EMS

EMS Physicians Address Ongoing Critical Drug Shortages in DC Hill Day

JEMS - News - 2 hours 27 min ago

Washington (April 23, 2019) – National Association of EMS Physicians® (NAEMSP®) members joined other EMS professionals on Capitol Hill last week to advocate for issues affecting quality prehospital patient care. Drug shortages again emerged as a top concern, as emergency medical facilities across the country are forced to severely restrict use of certain IV fluids, anti-nausea medications, airway management medications and other essential emergency medications (EEMs), many of which have no suitable substitute.

Of the 176 EMS physician medical directors who responded to a survey NAEMSP conducted during its annual meeting in January 2019, 97% reported experiencing an EEM shortage in the past six months and 95% reported the shortages to be consistent or cyclical. These drug shortages have serious and adverse impacts on EMS patients, greatly increasing the risk of medication errors in a fast-paced environment in which time is of the essence for patients.

“We appreciate FDA’s notable efforts over the past several years in response to this issue, but unfortunately the situation remains dire for many patients not receiving the medications they need when they need them,” said NAEMSP President David K. Tan, MD, EMT-T, FAAEM, FAEMS. “We look forward to working with our federal, regional, state and local partners toward a long-term solution that ensures a stable, sufficient and redundant supply of these essential medications.”

At its annual Government Relations Academy on Tuesday, April 9, NAEMSP also reiterated its support for the Center for Medicare and Medicaid Innovation’s new ET3 Emergency Triage, Treat and Transport Model and discussed ways to facilitate efficient implementation of the demonstration project. The Government Relations Academy provides NAEMSP members with insight into the political system so they can be effective advocates in their local communities and at the National Association of Emergency Medical Technicians’ EMS on the Hill Day.

Categories: EMS

Nashville Fire Department Unveils MCI Ambulance

JEMS - News - Tue, 04/23/2019 - 11:44

NASHVILLE, Tenn. (WTVF) — The Nashville Fire Department and its community partners unveiled their newest addition, the AmbuBus on Monday.

The AmbuBus is a retrofitted school bus that was provided by Metro Nashville Public Schools.

It will now be used to respond to mass casualty incidents that would otherwise require a pool of regular ambulances to tend to. With the AmbuBus, numerous other ambulances can be used to assist those who are critically injured elsewhere throughout the city. MORE

 

Categories: EMS

Back-to-Back Earthquakes Hit Philippines

JEMS - News - Tue, 04/23/2019 - 10:14

PORAC, Philippines (AP) — A new powerful earthquake hit the central Philippines on Tuesday, a day after a magnitude 6.1 quake rattled the country's north and left at least 16 people dead, including in a collapsed supermarket, where rescuers scrambled to find survivors.

The U.S. Geological Survey put the magnitude of Tuesday's quake at 6.4, while the local seismology agency said it was 6.5. The quake was centered near San Julian town in Eastern Samar province and prompted residents to dash out of houses and office workers to scamper to safety.

There were no immediate reports of casualties or major damage from the new quake.

Classes and office work were suspended in San Julian, where cracks on roads and small buildings and a church were reported. Power was deliberately cut as a precaution in the quake's aftermath, officials said.

Meanwhile, rescuers worked overnight to recover bodies in the rubble of a supermarket that crashed down in Monday's quake, which damaged other buildings and an airport in the northern Philippines.

The bodies of five victims were pulled from Chuzon Supermarket and seven other villagers died due to collapsed house walls in hard-hit Porac town in Pampanga province, north of Manila, said Ricardo Jalad, who heads the government's disaster-response agency.

An Associated Press photographer saw seven people, including at least one dead, being pulled out by rescuers from the pile of concrete, twisted metal and wood overnight. Red Cross volunteers, army troops, police and villagers used four cranes, crow bars and sniffer dogs to look for the missing, some of whom were still yelling for help Monday night.

Authorities inserted a large orange tube into the rubble to blow in oxygen in the hope of helping people still pinned there to breathe. On Tuesday morning, rescuers pulled out a man alive, sparking cheers and applause.

