EMS

Fires in Southern California Force Thousands to Evacuate

JEMS - News - Tue, 12/05/2017 - 10:12

SANTA PAULA, Calif. (AP) — Ferocious Santa Ana winds raking Southern California whipped explosive wildfires Tuesday, prompting evacuation orders for thousands of homes.

The biggest blaze broke out Monday in Ventura County and grew wildly to more than 48 square miles (124 sq. kilometers) in the hours that followed, sheriff's Sgt. Eric Buschow said.

Another fire erupted on the north edge of Los Angeles, threatening the Sylmar and Lakeview Terrace neighborhoods, where residents scrambled to get out.

At least 150 structures had burned so far in Ventura County, officials said. Officials did not immediately say what type of buildings burned, but TV reports showed homes in flames as well as Vista del Mar Hospital, a facility that treats patients with mental problems, chemical dependency and veterans with post-traumatic stress syndrome.

More than 27,000 people have been evacuated and one firefighter was injured in Ventura County. There was no word on the extent of the injuries. After initial reports of a fatality, county fire Capt. Steve Kaufmann said a dead dog but no person was found in an overturned car.

The winds were pushing the fire toward Santa Paula, a city of some 30,000 people about 60 miles (97 kilometers) northwest of Los Angeles. Many of the evacuated homes were in that city.

However, evacuation orders were expanded to houses in Ventura, which is 12 miles (19 kilometers) southwest and has 106,000 residents.

"The prospects for containment are not good," Ventura County Fire Chief Mark Lorenzen said before dawn. "Really, Mother Nature is going to decide."

Thomas Aquinas College, a school with about 350 students, has also been evacuated, with students going to their own homes or to those of faculty and staff, the college said in a statement.

The fires were being driven by Southern California's notorious gusty and dry Santa Ana winds, which have been linked to some of the region's worst wildfires.

Categories: EMS

ImageTrend and CrewSense Announce New Offering

JEMS - News - Mon, 12/04/2017 - 23:00
LAKEVILLE, MINN. and GRANTS PASS, ORE. - ImageTrend, Inc., a leading EMS ePCR (electronic patient care records), fire RMS (records management system) and reporting solutions provider, and CrewSense, an employee scheduling, overtime distribution and resource management platform for the public safety industry - announce today a bundled integration.

Both technology offerings will work together seamlessly, improving productivity and reducing the administrative strain on department personnel. CrewSense's innovative approach to public safety scheduling and resource management will now complement ImageTrend's world class reporting system seamlessly for the end user.

“At ImageTrend, we're always looking for ways to help our customers become more efficient and reach their goals,” commented Mike McBrady, President and CEO of ImageTrend, Inc. “Having CrewSense's workforce management available as part of our offering makes it easier for our customers to work within their scheduling system and get more out of our solutions.”

“The best of both worlds in employee scheduling (CrewSense) and incident reporting (ImageTrend) is now possible with these two systems working hand in hand with each other,” said Casey McIntosh, CEO of CrewSense. “An update to the personnel roster in CrewSense will automatically be reflected in ImageTrend's system, eliminating the need for double data entry and greatly reducing the burden on the end user. Incident Reports will be kept up to date and accurate with no additional burden placed on the end user.”

For more information about purchasing CrewSense through ImageTrend, email sales@imagetrend.com.

About ImageTrend, Inc. www.imagetrend.com
ImageTrend, Inc. is dedicated to connecting life’s most important data in the healthcare and emergency response community. ImageTrend delivers software solutions, data analytics and services for EMS, hospitals, community paramedicine (CP), critical care, fire, and preparedness to enable fully integrated patient-centric healthcare and public safety. ImageTrend’s commitment to innovation, its clients, and providing world-class implementation and support is unsurpassed. Based in Lakeville, Minn., ImageTrend combines business analysis, creative design and data driven architecture to offer scalable solutions and strategies for today and the future.
Categories: EMS

Mohawk Ambulance Service Partners with Schenectady SEAT to Enroll Eight Students to EMT Training Program

JEMS - News - Mon, 12/04/2017 - 23:00
SCHENECTADY, N.Y. – Mohawk Ambulance Service, the largest privately-owned ambulance service in upstate New York, recently began its Fall 2017 EMT Training Course with eight students accepted from Schenectady Social Enterprise and Training Center (SEAT). The SEAT Center provides education and training programs for underrepresented populations, businesses, and communities, with a strong focus on serving young adults, ages 16-24 years old. Mohawk Ambulance works with the SEAT Center as an employer partner to accept qualified candidates into their EMT training program.

