multiple puncture injuries such as gunshot entry/exit wounds. The DualSeal makes it easy for our users to have two hydrogel seals within reach to seal two wounds at once.”

Having developed life-saving emergency-care products for more than 30 years, H&H Medical Corp. has found yet another way to expedite trauma treatment—include two chest dressings in one easy-to-use package, Bilger told Qmed.

H&H has launched the DualSeal occlusive chest dressing pack containing two 3.75 x 3.75 sq-in. hydrogel dressings in a small package. With four tear notches marked with black triangles (two on the top side and two on the bottom side), the package eliminates the need for a larger pouch or multiple pouches, making it easier for professionals to carry and use.

For more details, please see the Qmed article here: http://www.qmed.com/mpmn/medtechpulse/trauma-care-eased-new-package

To read more about the Dual Seal product: http://buyhandh.com/collections/chest-seals-and-needles/products/dualseal-occlusive-dressing-two-pack

Categories: EMS

On the job selfies

EMScapades Cartoon - Tue, 06/20/2017 - 12:39

New comics every Tuesday and Friday!

Categories: EMS, Syndicated Columnists

Register Now: Achieving Zero Preventable Deaths - Creating a National Trauma Care System

JEMS - News - Mon, 06/19/2017 - 14:51

Trauma remains a leading cause of death in the United States despite advances in prehospital and in-hospital care over the last half-century. In 2016, the National Academies of Science, Engineering and Medicine (NASEM) released A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury, which proposed a vision for a national trauma system that would reduce deaths from injury on highways, on the battlefield and in any setting. EMS plays a key role in achieving the goal of saving every savable victim of trauma. 

Hear from leaders who are working on a collaborative effort to implement the report's recommendations.

The panel will discuss:

  • The findings of the NASEM report and the role of EMS in achieving its vision
  • The results of a collaborative conference held in April to discuss implementation of the report's recommendations
  • The role of the military in the nation's trauma systems and ways local EMS agencies can work with their military colleagues
  • How EMS systems can use data to measure and improve care for trauma victims 

Webinar Details:

When:  Tuesday June 20th, 3:00 p.m. EST

Moderated by the NHTSA Office of EMS, the panelists will include:

  • Ronald Stewart, MD, Chair of the Committee on Trauma for the American College of Surgeons 
  • Col. (ret.) John Holcomb, MD, Director of the Memorial Hermann Texas Trauma Institute  
  • Cathy Gotschall, ScD, Senior Health Scientist with the NHTSA Office of EMS      

Attendees will be encouraged to submit questions during any point of the discussion. The webinar and Q&A will last approximately one hour.

Categories: EMS

DHS Announces Funding Opportunity for FY 2017 Preparedness Grants

JEMS - News - Mon, 06/19/2017 - 14:34

Today, Secretary of Homeland Security John Kelly announced the release of Fiscal Year (FY) 2017 Notices of Funding Opportunity for 10 DHS preparedness grant programs totaling more than $1.6 billion. The grant programs provide funding to state, local, tribal, and territorial governments, as well as transportation authorities, nonprofit organizations, and the private sector, to improve the nation’s readiness in preventing, protecting against, responding to, recovering from and mitigating terrorist attacks, major disasters and other emergencies. The grants reflect the Department’s focus on funding for programs that address our nation’s immediate security needs and ensure public safety in our communities.

The FY 2017 grant guidance will continue to focus on the nation’s highest risk areas, including urban areas that face the most significant threats.  For FY 2017, the Urban Area Security Initiative (UASI) will enhance regional preparedness and capabilities by funding 33 high-threat, high-density urban areas. This represents Congressional intent to limit FY 2017 UASI funding to those Urban Areas that represent up to 85 percent of the nationwide risk, as stated in the Explanatory Statement accompanying the Department of Homeland Security Appropriations Act, 2017 (Pub. L. No. 115-31).

Consistent with previous grant guidance, dedicated funding is provided for law enforcement and terrorism prevention throughout the country to prepare for, prevent and respond to pre-operational activity and other crimes that are precursors or indicators of terrorist activity.

Grant recipients are encouraged to use grant funding to maintain and sustain current critical core capabilities through investments in training and exercises, updates to current planning and procedures, and lifecycle replacement of equipment.  New capabilities that are built using homeland security grant funding must be deployable if needed to support regional and national efforts.  All capabilities being built or sustained must have a clear linkage to the core capabilities in the National Preparedness Goal.

