News Items

Crash, Flip, and Sideswipe: 1 Day, 3 Damaged Rigs

JEMS - News - Tue, 10/02/2018 - 11:04

Yesterday was one of those days. JEMS editors keep an eye on the news, and today we found three stories from around the U.S. of ambulances involved in incidents with other motor vehicles.

Although it doesn't necessarily point to an uptick in ambulance-related MVCs or injuries of personnel, it underscores the daily reminder of the inherent risk involved in the work we do.

Stay aware of your surroundings. Drive safe. Stay safe.

 

Car Driver Injured After Crash With Ambulance in Wilmington, Del.

WILMINGTON, Del. (WPVI) -- A car driver was injured after a crash involving an ambulance on Monday morning in Wilmington, Delaware.

Read more at WPVI.

 

Categories: EMS

Vegas Hockey Team Helps Honor First Responders for Shooting Response

JEMS - News - Tue, 10/02/2018 - 10:36

 

Twenty-one Community Ambulance employees who were on scene when gunfire erupted at the Route 91 Harvest festival were honored in Henderson Monday morning.

As their names were called for to collect his or her Medal of Valor, they shook hands with several members of the Vegas Golden Knights, including Jonathan Marchessault, Nate Schmidt and Max Pacioretty.

Read more at the Las Vegas Review-Journal.

Categories: EMS

'Let's Go': New Video Shows AMR MedicWest Crew Rush to Vegas Shooting

JEMS - News - Tue, 10/02/2018 - 09:52

 

LAS VEGAS (FOX5) - In a newly-released video from inside an AMR and Medicwest Ambulance, two first responders got the news: "There's been a shooting and dozens are hurt."

Without hesitation, and without being assigned to the call, Jodie was recorded during 1 October saying, "Let's Go."

"'Let's Go!' those are our people," Regional Director for AMR and Medicwest Scott White said. "They run to the danger, not away."

The video was taken just five minutes after the shooting started.

Read more at FOX5 Las Vegas.

Categories: EMS

Overdose Outcomes Improve with Telemedicine

JEMS - News - Tue, 10/02/2018 - 01:00
CHALLENGE AND EXECUTIVE SUMMARY
The opioid crisis is a population health issue impacting lives in nearly every community across the country. Emergency Medical Services (EMS) and public safety first responders are on the front line of treating these overdose patients. The initial lifesaving acute care they provide is but one step in the continuum of time-sensitive care that includes hospitals, recovery specialists and ongoing treatment programs necessary to prevent the vicious reoccurrence cycle.