Mohawk Ambulance Service has remained committed to providing education opportunities to those who may not otherwise have the means to pursue a career in the EMS industry. Last year, Mohawk introduced a free EMT training course as a way of recruiting new talent into the field. This program has yielded many successful graduates who now work with the company. This current training program is the third course Mohawk has offered to candidates free of charge.

The career preparation training that candidates receive through the SEAT Center is augmented by physical and mental soft skills tests. Those who make it through the preliminary screening are enrolled in Mohawk’s course which blends classroom learning with hands-on training and ride-alongs with Mohawk personnel in service. Students are also assigned a SEAT tutor with whom they work twice a week, helping them master time management and study skills, and ensuring they have the best opportunity to successfully complete the certificate program.

“Mohawk Ambulance Service established a thorough orientation program to ensure our high standards for excellent emergency medical care are consistently provided by all of our team members,” said James McPartlon, III, president, Mohawk Ambulance Service. “We are pleased to have this group of smart and talented individuals in our current EMT training program and taking the first steps toward providing assistance to those in need in our local communities.”
Categories: EMS

S.C. State Basketball Player Collapses in Cardiac Arrest, Wake County EMS on Scene

JEMS - News - Mon, 12/04/2017 - 10:19

Paramedics Greg Rodevick and Rich Eldridge got themselves and their equipment in place at Raleigh’s PNC Arena on Saturday December 2, with a simple plan of having a Chick-Fil-A sandwich and standing by courtside for EMS coverage at the N.C. State Wolfpack men’s basketball game as they hosted the South Carolina State Bulldogs. 

Things changed quickly.  Not long into the game, they were called over for an N.C. State player with an apparent knee injury.  As they approached, determining if they would need to bring their stretcher over, they were interrupted by commotion over on the South Carolina State bench. 

They were quickly diverted from the knee injury to what was obviously a critical emergency. What may have appeared on the surface to be chaos at the bench was actually an outstanding example of what should happen anytime someone collapses and goes unresponsive.

South Carolina State Athletic Trainer Tyler Long was immediately down and providing hard, fast, uninterrupted chest compressions on this lifeless basketball player who had just stopped breathing. N.C. State keeps an AED at the bench, and S.C. State staff had grabbed it and were getting it applied.

Greg and Rich worked in and began leading care. A shock was delivered by the AED, but pulses weren't immediately detectable afterward, and compressions were continued.  Within a few moments, they were able to find a pulse as they switched over to the EMS heart monitor. 

Not long after, the young man was awake and talking with the crew and team.

 

Wake County EMS 18 had arrived, and care was transferred to Justin Miracle, John Porter, and Brandon Kaupa for transport to Rex Hospital.  They were assisted by District Chief Benji Currie.

Greg and Rich remained in place covering the game when it resumed.  But they were able to get to Rex and talk face-to-face with S.C. State player Ty Solomon just after the game. 

Categories: EMS

Steward Health Care to Expand Industry-Leading Ambulance App Twiage to Massachusetts Hospitals and Facilities

JEMS - News - Sun, 12/03/2017 - 23:00
Boston, MA – Emergency departments at Steward Health Care hospitals and facilities across Massachusetts will soon feature Twiage, a HIPAA-compliant app that allows emergency responders to share patient information with hospital personnel real-time, to expedite lifesaving care. Steward will expand Twiage to all of its emergency departments after a successful year-long pilot program with 14 emergency service providers at five hospitals.


Designed by physicians and emergency medical technicians, Twiage offers emergency responders the ability to use a smartphone to share real-time patient data and send HIPAA-compliant photos and videos so that hospital personnel can prepare cath labs, operating rooms, Stroke Teams, and hospital beds well in advance of a patient’s arrival to the emergency room. Twiage also offers accurate GPS-tracking to help hospitals plan estimated times of arrival, shaving life-saving minutes off of treatment time to improve patient outcomes.