Categories: EMS

East Baton Rouge EMS Receives American Heart Association’s Mission: Lifeline EMS Recognition Award

JEMS - News - Mon, 06/19/2017 - 14:14

BATON ROUGE, LA — East Baton Rouge EMS has received the American Heart Association’s Mission: Lifeline EMS Gold Plus Award for implementing quality improvement measures for the treatment of patients who experience severe heart attacks.

Every year, more than 250,000 people experience an ST elevation myocardial infarction (STEMI) the deadliest type of heart attack caused by a blockage of blood flow to the heart that requires timely treatment. To prevent death, it’s critical to restore blood flow as quickly as possible, either by mechanically opening the blocked vessel or by providing clot-busting medication.

Unfortunately, a significant number of STEMI patients don't receive this prompt reperfusion therapy, which is critical in restoring blood flow. Mission: Lifeline seeks to save lives by closing the gaps that separate these patients from timely access to appropriate treatments. Mission: Lifeline’s EMS recognition program recognizes emergency medical services for their efforts in improving systems of care and improving the quality of life for these patients.

Emergency Medical System providers are vital to the success of Mission: Lifeline. EMS agencies perform 12-lead ECGs which measure the electrical activity of the heart and can help determine if a heart attack has occurred. They also follow protocols derived from American Heart Association/American College of Cardiology guidelines. These correct tools, training, and practices allow EMS providers to rapidly identify suspected heart attack patients, promptly notify the medical center, and trigger an early response from the awaiting hospital personnel.

Agencies that receive the Mission: Lifeline Gold award have demonstrated at least 75 percent compliance for each required achievement measure for two years.

“EMTs and paramedics play a vital part in the system of care for those who have heart attacks,” said James Jollis, M.D., Chair of the Mission: Lifeline Advisory Working Group. “Since they often are the first medical point of contact, they can shave precious minutes of life-saving treatment time by activating the emergency response system that alerts hospitals. We applaud East Baton Rouge EMS for achieving this award that shows it meets evidence-based guidelines in the treatment of people who have severe heart attacks.”

Categories: EMS

American Workers Unprepared for Workplace Cardiac Emergencies, Surveys Find

JEMS - News - Mon, 06/19/2017 - 14:04

DALLAS, TX – Most U.S. employees are not prepared to handle cardiac emergencies in the workplace because they lack training in CPR and First Aid, according to new survey results from the American Heart Association (AHA), the world’s leading voluntary health organization devoted to fighting cardiovascular disease.

Two surveys reveal most workers do not have access to CPR and First Aid training, and half could not locate an automated external defibrillator (AED) at work – prompting the AHA to announce today a new campaign to promote First Aid, CPR and AED training in the workplace as well as public access to AEDs.

Such training has the potential to save thousands of lives, considering there are 10,000 cardiac arrests in the workplace annually. Cardiac arrests occur when the heart suddenly stops beating, and survival chances outside the hospital can double or triple when CPR is immediately performed by a bystander.

More than 3,000 workers in various fields were surveyed between February and April 2017. In addition to 2,000 employees in corporate offices, hospitality, education and industry/labor, more than 1,000 safety managers in industries regulated by the U.S. Occupational Safety & Health Administration (OSHA) were also surveyed.

Some key findings from the employee study, commissioned by AHA and conducted by Edelman Intelligence:

  • More than half (55 percent) cannot get First Aid or CPR+AED training from their employer – and even if employers do offer this training, it’s often either one or the other.
  • Half of all U.S. workers (50 percent) cannot locate the AED at work. In the hospitality industry, that number rises to two-thirds (66 percent).

“The data suggests these untrained employees may be relying on their untrained peers in the event of an emergency, leaving employees with a false sense of security that someone in the workplace will be qualified and able to respond, when that is clearly not the case,” said Michael Kurz, MD, co-chair of the AHA’s Systems of Care Subcommittee and associate professor at the University of Alabama at Birmingham School of Medicine in the Department of Emergency Medicine.

Categories: EMS

Richmond Ambulance Authority Paramedic Receives ‘Star of Life’ Award From the American Ambulance Association and Receives Award From Her Very First Cardiac Arrest Save!

