Manchester Attack Report: Confusion Kept Some Resources Away from Victims

EMS-1 Major Incidents - Tue, 03/27/2018 - 10:22

LONDON (AP) — Firefighters were not allowed to go to the scene of the Manchester Arena bombing for more than two hours because of confusion about whether an attacker was still on the loose, according to a report released Tuesday.

Senior British civil servant Bob Kerslake, who headed the inquiry, said "a valuable resource was not available to assist at the scene" because fire service workers were "out of the loop."

A suicide bomber killed 22 people and injured scores more at an Ariana Grande concert on May 22 in Manchester. The report also criticized the media for the way journalists treated bombing victims.

According to the report, the first police officers were on the scene within one minute of the explosion, and more police and paramedics arrived soon after. But firefighters were kept away because the senior officer on duty mistakenly believed there was an "active shooter."

The inquiry panel said it was not able to determine whether quicker deployment of firefighters could have saved lives, saying only coroners can answer that. But it said lives were undoubtedly saved by a police duty inspector's decision to override protocol and let police and medics stay at the arena and treat the wounded, even though it was unclear whether more attacks would follow.

Manchester Mayor Andy Burnham praised emergency workers for saving lives by taking "brave, common-sense decisions" rather than following protocol.

The report also called the media's behavior "troubling."

It said one journalist offered condolences to a child before the child had been officially told about the death of her mother in the attack. Journalists also sent gifts to victims in the hospital along with notes offering 2,000 pounds ($2,800) for information. Some also apparently impersonated a bereavement nurse and a doctor to get more information.

The report said the Manchester bombing victims and their families felt mercilessly "hounded" by the press.

Categories: EMS

Russian Shopping Mall Fire Kills 64; No Alarms Reported

EMS-1 Major Incidents - Mon, 03/26/2018 - 10:45

MOSCOW (AP) — With the fire alarms silent and staff reportedly nowhere to be seen, a fire at a shopping mall packed with children and their parents on the first weekend of the school recess killed 64 people in Russia's Siberia.

The fire at the Winter Cherry mall in Kemerovo, a city about 3,000 kilometers (1,900 miles) east of Moscow, was extinguished by Monday morning after burning through the night. Firefighters were still recovering bodies as parts of the buildings were still smoldering. Some of the dead were found inside a cinema, which one witness said had been locked shut.

Investigators said Monday that emergency exits were blocked and a security guard turned off the public announcement system when he received a call about the blaze.

On Monday morning, Kemerovo residents were bringing flowers, candles and stuffed animals to a plaza outside the mall, and local hospitals reported an influx of people wanting to donate blood for the victims.

Sixty-four deaths were confirmed after the firefighters finished combing through the four floors of the mall, Emergency Situations Minister Vladimir Puchkov told a televised briefing. Six of the bodies have not yet been recovered.

A group of firefighters walk near the scene of the multi-story shopping center after a fire, in the Siberian city of Kemerovo, about 3,000 kilometers (1,900 miles) east of Moscow, Russia, Monday, March 26, 2018. Russian officials say a fire at a shopping mall in a Siberian city has killed over 50 people. The Ekho Mosvky radio station quoted witnesses who said the fire alarm did not go off and that the staff in the mall in Kemerovo did not organize the evacuation. (AP Photo)

Out of 17 victims whose bodies have been identified, eight are children, the emergency officials said.

Twelve people have been hospitalized. Health Minister Veronika Skvortsova, who visited the Keremovo hospital where the victims were receiving treatment, said on Russian state television that the patient in the gravest condition is an 11-year-old boy who jumped out of a window from the fourth floor. The boy's parents and younger sister died in the fire, Skvortsova said.

Categories: EMS

In Wake of Fla. Nursing Home Deaths, Gov. Scott Signs Bills Mandating Backup Power

EMS-1 Major Incidents - Mon, 03/26/2018 - 10:42

TALLAHASSEE, Fla. (AP) — Gov. Rick Scott signed legislation Monday requiring backup power sources in Florida nursing homes and assisted living facilities, months after the deaths of several residents from a sweltering nursing home that lost power in a hurricane.

The legislation require the facilities to have a generator capable of keeping nursing homes and assisted living facilities at 81 degrees Fahrenheit (27 degrees Celsius) or lower for at least four days. All of Florida's 685 nursing homes and 3,089 assisted living facilities must be in compliance by the June 1 start of hurricane season. State agencies can grant an extension until Jan. 1, 2019, for facilities that would face delays in installing equipment or need zoning or other regulatory approval.

