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EMS

Inside EMS: Pulsara CEO stresses importance of effective documentation, communication

FR1 and EMS Podcasts - Fri, 03/29/2019 - 13:30
Inside EMS: Pulsara CEO stresses importance of effective documentation, communication by FR1 and EMS1 Podcasts
Categories: EMS, Podcasts

Man Who Violently Stabbed Portland Paramedic Released to Supervision Program

JEMS - News - Fri, 03/29/2019 - 12:16

PORTLAND, Ore. (KATU) - A Multnomah County judge released a man accused of violently stabbing a Portland paramedic last month to a special supervision program that Multnomah County Sheriff Mike Reese said was overburdened.

JEMS:
Portland Paramedic Stabbed in Knife Attack
AMR Looks into Safety after Portland Attack

Jeremiah Ray is charged with attempted assault in the second and third degrees and unauthorized use of a weapon following the Feb. 25 attack. He is accused of stabbing an AMR paramedic in Portland while they were stopped at a traffic light.

On March 22, Judge Kathleen Dailey released Ray to the Close Street Supervision program upon verification he had housing. Ray has been homeless since he first came to Portland in October 2018 and was considered homeless at the time of the alleged crime. MORE

 

Categories: EMS

Maybe Hold Back A Bit

EMScapades Cartoon - Fri, 03/29/2019 - 09:32
Categories: EMS, Syndicated Columnists

Patient Abandonment Investigation Uncovers South Carolina Medic’s Troubled Past

JEMS - News - Fri, 03/29/2019 - 07:22

ORANGEBURG COUNTY, SC (WRDW/WAGT) - A paramedic with a history of getting high on the job was one of the EMTs who failed a man with a disability.

Paul Tarashuk had schizphrenia. He was hit and killed on Interstate 95 after Orangeburg County EMS abandoned him.

Our I-Team has learned this isn't the first time the state has investigated the paramedic who failed him.

Orangeburg County did not report the events leading up to Tarashuk's death, but an anonymous person did. Seven months later, DHEC published its actions, and we found problems across South Carolina. MORE

JEMS:
Questions Surround Case of South Carolina Patient’s Death
Full Video of EMS Call Prior to Death of South Carolina Man with Schizophrenia

 

Categories: EMS

Three Dead after 15-Hour Standoff at New Hampshire Hotel

JEMS - News - Fri, 03/29/2019 - 06:40

MANCHESTER, N.H. (AP) — A 15-hour standoff at a New Hampshire hotel ended Thursday with three people dead, including two who had barricaded themselves inside a room and shot repeatedly at police and drug enforcement agents.

Authorities, including a SWAT team, swarmed the area around the Quality Inn in Manchester, closing off a bustling commercial neighborhood filled with car dealerships, a strip mall and several restaurants.

It began Wednesday evening when Stephen Marshall, 51, of Manchester, climbed out of a hotel window. Armed with an automatic handgun, Marshall "engaged" with a Manchester police officer and two Drug Enforcement Administration agents who had come there to serve a warrant on him and another man. They only would say it was drug-related.

A police officer and DEA agent shot Marshall, and he was pronounced dead at the hospital, according to the state attorney general's office. No law enforcement officers or bystanders were injured.

Meanwhile, two other people — a man and a woman whose names have not yet been released — holed up in a first-floor room of the hotel. For nearly nine hours, one of the two fired multiple times on law enforcement who were outside.

SWAT team members eventually deployed chemical agents inside the room. At the same time, MacDonald said Manchester police officers "attempted to speak with these individuals and seek a peaceful resolution."

The standoff ended Thursday morning after law enforcement officers managed to get into the Quality Inn. The attorney general's office said the pair were found dead but wouldn't say how they died.

"It's disheartening that we have to face incidents like what we had to deal with today," Manchester Police Chief Carlo Capano said. "When you think about a nine-hour period of officers being shot at as much as they were ... we are truly blessed that none of those officers were hurt today."


