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EMS

1 Dead in Shooting Near Pennsylvania Court

JEMS - News - Wed, 09/19/2018 - 16:06

 

Categories: EMS

It’s Time to Train and Equip EMS Personnel to Respond to Active Threats

EMS-1 Major Incidents - Wed, 09/19/2018 - 14:26

Over the past decade we’ve focused a great deal on attention to educating and equipping our law enforcement officers with individual first aid kits (IFAKs). We’ve not only equipped our officers with at least one commercially produced tourniquet and hemostatic dressings, but also trained them to manage severe extremity and junctional bleeding. Although much of the focus has been on law enforcement embracing the self-aid buddy aid (SABA) philosophy, many agencies have overlooked providing the same equipment and training to our EMS and fire department first responders.

One reason behind this oversight may be a flawed thought process, that EMS providers and fire department personnel are medical professionals and, therefore, are already trained to manage these types of emergencies. Although our EMS system personnel are medical professionals, the vast majority of our frontline personnel aren’t tactical medical providers.

Undeniable Need

While in my early years of EMS, there was no real need to think about training all frontline personnel in what is now Tactical Emergency Casualty Care (TECC), the threat matrix has changed. Following large-scale shootings across the country, the Boston bombings and most recently our Austin serial bombings, it’s undeniable that the matrix has now changed enough to now justify TECC training for all first responders.

The question may remain for some as to why this training is necessary for people who are already professional medical first responders. The answer is relatively simple: Medicine on the “X” is dramatically different from how we approach our standard patient utilizing the 9-1-1 system. The “X” is the location of the point of injuring such as a shooting, stabbing or explosion. The concept is that the “X” is the location chosen by the actor to inflict harm and that “X” remains a dangerous place to stay.

During normal EMS operations, we tend to encourage managing the trauma patient where they’re found, stabilizing them and then carefully moving them in a coordinated fashion in order to prevent further injury. Care on the “X” is strictly tailored to manage acute immediately life-threatening bleeding—and that’s it!

Categories: EMS

4 Injured in Shooting at Business in Madison, Wisconsin

EMS-1 Major Incidents - Wed, 09/19/2018 - 14:07

MIDDLETON, Wis. (AP) — The Latest on report of active shooter at a commercial building in a suburb of Madison, Wisconsin (all times local):

1:50 p.m.

Officials say the suspect in a Wisconsin workplace shooting that injured four people has died after being shot by police.

Middleton Police Chief Chuck Foulke says there are no other suspects in the attack that occurred Wednesday morning at software company WTS Paradigm. Foulke says the suspect died after being shot by officers.

Foulke says officers were alerted to an active shooter situation at about 10:25 a.m. He says the suspect was taken to a hospital.

Foulke said all lockdowns in the area have been lifted. He didn't release details about the suspect or how the attack unfolded. He says officers are still interviewing witnesses.

Police are planning an update later Wednesday afternoon.

___

1:15 p.m.

Police in southeast Wisconsin are conducting a secondary search of an office building where four people were shot to make sure there are no additional victims or suspects.

Middleton police dispatcher Danielle Kimball says officers are still finding people who've been hiding since the Wednesday morning shooting at software company WTS Paradigm.

City Administrator Mike Davis says four people were wounded when the shooter opened fire around 10 a.m. Davis says the fifth person, believed to be the shooter, was also critically injured. Davis didn't elaborate.

Details about how the shooting unfolded haven't been released.

University Hospital in nearby Madison says it's treating four patients from the shooting. Two were in serious condition and one was critical. The condition of the fourth patient wasn't released.

St. Mary's Hospital says it's treating another patient for injuries that aren't life-threatening.

__

12:20 p.m.

A city official says four people have been shot, but none fatally, during a shooting at a software company near Madison, Wisconsin.

