EMS

Preplanned EMS Role in Emergency Management

EMS-1 Major Incidents - Thu, 08/09/2018 - 14:56

In this day and age of varying potential disasters ranging from natural to manmade, it’s important that each EMS agency have a set of preplans. Not only with their own agency, but also with other departments in their area. Too often, history has shown that EMS hasn’t improved when it comes to preparing for disasters in the respective areas they serve.

Why is this? Naturally, EMS has the mindset of thinking reactionary rather than planning. Our mindset is that when anything occurs, we will rise to the occasion and take care of it. However, we need to keep in mind that some incidents can be a lot bigger than the resources we may currently have.

Why & Who?

“Preparedness is best thought of as a process—a continuing sequence of analyses, plan development, and the acquisition of individual and team performance skills achieved through training, drills, exercises, and critiques.”1 The practice of EMS planning varies considerably among communities. More and more we are seeing a steady increase not only in mass casualty incidents, but also natural disasters.

For example, since 1990, natural disasters have affected about 217 million people every year. Geophysical disasters include earthquakes, volcanoes, dry rockfalls, landslides and avalanches. Climate-related disasters include hydrological events such as floods, storm surge and coastal flooding, while meteorological events include storms, tropical cyclones, local storms, heat/cold waves, drought and wildfires.2

In order to effectively serve patients and the community EMS leaders need to understand the area they are serving. That being said, it takes more than an EMS agency to understand the risks that are potential threats to a community.

To have an effective preplan and understand the risks in your community, you need to utilize the ideas and expertise of all the departments in the community. Many communities have multiple departments ranging from EMS, fire, emergency managers, police, public works and, most importantly, elected city officials.

Categories: EMS

Sunstar Paramedics Employee Honored by Florida Department of Health

JEMS - News - Thu, 08/09/2018 - 14:30

ARGO, Fla.– Debbie Vass, director of quality initiatives at Sunstar Paramedics and parent company PatientCare, was honored with an Excellence in Emergency Medical Services (EMS) Award from the Florida Department of Health. Vass received the Larry S. Jordan EMS Hall of Fame Award, which honors an individual for lifetime achievement in the field of EMS.

As the director of quality initiatives, Vass oversees strategic planning and deployment, accreditation initiatives, and focuses on ensuring high-quality patient care throughout all levels of the organization.

As part of her strategic planning, Vass is leading an innovative initiative that involves evaluating and incorporating EMS performance measures in relation to patient outcomes, which aims to promote the EMS and pre-hospital profession. As part of this initiative, she spearheaded company-wide patient engagement and satisfaction surveys. It highlights the EMS experience from the patient’s perspective, while ensuring high-quality clinical performance is upheld.

“We’re very proud that Debbie was recognized by the Florida Department of Health for her dedication to the EMS industry and to continuously improving patient care,” said Mark Postma, vice president of PatientCare. “She’s worked hard to further the EMS profession, and she’s very deserving of this prestigious award.”

Vass joined Sunstar Paramedics as an emergency medical technician (EMT) in 1986 and she has worked as a paramedic, registered nurse, director of clinical services, and chief administrative officer. She was promoted to director of quality initiatives for PatientCare, which operates Sunstar Paramedics and runs operations in four markets nationwide, in 2015.

Categories: EMS

Indonesia's Paramedics and Emergency Physicians Treat Injured 4 Days After Massive Quake

JEMS - News - Thu, 08/09/2018 - 11:05

KAYANGAN, Indonesia (AP) — Falling rubble instantly paralyzed Mary Andoni from the waist down when Indonesia was shaken by one of its deadliest earthquakes in years. But there was nobody in her destroyed village to get her the help she needed. There were too many other injured and dead.

"It was overwhelming," Andoni's 35-year-old brother-in-law, Ilham, said of the chaotic aftermath of Sunday's magnitude 7.0 quake on the island of Lombok. "There was no way to get her out."

On Thursday, paramedics finally evacuated Andoni to a hospital in the city of Mataram. But her story underscores the challenges facing this devastated region: Four days after the earthquake killed hundreds of people and displaced 270,000 more, injured survivors in remote areas cut off by landslides and broken bridges are still emerging from the ruined countryside, struggling to reach the doctors they desperately need.

And the crisis is not over.

