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EMS

Inside EMS: Is it time to pull epinephrine from the EMS formulary?

FR1 and EMS Podcasts - Sun, 07/29/2018 - 16:41
Inside EMS: Is it time to pull epinephrine from the EMS formulary? by FR1 and EMS1 Podcasts
Categories: EMS, Podcasts

Firefighters 'in Lifesaving Mode' as Wildfire Tears Through Towns in Northern California

EMS-1 Major Incidents - Fri, 07/27/2018 - 09:59

REDDING, Calif. (AP) — An explosive wildfire tore through two small Northern California communities before reaching the city of Redding, killing a bulldozer operator on the fire lines, burning three firefighters, destroying dozens of homes and forcing thousands of terrified residents to flee.

Flames swept through the communities of Shasta and Keswick before jumping the Sacramento River on Thursday and reaching Redding, a city of about 92,000 people and the largest in the region.

The so-called Carr Fire is "taking down everything in its path," said Scott McLean, a CalFire spokesman for the crews battling the blaze.

Residents in the western part of Redding who hadn't been under evacuation orders were caught off guard and had to flee with little notice, causing miles-long traffic jams as flames turned the skies orange.

"When it hit, people were really scrambling," McLean said. "There was not much of a warning."

Many firefighters turned their focus from the flames to getting people out alive.

"Really we're in a life-saving mode right now in Redding," said Jonathan Cox, battalion chief with Cal Fire. "We're not fighting a fire. We're trying to move people out of the path of it because it is now deadly and it is now moving at speeds and in ways we have not seen before in this area."

Some residents drove to hotels or the homes of family members in safer parts of California, while other evacuees poured into a shelter just outside of town.

A reporter with KRCR-TV choked up as she reported live updates about the fire before the station had to go off the air later. Two news anchors told viewers that the building was being evacuated and urged residents to "be safe."

Journalists at the Record Searchlight newspaper tweeted about continuing to report on the fire without electricity in their newsroom, and a reporter at KHSL-TV wrote on Twitter that the station's Redding reporters were "running home to gather their things."

Categories: EMS

Firefighters 'in Lifesaving Mode' as Wildfire Tears Through Towns in Northern California

JEMS - News - Fri, 07/27/2018 - 09:59

REDDING, Calif. (AP) — An explosive wildfire tore through two small Northern California communities before reaching the city of Redding, killing a bulldozer operator on the fire lines, burning three firefighters, destroying dozens of homes and forcing thousands of terrified residents to flee.

Flames swept through the communities of Shasta and Keswick before jumping the Sacramento River on Thursday and reaching Redding, a city of about 92,000 people and the largest in the region.

The so-called Carr Fire is "taking down everything in its path," said Scott McLean, a CalFire spokesman for the crews battling the blaze.

Residents in the western part of Redding who hadn't been under evacuation orders were caught off guard and had to flee with little notice, causing miles-long traffic jams as flames turned the skies orange.

"When it hit, people were really scrambling," McLean said. "There was not much of a warning."

Many firefighters turned their focus from the flames to getting people out alive.

"Really we're in a life-saving mode right now in Redding," said Jonathan Cox, battalion chief with Cal Fire. "We're not fighting a fire. We're trying to move people out of the path of it because it is now deadly and it is now moving at speeds and in ways we have not seen before in this area."

Some residents drove to hotels or the homes of family members in safer parts of California, while other evacuees poured into a shelter just outside of town.

A reporter with KRCR-TV choked up as she reported live updates about the fire before the station had to go off the air later. Two news anchors told viewers that the building was being evacuated and urged residents to "be safe."

Journalists at the Record Searchlight newspaper tweeted about continuing to report on the fire without electricity in their newsroom, and a reporter at KHSL-TV wrote on Twitter that the station's Redding reporters were "running home to gather their things."

Categories: EMS

3 Injured in Plane Crash at Catalina Island Airport

EMS-1 Major Incidents - Fri, 07/27/2018 - 09:37

AVALON, Calif. (AP) — Three people were injured in a plane crash Wednesday at the notoriously tricky airport on Catalina Island off the Southern California coast.

One person severely injured in the 9:30 a.m. crash was taken to the hospital in critical condition, while two others had moderate injuries, Los Angeles County fire spokesman Marvin Lim said.