"As we near hurricane season, families can now know the facilities responsible for caring for their loved ones will have the resources needed to be fully prepared ahead of any potential storms," Scott said in a statement.

Officials from the state's Agency for Health Care Administration, which oversees nursing homes, and the Department of Elder Affairs, which regulates assisted living facilities, did not have updated numbers on how many facilities were already in compliance. As of January, 108 nursing homes and 138 assisted living facilities had installed the necessary equipment.

"Florida faces an annual risk from Mother Nature, and these rules will help keep seniors safe during a possible devastating weather event or ... prolonged power outage," said Justin Senior, secretary of the Agency for Health Care Administration.

The rule was originally issued by Scott, Florida's Agency for Health Care Administration and the Department of Elder Affairs following the deaths at the Hollywood Hills Rehabilitation Center after Hurricane Irma in September. The original rule stated that nursing homes and assisted living facilities had to be in compliance by Nov. 15 or face a fine of $1,000 per day. But a state administrative judge sided last October with nursing homes that had challenged the tight deadlines.

Categories: EMS

Toddler Dies after Ambulance is Hit by Drunk Driver

JEMS - News - Tue, 02/13/2018 - 12:01

WINSTON-SALEM, N.C. (AP) — Police in North Carolina say the toddler who was badly hurt after an ambulance crash has died.

A news release from the Winston-Salem Police Department Monday night says it was informed at 6:05 p.m. Monday that the boy had died at Wake Forest Baptist Medical Center. Authorities offered no additional details.

The boy was being taken to the hospital around 1 a.m. Sunday when a drunken driver hit the medical transport, causing it to roll over on its side, police said.

Gary Oakes of Wise, Virginia, said in a brief phone interview Monday that his 3-year-old grandson had been under medical care before the crash but didn't want to elaborate. Asked how the family was coping, Oakes said, "It's devastating."

The boy's mother, Lyndsay Ann Oakes of Wise, was on the ambulance with him and suffered minor injuries. Reached by phone, she declined to be interviewed.

It's not clear why the boy was being treated before the crash, but Police Lt. Rick Newnum has said the boy was in stable condition before the ambulance was hit. The boy's name hasn't been released.

The driver of the car that hit the ambulance, 27-year-old Jose Martin Duran Romero, originally faced charges including driving while intoxicated and driving without a license. There was no immediate words on additional charges against Romero.

It wasn't clear from jail records if he had an attorney, and no home listing for him could be found. Romero's passenger was charged with failure to render aid.

Newnum said Monday that the men tried to leave the scene on foot, but one was kept from leaving by a witness to the crash. The other man was soon apprehended by police.

Categories: EMS

Crestline Awarded $22 Million Contract for Calgary Transit Community Fleet

JEMS - News - Mon, 02/12/2018 - 23:00
February 13, 2018 – Saskatoon, SK, Canada – Crestline Coach, Canadian supplier of small to mid-sized buses and a global leader in ambulance and specialty vehicle manufacturing, secured a 5-year contract with a $22 million dollar order representing the first year commitment to renew Calgary Transit’s community shuttle fleet. The renewal will ensure safe, accessible and comfortable transportation for all Calgary Transit passengers.

Crestline partnered with ARBOC Specialty Vehicles, a New Flyer company, to structure a turnkey solution for Calgary’s fleet replacement project around the ARBOC Spirit of Freedom (SOF) model. This low floor community shuttle bus is highly accessible for all passengers, including those with limited mobility. Through its low floor entry and fully flat floor design, the SOF offers a wide range of motion and maneuverability for its wheelchair passengers. Non-wheelchair passengers also enjoy a safe and comfortable ride in the theatre-style seating, which ensures greater visibility. The sleek design allows operators to easily navigate narrow streets, reaching neighborhoods and providing specialized transit services, where standard sized buses cannot access.

Crestline’s in-house engineering staff worked closely with Calgary’s technical team to streamline the integration of various electrical components and sub-systems, which is the backbone of Calgary’s fleet management infrastructure. The clean, integrated design ensures ease of accessibility to key systems for operators and technicians

With the goal of providing Calgary with a turnkey solution, which allows new additions to their fleet to move seamlessly from delivery into service, Crestline’s 80,000 square foot specialty vehicle manufacturing facility in Saskatoon will be responsible for electrical installation and electrical system validation along with final vehicle preparation for all units prior to delivery to Calgary. Crestline’s broad specialty vehicle design and manufacturing capabilities uniquely positions the company to support large fleet operations like Calgary Transit who are looking to streamline their vehicle commissioning process while reducing costs. Crestline is also handling all activities surrounding the decommissioning of Calgary’s retired fleet.
Categories: EMS

Helicopter Crash in Grand Canyon Leaves 3 Dead, 4 Injured

JEMS - News - Mon, 02/12/2018 - 18:29

FLAGSTAFF, Ariz. (AP) — A helicopter crash that killed three British tourists and left four others critically injured happened on tribal land in the Grand Canyon where air tours are not as highly regulated as those inside the national park.