Lombok has been hit by over 300 aftershocks, including a 5.9 magnitude tremor on Thursday that brought down more buildings and injured 24 more people, authorities said. In northern Lombok, some people leaped from their vehicles on a traffic-jammed road when the aftershock hit, while an elderly woman standing in the back of a pickup truck wailed "God is Great." An Associated Press reporter in Mataram saw about a dozen people being treated at a hospital while fearful staff moved patients outside.

At a first aid station in Kayangan that was set up under a sprawling tent because of the threat of more quakes, Dr. Mohammad Akbar said medical staff were combing the region with an ambulance to locate injured people.

By 3 p.m., he said, they had found and treated 40 people with broken bones, cuts and bruises. Many were also dehydrated.

"They're all stuck in isolated areas with little or no transport," Akbar said. "They're too weak to get here on their own, so we need to go to them."

Categories: EMS

Indonesia's Paramedics and Emergency Physicians Treat Injured 4 Days After Massive Quake

EMS-1 Major Incidents - Thu, 08/09/2018 - 11:05

KAYANGAN, Indonesia (AP) — Falling rubble instantly paralyzed Mary Andoni from the waist down when Indonesia was shaken by one of its deadliest earthquakes in years. But there was nobody in her destroyed village to get her the help she needed. There were too many other injured and dead.

"It was overwhelming," Andoni's 35-year-old brother-in-law, Ilham, said of the chaotic aftermath of Sunday's magnitude 7.0 quake on the island of Lombok. "There was no way to get her out."

On Thursday, paramedics finally evacuated Andoni to a hospital in the city of Mataram. But her story underscores the challenges facing this devastated region: Four days after the earthquake killed hundreds of people and displaced 270,000 more, injured survivors in remote areas cut off by landslides and broken bridges are still emerging from the ruined countryside, struggling to reach the doctors they desperately need.

And the crisis is not over.

Lombok has been hit by over 300 aftershocks, including a 5.9 magnitude tremor on Thursday that brought down more buildings and injured 24 more people, authorities said. In northern Lombok, some people leaped from their vehicles on a traffic-jammed road when the aftershock hit, while an elderly woman standing in the back of a pickup truck wailed "God is Great." An Associated Press reporter in Mataram saw about a dozen people being treated at a hospital while fearful staff moved patients outside.

At a first aid station in Kayangan that was set up under a sprawling tent because of the threat of more quakes, Dr. Mohammad Akbar said medical staff were combing the region with an ambulance to locate injured people.

By 3 p.m., he said, they had found and treated 40 people with broken bones, cuts and bruises. Many were also dehydrated.

"They're all stuck in isolated areas with little or no transport," Akbar said. "They're too weak to get here on their own, so we need to go to them."

Categories: EMS

Thumbs Up: Chicago's Black Fire Brigade Gives $30K to Train 30 Inner City Young Adults as EMTs

JEMS - News - Thu, 08/09/2018 - 10:15
Chicago Sun-Times Read more at Chicago Sun-Times
  Editor's Take: Earlier this week we reported on the surge of violence occurring in Chicago's streets. In the midst of such violence, a group of black Chicago firefighters have launched the nation's first such organization earlier this year. As part of their mission, they want to impact this type of violence in the community is by mentoring young people.
After the group's president and founder Quention Curtis presented his own personal check for $10,000 to send 10 young people from Chicago's South and West sides to EMT school the group was flooded with inquiries. Messages and questions came from young people seeking that life-changing opportunity, and from donors wanting to help.
Categories: EMS

Pasco County Fire Rescue Launches Opioid Campaign Emphasizing Alternatives

JEMS - News - Thu, 08/09/2018 - 09:47

PASCO COUNTY, Fla. — One Tampa Bay area fire rescue will be the first local department to launch a three-prong campaign against the opioid crisis. Their first phase is providing alternatives to opioids for pain treatment.

It is part of an effort to give you better options in the ongoing fight against opioid addiction.

In just a year span, Pasco County Fire Rescue gave out Narcan, the overdose reversal drug, 1,200 times. That is about three times a day. These include patients who have overdosed or those who took too much medication by mistake.

In Pasco County, they are seeing a 10% increase of Narcan use every year.

“It’s very sad, it’s very stunning," said Ryan Guynn, a captain paramedic for the agency, "Our sheriff’s offices are running around with Narcan. We’re running around with Narcan now. It’s an issue.”

Pasco County Fire Rescue is now taking steps to keep the addiction from happening in the first place.