Police and a robotic device exit the Quality Inn on Thursday, March 28, 2019, in Manchester, N.H., after a standoff was resolved. Two people had barricaded themselves in a first-floor room after one man was shot and killed there Wednesday night by police after he engaged Drug Enforcement Administration agents and police. (AP Photo/Charles Krupa)

Categories: EMS

Local Jurisdictions Paying the Price for Nation’s Opioid Crisis

JEMS - News - Thu, 03/28/2019 - 13:54

As the nation's opioid crisis has devastated thousands of families, it also has taken a crippling financial toll on cities, small towns and counties around the country.

Packed jails, increased ambulance runs and overworked coroners, sheriff's deputies and public defenders are just some of the consequences of the massive epidemic that has forced localities to divert millions of dollars to overdose-related emergencies and addiction treatments. That cost was acknowledged this week in a settlement between OxyContin maker Purdue Pharma and the state of Oklahoma, a settlement that included $12.5 million for local governments.

But is it enough?

Government officials around the country who have lawsuits pending against the opioid industry said the amount in the Oklahoma settlement was just a fraction of what they need.

Hunter Shkolnik, a lawyer representing at least five Oklahoma counties in opioid-related lawsuits, said he expects his clients will avoid asking for a piece of the settlement because taking the money would mean giving up on their own claims against Stamford, Connecticut-based Purdue Pharma.

"The amount that they're offering is woefully inadequate," he said.

Most of the $270 million Oklahoma settlement — about $200 million — announced Tuesday will fund a university drug treatment and research center.

While state claims against the industry have received most of the legal attention, local governments actually account for the vast majority of lawsuits against opioid makers, drug distributors and pharmacies.

The legal proceedings most likely to lead to a nationwide settlement consolidate roughly 1,400 lawsuits under a single federal judge in Cleveland, Ohio — most of them filed by local governments, Native American tribes or unions. The first cases scheduled to go to trial, in fact, were brought by local governments — the Ohio counties of Cuyahoga and Summit in October, followed by Huntington and Cabell County in West Virginia.

Categories: EMS

18 Dead after Truck Slams into Crowd in Guatemala

JEMS - News - Thu, 03/28/2019 - 12:17

GUATEMALA CITY (AP) — A large truck slammed into a crowd gathered on a dark highway in western Guatemala, killing 18 people and leaving bodies scattered on the roadway, firefighters said Thursday.

Health Minister Carlos Soto said that 18 others, including children, were injured and taken to hospitals around the municipality of Nahuala, in Solola province.

Local fire department spokesman Cecilio Chacaj said people were apparently gathered on the highway after a person was killed in a separate accident, when the semi-trailer plowed into them late Wednesday.


A body is carried by rescue personnel after a highway accident in Nahuala, Guatemala, early Thursday, March 28, 2019. A large truck slammed into a crowd gathered on a dark highway in western Guatemala, killing over a dozen people and leaving bodies scattered on the roadway, firefighters said. (AP Photo/Sandra Sebastian)

Chacaj said that confusion during the early response to the accident had led his department to erroneously count the casualties.

"With the confusion, people initially said 30, even more, dead, but once we cordoned off the area we were able to count the bodies properly," Chacaj said.

A video circulating on social media showed bodies strewn on the roadway while several people cry and shout for help. Photos showed bloodstains, shoes and other debris on the asphalt amid yellow police tape.


Yellow police tape and shoes lay on the ground in the place where an accident occurred, in Nahuala, Guatemala, early Thursday, March 28, 2019. A large truck slammed into a crowd gathered on a dark highway in western Guatemala, killing over a dozen people and leaving bodies scattered on the roadway, firefighters said. (AP Photo/Sandra Sebastian)

The 28-year-old driver of the truck was detained at the scene.

Categories: EMS

18 Dead after Truck Slams into Crowd in Guatemala

EMS-1 Major Incidents - Thu, 03/28/2019 - 12:17

GUATEMALA CITY (AP) — A large truck slammed into a crowd gathered on a dark highway in western Guatemala, killing 18 people and leaving bodies scattered on the roadway, firefighters said Thursday.

Health Minister Carlos Soto said that 18 others, including children, were injured and taken to hospitals around the municipality of Nahuala, in Solola province.

Local fire department spokesman Cecilio Chacaj said people were apparently gathered on the highway after a person was killed in a separate accident, when the semi-trailer plowed into them late Wednesday.