“In emergency care, speed and information save lives,” said Brenden Hayden, Steward Health Care’s Director of Emergency Medical Services. “Steward is committed to delivering high-quality, integrated care that helps patients live healthy lives. We’re excited to add Twiage to every Steward emergency department because our experience shows that sharing real-time data with our emergency rooms help us to treat our patients more quickly.”


Since 2016, five Steward hospitals have used Twiage, connecting their emergency rooms to ambulance providers in the region. Under the year-long pilot program at Saint Anne’s Hospital, Morton Hospital, Good Samaritan Medical Center, Holy Family Hospital – Methuen, and Holy Family Hospital – Haverhill, hospitals has received a total of 31,794 calls through Twiage, helping each hospital to shave life-saving minutes off the time needed for stroke procedures, heart attack interventions, and other emergency actions. Twiage also offers the advantage of allowing emergency responders to communicate sensitive patient information without talking in front of a patient in an ambulance.
Categories: EMS

Does Your Agency Have an Exceptional Prevention or Safety Program? Now Accepting Nominations for Annual Nicholas Rosecrans Award

JEMS - News - Fri, 12/01/2017 - 13:00

Nominations are now open for the 16th annual Nicholas Rosecrans Award, which recognizes agencies or individuals who have demonstrated excellence in prevention and safety. To nominate your agency or a colleague, go to caparamedic.org/epic-medics.  The deadline is Dec. 31, 2017.

The award memorializes Nicholas Rosecrans, a toddler whose drowning sparked a group of paramedics to create EPIC Medics and assume community leadership in prevention and safety. Nearly 20 years later, EPIC Medics has become nationally recognized for their innovative and successful approach to prevention.

Previous winners have focused on a wide range of prevention issues, from drowning to elderly falls, to provider safety, to kids being left behind in cars.

“EMS and fire agencies are natural fits to take up the flag of prevention,” said Paul Maxwell, who was one of medics on the call to Nicholas Rosecrans. “I’m continually amazed at the innovation and energy my colleagues put into their programs. It’s an honor each year to have Lynn Artz, Nicholas’s mother, give the award to an outstanding individual or team.”

The award is presented in collaboration with JEMS, and is supported by NHTSA’s National Office of EMS and the RedFlash Group, a national consulting firm focused on communications and outreach in the public safety and healthcare professions.

The recipient of the Award will be recognized at at the opening ceremonies at EMS Today 2018 on Wednesday, Feb. 21, 2018, in Charlotte, North Carolina.

The winning program, as evaluated by experts, will receive:

  • Complimentary registration to EMS Today 2018 for up to 4 members of the winning organization
  • Profile of the organization and its initiative in JEMS or JEMS.com

The winner’s program will also be showcased in the session, “What Does the Future Hold? Seizing the Opportunity for Prevention and Enhancing Community Health” on Thursday, Feb. 22, 2018.

Categories: EMS

Updates Released for EMR and EMT National EMS Scope of Practice Model

JEMS - News - Fri, 12/01/2017 - 10:25

Effective November 1, 2017, the administration of narcotic antagonists, application of tourniquets, and use of wound packing have been added to the Emergency Medical Responder and Emergency Medical Technician licensure levels in the National EMS Scope of Practice Model. The changes are available on EMS.gov. This emergent update comes in the midst of a two-year collaboration between the National Highway Traffic Safety Administration (NHTSA) Office of EMS and the National Association of EMS Officials (NASEMSO) to revise the National EMS Scope of Practice Model. 

Categories: EMS

FDA Approves Monthly Injection for Opioid Addiction Treatment

JEMS - News - Fri, 12/01/2017 - 10:08

WASHINGTON (AP) — U.S. health officials on Thursday approved the first injectable form of the leading medication to treat patients recovering from addiction to heroin, prescription painkillers and other opioids.

The Food and Drug Administration approved once-a-month Sublocade for adults with opioid use disorder who are already stabilized on addiction medication.

The monthly injection has the potential to reduce dangerous relapses that occur when patients stop taking the currently available daily medication. But that benefit has not yet been shown in studies and the new drug comes with a hefty price: $1,580 per monthly dose. The older version of the drug, Suboxone, costs $100 a month

The approval comes amid the deadliest drug epidemic in U.S. history and a longstanding gap in medication-based treatment for patients recovering from addiction to opioids, including painkillers like OxyContin and illegal narcotics like heroin and fentanyl. More than 64,000 Americans died from drug overdoses last year, most involving opioids.