Read more at WFTS.

Categories: EMS

Inside EMS: How much personal liability do individual providers bear?

FR1 and EMS Podcasts - Wed, 08/08/2018 - 13:34
Inside EMS: How much personal liability do individual providers bear? by FR1 and EMS1 Podcasts
Categories: EMS, Podcasts

Active Shooter Incident at Suburban NY Hospital

JEMS - News - Wed, 08/08/2018 - 11:59

VALHALLA, N.Y. (AP) — A man shot a patient to death in her bed at a suburban New York hospital Wednesday and then killed himself, police said.

Police were trying to determine the connection between the two, who were found in a fourth-floor room after gunfire rang out around 9:40 a.m. at Westchester Medical Center in Valhalla, a major medical campus about 35 miles north of Manhattan. No one else was in the room at the time, Westchester County Public Safety Commissioner Thomas Gleason said.

"There appears to be some type of family relationship between the two victims and a murder-suicide-type situation," Westchester County Police Commissioner Thomas Gleason said. He said both people were in their 70s.

The woman was found in a bed, the man on the floor, and a .38-caliber revolver on the scene, he said. It's unknown how many shots were fired.

Dr. Srihari Naidu, an interventional cardiologist at the hospital, told The Associated Press by phone that he was at his office in a nearby building when he got an "active shooter alert," followed by a lockdown notification that lasted for about a half-hour.

The building where the shooting happened is "very well guarded," he said, and many areas cannot be accessed without badges.

Police said the hospital's armed security staff responded immediately, and police arrived within two minutes.

Jatziri Escobar, a patient who arrived at the hospital shortly after 9 a.m., told The Journal News that she was in a room on the first floor when staff ran through the building alerting patients about the active shooting.

"I was kinda scared, but one of the officers told me to relax and all would be OK," said Escobar, 22, of Elmsford.

Photos posted on The Journal News and social media showed police blocking the entrance to the hospital and workers in lab coats and scrubs gathered outside it.

The hospital totals over 600 adult, pediatric and psychiatric beds in a campus in northern Westchester.

Categories: EMS

Active Shooter Incident at Suburban NY Hospital

EMS-1 Major Incidents - Wed, 08/08/2018 - 11:59

VALHALLA, N.Y. (AP) — A man shot a patient to death in her bed at a suburban New York hospital Wednesday and then killed himself, police said.

Police were trying to determine the connection between the two, who were found in a fourth-floor room after gunfire rang out around 9:40 a.m. at Westchester Medical Center in Valhalla, a major medical campus about 35 miles north of Manhattan. No one else was in the room at the time, Westchester County Public Safety Commissioner Thomas Gleason said.

"There appears to be some type of family relationship between the two victims and a murder-suicide-type situation," Westchester County Police Commissioner Thomas Gleason said. He said both people were in their 70s.

The woman was found in a bed, the man on the floor, and a .38-caliber revolver on the scene, he said. It's unknown how many shots were fired.

Dr. Srihari Naidu, an interventional cardiologist at the hospital, told The Associated Press by phone that he was at his office in a nearby building when he got an "active shooter alert," followed by a lockdown notification that lasted for about a half-hour.

The building where the shooting happened is "very well guarded," he said, and many areas cannot be accessed without badges.

Police said the hospital's armed security staff responded immediately, and police arrived within two minutes.

Jatziri Escobar, a patient who arrived at the hospital shortly after 9 a.m., told The Journal News that she was in a room on the first floor when staff ran through the building alerting patients about the active shooting.

"I was kinda scared, but one of the officers told me to relax and all would be OK," said Escobar, 22, of Elmsford.

Photos posted on The Journal News and social media showed police blocking the entrance to the hospital and workers in lab coats and scrubs gathered outside it.

The hospital totals over 600 adult, pediatric and psychiatric beds in a campus in northern Westchester.

Categories: EMS

AT&T and RapidDeploy Team Up to Advance Emergency Response Capabilities With Cloud-Based Solutions

JEMS - News - Tue, 08/07/2018 - 00:49

DALLAS — AT&T* and RapidDeploy formed a new relationship that enables AT&T to provide Public Safety Answering Points (PSAPs) access to RapidDeploy’s cloud-based Computer-Aided Dispatch (CAD) platform. RapidDeploy is a modern update to the dispatch solutions currently used by PSAPs.