Categories: EMS

4 Injured in Shooting at Business in Madison, Wisconsin

JEMS - News - Wed, 09/19/2018 - 14:07

MIDDLETON, Wis. (AP) — The Latest on report of active shooter at a commercial building in a suburb of Madison, Wisconsin (all times local):

1:50 p.m.

Officials say the suspect in a Wisconsin workplace shooting that injured four people has died after being shot by police.

Middleton Police Chief Chuck Foulke says there are no other suspects in the attack that occurred Wednesday morning at software company WTS Paradigm. Foulke says the suspect died after being shot by officers.

Foulke says officers were alerted to an active shooter situation at about 10:25 a.m. He says the suspect was taken to a hospital.

Foulke said all lockdowns in the area have been lifted. He didn't release details about the suspect or how the attack unfolded. He says officers are still interviewing witnesses.

Police are planning an update later Wednesday afternoon.

___

1:15 p.m.

Police in southeast Wisconsin are conducting a secondary search of an office building where four people were shot to make sure there are no additional victims or suspects.

Middleton police dispatcher Danielle Kimball says officers are still finding people who've been hiding since the Wednesday morning shooting at software company WTS Paradigm.

City Administrator Mike Davis says four people were wounded when the shooter opened fire around 10 a.m. Davis says the fifth person, believed to be the shooter, was also critically injured. Davis didn't elaborate.

Details about how the shooting unfolded haven't been released.

University Hospital in nearby Madison says it's treating four patients from the shooting. Two were in serious condition and one was critical. The condition of the fourth patient wasn't released.

St. Mary's Hospital says it's treating another patient for injuries that aren't life-threatening.

__

12:20 p.m.

A city official says four people have been shot, but none fatally, during a shooting at a software company near Madison, Wisconsin.

Categories: EMS

Paramedics Still Assist Puerto Rican Kidney Patients a Year After Maria

JEMS - News - Wed, 09/19/2018 - 12:19

VIEQUES, Puerto Rico (AP) — As weeks turned into months, the seats of the small plane began to empty out.

In the beginning, 15 passengers flew from Vieques to the Puerto Rican mainland — refugees from Hurricane Maria. The storm had ruined the only dialysis center on this tiny island, their home; without treatment, the kidney patients would die.

But the thrice-weekly trips have taken a toll on these frail patients. Five have died in this past year from causes ranging from heart failure to cancer, but advocates insist that the very flights that keep the patients alive have hastened their deaths.

The mortality rate is "a high number," said Angela Diaz, director of the nonprofit Renal Council of Puerto Rico. "We obviously cannot dismiss the fact that these are not appropriate conditions. It's vital that (the government) take action as soon as possible. ... As much as they want to avoid the topic, we have to talk about how we're still doing this one year after Maria."

As dire as the situation may be, it could get worse. A mobile unit, purchased by federal officials to provide dialysis on Vieques, is stuck more than 3,000 miles (4,800 kilometers) away, in California; the Renal Council, which is paying for the dialysis flights, says it will run out of money to do so by month's end.

"If they take away our flights, we will end up dying," said Elias Salgado, a 56-year-old renal patient who is diabetic and suffers from high blood pressure. "There are not many of us left."

___

The Vieques dialysis center was located in the island's only medical clinic. The building still stands, though it is heavily damaged and strewn with horse manure. Weeks after Maria hit, health officials declared it contaminated and ordered that it be demolished.

Other health services were moved to a temporary shelter, but dialysis could not be performed there.

At first, the Federal Emergency Management Agency assumed responsibility, flying the patients by helicopter to San Juan. After a month, FEMA withdrew to take on other missions; nonprofits, including ViequesLove and Americares, picked up the bill. For a while, the patients traveled by ferry — a more arduous trip because the boats sometimes break down or fail to leave on time, and there is no way to reserve seats. They would show up early, and hope for the best.

Categories: EMS

New Program in New York Aims to Ease EMT Shortage Resulting from Replacing State Certification with National

JEMS - News - Tue, 09/18/2018 - 16:15

 

PLATTSBURGH, N.Y. (WCAX) When you need them-- you need them in seconds.