"We're all very happy, many clapped their hands in relief because we're still finding survivors after several hours," Porac Councilor Maynard Lapid said by phone from the scene, adding that another victim was expected to be pulled out alive soon.

Categories: EMS

Back-to-Back Earthquakes Hit Philippines

EMS-1 Major Incidents - Tue, 04/23/2019 - 10:14

PORAC, Philippines (AP) — A new powerful earthquake hit the central Philippines on Tuesday, a day after a magnitude 6.1 quake rattled the country's north and left at least 16 people dead, including in a collapsed supermarket, where rescuers scrambled to find survivors.

The U.S. Geological Survey put the magnitude of Tuesday's quake at 6.4, while the local seismology agency said it was 6.5. The quake was centered near San Julian town in Eastern Samar province and prompted residents to dash out of houses and office workers to scamper to safety.

There were no immediate reports of casualties or major damage from the new quake.

Classes and office work were suspended in San Julian, where cracks on roads and small buildings and a church were reported. Power was deliberately cut as a precaution in the quake's aftermath, officials said.

Meanwhile, rescuers worked overnight to recover bodies in the rubble of a supermarket that crashed down in Monday's quake, which damaged other buildings and an airport in the northern Philippines.

The bodies of five victims were pulled from Chuzon Supermarket and seven other villagers died due to collapsed house walls in hard-hit Porac town in Pampanga province, north of Manila, said Ricardo Jalad, who heads the government's disaster-response agency.

An Associated Press photographer saw seven people, including at least one dead, being pulled out by rescuers from the pile of concrete, twisted metal and wood overnight. Red Cross volunteers, army troops, police and villagers used four cranes, crow bars and sniffer dogs to look for the missing, some of whom were still yelling for help Monday night.

Authorities inserted a large orange tube into the rubble to blow in oxygen in the hope of helping people still pinned there to breathe. On Tuesday morning, rescuers pulled out a man alive, sparking cheers and applause.

"We're all very happy, many clapped their hands in relief because we're still finding survivors after several hours," Porac Councilor Maynard Lapid said by phone from the scene, adding that another victim was expected to be pulled out alive soon.

Categories: EMS

What Dilly Wants

EMScapades Cartoon - Tue, 04/23/2019 - 09:49
Categories: EMS, Syndicated Columnists

Video: Virginia Medics Caught in Tornado

JEMS - News - Tue, 04/23/2019 - 09:00

FRANKLIN COUNTY, Va. (WDBJ7) - When an EF-3 tornado swept through Franklin County Friday, Medic Unit 6 was driving down Route 220. Medic Unit 1-6 was traveling on Route 220 in Franklin County when an EF-3 tornado swept through the area.

Bryan Ferguson and Billy Akers were in the ambulance when dispatch came over the radio: "Attention all units, be advised we are currently in a tornado warning until 11:00 for this area." The EMTs saw the sky turn dark, the winds picked up and Ferguson started recording. "We are right in it," he said in the video.

Ferguson said that the winds picked up and the ambulance started to shake. Tree branches and leaves slammed against the medic unit. The sound of debris drowned out the strong winds and rain. MORE

 

 

Categories: EMS

Leveraging Volunteers During Emergent Events

EMS-1 Major Incidents - Fri, 04/19/2019 - 15:46

Professional responders who are first to arrive at a mass casualty incident (MCI) face a complex and potentially overwhelming challenge. It’s possible the first to arrive may be an inexperienced responder who will have to make decisions quickly and may lack mental models to help drive their behaviors. Even in a well-coordinated response, the professional responders may not be able to treat all the injured at the same time, and so they must triage and prioritize the victims.

Spontaneous volunteers often heroically step in to fill the gap without being asked, but their courage and commitment often adds complexity to an already chaotic and challenging situation. Recent MCIs demonstrate that volunteers are often willing to help in a variety of ways. The additional support can make a significant difference in the response, and can help saves lives. Current policy and training don’t encourage professional responders to engage and leverage the public in this manner.1

The initial professional responder (IPR) is defined as “the initial professionally trained and legally recognized responder to arrive at the scene of an event.” It is usually a member of the police, fire or EMS. An IPR arriving on scene at any complex event is often the immediate center of attention for volunteers and victims. The IPR is seen as the legitimate authority and expert to turn to.