Hosted in the cloud and browser-based, RapidDeploy’s CAD platform is cost-effective, scalable and easy to deploy, making it a viable solution for agencies of all sizes.

“AT&T has a proven track record of serving as the nation’s trusted 911 solutions provider. By working together, we can help speed public safety’s adoption of 21st century technology. We will equip public safety with the innovative and adaptable tools they deserve,” said Steve Raucher, CEO and Co-founder, RapidDeploy.

RapidDeploy’s CAD platform is built on an open-API architecture. It can be integrated with relevant and emerging data-rich sources to improve public safety’s situational awareness. For example, dispatchers can access near real-time information like closed-caption video streams or data from Internet of Things devices. These tools can help them better understand the response needed and enhance their decision making. Plus, first responders can access this rich information in the field using the RapidDeploy app or through a browser.

“With our work to deliver NextGen 911 capabilities and FirstNet, we’re leading the way in transforming emergency response from end to end,” said Alex Parker, senior vice president of State-Local Government and Education, AT&T Public Sector. “Adding RapidDeploy’s CAD to our portfolio helps us further bridge the flow of data between the public, emergency dispatchers and first responders. And that can lead to an improved public safety outcome."

Categories: EMS

Empress EMS to Be Featured in 'Nightwatch Nation,' Premiering Thursday, August 16 at 10pm ET/PT on A&E

JEMS - News - Tue, 08/07/2018 - 00:00

Yonkers, NY–A&E Network’s hit series goes deeper with “Nightwatch Nation,” a new nonfiction series from executive producer Dick Wolf and 44 Blue Productions. The series follows EMTs and paramedics from Empress EMS in Yonkers, New York, and three other cities across the country.  Real-life heroes risk their lives to work the busiest and most unnerving shift of the day, the overnight. “Nightwatch Nation” premieres Thursday, August 16 at 10pm ET/PT.

Over ten episodes, the EMTs and paramedics tackle emergencies on every level, bringing viewers along for the ride while also experiencing the high intensity environment of the call centers. Cameras capture medics and EMTs in action as they treat traumas, active stroke, overdose and other victims.

 

Empress EMS Assistant Director of Operations, Michael Blecker coordinated camera and EMS crews during filming.  “We were proud to be selected from many potential agencies to participate in the filming of Nightwatch Nation.   Everyday people don’t know what a paramedic or EMT does during regular operations, especially once the sun goes down.   In my opinion, our crews are some of the best in the industry and we’re proud to be able to show that to the rest of the country”.

Empress has limited filming to three crews comprised of one paramedic and one EMT each, who respond on alternate nights.  Nightwatch highlights the unexpected nature of calls and the inter-personal contact between EMS personnel and their patients.  “You just don’t know what you’re walking into, you just gotta be ready for whatever hits” says one crew member.   

Matthew Minerva, Senior Vice President of Empress EMS says, “Our employees have been the backbone of our company for over thirty (30) years. These highly trained men and women are on the front line when a medical emergency happens. Responding with police officers and firefighters they make a formidable team to handle any situation they encounter. Our commitment is to provide all the communities we are privileged to serve with quality medical care and to bring the emergency department to the patient.”

Categories: EMS

Motorola's FirstNet Ready LTE Device Enables Secure Real-Time Data Sharing

JEMS - News - Mon, 08/06/2018 - 14:29

CHICAGO--Motorola Solutions (NYSE:MSI) continues to support the rollout of FirstNet with the FirstNet Ready™ LEX L11 handheld device. The company’s public safety LTE device is designed for use on FirstNet – the nationwide public safety LTE communications platform dedicated to America’s first responders – or similar global public safety networks.

FirstNet is being built by AT&T in public-private partnership with the First Responder Network Authority (FirstNet Authority). Motorola Solutions is a core member of the AT&T team selected by the FirstNet Authority to deliver FirstNet. Motorola Solutions is working with AT&T to provide first responders with the next generation of software capabilities, including voice, data, image and message sharing across a secure network to enable them to quickly access and coordinate action based on vital information.

As a FirstNet Ready LTE device, the LEX L11 allows first responders access to secure apps for increased situational awareness. The LEX L11 is designed for use with the FirstNet Certified AT&T Enhanced Push-to-Talk (EPTT) application. In addition, the LTE device can be paired to APXTM two-way radios for interoperability between ASTRO® 25 land-mobile radio (LMR) networks and FirstNet. The device’s unprecedented noise canceling capabilities allows users to operate in high-noise environments typical for public safety, while also enabling situational awareness back to dispatch centers.