The group of friends was in Las Vegas to celebrate a birthday and took a helicopter sightseeing tour of the Grand Canyon on the Hualapai reservation, family and friends said. Killed were veterinary receptionist Becky Dobson, 27; her boyfriend Stuart Hill, a 30-year-old car salesman; and his brother, Jason Hill, a 32-year-old lawyer.

Unlike the national park, air tours on the Hualapai reservation are not subject to federal regulations that restrict routes, impose curfews and cap the amount of flights over the Grand Canyon each year. The Federal Aviation Administration granted the Hualapai Tribe an exemption nearly two decades ago after finding that the regulations would harm the tribe's economy where tourism is a major driver.

Most of the flights over the reservation originate from Las Vegas, and air tour operators aggressively market them. The pilots can fly between canyon walls and land at the bottom next to the Colorado River on the reservation, which isn't allowed at the park other than for emergency operations.

Landing pads sit upstream and downstream from where the copter owned by Papillon Grand Canyon Helicopters crashed Saturday, constantly ferrying people on and off aircraft.

The National Transportation Safety Board is investigating what led to the crash in a remote area where rescuers had to fly in, hike to the site and use night-vision goggles to find their way around, Hualapai Nation police Chief Francis Bradley said. Windy conditions and the rugged terrain made it difficult to reach the wreckage.

The flight left Boulder City, Nevada, destined for Quartermaster Canyon near the west rim of the Grand Canyon, NTSB lead investigator Stephen Stein said. The air tour pilots there operate off a common frequency, talking to each other and explaining their direction, though it's not mandatory, he said.

Categories: EMS

New Report Sheds Light on Opioid Industry's Role in Epidemic

JEMS - News - Mon, 02/12/2018 - 05:39

WASHINGTON (AP) — Companies selling some of the most lucrative prescription painkillers funneled millions of dollars to advocacy groups that in turn promoted the medications' use, according to a report released Monday by a U.S. senator.

The investigation by Missouri's Sen. Claire McCaskill sheds light on the opioid industry's ability to shape public opinion and raises questions about its role in an overdose epidemic that has claimed hundreds of thousands of American lives. Representatives of some of the drugmakers named in the report said they did not set conditions on how the money was to be spent or force the groups to advocate for their painkillers.

The report from McCaskill, ranking Democrat on the Senate's homeland security committee, examines advocacy funding by the makers of the top five opioid painkillers by worldwide sales in 2015. Financial information the companies provided to Senate staff shows they spent more than $10 million between 2012 and 2017 to support 14 advocacy groups and affiliated doctors.

The report did not include some of the largest and most politically active manufacturers of the drugs.

The findings follow a similar investigation launched in 2012 by a bipartisan pair of senators. That effort eventually was shelved and no findings were ever released.

While the new report provides only a snapshot of company activities, experts said it gives insight into how industry-funded groups fueled demand for drugs such as OxyContin and Vicodin, addictive medications that generated billions in sales despite research showing they are largely ineffective for chronic pain.

"It looks pretty damning when these groups were pushing the message about how wonderful opioids are and they were being heavily funded, in the millions of dollars, by the manufacturers of those drugs," said Lewis Nelson, a Rutgers University doctor and opioid expert.

The findings could bolster hundreds of lawsuits that are aimed at holding opioid drugmakers responsible for helping fuel an epidemic blamed for the deaths of more than 340,000 Americans since 2000.

Categories: EMS

NAEMSP 2018 Conference Reveals New Major Advocacy Initiative, Breaks Attendance Records

JEMS - News - Sun, 02/11/2018 - 23:00
WASHINGTON, DC (February 12, 2018) – The National Association of EMS Physicians® (NAEMSP®) is proud to announce its 2018 conference held in San Diego, CA on January 8 -13, 2018 was a record success with the highest-ever attendance, including more than half the NAEMSP membership. #NAEMSP2018 also garnered more than six million Twitter impressions, with dedicated leadership from NAEMSP’s Communications Committee and Chair, Dr. Hawnwan “Phil” Moy.