This can create a significant amount of stress on the IPR, as well as providing the IPR with an important amount of informal power. The IPR is expected to take charge, make decisions and provide information under the most challenging of circumstances. A simple and straightforward method of trying to bring order to the chaos is needed to allow the IRP to make decisions and manage the incident effectively.

Recognition of the capacity for volunteers to help has led to a number of new initiatives aiming to train and empower volunteers. Simple yet effective medical techniques and initiatives have been developed, such as Stop the Bleed, Be the Help,2 and Until Help Arrives.3

Categories: EMS

Inside EMS: Understanding the new EMS Scope of Practice Model

FR1 and EMS Podcasts - Fri, 04/19/2019 - 12:45
Inside EMS: Understanding the new EMS Scope of Practice Model by FR1 and EMS1 Podcasts
Categories: EMS, Podcasts

Could Be Karma

EMScapades Cartoon - Fri, 04/19/2019 - 07:29
Categories: EMS, Syndicated Columnists

Aussie Doctors Bestowed Thai Royal Honors for Cave Rescue

JEMS - News - Fri, 04/19/2019 - 04:09

By JERRY HARMER

BANGKOK (AP) — Two Australian doctors were given royal honors in Thailand on Friday for helping rescue a boys soccer team from a flooded cave and said they are looking forward to a reunion with the youngsters they helped save.

Richard Harris and Craig Challen were given the award at a ceremony presided over by Thai Prime Minister Prayuth Chan-ocha. Four Australian officials involved with the rescue effort were also honored.

Both highly skilled divers, the doctors played key roles in rescuing members of the Wild Boars soccer team and their coach from the cave complex in Chiang Rai province last July.

They said before the award ceremony they were looking forward to going to the northern province Monday to see how the boys are faring.

"That's really exciting for us to go and see them and make sure they're well and see how they're doing after the rescue," Harris said. "Hopefully we will find them in good shape."

A mixed team of Thais and expert divers from a number of countries combined in the dramatic search and rescue mission carried out after the team went missing when heavy rain flooded the Tham Luang cave complex.

The drama, which lasted 18 days, gripped the attention of the world.

Harris and Challen, who in January were jointly named Australians of the Year, said that should it ever happen again, they were ready to reprise their operation.

" We have a little bit more experience now," Challen said. "We seem to be the world record holders in cave-diving rescues now."

They also joked about one of the British rescue team members, Josh Bratchley, who this week had to be rescued himself from a cave in the United States, and said they had left humorous messages on his Facebook page.

"Well, it's been a matter of some hilarity with us really. I'm glad it wasn't us because that would have been very professionally embarrassing for us, I can say," Challen said. "We are looking forward to speaking to Josh and getting the true story."

Categories: EMS

German Pastor Praises Medics After Deadly Madeira Bus Crash

JEMS - News - Thu, 04/18/2019 - 02:19

By BARRY HATTON

LISBON, Portugal (AP) — All the 29 people killed in a tour bus crash on Portugal's Madeira Island were German, Portugal's foreign ministry confirmed Thursday.

The bus carrying 55 people, all German tourists except a Portuguese driver and guide, rolled down a steep hill after veering off the road on a bend east of Madeira's capital, Funchal, on Wednesday evening when it was still light and in fine weather. The crash injured 28 others.

A foreign ministry statement reiterated the government's condolences to the families of victims, and said the crash "claimed the lives of 29 German citizens."

Authorities said they are investigating the cause and would inspect the bus for mechanical problems.

Portuguese officials had previously said they had not yet identified the victims by name or nationality.

People at the roadside are also thought to be among the injured.

Tomasia Alves, head of the Funchal hospital, said authorities hope to have a list of victims by Saturday. She said the victims were roughly between 40 and 60 years old and included no children.

She said 28 people were taken from the accident scene to a morgue, and another person died later in hospital.