“FirstNet is transforming how our first responders operate on a day-to-day basis and coordinate incident management. Motorola Solutions is dedicated to providing the cutting-edge solutions first responders require to take advantage of FirstNet’s capabilities through technology like the LEX L11,” said Mary Doherty, vice president of sales and services at Motorola Solutions. “The LEX L11 marries traditional push-to-talk communications reliability between first responders with software applications that allow them to share multimedia information with one another.”

Categories: EMS

Paramedics in Indianapolis Suburb Turn to Nitrous Oxide as Fentanyl Alternative

JEMS - News - Mon, 08/06/2018 - 14:04
The Times of Northwest Indiana Read more at The Times of Northwest Indiana
  Switch Designed to Combat Epidemic of Addiction

The move is expected to reduce the amount of fentanyl administered to injured patients by about two-thirds, reducing the risk of addiction and eliminating harmful side effects, said Fishers Fire Capt. The nitrous oxide, commonly known as "laughing gas," will only be used in certain instances, such as for broken bones, Mehling told reporters, with fentanyl still in use for patients with abdominal pain, head injuries, and collapsed lungs.

According to the CDC, fentanyl is 50 to 100 times more potent than morphine and is approved for treating severe pain, however the opioid may lead to abuse and overdose, including to first responders who are exposed to it at emergency scenes.

Categories: EMS

Man Killed, Woman Seriously Injured When Boat Hits Piling in Water

EMS-1 Major Incidents - Mon, 08/06/2018 - 12:54

 

TAMPA, Fla. (WFLA) - A boating accident in Tampa left one person dead and another seriously injured early Sunday evening, according to the Florida Fish and Wildlife Conservation.

At about 5:15 p.m., the Tampa Police Department got a call regarding a boating accident in the waters off Davis Islands.

Wildlife officials said the 15-foot Gheenoe was carrying two people when it struck a piling, sending both passengers into the water, according to a witness.

A male passenger was recovered by Tampa Fire Rescue and taken to Tampa General Hospital where he was declared deceased, officials said.

A female passenger was recovered by Tampa Fire Rescue and rushed to the hospital with serious injuries. Her current condition is unknown.

Categories: EMS

Man Killed, Woman Seriously Injured When Boat Hits Piling in Water

JEMS - News - Mon, 08/06/2018 - 12:54

 

TAMPA, Fla. (WFLA) - A boating accident in Tampa left one person dead and another seriously injured early Sunday evening, according to the Florida Fish and Wildlife Conservation.

At about 5:15 p.m., the Tampa Police Department got a call regarding a boating accident in the waters off Davis Islands.

Wildlife officials said the 15-foot Gheenoe was carrying two people when it struck a piling, sending both passengers into the water, according to a witness.

A male passenger was recovered by Tampa Fire Rescue and taken to Tampa General Hospital where he was declared deceased, officials said.

A female passenger was recovered by Tampa Fire Rescue and rushed to the hospital with serious injuries. Her current condition is unknown.

Categories: EMS

11 Killed, Nearly 70 Wounded in Chicago Weekend Shootings

JEMS - News - Mon, 08/06/2018 - 10:04

 

CHICAGO (AP) — At least 11 people were shot and killed and about 70 others were wounded over the weekend in Chicago, in a spasm of gun violence that police attributed mostly to gangs and that the president's lawyer, Rudy Giuliani, used to criticize the city's Democratic leadership.

The violence peaked early Sunday, including one shooting on the city's South Side that wounded eight people.

By comparison, at least seven people were killed and 32 were wounded during the long Memorial Day weekend, which is often one of the most violent weekends of the year for the city, the Chicago Tribune reported.

Gang members are using large summer crowds as cover in some cases, police Patrol Chief Fred Waller said Sunday.

"They take advantage of that opportunity and they shoot into a crowd, no matter who they hit," he said.

Police Superintendent Eddie Johnson planned to discuss the violence at Monday news conference.

Police have said violent crime has declined overall in Chicago. Still, anti-violence protesters have blocked highways to voice their outrage.

Chicago ended 2017 with fewer homicides, 650, than 2016, when there were 771. Although the drop was significant, it exceeded the combined the number of killings in New York City and Los Angeles, which are the two U.S. cities bigger than Chicago.