Through the use of a specialized digital mobile telemedicine app, EMS is uniquely positioned to save lives through timely intervention with opioid antagonist drugs while engaging the hospital, registries and recovery specialists to initiate broader acute care workflow improvements. Multi-faceted alerts including data collected and shared real-time with providers, speeds treatment and engagement to improve outcomes and long-term patient recovery. Collected data is also aggregated and available to organizational and governmental entities for reporting, benchmarking improvements and trend-analysis.   THE SOLUTION
The following Opioid Overdose case workflow process is based on the e-Bridge Workflow Mobile Telemedicine app provided by GD (General Devices). The solution provides an easy to use, state or region-wide mechanism to alert, notify and track all opiate/opioid overdose patients in real time from prehospital first medical contact through hospital emergency department, to recovery specialist, caseworker and recovery program.   Overdose Workflow: (refer to flowchart)
Note: This is an example workflow. All e-Bridge Workflow templates are highly configurable, allowing flexibility to operate protocols your way, ensuring maximum effectiveness and compliance.
  • 911 communications center receives a call for a possible overdose and dispatches EMS.
  • EMS receives the CAD location information and responds. Dispatch and arrival times documented in CAD. Upon arrival, EMS’ patient assessment identifies possible opioid overdose.
  • EMS clicks the “Overdose” button of the e-Bridge app on their mobile device and treats the patient. The location is tagged and the running time clock begins 1.
  • The highly configurable workflow template prompts for initial patient demographic 2, driver’s license, ID scan/pic, and medical incident and treatment information.
  • The base station or destination hospital is selected for medical direction and notification is sent – alerting the hospital team.
  • Notifications for events such as Naloxone administered, are time stamped, logged and shared in real-time with preselected team members via e-Bridge app (ED computer, mobile devices, etc).
  • Existing or newly assigned recovery specialists or agencies can be notified and added to the team either preconfigured or at any point by ED staff after arrival.
  • Patient/Case/Event can be added to the Overdose Registry either at this point or by ED staff after arrival.
  • Live (synchronous) or asynchronous video consult with physician, recovery coach, etc is available. Secure multi-media such as pictures, video, audio, text, team chat, and vital sign and ECG sharing is available.
  • If transporting, live ETA sent to receiving hospital, registry and recovery specialist once en route.
  • If AMA refusal, video consult with physician or recovery specialist may avert refusal, otherwise video documentation of refusal is recorded to mitigate risk.
  • Hospital ED physician/nurse notify/add hospital patient registration to the case, allowing them to pre-register the patient before arrival.
  • ED team member assigns bed and EMS is notified pre-arrival via the app.
  • Hospital ED can see tracking map with priority and live ETA. Once the ambulance is within “geofence” of the hospital an “Arrival” alert is announced and displayed and team members are alerted on the e-Bridge app.
  • EMS arrives and moves the patient to the pre-assigned bed and hands off the patient to the ED staff that is already prepared and ready with a pre-registered ID wristband.
  • ED staff take over patient care and the pre-hospital phase of the case is ended.
Notes (for optional solution add-ons): EMS clears up from the call and goes back in service but is available for questions, team chat, notifications and outcome results via the e-Bridge app.
  • Downstream outcome feedback/status is entered by hospital staff, EMS is notified via e-Bridge.
  • The Recovery phase of the case begins 3
  • The patient is set up with the e-Bridge app and provided a secure login and instruction before discharge from the hospital.
  • Recovery coach/specialists communicate securely with the patient via e-Bridge app. Family, peers, physicians are invited to participate in group communications aimed at long-term support and recovery.
  • Reports and data are provided to the appropriate agencies.
  • Education, checklists and information can be provided to the patient and their support network via e-Bridge 3.
  • Automatically pull dispatch info from CAD database.
  • Automatically pull pre-existing patient info from the database, alert providers of prior events, coaching contacts, etc.
  • Recovery phase/case to be developed/partner and configure to meet state/local operational requirements.
  EXPECTED RESULTS
  • 1-click EMS & ED initiated real-time tracking of care for overdose patients
  • Early alerting of parallel and downstream resources (recovery & registry)
  • Early engagement and follow-up for patients that refuse AMA
  • Data and reporting for local, state and national
  • Outcome feedback data for EMS and all care teams
  • Force multiplier with other acute-care workflows (Stroke, STEMI, Trauma, Sepsis)
  • Improved outcomes and sustained recovery
  • Real-time view of care workflow
  • Early warning system
Categories: EMS

PURVIS Systems Uniquely Positioned for Continued Growth

JEMS - News - Tue, 10/02/2018 - 01:00
Middletown, RI – PURVIS Systems, a leading IT systems and services provider for the Public Safety, Federal and Department of Defense industries, is strategically positioned for growth as qualified Joseph Drago steps into the Chief Executive Officer role on October 1, 2018.

Drago, an experienced executive, has a successful, 20-year track record working closely with PURVIS. As founder, sole-owner, and President of Integrated Management SOLUTIONS, Inc. (IMS), Drago has led the IMS team in providing project management, test and evaluation, and logistics support to real-time system implementation and maintenance projects across Public Safety, Gaming and Defense industries. Since 1998, IMS and PURVIS have been close partners, with IMS responsible for project management, training and testing services for every PURVIS Fire Station Alerting System™ implementation and overall program management for PURVIS’s New York City Fire Department (FDNY) contracts. Further, Drago joined PURVIS’ Board of Directors in 2001 and was subsequently elected Chairman in 2017. \r\n \r\n

“I’m grateful and excited to get started in this new role at PURVIS,” says Drago. “PURVIS has seen significant growth while under Steve Massed’s leadership: we expanded our presence throughout the US, grew our client base, increased strategic partnerships, achieved greater financial stability, and retained top talent. We are uniquely positioned to maintain momentum and continue on this growth trajectory, and we have an incredible team who understands our vision for the future and is committed to advancing our systems and services.” \r\n \r\n

In his new role, Drago will be responsible for driving the strategic direction and development of the organization. “Joe understands PURVIS extremely well and has the industry experience to thrive in this dynamic environment. His commitment to the organization’s values and strategy is perfectly aligned with PURVIS’ goals as we enter our next chapter,” says current President Steve Massed, who is retiring in October. “It’s been an honor to serve as President of PURVIS Systems for the past two years, and I look forward to working as a Board member with Joe to continue to grow our position as one of the most reliable and responsive systems and services providers in the market.” 
Categories: EMS

Over 800 Dead in Indonesia Quake and Tsunami; Toll May Rise

JEMS - News - Mon, 10/01/2018 - 13:57

PALU, Indonesia (AP) — Rescuers struggled Sunday to reach victims in several large coastal towns in Indonesia that were hit by an earthquake and tsunami, and authorities feared that the toll of more than 800 confirmed dead would rise.