JEMS - News - Mon, 06/19/2017 - 13:53

RICHMOND, Va. – Richmond Ambulance Authority (RAA) paramedic Julie Anderson has received an American Ambulance Association (AAA) Star of Life award for 2017.   The award, presented at AAA’s Stars of Life Celebration on Monday, June 12 in Washington, DC, honored remarkable ambulance service professionals from around the nation who truly stand out and represent excellence in their field.  Those who receive this award are nominated by their peers.

Anderson, a Hanover, Virginia resident and RAA employee since 2007, was honored at Monday’s ceremony.  “Julie is the complete role model both in her clinical practice and the example she sets,” said Rob Lawrence, chief operating officer for the Richmond Ambulance Authority. “She is a consummate professional who is respected by all that come into contact with her and is well deserving of this honor.”

Julie is a true lifesaver.  One of the very first people she saved after qualifying as a paramedic was Community Idea Stations President and Chief Executive Officer, Curtis Monk.  Mr. Monk was being transported to the hospital and went into cardiac arrest on Julie’s ambulance.  Her quick thinking and intervention gave Mr. Monk a new lease on life. He later underwent a heart transplant.  Mr. Monk said, “I am thrilled to see Julie receive this national recognition, for without her and her partner that day, I simply would not be here right now and for that, I am eternally grateful.”

In an added surprise to Anderson’s Star of Life award, Curtis Monk also attended the ceremony.  Upon hearing of her award, Monk asked to be a part of the celebration and express his personal thanks.   With the assistance of the American Ambulance Association, Monk surprised Julie by appearing on stage to present her Star of Life medal. 

Categories: EMS

Deck Collapses at Montana Resort, 50 Injured

JEMS - News - Mon, 06/19/2017 - 12:04

LAKESIDE, Mont. (AP) — Dozens of people who attended the memorial of a firefighter at a Montana resort gathered after the service on the lodge's deck with its sweeping lake and mountain views, but the structure gave way, injuring at least 50.

Saturday's collapse at the Glacier Presbyterian Camp left two people critically injured as of Sunday, and left many more to wonder whether the 10-foot-high deck buckled from the weight of too many people or if there was another reason it failed.

Determining the cause of the collapse will be up to the resort's insurer, Lake County Sheriff Don Bell said.

"It was not a crime, so we won't be investigating it,' he said. "It'll be handled between the property owner and the people who got injured yesterday."

The injured were taken by ambulance and helicopters to five hospitals — the nearest one 30 miles  (48 kilometers) away — while others drove themselves to be treated for broken bones, scrapes and bruises.

Officials for the Kalispell Regional Medical Center said in a statement that there were a number of orthopedic and neurological injuries that required immediate surgery.

"Our operating room was busy all night," spokeswoman Allison Meilicke told the Missoulian.

One critically injured person was transported to a hospital in Seattle.

Leslie Dillon told the Daily Inter Lake that she was on the deck when it collapsed. She walked away with bruises, but many of her friends and relatives were taken away in ambulances, she said.

The people injured ranged from 3 years old to older than 80, Lakeside/Somers Fire Chief Tom Havens said.

There are only two ambulances in town, so authorities had to call for assistance from emergency responders from Missoula to Kalispell, Bell said

Categories: EMS

Deck Collapses at Montana Resort, 50 Injured

EMS-1 Major Incidents - Mon, 06/19/2017 - 12:04

LAKESIDE, Mont. (AP) — Dozens of people who attended the memorial of a firefighter at a Montana resort gathered after the service on the lodge's deck with its sweeping lake and mountain views, but the structure gave way, injuring at least 50.

Saturday's collapse at the Glacier Presbyterian Camp left two people critically injured as of Sunday, and left many more to wonder whether the 10-foot-high deck buckled from the weight of too many people or if there was another reason it failed.

Determining the cause of the collapse will be up to the resort's insurer, Lake County Sheriff Don Bell said.

"It was not a crime, so we won't be investigating it,' he said. "It'll be handled between the property owner and the people who got injured yesterday."

The injured were taken by ambulance and helicopters to five hospitals — the nearest one 30 miles  (48 kilometers) away — while others drove themselves to be treated for broken bones, scrapes and bruises.