Chicago's gun violence has drawn widespread attention, including from President Donald Trump and his lawyer, Giuliani, who blamed the problem on Chicago's longtime "Democratic rule" in a series of tweet s on Sunday and Monday.

The former New York City mayor also tweeted his support for Chicago's former superintendent, Garry McCarthy, referring to him as "Jerry" and calling him a "policing genius." McCarthy announced this year that he plans to run for mayor next February against Democratic Mayor Rahm Emanuel, who fired McCarthy in 2015 after the release of dashcam video showing a white police officer shoot a black teenager 16 times.

Categories: EMS

Five Killed When Small Plane Crashes in California Parking Lot

EMS-1 Major Incidents - Mon, 08/06/2018 - 02:51

 

SANTA ANA, Calif. (AP) — Witnesses watched in horror as a small plane banked low in sunny skies over a Southern California shopping center and then suddenly nosedived, crashing into a parking lot and killing all five people on board.

Ella Pham and her boyfriend were walking across the lot Sunday when they saw the twin-engine Cessna plummet.

"We looked up to see the plane falling nose first," Pham, 20, she told the Los Angeles Times . "It was so heartbreaking just seeing the plane crumbled into pieces."

The pilot of the Cessna 414 and all four passengers were killed but nobody on the ground was hurt, authorities said.

The Orange County coroner's office on Monday identified the victims as Scott Shepherd, 53, and Lara Shepherd, 42, of Diablo, California; Floria Hakimi, 62, of Danville, California; Navid Hakimi, 32, of Los Angeles; and Nasim Ghanadan, 29, of Alamo, California.

The pilot, Scott Shepherd, declared an emergency before crashing about a mile (1.6 kilometers) from John Wayne Airport, Federal Aviation Administration spokeswoman Arlene Salac said.

The plane was heading to the airport southeast of Los Angeles when it came down and struck an unoccupied parked car in the lot of a Staples store and a CVS pharmacy, Orange County Fire Authority Captain Steve Concialdi said. There was no fire, he said.

Jesse Perez was eating lunch with a friend at Buffalo Wild Wings, which shares the parking lot, when he heard the crash.

"It sounded like a truck hit the building," he told the Orange County Register .

Customers ran from the restaurant into the lot and saw the wreckage of the white Cessna with green and blue trim.

"Bodies were hanging from out the side of the plane," said Perez, adding that emergency workers were there within minutes. "I couldn't believe what was happening."

Categories: EMS

Five Killed When Small Plane Crashes in California Parking Lot

JEMS - News - Mon, 08/06/2018 - 02:51

 

SANTA ANA, Calif. (AP) — Witnesses watched in horror as a small plane banked low in sunny skies over a Southern California shopping center and then suddenly nosedived, crashing into a parking lot and killing all five people on board.

Ella Pham and her boyfriend were walking across the lot Sunday when they saw the twin-engine Cessna plummet.

"We looked up to see the plane falling nose first," Pham, 20, she told the Los Angeles Times . "It was so heartbreaking just seeing the plane crumbled into pieces."

The pilot of the Cessna 414 and all four passengers were killed but nobody on the ground was hurt, authorities said.

The Orange County coroner's office on Monday identified the victims as Scott Shepherd, 53, and Lara Shepherd, 42, of Diablo, California; Floria Hakimi, 62, of Danville, California; Navid Hakimi, 32, of Los Angeles; and Nasim Ghanadan, 29, of Alamo, California.

The pilot, Scott Shepherd, declared an emergency before crashing about a mile (1.6 kilometers) from John Wayne Airport, Federal Aviation Administration spokeswoman Arlene Salac said.

The plane was heading to the airport southeast of Los Angeles when it came down and struck an unoccupied parked car in the lot of a Staples store and a CVS pharmacy, Orange County Fire Authority Captain Steve Concialdi said. There was no fire, he said.

Jesse Perez was eating lunch with a friend at Buffalo Wild Wings, which shares the parking lot, when he heard the crash.

"It sounded like a truck hit the building," he told the Orange County Register .

Customers ran from the restaurant into the lot and saw the wreckage of the white Cessna with green and blue trim.

"Bodies were hanging from out the side of the plane," said Perez, adding that emergency workers were there within minutes. "I couldn't believe what was happening."

Categories: EMS

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