Drugmaker Indivior already sells the injection's key ingredient, buprenorphine, in medicated strips that dissolve under the tongue. Patients take the daily medication to control withdrawal symptoms like nausea, muscle aches and pain. When dosed appropriately the drug also reduces the euphoric effects of other opioids, discouraging abuse.

The new injection has potential to reduce abuse and diversion of buprenorphine, which is itself an opioid sometimes sold on the black market. The FDA is requiring Indivior to conduct follow-up studies on the drug.

Roughly 2.4 million Americans are currently addicted to the opioids, according to federal figures, and about 1.1 million are receiving drug therapy to treat the condition. Indivior's Suboxone is the most widely used drug, though access has long been limited by gaps in insurance coverage, caps on prescriptions and training requirements for would-be prescribers.

Categories: EMS

Superior Air-Ground Ambulance Service of Michigan, Inc. achieves CAAS Accreditation

JEMS - News - Thu, 11/30/2017 - 23:00
Warren, MI – Superior Air-Ground Ambulance Service of Michigan, Inc. in Warren, Michigan has received accreditation from the Commission on Accreditation of Ambulance Services (CAAS) for its compliance with national standards of excellence. Superior Air-Ground Ambulance Service of Michigan, Inc. is now one of over 180 ambulance services in the country to successfully complete the voluntary review process which included completion of a comprehensive application and on-site review by national experts in emergency medical services (EMS). With this achievement, Superior Air-Ground Ambulance Service of Michigan, Inc. becomes the 28th ambulance service to be accredited in the state of Michigan. Only the top 1% of ambulance companies in the nation carry this banner.


The Commission is a non-profit organization which was established to encourage and promote quality patient care in America's medical transportation system. The primary focus of the Commission's standards is high-quality patient care. This is accomplished by establishing national standards which not only address the delivery of patient care, but also the ambulance service's total operation and its relationships with other agencies, the general public, and the medical community. The Commission's standards often exceed state or local licensing requirements. The Commission is sponsored by the American Ambulance Association, the American College of Emergency Physicians, the National Association of EMS Physician, the National Association of State EMS Directors, the National Association of EMTs, and the International Association of Fire Chiefs, with liaison representation from The National Highway Transportation Safety Administration.


Mary Franco, Vice President said accreditation "represents our firm commitment to our patients, employees, healthcare partners and the community. Our organization viewed accreditation as another step toward excellence."
Categories: EMS

Drone Interrupts Fire Surveillance Efforts

JEMS - News - Thu, 11/30/2017 - 10:17

LITTLE ROCK, Ark. (AP) — Forestry officials diverted a surveillance plane from its assigned path because a drone hovered above a northern Arkansas wildfire, prompting them to caution people that airborne efforts to take unique photographs endanger pilots and those working below.

State Forester Joe Fox said Wednesday that he doesn't believe a drone operator deliberately interfered with firefighting efforts in Tuesday's incident, but he is worried that the danger will increase as more hobbyists obtain aircraft.

"When there's a fire, people drive out and want to watch it. It's just a natural curiosity," Fox said. "Drones are new and people are trying to figure out what they'll do."

A monthslong drought in Arkansas and Oklahoma has made the landscape ripe for wildfires. More than 270 wildfires have occurred in Arkansas since the start of November, and for the year the state has had nearly 40 square miles burn. In Oklahoma, a single fire in March burned 51 square miles.

Firefighters are known to use drones, too, so they can determine where to move resources while coordinating with pilots to ensure the portable aircraft are out of the sky before larger aircraft arrive.

Mark Goeller, Oklahoma's state fire management chief, said the agency has often found out afterward that a drone was above a wildfire. He said agency officials "maybe see it posted on Facebook or someone tells us."

After a fire chief in Sharp County said Tuesday that a privately owned drone was above a wildfire, the state Forestry Commission diverted a surveillance flight elsewhere to ensure its safety, commission spokeswoman Adriane Barnes said. The state has 13 single-engine planes based at Malvern that are used to detect wildfires in a system that formerly used foresters perched atop fire towers.