A body is carried by rescue personnel after a highway accident in Nahuala, Guatemala, early Thursday, March 28, 2019. A large truck slammed into a crowd gathered on a dark highway in western Guatemala, killing over a dozen people and leaving bodies scattered on the roadway, firefighters said. (AP Photo/Sandra Sebastian)

Chacaj said that confusion during the early response to the accident had led his department to erroneously count the casualties.

"With the confusion, people initially said 30, even more, dead, but once we cordoned off the area we were able to count the bodies properly," Chacaj said.

A video circulating on social media showed bodies strewn on the roadway while several people cry and shout for help. Photos showed bloodstains, shoes and other debris on the asphalt amid yellow police tape.


Yellow police tape and shoes lay on the ground in the place where an accident occurred, in Nahuala, Guatemala, early Thursday, March 28, 2019. A large truck slammed into a crowd gathered on a dark highway in western Guatemala, killing over a dozen people and leaving bodies scattered on the roadway, firefighters said. (AP Photo/Sandra Sebastian)

The 28-year-old driver of the truck was detained at the scene.

Categories: EMS

Two Killed, Two Injured in Seattle Shooting and Crash

JEMS - News - Thu, 03/28/2019 - 07:57

SEATTLE (AP) — A man opened fire on motorists in a Seattle neighborhood in what authorities are calling a "random" attack that left two dead and two injured Wednesday afternoon.

One man was fatally shot and another killed in an automobile crash, authorities said. Two other people were shot but survived, including the driver of a Metro bus.

"We believe it's a random, senseless act," Deputy Police Chief Marc Garth Green told reporters. "We're outraged at what this suspect did."

The chaotic scene unfolded in north Seattle just after 4 p.m. Police said that a man approached a 56-year-old female driver in the street and shot her.

He then walked on and fired shots at a Metro bus, striking the driver, who was able to turn the vehicle around and drive away, authorities said.

The gunman than approached a second motorist and opened fire, killing a 50-year-old man. After police arrived, the suspect fled in the victim's vehicle, police said. He drove a few blocks and then collided with another car, killing the 70-year-old male driver, fire officials said.

The 33-year-old suspect was taken into custody after a brief standoff. He was transported to a hospital with minor injuries, police said.


Police work the scene where two cars collided in Seattle, Wednesday, March 27, 2019, after a gunman opened fire on vehicles in a Seattle neighborhood. (Steve Ringman/The Seattle Times via AP)

John Barrett told KOMO-TV he was inside his garage working when he heard what sounded like fire crackers.

He said he went outside and saw a man with a gun pointing it at people.

"He was walking down Sand Point Way just firing at anything just without any regard, just kept firing," Barrett said.

King County Metro said on Twitter that at 4:05 p.m. a bus operator on Metro Route 75 hit their emergency alarm and reported he had been shot. None of the passengers on board was injured, the agency said.

Categories: EMS

Dorchester County EMS Named Best in South Carolina

JEMS - News - Wed, 03/27/2019 - 17:01

SUMMERVILLE, S.C. (WCBD) - Earlier this month, the South Carolina EMS Association named Dorchester County Emergency Medical Services the best in the state.

On the 16th, the association recognized Dorchester EMS as "Large System of the Year." The organization names both large and small EMS departments. Large departments are classified as receiving more than 2,000 calls per year.

"To be judged the best of the best by your peers is a pretty significant achievement," said Doug Warren, the director of the EMS department. We're very proud of that achievement. MORE

 

Categories: EMS

Murfreesboro, TN Considers Starting Ambulance Service

JEMS - News - Wed, 03/27/2019 - 12:59

MURFREESBORO, Tennessee (WSMV) - Rutherford County EMS could lose half their income in 2020 if the City of Murfreesboro starts its own ambulance service.

“That would be devastating to our current ambulance budget,” Rutherford County Mayor Bill Ketron said, adding RCEMS is preparing to draft a very different budget. ”That would leave our county ems making calls in the rural part of the county,” he explained.

Murfreesboro accounts for 60-70% of Rutherford County's emergency calls, meaning RCEMS would lose more than half its income. MORE

 

 

 

Categories: EMS

Five Injured in Explosion Near Stockholm

JEMS - News - Wed, 03/27/2019 - 09:57

COPENHAGEN, Denmark (AP) — Five people sustained minor injuries when a pre-dawn blast occurred in an industrial area northwest of Stockholm Wednesday.