The Los Angeles County Sheriff's Department said in a tweet that all three people are OK, and it posted photos of the partially crumpled plane in a dirt area and first responders treating a man.

The single-engine Piper PA-32 went off the runway after landing, FAA spokesman Ian Gregor said.

The airport's phone number was ringing busy, and officials there didn't immediately return messages seeking comment.

The airport's website says the runway where the crash happened begins at the edge of a 1,500-foot (2,410-kilometer) cliff, making it similar to landing on an aircraft carrier in the sky.

The site warns pilots that there's a strong downdraft as planes approach the end of the runway and an uphill slope that can cause "approach and flare problems." There are no visual cues to determine altitude, and pilots must rely on altimeters, the airport says.

Most flying clubs require pilots landing for the first time at Catalina to be accompanied by a pilot with experience there, the airport says.

It's unclear how much experience the pilot in Wednesday's crash had at landing at the airport.
 

Categories: EMS

3 Injured in Plane Crash at Catalina Island Airport

JEMS - News - Fri, 07/27/2018 - 09:37

AVALON, Calif. (AP) — Three people were injured in a plane crash Wednesday at the notoriously tricky airport on Catalina Island off the Southern California coast.

One person severely injured in the 9:30 a.m. crash was taken to the hospital in critical condition, while two others had moderate injuries, Los Angeles County fire spokesman Marvin Lim said.

The Los Angeles County Sheriff's Department said in a tweet that all three people are OK, and it posted photos of the partially crumpled plane in a dirt area and first responders treating a man.

The single-engine Piper PA-32 went off the runway after landing, FAA spokesman Ian Gregor said.

The airport's phone number was ringing busy, and officials there didn't immediately return messages seeking comment.

The airport's website says the runway where the crash happened begins at the edge of a 1,500-foot (2,410-kilometer) cliff, making it similar to landing on an aircraft carrier in the sky.

The site warns pilots that there's a strong downdraft as planes approach the end of the runway and an uphill slope that can cause "approach and flare problems." There are no visual cues to determine altitude, and pilots must rely on altimeters, the airport says.

Most flying clubs require pilots landing for the first time at Catalina to be accompanied by a pilot with experience there, the airport says.

It's unclear how much experience the pilot in Wednesday's crash had at landing at the airport.
 

Categories: EMS

Paramedic Wrestles Gun Away from 94-Year-Old Shooter at Nursing Home

EMS-1 Major Incidents - Thu, 07/26/2018 - 14:32

BUFFALO, NY - Buffalo Police have charged 94-year-old John Tenant with attempted murder after he was involved in a shooting at an assisted living facility Wednesday morning.

According to police, the incident began around 9:20 a.m. Wednesday morning, at Mary Agnes Manor at 307 Porter Avenue, when a 94-year-old man refused to go to ECMC for a psychiatric evaluation.

The man began telling employees that he was armed, and threatening to shoot them. The employees - including two paramedics, one maintenance worker, and several other facility employees - did not take his threats seriously, and continued to try to take him.

But the man did have a loaded .38-caliber revolver in the pocket of his walker, which he drew, and fired one shot. The bullet became lodged in the wall near the maintenance worker. An AMR employee, paramedic Timothy Hoar, then tackled the man, and he was disarmed. No one was injured.

Read more at WGRZ.

Categories: EMS

Paramedic Wrestles Gun Away from 94-Year-Old Shooter at Nursing Home

JEMS - News - Thu, 07/26/2018 - 14:32

BUFFALO, NY - Buffalo Police have charged 94-year-old John Tenant with attempted murder after he was involved in a shooting at an assisted living facility Wednesday morning.

According to police, the incident began around 9:20 a.m. Wednesday morning, at Mary Agnes Manor at 307 Porter Avenue, when a 94-year-old man refused to go to ECMC for a psychiatric evaluation.

The man began telling employees that he was armed, and threatening to shoot them. The employees - including two paramedics, one maintenance worker, and several other facility employees - did not take his threats seriously, and continued to try to take him.

But the man did have a loaded .38-caliber revolver in the pocket of his walker, which he drew, and fired one shot. The bullet became lodged in the wall near the maintenance worker. An AMR employee, paramedic Timothy Hoar, then tackled the man, and he was disarmed. No one was injured.