Categories: EMS

Apprio Team Fortifies FEMA’s Center for Domestic Preparedness in Response to Hurricanes Harvey, Irma and Maria

JEMS - News - Wed, 11/29/2017 - 11:11

Washington, D.C. — Apprio, a leading provider of specialized technology solutions, particularly for the health, defense and homeland security markets, today announced the company’s training support staff performed program management and training support for Federal Emergency Management Agency’s (FEMA’s) activated Personnel Mobilization Center (PMC) at the agency’s Center for Domestic Preparedness (CDP) in response to hurricanes Harvey, Irma and Maria.

Under the contract, Apprio’s training staff played a vital role in the coordination and scheduling all of the support required to train the surge capacity force from all across the nation. Apprio’s work with the response surge capacity force involved overall coordinated management and logistics, student scheduling and registration, transportation, in-processing, badging, classroom material and customer service.

Apprio’s training support staff processed 5,335 responders who completed 12,409 courses in less than two months through the CDP facility. This feat equaled almost one-third of the annual resident training conducted by CDP.

“With the PMC activated, Apprio’s staff immediately went to work on the unexpected mission to support the hurricane response, which halted the normal training schedule and required us to redirect operations,” said Darryl Britt, Apprio president. “I’m proud of the Apprio team. We worked seven days a week, and sometimes more than 12 hours a day, to meet the mission requirements and ensure an effective response. Our team played an important role in helping the nation prepare and train emergency surge personnel to respond to very serious disasters.” 

Apprio staff members have led and participated in national level responses for a broad range of natural and man-made emergencies, and this real-world experience benefits its customers. Dedicated to providing program management services, training and technology solutions to public sector customers, Apprio’s focus is to be a top-tier provider of specialized solutions to critical issues, particularly for the homeland security and emergency management, health and defense markets.

Categories: EMS

Zico Streamlines Electrical Accessory Organization And Transport

JEMS - News - Tue, 11/28/2017 - 23:00
YARDLEY, PA – Ziamatic Corp. (Zico) has developed a better, faster, easier way to keep your electrical accessories organized and transportable—the new Cord & Adapter Holder, Model QM-CADH.

The innovative Cord & Adapter Holder secures electrical cord, adapters, and pigtails inside the compartment and keeps them organized and easy to locate on the scene. A sturdy, hook & loop style carrying strap frees up your hands by allowing the holder to be attached to a turnout coat, belt, or other equipment such as a boxfan or portable scene light.

Store up to three adapters, up to three 25’ lengths of 12-gauge cord, and a large selection of pigtails with a single holder.

Available now. For more information please call 1-800-711-FIRE or visit ziamatic.com


Ziamatic Corp. (ZICO) was founded in 1958 with the intention of providing the men and women of the fire services industry with products that make their profession safer and easier. Over 50 years later Zico remains a leader in SCBA bracket and ladder rack technology. For more information, please call 1-800-711-FIRE or visit www.ziamatic.com
Contact:Ryan Glover – Marketing
Telephone: 215-493-3618
Email: rglover@ziamatic.com
Email:rglover@ziamatic.com Web site:www.ziamatic.com
Categories: EMS

Volcano on Bali Erupts, Airport Closed, Thousands Evacuated

JEMS - News - Tue, 11/28/2017 - 10:10

KARANGASEM, Indonesia (AP) — A volcano with a deadly history continued to erupt Tuesday on Bali, one of the world's most popular resort islands, spitting ash 4,000 meters (2 ½ miles) high and stranding tens of thousands of tourists for a second day. Lava was welling in its crater, but it remained unclear how bad the eruption might get or how long it could last.

Authorities have raised the alert for Mount Agung to the highest level and told 100,000 people to leave an area extending 10 kilometers (6 miles) from its crater as it belches grey and white plumes into the sky. Its last major eruption in 1963 killed about 1,100 people.

Officials extended the closure of Bali's international airport for another 24 hours due to concerns that jet engines could choke on the thick volcanic ash, which was moving across the island.

Tourists waiting for planes stared at information screens reading "canceled" for every flight. Airport spokesman Ari Ahsanurrohim said more than 440 flights were canceled Tuesday, affecting nearly 60,000 passengers, about the same as Monday. Without aircraft, getting in or out of Bali requires traveling hours by land and boat to an airport on another island.

"I don't know, we can't change it," said stranded German traveler Gina Camp, who planned to go back outside and enjoy another day on the island, which attracts about 5 million visitors a year to its famed resorts and world-class surf spots. "It's nature and we have to wait until it's over."