Announced by President Brent Myers, MD, MPH, FAEMS in the conference’s opening President’s Address, NAEMSP’s recently intensifying federal policy advocacy work will now be bolstered by a newly-launched political action committee (PAC) known as NAEMSP PAC.

“NAEMSP PAC is the most ethical, transparent way to advance NAEMSP’s advocacy work and mature our relationships with members of Congress who engage with us on policy solutions,” says President Myers. “It’s also a natural continuation of NAEMSP’s mission to improve out-of-hospital patient care and it will meaningfully bolster our recently intensifying advocacy efforts.”

NAEMSP PAC builds upon NAEMSP’s success with the Protecting Patient Access to Emergency Medications Act (H.R. 304). An NAEMSP charge led by Advocacy Chair, Ritu Sahni, MD, FAEMS, H.R. 304 protects EMS’s ability to use standing orders despite pending Drug Enforcement Agency regulations, and was signed into federal law in November 2017.

“Our work on H.R. 304 really demonstrated the power of advocacy: not only for ourselves, but for our patients,” says Dr. Sahni. “NAEMSP members clearly agree with the value of this effort - within its first month, the PAC has grown to $61,036 with 63 individual donors.”

NAEMSP’s first ever President’s Challenge Coin was also revealed at NAEMSP 2018, and will be given as an annual honor to NAEMSP members who uniquely contribute to the organization and industry. Coinciding with the reveal of NAEMSP PAC, the coin will also be offered to those who donate in its inaugural year.
Categories: EMS

RadioMobile Inc. awarded contract from CALFIRE to develop, install and maintain Automatic Vehicle Location (AVL) and Mobile Data System for Emergency Response

JEMS - News - Sun, 02/11/2018 - 23:00
February 12, 2018

SAN DIEGO, CA - The California Department of Forestry and Fire Protection (CALFIRE) has entered into a contract with RadioMobile, Inc. to provide technology that will allow the department to efficiently and accurately locate and communicate with emergency response equipment statewide. The objective of the project is to enhance the department’s situational awareness enhancing firefighter and citizen safety and facilitate mission critical data communications over a variety of networks (broadband, narrowband and satellite).

Under the agreement, RadioMobile will provide a centralized location tracking application, a mobile data terminal solution that reliably receives incident information, provides mapping and enables vehicle operators to communicate via a touchscreen application interfacing with their CAD system. RadioMobile will also provide the equipment, services and support needed to implement a statewide VHF mobile data system and integrate network switching between broadband/cellular, VHF and satellite for 1,200+ CALFIRE-owned state resources.

CALFIRE is dedicated to the fire protection and stewardship of over 31 million acres of California's privately-owned wildlands. In addition, the Department provides varied emergency services in 36 of the State's 58 counties via contracts with local governments.

RadioMobile is a premier mobile data integration company specializing in rugged in-vehicle mobile data hardware, dispatch & tracking software, customized networking solutions and integration services. Contact:Contact: Sai Krishnamurthi, Director of Sales & Marketing
RadioMobile, Inc.
8801 Kenamar Drive
San Diego, CA 92121
Phone: 858.530.1065
Fax: 858.530.1063
Email: saik@radiomobile.com Email:saik@radiomobile.com Web site:www.radiomobile.com
Categories: EMS

Flu Season, Still Worsening, Now as Bad as 2009 Swine Flu

JEMS - News - Fri, 02/09/2018 - 10:04

NEW YORK (AP) — The flu has further tightened its grip on the U.S. This season is now as bad as the swine flu epidemic nine years ago.

A government report out Friday shows 1 of every 13 visits to the doctor last week was for fever, cough and other symptoms of the flu. That ties the highest level seen in the U.S. during the 2009 swine flu pandemic.

And it surpasses every winter flu season since 2003, when the government changed the way it measures flu.

This season started early and has been driven by a nasty type of flu that tends to put more people in the hospital and cause more deaths.

But its long-lasting intensity has surprised experts, who are still sorting out why it's been so bad.


Categories: EMS

Regulators Say Herbal Supplement Kratom Contains Opioids

JEMS - News - Thu, 02/08/2018 - 00:07

WASHINGTON (AP) — U.S. health authorities say an herbal supplement promoted as an alternative pain remedy contains the same chemicals found in opioids, the addictive family of drugs at the center of a national addiction crisis.

The Food and Drug Administration analysis, published Tuesday, makes it more likely that the supplement, kratom, could be banned by the federal government.

The FDA also said it has identified 44 reports of death involving kratom since 2011, up from 36 reported in November.