Stockholm police spokesman Mats Eriksson said the blast took place shortly after midnight Wednesday at an industrial building, shattering its glass windows as well as those at a nearby hotel in Vinsta. A number of cars also suffered damage.

"There is nothing indicating that this is terror. The time at which it happened makes us think that. It could be an accident or something else but not terror," Eriksson told The Associated Press.

Eriksson said three people received medical treatment on the spot while two others were taken to a local hospital.

The area was sealed off and forensics were at work on the scene.

No arrests have been made.

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

Categories: EMS

Measles Outbreak Causes New York County to Ban Unvaccinated Minors in Public

JEMS - News - Wed, 03/27/2019 - 06:48

ALBANY, N.Y. (AP) — A county in New York City's northern suburbs declared a state of emergency Tuesday over a measles outbreak that has infected more than 150 people since last fall, hoping a ban against unvaccinated children in public places wakes their parents to the seriousness of the problem.

"It's an attention grab, there's no question about it," Rockland County Executive Ed Day said at a news conference, noting that he didn't believe such a drastic step has ever been tried in the U.S. before.

Day said he was taking the action in hopes of reversing a recent uptick in cases amid disturbing reports that health workers were encountering resistance when investigating cases. Rockland's outbreak has most heavily affected Orthodox Jewish communities, in which vaccination rates tend to be lower.

Under the declaration, which lasts for at least 30 days, anyone under 18 who is not vaccinated against measles is barred from public gathering places, including shopping malls, civic centers, schools, restaurants and even houses of worship. Those in violation could be charged with a misdemeanor punishable by up to six months in jail.

But Day acknowledged that there will be no concerted enforcement effort and that the intent is not to arrest people but to emphasize the seriousness of the situation.

"There will not be law enforcement or deputy sheriffs asking for vaccination records. That is ridiculous," Day said. "However, parents will be held accountable if they're found to be in violation of this emergency declaration."

 

The county is experiencing New York state's longest measles outbreak since the disease was declared officially eliminated from the United States in 2000. Health officials say the best way to stop the disease's spread is a vaccination rate in the community of 92 to 95 percent. Day said only 72.9 percent of people under 18 have been vaccinated against measles in Rockland County, which has more than 300,000 residents.

Categories: EMS

Disaster Aid Bill Faces Uncertain Future

JEMS - News - Tue, 03/26/2019 - 13:41

WASHINGTON (AP) — A battle over funding for Puerto Rico is complicating the path forward for a long-delayed disaster aid bill that's a top political priority for some of President Donald Trump's Republican allies as it heads to the Senate floor this week.

At stake is $13.5 billion emergency relief legislation to help southern farmers, rebuild hurricane-damaged military bases, repair water systems, and assist victims of last year's California wildfires, among other purposes.

The measure has wide backing from both Democrats and Republicans and is perhaps most ardently backed by Trump loyalists such as David Perdue, R-Ga., and Thom Tillis, R-N.C., who face potentially difficult re-election fights next year.

The White House, however, isn't pleased with the bill and is particularly opposed to efforts by Democrats to make hurricane relief to Puerto Rico more generous. Senate Republicans are supporting food aid to the devastated island and are working with top Democrats like Patrick Leahy of Vermont to try to speed passage of the measure by adding additional help for Puerto Rico.

The House passed a companion $14.2 billion version of the legislation in January, but it got tangled up in the politics of the partial government shutdown and Trump's demands for a wall along the U.S.-Mexico border.

The measure is especially sought by lawmakers from southern states like Florida, Georgia and North Carolina, which were hit by hurricanes Michael and Florence last year. There's money to respond to an earthquake in Alaska, California wildfires and floods in South Carolina, and for the ongoing recovery effort in Puerto Rico, which was devastated by back-to-back hurricanes in 2017.

And now there's widespread flooding in Nebraska, Iowa and other Midwestern states.

In an official position paper in January, the White House said the House bill was far too generous, objecting to almost $6 billion worth of the measure. But it stopped short of an outright veto threat, and GOP aides say Trump has since told Perdue that he'd sign the Senate version of the bill, which mirrors the House plan in most respects.