German Foreign Minister Heiko Maas said he was "deeply shaken by the tragic bus crash." He was due to travel to Madeira on Thursday afternoon and meet his Portuguese counterpart there.

German Chancellor Angela Merkel expressed "sadness and shock" at the accident. "My sincere sympathy goes especially to all of the families who have lost their loved ones in this tragedy," she said.

Rescue services used two cranes before dawn Thursday to pull the bus, which was lying on its side with part of its roof torn off, from the crash site, local media reported.

The wall of a house, which appeared to have halted the bus's fall, was smashed in. Parts of the bus, including seats, and items of clothing littered the grassy hillside, which looks out over the Atlantic Ocean.

Categories: EMS

Context Is Crucial

EMScapades Cartoon - Tue, 04/16/2019 - 09:16
Categories: EMS, Syndicated Columnists

Inside EMS: How the new American Paramedic Association focuses on providers

FR1 and EMS Podcasts - Fri, 04/12/2019 - 13:45
Inside EMS: How the new American Paramedic Association focuses on providers by FR1 and EMS1 Podcasts
Categories: EMS, Podcasts

‘Push-In’ Ceremony Held for New Miami-Dade Medic Unit

JEMS - News - Fri, 04/12/2019 - 08:53

MIAMI (CBSMiami) – Monday was a special day for Miami-Dade Fire Rescue.

The department welcomed a new paramedic unit in Miami Lakes.

Officials and community members from Miami Lakes joined Miami-Dade Fire Rescue at the ‘Push-In Ceremony’ at Fire Station No. 64 to inaugurate their Life Support Transport Unit. MORE

 

Categories: EMS

Always Tell The Truth

EMScapades Cartoon - Fri, 04/12/2019 - 08:13
Categories: EMS, Syndicated Columnists

New Ambulances for Oologah-Talala EMS in Oklahoma

JEMS - News - Fri, 04/12/2019 - 06:39

OOLOGAH, Oklahoma (NewsOn6) - Oologah-Talala EMS now has four new state-of-the-art ambulances available to help people. The ambulances feature new equipment and safety upgrades, to keep both the medical crew and the patient safe.

This comes more than seven years after an OTEMS ambulance rolled over ending two medics' careers.

On the on the outside of the ambulances, the graphics and the placement of the lights are completely redone making it more visible. Step inside, and it's a whole redesign from the bottom up. MORE

NewsOn6.com - Tulsa, OK - News, Weather, Video and Sports - KOTV.com |

 

Categories: EMS

Texas Ambulance Crew Injured in Crash

JEMS - News - Fri, 04/12/2019 - 06:20

HARRIS COUNTY, Texas (Houston Chronicle) - Harris County Sheriff's deputies are working a crash involving an ambulance and a dump truck on the Beltway 8 westbound frontage road near Lee Road in northeast Harris County.

HCSO tweeted that Two crew members of the private ambulance service vehicle were being taken to the hospital with apparently minor injuries.

The accident occurred shortly after 4 p.m. There is no information available on the condition of the dump truck driver, or if there was a patient in the ambulance at the time of the accident.

 

Ambulance, Dump Truck Collide in Harris County, KHOU 11

 

Categories: EMS

Preparations Underway for the 6th Annual Keyport First Aid Cadet Competition to Be Held June 8, 2019

JEMS - News - Thu, 04/11/2019 - 15:01

Preparations are underway for the 6th Annual Keyport First Aid Cadet Competition to be held June 8, 2019 at Keyport High School, according to Keyport First Aid Chief Ken Krohe, who heads up the event.

The event will feature upwards of 160 young future EMS providers in a series of skills competitions to test their basic and advance emergency medical service capabilities. Competitors will participate in skill events such as taking a patient’s vital signs, handling cardiac arrests, CPR, splinting, patient assessment and removing patients from motor vehicle wrecks.

“Every year the competition grows, the number of participants increases and their skill levels get better and better,” says Krohe, who leads a team of area adult first responders in producing the Cadet Competition.

Teams are expected to arrive on the evening of June 7, where they’ll take part in an educational session and then spent the night on site. Some will experience what it is like to live in emergency tent housing supplied by the New Jersey EMS Task Force.