Sold in various capsules and powders, kratom has gained popularity in the U.S. as a treatment for pain, anxiety and drug dependence. Proponents argue that the substance is safer than opioid painkillers like OxyContin and Vicodin, which have contributed to an epidemic of drug abuse. More than 63,000 Americans died in 2016 from drug overdoses, mostly from opioids.

FDA Commissioner Scott Gottlieb reiterated that there are no FDA-approved medical uses for kratom, which is derived from a plant native to Southeast Asia.

"Claiming that kratom is benign because it's 'just a plant' is shortsighted and dangerous," Gottlieb said in a statement. "It's an opioid. And it's an opioid that's associated with novel risks because of the variability in how it's being formulated, sold and used recreationally."

FDA scientists analyzed the 25 most common chemical compounds in kratom and concluded that they behave like those found in opioids including morphine.

Kratom remains legal under federal law. But FDA inspectors have been seizing and destroying shipments at international mail facilities for months.

The FDA has submitted its review to the Drug Enforcement Administration, which is considering whether to place kratom in the same category of illegal drugs as heroin and LSD. The agency was poised to take that step in the summer of 2016, but delayed a decision after a flood of public complaints, including a letter signed by 62 members of Congress and a protest at the White House by kratom supporters.

Categories: EMS

Workers Try to Shore Up Tilted Buildings After Taiwan Quake

JEMS - News - Wed, 02/07/2018 - 23:34

HUALIEN, Taiwan (AP) — Workers placed steel beams to stabilize a dangerously tilted building while rescuers on the other side try to pull survivors from their residences Thursday morning, more than a day after a deadly quake shook Taiwan's east coast.

The Yunmen Tsuiti building was one of several damaged by late Tuesday's magnitude-6.4 quake. At least four midsized buildings in worst-hit Hualien county leaned at sharp angles, their lowest floors crushed into mangled heaps of concrete, glass, iron and other debris. Firefighters climbed ladders hoisted against windows to reach residents inside apartments.

The National Fire Agency reported Thursday that death toll had risen to 10 people. More than 260 people were injured and 58 were unaccounted for. At least three of the dead were tourists from the mainland, Chinese state broadcaster CCTV reported.

Japan's Foreign Ministry said nine Japanese were among the injured. Six mainland Chinese were also injured, the Chinese Communist Party-run People's Daily reported.

President Tsai Ing-wen reassured the public every effort would be made to rescue survivors. On her Facebook page, Tsai said she "ordered search and rescue workers not to give up on any opportunity to save people, while keeping their own safety in mind."

At the Yunmen Tsuiti building, clothes and other personal items were visible on the balconies as the rescue work continued.

The shifting of the buildings was likely caused by soil liquefaction, when the ground loses its solidity under stress such as the shaking of an earthquake.

The quake also buckled roads and disrupted electricity and water supplies to thousands of households.

Japan's Chief Cabinet Secretary Yoshihide Suga said his country was dispatching a rescue team to help in the search effort.

Categories: EMS

6 Dead, 76 Missing After Strong Quake Hits Taiwan

JEMS - News - Wed, 02/07/2018 - 10:13

HUALIEN, Taiwan (AP) — Rescuers worked Wednesday to free people trapped after a strong earthquake near Taiwan's east coast caused several buildings to cave in and tilt dangerously. At least six people were killed and 76 could not be contacted following the quake.

At least four midsized buildings in worst-hit Hualien county leaned at sharp angles, their lowest floors crushed into mangled heaps of concrete, glass, iron and other debris. Firefighters climbed ladders hoisted against windows to reach residents inside apartments.

The shifting of the buildings after the magnitude 6.4 quake late Tuesday night was likely caused by soil liquefaction, when the ground beneath a building loses its solidity under stress such as that caused by an earthquake.

In this photo released by the Taiwan Presidential Office, Taiwan's President Tsai Ing-wen, center back-facing, is briefed at the site of a collapsed building from an earthquake, Wednesday, Feb. 7, 2018, in Hualien, southeastern Taiwan. Rescuers continue to search for dozens of unaccounted people for in several buildings damaged by a strong earthquake near the island's eastern coast. (Taiwan Presidential Office via AP)

A maintenance worker who was rescued after being trapped in the basement of the Marshal Hotel said the force of the earthquake was unusual even for a region used to temblors.

"At first it wasn't that big ... we get this sort of thing all the time and it's really nothing. But then it got really terrifying," the worker, Chen Ming-hui, told Taiwan's official Central News Agency after he was reunited with his son and grandson following the quake. "It was really scary."

Two employees of the hotel were killed in the disaster, CNA said. Taiwan's National Fire Agency said rescuers freed another employee from the rubble.