Categories: EMS

Logic Has No Home Here

EMScapades Cartoon - Tue, 03/26/2019 - 08:33
Categories: EMS, Syndicated Columnists

New York Paramedics Arrested for Stealing Prescription Drugs

JEMS - News - Tue, 03/26/2019 - 08:18

BUFFALO, N.Y. (WIVB) - Two Town of Tonawanda paramedics are accused of stealing various prescription drugs from the drug deposit container located in the Town of Tonawanda Police Headquarters, according to Tonawanda Police Lt. Thomas Haynes. 

According to Haynes, the alleged thefts by Jon Cinelli and Jeremy Pecoraro were done "to support their opiate addiction." Hyanes said "it is believed that both medics have been keeping the drugs for personal use rather than selling them."

According to a news release, the paramedics were arrested Friday evening by Town of Tonawanda Police on suspicion of criminal possession of a controlled substance. 

Tonawanda Police said Cinelli first came under suspicion after he was discovered to be violating departmental procedure by emptying out the prescription drug collection bin alone.

According to the news release, Town of Tonawanda Police Departmental policy requires that two paramedics empty out the bin together.

Following the investigation into the procedural violation by Cinelli, Pecoraro was implicated in the theft of pain killers.

According to Haynes, Cinelli has worked as a Town of Tonawanda Paramedic for twenty-two and a half years. Pecoraro has worked as a Town of Tonawanda Paramedic for the past four and a half years.

Tonawanda Police said both paramedics have been suspended pending termination proceedings.

 

Categories: EMS

Marijuana ER Visits Climb in Denver Study

JEMS - News - Tue, 03/26/2019 - 07:59

Five years after Colorado first legalized marijuana, a new study shows pot's bad effects are sending more people to the emergency room.

Inhaled marijuana caused the most severe problems at one large Denver area hospital. Marijuana-infused foods and candies, called edibles, also led to trouble. Patients came to the ER with symptoms such as repeated vomiting, racing hearts and psychotic episodes.

The study, published Monday in Annals of Internal Medicine, stemmed from tales of tourists needing emergency care after gobbling too many marijuana gummies.

"It was hard to know if these were just anecdotes or if there was a true phenomenon," said lead author Dr. Andrew Monte of UCHealth University of Colorado Hospital.

Three deaths in Colorado tied to edible products also prompted the study.

Emergency room records from Monte's hospital show a three-fold increase in marijuana cases since the state became the first to allow sales of recreational marijuana in January 2014. Nearly a third of patients were admitted to the hospital, evidence of severe symptoms, Monte said.

In 2012, the ER saw an average of one patient every other day with a marijuana-caused problem. By 2016, the count was two to three per day.

That's not enough to swamp the emergency department, Monte said, but it stresses an already burdened system.

Most people can use marijuana safely, Monte said, but with its increased availability and higher THC concentrations, "we may be seeing more adverse drug reactions," he said.

THC is the part of marijuana that gets people high.

A growing cannabis industry promotes the drug as a cure-all while downplaying dangers, said Dr. Erik Messamore, a psychiatrist at Northeast Ohio Medical University who wasn't involved in the research. More than 30 states now allow marijuana for at least medical use. New Jersey is debating becoming the 11th state to approve recreational pot. The U.S. government considers marijuana illegal.

Categories: EMS

Four Dead, Six Injured in Texas Crash

JEMS - News - Tue, 03/26/2019 - 07:52

CORPUS CHRISTI, Texas (AP) — Four people were killed and six were hospitalized — all foreign nationals — after the sport utility vehicle in which they were travelling crashed while speeding away from deputies.

The Texas Department of Public Safety says the crash happened on Duval County Road 245 and Texas Route 339, about 70 miles (110 kilometers) southwest of Corpus Christi.

DPS Sgt. Nathan Brandley says the vehicle, containing a driver and 10 passengers, was eastbound on County Road 245 when Duval County sheriff's deputies tried to stop it. Instead, he says it sped to an "unsafe speed," veered out of control and rolled several times.

Dead were a Salvadoran man and woman, an Ecuadorian man and a Mexican man. Brandley says three men and three women were hospitalized with serious injuries.

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

Categories: EMS

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