The actual competition, set for June 8, is designed to present competitors with realistic scenario simulations which test their abilities and develop teamworking techniques, while also creating real-time learning situations.

In addition to taking part in the skills tests, competitors will be able to explore assets and experience equipment from the New Jersey EMS Task Force, the Monmouth County Sheriff’s Office and Monmouth Ocean Hospital Service Corporation (MONOC).

Previous events have included teams from throughout the tri-state region. For example, the 2018 event drew more than 150 competitors representing 37 teams. The competition is open to youth members of emergency services organizations sponsored by Keyport First Aid and the EMS Council of New Jersey.

Registration for teams is open and will continue into the spring. To learn more about how to register to compete, or how to become a sponsor of the event, please call 732-673-4795 or email chief@keyportfirstaid.org.

Categories: EMS

EMTs and Paramedics Can Help Keep High School Sports Alive

JEMS - News - Thu, 04/11/2019 - 13:38

Imagine the town you grew up in—but without high school sports.

Football stadiums with weeds at the 50-yard line, boarded concession stands and collapsing bleachers. No banners in shop windows celebrating a conference championship. No pep rallies to get the school fired up for the biggest game of the year. Hundreds of teenagers with lots of time on their hands, but nothing to do after school.

This scenario threatens to become a reality sooner than you may think. Currently, a nationwide shortage of licensed high school officials is causing some high schools to postpone, or even cancel, athletic events. And because the number of retiring officials is far greater than the substantially fewer number of new ones, this challenge is becoming more acute every year.

To stop the decline, they need people like you.

As an EMT or paramedic, you’ve already demonstrated that you’re fast on your feet and able to stay calm in pressure-packed situations. You access conditions quickly and make instant decisions. You’re physically fit and a good communicator. You’re required to be a good team player every time you get a call. Most importantly, you care about your community.

When you become a licensed high school official, you’ll take that same experience and knowledge from the streets into the gym to help the next generation become more disciplined, productive, empathic community leaders. Stated another way, becoming a licensed high school official is a natural extension of the skills and interests you already have.

It’s also a great way to stay connected to a sport you love. And while the hours are flexible and you’ll earn a little extra income, the real reward will likely be those special times when a student-athlete looks you in the eye and says, “Thank you.”

If you’re ready to learn more about putting on the black and white stripes in behalf of the teenagers in your community, go to HighSchoolOfficials.com. You’ll soon see you’re a perfect fit.

Categories: EMS

20 Hurt, One Dead in Bangkok Mall Fire

JEMS - News - Thu, 04/11/2019 - 09:01

BANGKOK (AP) — A fire at one of Bangkok's biggest mall complexes spread smoke over the city's central commercial district, caused a large evacuation during the Wednesday evening rush and killed at least two people. Officials said 20 others were hurt.

The extent of the fire was small and flames were quickly extinguished, but it forced hundreds of people to evacuate the shopping mall in the CentralWorld complex, which includes a hotel, a convention center and an office tower. Firefighters with masks and oxygen tanks entered the building afterward to clear smoke from several floors.

Smoke was seen still coming from the building several hours later, but the skyline was clear after daybreak Thursday.

Photos: Bangkok Mall Fire

Bangkok Gov. Assawin Kwanmuang initially told reporters that three people died, one at the scene and two at a hospital. He later said that two people were confirmed dead, but did not explain the discrepancy. The city's Erawan Emergency Radio network said around midnight that 20 people had been injured.

The company that operates CentralWorld said in a statement that the two people who died were company employees.

Assawin said the fire was believed to have started in a document storage room in one of the buildings that is part of the complex.

Video posted on social media soon after the fire began showed a person jumping from one of the complex's buildings. Thai media reported that at least one of the people who died had jumped from a building.

Images showed large flames raging out of what appeared to be a rear portion of the complex.

Other video showed hundreds of evacuated shoppers filling a large open square next to the mall. Ambulances and other vehicles with their emergency lights on and trucks filled with firefighters could be seen.

In another video, a woman is seen directing shoppers out of the mall during the evacuation.

Categories: EMS

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