Experts said a larger, explosive eruption is possible or Agung could stay at its current level of activity for weeks.

"If it got much worse, it would be really hard to think of. You've got a huge population center, nearly a million people in Denpasar and surroundings, and it's very difficult to envision moving those people further away," said Richard Arculus, a volcano expert at Australian National University, adding that an eruption in 1843 was even more explosive than the one in 1963.

Categories: EMS

Deadly Fire in 1942 Influenced Building Codes, Burn Care

JEMS - News - Tue, 11/28/2017 - 09:58

BOSTON (AP) — In the blink of an eye the Cocoanut Grove — one of Boston's swankiest nightclubs — became an unimaginable inferno, trapping hundreds of panicked victims as they jammed the club's exits.

In less than 15 minutes, 492 people were dead and another 166 injured, making the blaze the deadliest nightclub fire in U.S. history.

While no one knows exactly how the fire started 75 years ago on Nov. 28, 1942, its influence on fire and safety codes and on the medical treatment of burn victims still resonates.

___

FIRST FLAMES

The fire started at about 10:15 p.m. as revelers packed the club near the city's South End on the Saturday after Thanksgiving, hoping to forget about the early days of World War II for a few hours.

The first flames broke out in a basement portion of the club, known as the Melody Lounge. From there, the fire rushed through the lounge and above the heads of people trying to race up a stairway, which acted as a chimney. A side exit door and a second door that opened onto a neighboring alley were locked.

Minutes after the first flames were seen in the lounge, the fire had reached the street floor lobby. The club was plunged into darkness when the lights went out, adding to the panic. A few people managed to escape before the front door became jammed, trapping hundreds.

Firefighters had the fire out in a little over an hour, but the horror was just beginning to dawn.

___

CAUSE UNCLEAR

An initial Boston Fire Department report written the day after the tragedy said the fire was "evidently" caused by a "young employee" who lit a match and accidentally ignited a fake palm tree.

From that day on, blame would most often fall on the shoulders of Stanley Tomaszewski, then a 16-year-old bus boy. Tomaszewski told investigators that he lit a match to help him change a light bulb hidden inside the tree, but immediately stamped out the match with his foot.

Categories: EMS

Doctor Who Doesn't Use Computer Unable to Regain License

JEMS - News - Mon, 11/27/2017 - 19:36

CONCORD, N.H. (AP) — A New Hampshire judge has denied an 84-year-old doctor's request to regain her license to practice, which she had surrendered partly over her inability to use a computer.

The state challenged Dr. Anna Konopka's record keeping, prescribing practices and medical decision making. It said her limited computer skills prevent her from using the state's mandatory electronic drug monitoring program, which requires prescribers of opioids to register in an effort reduce overdoses.

Konopka surrendered her license in October, but later requested permission to continue her practice. New Hampshire Public Radio reported Monday that Merrimack Superior Court Judge John Kissinger ruled Nov. 15 that she failed to show she was forced to give up her license as she alleged.

Konopka has asked the judge to reconsider his decision on Wednesday. He hasn't responded yet, so she still cannot see the 20 to 25 patients per week as she once did.

"I'm not upset about anything. The legal system is a game. You move. They move. It's full of tricks and different movements," she said.

"I am fighting. Therefore as long as I am fighting, I have some hope," she added.

Konopka doesn't have a computer in her office and doesn't know how to use one. Two file cabinets in a tiny waiting room inside a 160-year-old clapboard house hold most of her patient records. The only sign of technology in the waiting room is a landline telephone on her desk.

According to the state, the allegations against Konopka started with a complaint about her treatment of a 7-year-old patient with asthma. She's been accused of leaving dosing levels of one medication up to the parents and failing to treat the patient with daily inhaled steroids. Konopka, who agreed to a board reprimand in May, said she never harmed the patient and the boy's mother disregarded her instructions.

Categories: EMS

Volcano in Indonesia Prompts Evacuation of More Than 100,000

JEMS - News - Mon, 11/27/2017 - 12:06

KARANGASEM, Indonesia (AP) — Indonesian authorities ordered 100,000 people to flee Monday from an erupting volcano on Bali that forced the island's international airport to close, stranding large numbers of travelers.