Categories: EMS

United Hatzalah Opens New Chapter in Kiev, Inaugurates Ambulance in Uman

JEMS - News - Tue, 02/06/2018 - 19:41

Jerusalem - A moving ceremony took place on Sunday night in the central Chabad house of Kiev in Ukraine. 20 new volunteer EMTs graduated from their lengthy training program and will now be joining United Hatzalah's worldwide network of EMS volunteers. The EMT first responders will provide first aid and EMS coverage to all medical emergencies that take place in the Jewish communities in and around Kiev and throughout Ukraine.

Among the attendees at the ceremony were the Vice President of United Hatzalah Eli Pollack, CEO of United Hatzalah Moshe Teitelbaum, Deputy CEO of United Hatzalah Lazar Hyman, Chief Rabbi of Kiev and Ukraine Rabbi Moshe Reuven Asman and other dignitaries.

Chapter Head of United Hatzalah in Ukraine Rabbi Hillel Cohen said: “I am happy and excited that volunteers from all of the different Jewish communities in Kiev have come together to participate in the course and graduate together to help all of the various communities in the city. They will be joining the ranks of United Hatzalah which now has more than 50 volunteers between Kiev and Uman. We are always working on expanding our reach to include all of the Jewish communities around the country and we are working on opening courses and having volunteers in each of the Jewish communities throughout Ukraine.”

New EMS graduates pose in Chabad house in Kiev

On Monday evening, a graduation ceremony took place in Uman which saw an additional 20 EMS volunteers join the ranks of the organization in that city. In addition, United Hatzalah inaugurated a new ambulance that will be present at all times in the heart of the Jewish community in the city. It will be stationed next to the gravesite of Rabbi Nachman of Breslov in the city. The ambulance was donated by Square Hatzalah from New York and funded by Rabbi Eliezer Kestenbaum.

Categories: EMS

Beyond Lucid Technologies Deploys the MEDIVIEW ePCR and BEACON Prehospital Health Information Exchange in Colorado, Ohio, and Oklahoma

JEMS - News - Tue, 02/06/2018 - 15:44

CONCORD, CA: Beyond Lucid Technologies, an award-winning health-and safety technology firm that makes software to connect EMS agencies and the care facility they serve, is proud to announce that in January 2018, it deployed the MEDIVIEW electronic patient care record platform (ePCR)—and its companion data access portal, the MEDIVIEW BEACON Prehospital Health Information Exchange, for export and integration of EMS data with care facilities—in Colorado, Oklahoma, and Ohio.                       

  • The COLORADO deployments include a fire service in greater Denver, and a countywide EMS service on the Western Slope.
  • The OHIO deployment is a fire service based in the Cincinnati area, which elected to transition to Beyond Lucid Technologies following the acquisition of Firehouse Software by ESO Solutions.
  • In OKLAHOMA, MEDIVIEW was deployed by one of the state’s fastest-growing private EMS agencies, which runs 9-1-1 responses, inter-facility transports, critical care transports, and special situation responses along the corridors from Oklahoma City north to Wichita, and east to Tulsa.

Each of these deployments includes access to the MEDIVIEW BEACON Prehospital Health Information Exchange, which enables care facilities to receive prehospital data in consumable formats—in as little as 30 seconds—so information captured en route arrives even before the ambulance does.  Such efficient data movement enables patient pre-registration, triage team activation, reduced wall times, and eliminates the need for faxes.  Unlike the months-long hospital-side data exchange projects required by other ePCR companies, MEDIVIEW BEACON can be deployed in under a week.  Jonathon Feit, Co-Founder & CEO of Beyond Lucid Technologies, said: “It’s an exciting time to be a data geek in the Fire and EMS business!”

According to Matt Miller, Owner/Director of Miller EMS in Medford, OK: “Our company experienced rapid growth since going into business in 2008.  We therefore needed a patient care reporting solution that let our administrative team focus on the company and where it was going. With patient care reporting as the backbone of our company’s viability, shortfalls from other programs were pulling our administrative team away from other important tasks.  Until we found MEDIVIEW, nothing really fit our needs. Other systems lost data, file searches were cumbersome, and vendors wanted to tell us what was best for us, rather than really listening and addressing our needs. The BLT team worked with us for several months to ensure that their product was tailored to us.  They delivered on every request we had and allowed ample time for our administrative team and field personnel to work with the program. We plan to continue growing and plan to rely on MEDIVIEW for the long haul, especially as we integrate even more closely with our local hospitals."