Officials for the Kalispell Regional Medical Center said in a statement that there were a number of orthopedic and neurological injuries that required immediate surgery.

"Our operating room was busy all night," spokeswoman Allison Meilicke told the Missoulian.

One critically injured person was transported to a hospital in Seattle.

Leslie Dillon told the Daily Inter Lake that she was on the deck when it collapsed. She walked away with bruises, but many of her friends and relatives were taken away in ambulances, she said.

The people injured ranged from 3 years old to older than 80, Lakeside/Somers Fire Chief Tom Havens said.

There are only two ambulances in town, so authorities had to call for assistance from emergency responders from Missoula to Kalispell, Bell said

Categories: EMS

Car Carrying Explosives Rams Into Paris Police Vehicle

EMS-1 Major Incidents - Mon, 06/19/2017 - 11:51

PARIS (AP) — A man on the radar of French authorities was killed Monday after ramming a car carrying explosives into a police vehicle in the capital's Champs-Elysees shopping district, prompting a fiery blast, officials said. France's anti-terrorism prosecutor opened an investigation.

No police officers or passers-by were hurt, the Paris police department said. It is unclear why the attacker drove into police, though officials said the incident was apparently deliberate.

Interior Minister Gerard Collomb said the man was killed after an attempted attack on a police convoy, saying that shows the threat is still very high in the country and justifies a state of emergency in place since 2015. He said he will present a bill Wednesday at a Cabinet meeting to extend the state of emergency from July 15, its current expiration date, until Nov. 1.

He says the current situation in France shows a new security law "is needed" and the measure would "maintain a high security level."

Two police officials told The Associated Press that a handgun was found on the driver, who they said was badly burned after the vehicle exploded. They identified the man as a 31-year-old man from the Paris suburb of Argenteuil who had an "S'' file, meaning he was flagged for links to extremism.

The officials spoke on condition of anonymity to reveal details of the incident, the second this year on the city's most famous avenue, which is popular with tourists from around the world.

An attacker defending the Islamic State group fatally shot a police officer on the Champs-Elysees in April, days before a presidential election, prompting an extensive security operation.

On Monday, police cordoned off a broad swath of the Champs-Elysees after the latest incident, warning people to avoid the area.

Interior Ministry spokesman Pierre-Henry Brandet said the incident was apparently deliberate.

Police "pulled an individual out of the vehicle who had struck the car in front (of the convoy, “ Brandet told reporters. "Large numbers of police converged on the scene, firefighters to extinguish the fire."

Categories: EMS

Car Carrying Explosives Rams Into Paris Police Vehicle

JEMS - News - Mon, 06/19/2017 - 11:51

PARIS (AP) — A man on the radar of French authorities was killed Monday after ramming a car carrying explosives into a police vehicle in the capital's Champs-Elysees shopping district, prompting a fiery blast, officials said. France's anti-terrorism prosecutor opened an investigation.

No police officers or passers-by were hurt, the Paris police department said. It is unclear why the attacker drove into police, though officials said the incident was apparently deliberate.

Interior Minister Gerard Collomb said the man was killed after an attempted attack on a police convoy, saying that shows the threat is still very high in the country and justifies a state of emergency in place since 2015. He said he will present a bill Wednesday at a Cabinet meeting to extend the state of emergency from July 15, its current expiration date, until Nov. 1.

He says the current situation in France shows a new security law "is needed" and the measure would "maintain a high security level."

Two police officials told The Associated Press that a handgun was found on the driver, who they said was badly burned after the vehicle exploded. They identified the man as a 31-year-old man from the Paris suburb of Argenteuil who had an "S'' file, meaning he was flagged for links to extremism.

The officials spoke on condition of anonymity to reveal details of the incident, the second this year on the city's most famous avenue, which is popular with tourists from around the world.

An attacker defending the Islamic State group fatally shot a police officer on the Champs-Elysees in April, days before a presidential election, prompting an extensive security operation.

On Monday, police cordoned off a broad swath of the Champs-Elysees after the latest incident, warning people to avoid the area.

Interior Ministry spokesman Pierre-Henry Brandet said the incident was apparently deliberate.

Police "pulled an individual out of the vehicle who had struck the car in front (of the convoy, “ Brandet told reporters. "Large numbers of police converged on the scene, firefighters to extinguish the fire."

Categories: EMS

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