Mount Agung has been hurling clouds of white and dark gray ash about 3,000 meters (9,800 feet) into the atmosphere since the weekend and lava is welling up in the crater, sometimes reflected as a reddish-yellow glow in the ash plumes. Its explosions can be heard about 12 kilometers (7 1/2 miles) away.

Videos released by the National Disaster Mitigation Agency showed a mudflow of volcanic debris and water known as a lahar moving down the volcano's slopes. It said lahars could increase because it is rainy season and warned people to stay away from rivers.

The agency raised the volcano's alert to the highest level early Monday and expanded the danger zone to 10 kilometers (6 miles) in places from the previous 7 1/2 kilometers. It said a larger eruption is possible.

The volcano's last major eruption in 1963 killed about 1,100 people.

Spokesman Sutopo Purwo Nugroho told a news conference in Jakarta that the extension of the danger zone affects 22 villages and about 90,000 to 100,000 people. He said about 40,000 people have evacuated but others have not left because they feel safe or don't want to abandon their livestock.

"Authorities will comb the area to persuade them," he said. "If needed we will forcibly evacuate them." About 25,000 people were already living in evacuation centers after an increase in tremors from the mountain in September sparked an evacuation.

Lava rising in the crater "will certainly spill over to the slopes," Sutopo said.

Villager Putu Sulasmi said she fled with her husband and other family members to a sports hall that is serving as an evacuation center.

"We came here on motorcycles. We had to evacuate because our house is just 3 miles from the mountain. We were so scared with the thundering sound and red light," she said.

Categories: EMS

US Navy Plane With 11 Aboard Crashes into Pacific; 8 Rescued

JEMS - News - Wed, 11/22/2017 - 09:48

TOKYO (AP) — Eight people were rescued and three remained missing after a U.S. Navy plane crashed into the western Pacific Ocean on Wednesday, the Navy said.

The C-2 "Greyhound" transport aircraft came down about 500 nautical miles (925 kilometers) southeast of Okinawa as it was bringing passengers and cargo from Japan to the USS Ronald Reagan aircraft carrier, the Navy said in a statement.

The Reagan was operating in the Philippine Sea during a joint exercise with Japan's Maritime Self-Defense Force when the twin-propeller plane crashed at 2:45 p.m. Japan time. The cause of the crash was not immediately clear and the incident will be investigated, the Navy said.

Eight people were rescued about 40 minutes later. They were taken to the Reagan for medical evaluation and are in good condition, the Navy said.

U.S. and Japanese naval ships and aircraft are searching for the missing. Japan's Defense Ministry said the crash site is about 150 kilometers (90 miles) northwest of Okinotorishima, a Japanese atoll.

The names of the crew and passengers are being withheld pending notification of next of kin.

In Washington, the White House said President Donald Trump had been briefed on the crash.

Trump said in a tweet: "We are monitoring the situation. Prayers for all involved."

The Nov. 16-26 joint exercise in waters off Okinawa has been described by the Navy as the "premier training event" between the U.S. and Japanese navies, designed to increase defensive readiness and interoperability in air and sea operations.

The Navy's Japan-based 7th Fleet has had two fatal accidents in Asian waters this year, leaving 17 sailors dead and prompting the removal of eight top Navy officers from their posts, including the 7th Fleet commander.

The USS John S. McCain and an oil tanker collided near Singapore in August, leaving 10 U.S. sailors dead. Seven sailors died in June when the USS Fitzgerald and a container ship collided off Japan.

Categories: EMS

Lawsuits Filed in Vegas Shooting

JEMS - News - Tue, 11/21/2017 - 10:02

LAS VEGAS (AP) — Attorneys who filed one of the first lawsuits after the Oct. 1 mass shooting that killed 58 concert-goers and left hundreds injured on the Las Vegas Strip filed four new negligence cases Monday on behalf of more than 450 victims.

This time, however, Houston-based lawyers Chad Pinkerton and Mo Aziz filed the cases in Los Angeles against companies including MGM Resorts International, the corporate owner of both the Mandalay Bay resort and the Route 91 Harvest Festival concert venue.

Pinkerton said the intent was to get the cases before a jury less likely to be influenced by the size and clout of a casino company that is both an active political contributor in Nevada and the largest employer in the state.