Categories: EMS

Passengers Recount Smoke, Blood on Crashed S. Carolina Train

JEMS - News - Tue, 02/06/2018 - 10:24

CAYCE, S.C. (AP) — Passengers on a train that slammed into an empty freight train over the weekend in South Carolina, killing two Amtrak employees, described a smoky, bloody scene in 911 calls released to the news media.

"There's babies with their heads busted wide open, bleeding," one woman said to a dispatcher in a call released Tuesday to WIS-TV . "Everybody flew to the front of the train. ... Everything is everywhere."

In another call, a man described seeing smoke inside the cars and "a lot of people hurt." An Amtrak employee asks dispatchers to send "plenty of help" for the injured.

In interviews with The Associated Press, passengers have described seats ripped from their rows and luggage strewn about the passenger compartments after the crash early Sunday morning near Cayce (CAY-see), South Carolina. The conductor and engineer aboard the New York-to-Miami Amtrak train were killed when that craft collided with a CSX Corp. freight train parked on a side track. More than 100 passengers were treated at hospitals for injuries.

"We're on the train, but some of us have chest pains," another man told a dispatcher. "We need some help. ... I've got to sit down, I can't breathe."

Investigators from the National Transportation Safety Board said Monday that railway signals were out at the time of the crash while crews installed a safety system that could have prevented the exact type of wreck that killed engineer Michael Kempf and conductor Michael Cella.

Automated signals that could have warned the passenger train to stop before reaching the switch sending it down the side track were turned off as workers installed a GPS-based system called positive train control, or PTC, NTSB Chairman Robert Sumwalt said.

A day before, Sumwalt told reporters "an operational PTC is designed to prevent this type of incident."

Federal investigators also said a locked manual switch forced the passenger train onto the side track where the empty freight train was parked after having offloaded its cargo nearby.

Categories: EMS

Patients to Address Court in Doctor's Opioid Kickback Scheme

JEMS - News - Mon, 02/05/2018 - 10:34

PROVIDENCE, R.I. (AP) — Victims of a scheme in which a doctor prescribed them a highly addictive opioid spray in exchange for kickbacks are expected to tell a federal judge how their lives were affected, including stories of overdoses, monthslong withdrawals, weight loss and broken bones from falling while on the powerful drug.

Jerrold Rosenberg told one patient, "Stop crying, you're acting like a child," when she complained of severe side effects, which included losing 40 pounds and repeated vomiting for years, according to an excerpt of grand jury testimony filed by prosecutors in the case.

Thursday's hearing before U.S. District Judge Jack McConnell is scheduled to help him determine the severity of Rosenberg's crimes, including the number of victims. Rosenberg pleaded guilty in October to health care fraud and kickbacks conspiracy. He faces a maximum 15 years in prison.

The criminal case is one of several around the country brought against people associated with Insys Therapeutics and the prescribing of Subsys, which is meant only for cancer patients with severe pain. Rosenberg has admitted that he prescribed Subsys to people who didn't have cancer and that he took $188,000 in kickbacks for writing the prescriptions.

In documents filed last week, the U.S. Attorney's office in Providence laid out the stories of several patients who testified before a grand jury that they were hurt by Rosenberg's practices. Among them were two patients who overdosed but survived after receiving the opioid antidote Narcan, according to documents filed in the case.

Rosenberg's lawyer did not immediately return an email seeking comment Monday, but he said in a filing in December that he disputes the number of people hurt by Rosenberg's practices. He also disputes prosecutors' contention about the overdoses, saying there's no evidence the overdoses were caused by Rosenberg's prescriptions.

The patients were not identified by name in court papers.

Categories: EMS

New Report Details Misuse of Antipsychotics in Nursing Homes

JEMS - News - Mon, 02/05/2018 - 10:18

NEW YORK (AP) — U.S. nursing homes have significantly reduced the use of powerful antipsychotic drugs among their elderly residents, responding to pressure from many directions. Yet advocacy groups insist that overmedication remains a major problem, and want the pressure to intensify.

According to the latest data from the federal Centers for Medicare & Medicaid Services, known as CMS, the percentage of long-term nursing home residents being given antipsychotic drugs dropped from about 24 percent in late 2011 to under 16 percent last year. Decreases were reported in all 50 states, with the biggest in Tennessee, California and Arkansas.

Dr. Jerry Gurwitz, chief of geriatric medicine at the University of Massachusetts Medical School, depicts the overall decrease as "one of the most dramatic changes I've seen in my career." He wonders, however, if some nursing homes might be finding other medications that sedate their patients into passivity without drawing the same level of scrutiny as antipsychotics.