"People don't call 911 because they are having great days. They call 911 at some of the lowest points in their life," said Bryse Taylor, a paramedic student.

"Basically it's like bringing the emergency department to the patient now, rather than picking up the patient and running them to the emergency department," said Bruce Barry, the paramedic program director.

It's alarming when you hear that there are only 113 paramedics serving five counties across the North Country-- that's over 6,500-square miles responsible for nearly 300,000 residents.

Now, the state of New York is changing certifications needed for prehospital care, which could put more strain on first responders.

Read more at WCAX.

Categories: EMS

1 Dead, 11 Injured in Scaffolding Collapse at Madrid Hotel

JEMS - News - Tue, 09/18/2018 - 13:53

MADRID (AP) — Scaffolding at a luxury hotel undergoing renovation in central Madrid collapsed on Tuesday, killing one construction worker and injuring at least 11 others, an official said.

Wrought iron work on the sixth floor of the centrally located Ritz Hotel collapsed shortly after 4 p.m. (1400 GMT; 10 a.m. EDT), dragging the internal scaffolding down five stories along with the workers, according to the official from the emergency services.

Most of the workers emerged on their own and were treated for injuries ranging from minor to moderate, with two of them hospitalized in critical condition.

Firefighters rescued three people from the rubble with moderate injuries and were working to recover the body of the worker that was killed.

The official, who spoke on condition of anonymity because she wasn't authorized to be named due to internal rules, said the local Madrid police would be investigating the cause of the collapse, which emergency services called "an occupational accident" in a tweet.

An Associated Press photographer saw ambulances and firefighters working at the scene surrounded by dozens of onlookers. There were no signs of the collapse visible from the exterior of the building.

The Ritz Hotel, located near Spain's parliament and Madrid's famed Prado and Thyssen-Bornemisza museums, had been closed for a full renovation since March.

___

AP photographer Paul White contributed to this report.

Categories: EMS

Flood Victims Get Food and Water; Rain Spreads to Northeast

JEMS - News - Tue, 09/18/2018 - 11:19

WILMINGTON, N.C. (AP) — Still stranded by Florence's epic floods days after the hurricane hit North Carolina, Wilmington residents lined up by the hundreds Tuesday for free food, water and tarps as officials struggled to open new routes to one of the state's largest cities.

The death toll from the storm rose to at least 32 in three states, with 25 fatalities in North Carolina, as remnants of the once-powerful Category 4 hurricane — now reduced to a rainy, windy mass of low pressure — dumped rain on the heavily populated Northeast.

Parts of southern New Hampshire and much of Massachusetts were under a flash flood warning, and a tornado warning was issued near Salem, Massachusetts.

In Wilmington, population 120,000, workers began handing out supplies using a system that resembled a fast-food restaurant drive-thru: Drivers pulled up to pallets lining a street, placed an order and left without having to get out.

Todd Tremain needed tarps to cover up spots where Florence's winds ripped shingles off his roof. "The roof is leaking, messing up the inside of the house," he said.

Others got a case of bottled water or military MREs, or field rations. An olive-drab military forklift moved around huge pallets loaded with supplies.

Four days after Florence blew ashore and began unloading more than 2 feet of rain that paralyzed much of North Carolina, Wilmington was still virtually cut off from the rest of the state, with just one road tentatively open as a supply route. Officials said they will open roads as flooding recedes and downed trees and power lines are cleared away. It's not clear when that might happen.

Items have been brought into the city by big military trucks and helicopters, which also have been used to pluck hundreds of desperate people from atop homes and other structures.

"Thank you," a shirtless Willie Schubert mouthed to members of a Coast Guard helicopter crew who picked up him and his dog Lucky from atop a house encircled by water in Pollocksville on Monday. It wasn't clear how long he had been stranded.

Categories: EMS

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