With the area largely cut off by damaged roads and downed communications lines, military and commercial aircraft were delivering some aid and supplies to the hard-hit city of Palu on the island of Sulawesi, and others in the region.

But there was a desperate need for heavy equipment to reach possible survivors buried in collapsed buildings, including an eight-story hotel in Palu where voices were heard in the rubble. A 25-year-old woman was found alive during the evening in the ruins of the Roa-Roa Hotel, according to the National Search and Rescue Agency, which released photos of the her lying on a stretcher covered in a blanket.

At least 832 people were confirmed killed by the quake and tsunami that struck Friday evening, Indonesia's disaster agency said, with nearly all of those from Palu. The regencies of Donggala, Sigi and Parigi Moutong — with a combined population of 1.2 million — had yet to be fully assessed.

"The death toll is believed to be still increasing, since many bodies were still under the wreckage, while many have not been reached," said disaster agency spokesman Sutopo Purwo Nugroho.

Bodies covered in blue and yellow tarps lined the streets of Palu, and officials said they were digging a mass grave for at least 300 of the dead.

It was not immediately known when the burial would take place, but "this must be done as soon as possible for health and religious reasons," said Willem Rampangilei, head of the National Disaster Mitigation Agency. Most of Palu's residents are Muslim.

Categories: EMS

Paramedics and Cop Charged in Death of Man at Detroit-area Jail

JEMS - News - Mon, 10/01/2018 - 13:38

DETROIT (AP) — A police officer and two paramedics failed to help a man who was convulsing for more than an hour and eventually died from cocaine toxicity at a Detroit-area jail, a prosecutor said Monday as she filed involuntary manslaughter charges against the trio.

William Marshall was in custody for drug possession when he died in the Westland police lock-up in December. Wayne County prosecutor Kym Worthy said a state police investigation showed an "inexcusable and criminal disregard for human life from those who have a duty to serve him, protect him and render aid."

She said video of the incident was a "critical part of the evidence."

Involuntary manslaughter charges were filed against police Sgt. Ronald Buckley and paramedics Matt Dicosola and Leah Maynard. The three didn't immediately appear in court Monday, and it was unclear whether they had lawyers who could respond to the allegations.

The paramedics told Buckley they could take Marshall to a hospital but the sergeant waved them off, Worthy said. Nonetheless, she added, that doesn't clear them of wrongdoing.

"The paramedics still have a duty to render aid and assistance," the prosecutor said. "They abandoned him, according to the facts of our investigation. ... They are criminally responsible."

Westland Police Chief Jeff Jedrusik said Buckley has been suspended from the department, and Dicosola and Maynard no longer work for Westland.

"I again want to offer my sincere apology to the William Marshall family for their loss," Jedrusik said in a written statement. "The department has provided additional training to its employees and will continue to do so to ensure that something like this never happens again."

The city in May agreed to a $3.75 million settlement with Marshall's family, with much of the money coming from insurance coverage.

Separately, Worthy said no charges would be filed in the fentanyl-related death of a man at an Ecorse police lock-up in June 2017. She said that although Ecorse officers should have noticed that Frank Porter wasn't moving in his cell, the delay did not contribute to his death.

Categories: EMS

Purse, Cellphone Stolen from EMT Trying to Save Woman's Life

JEMS - News - Mon, 10/01/2018 - 10:58

 

DETROIT (WJBK) - An EMS worker was robbed while responding to a person in need. 

Her purse and cell phone stolen right out of the ambulance.

"It's very disheartening, it's ugly - and it's hurtful," said Charlene Kinnard, a Detroit EMT.

Just how low can you go? Two thieves were caught on camera after stealing from a Detroit EMT while she had been trying to save an elderly woman's life.

Read more at WTXF-FOX 29.

Categories: EMS

One Year After Vegas: Medics with a New Perspective

JEMS - News - Mon, 10/01/2018 - 10:18
Jeff Scheid-The Nevada Independent Mike Whitehead, critical care paramedic at Medicwest, assisted victims in the Oct.1 shooting. Read more at The Nevada Independent How Community Ambulance Has Altered its Approach to Mass Casualty Incidents Las Vegas Sun Glen Simpson, special event manager, responds to a question during an interview at Community Ambulance in Henderson Friday, March 16, 2018. Community Ambulance paramedics were working at the Route 91 music festival during the Oct. 1 mass shooting. Glen Simpson didn't realize how anxious he would feel. Simpson, the director of special events at Community Ambulance, was working a music festival last weekend when he started to experience anxiety from being at an outdoor music venue. The nervousness comes with good reason.

Read more at the Las Vegas Sun

Categories: EMS

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