Advocacy groups — including the Washington-based Center for Medicare Advocacy and AARP Foundation Litigation — say even the lower rate of antipsychotic usage is excessive, given federal warnings that elderly people with dementia face a higher risk of death when treated with such drugs.

"Given the dire consequences, it should be zero," said attorney Kelly Bagby of the AARP foundation, which has engaged in several court cases challenging nursing home medication practices. Bagby contends that the drugs are frequently used for their sedative effect, not because they have any benefit to the recipients.

The advocacy groups' long-running campaign was reinforced Monday with the release of a detailed report by Human Rights Watch urging federal and state authorities to take tougher measures against improper use of antipsychotic drugs.

"On paper, nursing home residents have strong legal protections of their rights, but in practice, enforcement is often lacking," said the report, based on interviews with more than 300 people and visits to 109 nursing homes in six states.

Categories: EMS

Astronaut Mark Kelly Discusses Significance of Air Medical Transports on Anniversary of Wife’s Injury

JEMS - News - Sun, 02/04/2018 - 23:00
TUCSON, Ariz. (Feb. 5th, 2018) – Surrounded by the landscape and history of hundreds of aircraft at the Pima Air & Space Museum in Tucson, astronaut Mark Kelly recounts how his wife’s eventual recovery was aided by one of the most memorable flights of his life, and shares how his aviation background spurred his involvement in patient advocacy. Captain Mark Kelly opened up about what it’s like to be a spouse of a critical care patient and the importance of transporting them to the treatment they

Kelly’s visit to the local aerospace museum came a week following the seven-year anniversary of his wife, Congresswoman, Gabrielle Giffords, beginning her recovery. Before his days as an astronaut, Kelly served for nearly a decade as a Naval aviator. While at the local aerospace museum, he shared experiences and military memories about retired aircraft there that he had flown over his career.

“Surrounded by history and memories over a lifetime in aviation – especially around Gabby’s anniversary – puts everything into perspective,” Kelly said. “Life is so precious and we can’t take for granted the time we have here on this earth.” Kelly’s challenges in helping his wife reach rehabilitation, and his background in emergency medicine and aviation eventually led him to join the board of Angel MedFlight Worldwide Air Ambulance. The medical transport company treats and transports critically ill or injured patients from anywhere in the world to the life-changing treatment they need.

“It’s incredibly important to get your family member to the kind of care they need when they need it most,” said Kelly. “I understand the importance of air medical services after facing obstacles in transporting Gabby across the country for rehabilitation. Before this occurrence, I wasn’t aware of companies like Angel MedFlight.”
Kelly was able to work with close contacts to help Giffords reach the TIRR Memorial Hermann facility in Houston, Texas for her rehabilitation.
Categories: EMS

Leading Headlight HID Kit Source HIDSRUS.com Announces LED Headlight Bulbs now Available

JEMS - News - Fri, 02/02/2018 - 23:00
Waiting until the quality of automobile LED Headlight Bulbs met their exacting standards, HIDSRUS.com are now offering a wide selection of choices at their popular online store.

Experts agree automotive LED Headlights have finally come of age and deliver reliable, quality and long-lasting performance. This breakthrough has inspired well-known and trusted automobile headlight specialists HIDSRUS.com to officially add LED headlight bulbs to their very extensive catalogs. Their best-selling headlight HID kits are also still available. The excitement surrounding the new choice in high-performance headlights, which deliver low beam, high beam, and fog light options is skyrocketing.

“Clear the darkness with HID lights and LED bulbs from HIDSRUS.com,” commented a spokesperson from the company. “Since 2004 we have put the customer experience first, by only offering the best product choices at attractive prices and that drive proudly continues.”

According to HIDSRUS.com, LED headlight bulbs are available for cars, trucks, SUVs, ATVs, motorcycles, and snowmobiles. The brightness of the lights truly impresses and makes it clear why they are becoming a favorite in the custom vehicle industry. All of the products sold at the online store are covered by an enthusiastic two-year “no questions asked” policy, with the option to purchase lifetime warranties also available.

Some of the big name auto companies both HID kits and LED bulbs are stocked for include Acura, BMW, Aston Martin, Bugatti, Alfa Romeo, Bentley, Cadillac, Chevrolet, GM, Chrysler, Hyundai, GMC, Dodge and many, many others. A full list is available at HIDSRUS.com and even auto and powersport companies not listed a quick call or email can help find an option for a customer that is likely available.

Shopper feedback continues to be passionate across the board.

John G., from California, recently said in a five-star review, “Your site is very easy to navigate and your products are very high quality!”
Categories: EMS


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