Read more at WGRZ.

Categories: EMS

Boston's Efforts to Boost EMT Job Readiness and Recruitment

JEMS - News - Thu, 07/26/2018 - 13:55

Boston EMS Chief James Hooley and Angie Camacho of the Boston Mayor's Office of Workforce Development talk about job readiness and recruitment efforts to meet demand for Emergency Medical Technicians. Interview from BNN News.

Categories: EMS

Soldiers Test Army's Newest Transport Telemedicine Technology

JEMS - News - Thu, 07/26/2018 - 11:05
Read more at United States Army   Military Technology in EMS   Many of the items in trauma bags (e.g., CAT tourniquet, Israeli bandage, etc.) were developed or adapted from military technology--the U.S. military as well as other military forces from around the world.

Taking a cue from telemedicine technology used in some of today's progressive EMS systems and EDs, the U.S. military announced that they're testing a secure telemedicine technology that, according to U.S. Army Public Affiars, "autonomously collects, stores and transmits non-personally identifiable patient information from a device, such as a hand-held tablet, to the receiving field hospital via existing long-range Department of Defense communication systems. At the receiving hospital, the information sent from MEDHUB is displayed on a large screen so clinicians can see what is inbound, including the number of patients and their vital statistics."

The U.S. Army will continue testing and plans for wider Department of Defense use by late 2019.   Related Articles:  
Categories: EMS

Two Alameda County Sheriff's Investigators Survive Potentially Lethal Fentanyl Exposure

JEMS - News - Wed, 07/25/2018 - 13:49
Photo San Francisco Chronicle Read more at San Francisco Chronicle   Related Articles

Categories: EMS

Livermore, Calif., Cardiac Arrest Survivor Meets Team that Saved His Life

JEMS - News - Wed, 07/25/2018 - 10:25

Livermore CA 24 July. On June 26, 2018, Raghu Kowshik was leaving his regular dialysis appointment at DeVita Dialysis in Livermore, Calif., when he suffered a Sudden Cardiac Arrest (SCA) and fell to the ground. Luck was on his side that day, as an ambulance crew from Norcal Ambulance were also waiting at the facility and witnessed him go down. Norcal Ambulance EMTs Chad Hanville and Gustavo Lopez immediately rushed to his aid and began CPR, followed by applying and using their defibrillator and administering a life-saving shock.

Following an additional two minutes of CPR, Mr. Kowshik regained consciousness. The Norcal crew were soon joined by Paramedics Plus 9-1-1 crew, Paramedic Andrew Barber and EMT Joshua Telehala-Courtney, who continued Mr. Kowshik’s care and transport to hospital. A life was truly saved because of a rapid intervention.

On Tuesday, Mr Kowshik was reunited with those involved in his rapid intervention at the Paramedics Plus Livermore Station. He told those involved in his treatment, “I know it seems to be a job for you, however, for me it was everything. My wife thanks you, my children thank you, I thank you.”

Paramedics Plus Director of Operations Mike Marsh, attributed Mr. Kowshik’s save to a process known as the chain of survival. "When a rapid response occurs an intervention occurs to include early CPR with an emphasis on chest compressions and rapid defibrillation, then survivability of a cardiac arrest patient improves considerably and this was the case with Mr Kowshik."

Categories: EMS

Complaint Filed Over Prehospital Ketamine Research Without Prior Consent

JEMS - News - Wed, 07/25/2018 - 08:45

MINNEAPOLIS (AP) — A consumer rights group has filed a complaint alleging a Minneapolis health care provider ignored ethical practices and federal safeguards when it researched the effect of the powerful sedative ketamine on more than 100 participants without their prior consent.

The Public Citizen complaint asks the Food and Drug Administration and the Office for Human Research Protection to investigate whether Hennepin Healthcare complied with federal regulations during clinical trials of ketamine. In the trials, paramedics sedated people before taking them to the hospital.

The Star Tribune says the federal complaint alleges researchers put patients at unnecessary risk and enrolled them in the study without their prior consent. Hennepin Healthcare spokesman Thomas Hayes says the hospital accreditation ensures it follows "rigorous standards for ethics, quality, and protections for human research."

Related JEMS Articles:

Categories: EMS

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