"Los Angeles is a better venue for fairness for our clients," Pinkerton said in a telephone interview ahead of a news conference announcing the filing of two wrongful death lawsuits, a third case stemming from a woman's head wound and a fourth on behalf of 450 people claiming injuries in the worst mass shooting in modern U.S. history.

"There would be certain advantages for MGM to defend its case in Nevada," Pinkerton said, adding that a jury in MGM Resorts' hometown might include people with direct or indirect ties to the company and its more than 70,000 employees.

The company has said through representatives it won't litigate shooting lawsuits in the media. In statements, it has blamed the massacre on the gunman, Stephen Paddock.

Defendants in the new lawsuits also include Live Nation Entertainment, the concert promoter. In a statement, the Beverly Hills, California-based company expressed sorrow for "countless people forever impacted by this senseless act of violence" and said it was cooperating with an active FBI investigation. It declined to comment about the lawsuits.

Categories: EMS

3 Dead After Medical Helicopter Crash in Eastern Arkansas

JEMS - News - Tue, 11/21/2017 - 09:57

DEWITT, Ark. (AP) — A pilot and two medical personnel were killed when a medical helicopter that was flying to a hospital in eastern Arkansas crashed in a rural area Sunday night. No patients were on board at the time.

The cause of the crash is not yet known but federal agencies are investigating. Arkansas County Sheriff Todd Wright said a witness saw the helicopter spiral out of the sky about 7:55 p.m. Sunday, disturbing thousands of geese to the point that "they were louder than she had ever heard before."

The helicopter crashed on a levee adjacent to Hampton Reservoir near Lodge Corner in Arkansas County, 52 miles (84 kilometers) southeast of Little Rock. Wright said Monday that the helicopter's tail section was the only portion of the aircraft that did not burn.

Pafford Air One identified the victims as 46-year-old pilot Michael Bollen of Hot Springs; 61-year-old flight nurse James Lawson Spruiell of Sulligent, Alabama; and 26-year-old flight paramedic John Auld III, who went by the nickname Trey, of Shreveport, Louisiana. Pafford Air One says the helicopter had been flying from Pine Bluff to a hospital in Helena-West Helena.

"We are all devastated and profoundly saddened by the tragic loss of these valued EMS colleagues and friends. We will continue to try and comfort the crew's families as well as everyone in our employ," said Pafford Air One Director Dustin Ross.

Spruiell and Auld worked for Pafford Air One, which provides emergency transport in Arkansas, Louisiana, Mississippi and Oklahoma. Bollen was a pilot for Air Methods Corp.

Federal Aviation Administration spokesman Lynn Lunsford said the National Transportation Safety Board will lead the investigation into the crash.

FAA records show that Bollen, the pilot, had a clean record with no history of accidents or enforcement actions. According to an agency database, Bollen had also been certified as a flight instructor. The database also shows no previous accidents or incidents involving the Bell 407 helicopter.

Categories: EMS

Four Residents Still Missing in Pa. Senior Center Fire

JEMS - News - Tue, 11/21/2017 - 09:51

PHILADELPHIA (AP) — Four people are missing and presumed dead following last week's fire at a Pennsylvania senior living community.

The massive blaze tore through Barclay Friends Senior Living Community in West Chester late Thursday, injuring more than two-dozen people and displacing 133 residents. The cause is still unknown.

Officials previously had suggested that not all the residents had made it out alive, but they didn't reveal the number of missing until Monday afternoon. A husband and wife as well as two other elderly women hadn't been found "and we aren't expecting good news," Chester County District Attorney Tom Hogan said.

Investigators will start sorting through the remains of the burnt-out building with heavy machinery, officials said.

Eight people were still hospitalized Monday, authorities said, and scores of residents have been relocated to surrounding facilities.

Many residents were pushed from the complex in wheelchairs or rolled out on their beds into overnight temperatures that dipped into the low 40s as strong winds fanned flames that engulfed sections of the building within minutes.

More than 400 emergency personnel responded to the fire. The heat was so intense that one firefighter battling the blaze discovered his helmet was melting. Dozens of neighbors also helped during the rescue effort, wrapping residents in blankets and ferrying them to ambulances using makeshift gurneys.

Volunteers collected clothing and supplies for the residents over the weekend. Organizers said the support was so overwhelming they couldn't accept any more items.

Categories: EMS

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