Emergency Training Center of Montana

CALIFORNIA EMT STRUCK AND KILLED IN THE LINE OF DUTY

Thanks Billy G from The Secret List @ www.FireFighterCloseCalls.com

 

It is with deep regret that we advise you that at 0659 hrs yesterday morning, a San Diego (CA) Medical Services BLS unit happened upon a single vehicle traffic accident on Rt 163. After assessing the patients and initiating a response, the crew began to lay out a flare pattern to warn oncoming traffic.  During this process, one of the EMT's, Paramedic Estaban Behena, 24, was struck by a vehicle traveling at freeway speed. San Diego Fire Rescue 4, returning from a vehicle rescue, came upon the incident and immediately began to render aid. PM Behena was transported to Mercy Hospital where he was subsequently pronounced. A blood technician was sent by the CHP to UCSD to take a sample from the driver, who may face drunken driving charges.

 

PM Behana was a paramedic employed by San Diego Medical Services, a private company that is hired by the City of San Diego to respond with San Diego Fire and provide ambulance services. Behena worked for San Diego Medical Services since August 2008.

NASEMSO Update:

1. WARNING to EMS First Responders: Self-Inflicted Hydrogen Sulfide Suicides on the Rise


Several apparent suicide deaths related to mixing common household chemicals have been reported by local media in the past year. This alarming news follows on the heels of 517 suicide deaths reported in Japan throughout 2008 attributed to inhaling hydrogen sulfide gas created by mixing household detergents. In 2009, one incident in San Jose, CA resulted in a hazardous materials lockdown of the hospital, diversion of incoming ambulances, and decontamination of nearly 100 persons that included rescuers. Ad hoc internet sites are felt to be responsible for disseminating harmful information related to mixing chemical products for this purpose. While there is no cause for widespread panic, symptoms can mimic carbon monoxide poisoning and EMS responders are encouraged to approach any closed, suspicious vehicle with extreme caution. An excellent and valuable training session for EMS responders is available at https://www.responsetechnologies.com/SCFD/H2S_suicide/player.html. NASEMSO sincerely thanks the Sarasota County Fire Dept for access to this link. The following information is also available:
ATSDR (CDC): Medical Management Guidelines for Hydrogen Sulfide
eMedicine: Toxicity, Hydrogen Sulfide
WISER: Hydrogen Sulfide
NIOSH: Hydrogen Sulfide
ERG: Guide 117 Hydrogen Sulfide


2. NASEMSO Congratulates Gainor on National Award


Dia Gainor, Idaho State EMS Director, and Chair of NASEMSO's Highway Incident & Transportation Systems (HITS) Committee, recently received the James O. Page Award from the Journal of Emergency Medical Services (JEMS) for "exhibiting the drive and tenacious effort necessary to develop improved EMS systems, resolve important EMS issues, and bring about positive EMS system changes throughout her career." Congratulations, Dia! For more information...


3. NASEMSO Mourns Loss of Missouri EMSC and Trauma Manager


NASEMSO mourns the loss of Missouri colleague, Paula Adkison, who passed away on March 6, 2010 at Capital Region Medical Center. Paula was a Health Facilities Nursing Consultant and the Trauma Manager within the Bureau of Emergency Medical Services and also served as Missouri’s EMSC Program Coordinator. A memorial contribution has been made by NASEMSO in Paula’s memory. Our thoughts and prayers remain with Paula’s family and our colleagues in the OEMS during this difficult time.


4. NASEMSO Council Changes Name to Reflect Expanded Pediatric Focus


The NASEMSO Executive Committee recently approved a request to change the name of the EMSC Council to the “Pediatric Emergency Care Council.” The change is intended to more accurately reflect the scope of state programs which include EMS for Children as well as expanded functions in Injury Prevention, Pediatric Data, Pediatric Education/Training, Disaster Preparedness, Family-Centered Care, and Trauma. Several working groups were recently established to address these focus areas.
NASEMSO Washington Update 2010
In related news, the Data Managers and Medical Directors also reviewed mission and vision statements and took action to align Council titles within the NASEMSO bylaws.


5. EMS Performance Measures Project Provides Final Report


The EMS Performance Measures Project, begun in 2002 and concluded in 2007, gives the Nation’s EMS community an additional tool to gauge and report various aspects of an EMS system including the environment in which EMS responds, the performance of emergency medical service (EMS) agencies, and the overall performance of local systems. The EMS Performance Measures Project was coordinated by the National Association of State EMS Officials (NASEMSO) in partnership with the National Association of EMS Physicians (NAEMSP), and supported by the National Highway Traffic Safety Administration (NHTSA) and the Health Resources and Services Administration (HRSA). The EMS Performance Measures Project seeks to create a set of 20 to 30 EMS system performance indicators and attributes that can begin to be used to better explain our discipline to the outside world, including those who use and/or fund EMS services. This is simply the beginning of an effort to establish national standards for such measures so that those using them will be able to compare their system's performance with other systems. It is expected that more indicators will be added to this set in the future. To download, go to http://www.nasemso.org/Projects/PerformanceMeasures/.


6. NASEMSO Supports Funding for CDC Core Programs


In a recent letter to the Appropriations Committees of the House and Senate, NASEMSO joined several members of the CDC Coalition in supporting at least $8.8 billion for CDC’s FY 2011 core programs. The advocacy letter is available on our web site at www.nasemso.org.


7. HHS Post Pre-solicitation Grant Notice on Regionalization Initiatives


The Emergency Care Coordination Center (ECCC) of the U.S. Department of Health and Human Services (DHHS) was created in response to Homeland Security Presidential Directive 21 in order to: (1) lead an enterprise to promote and fund research in emergency medicine and trauma health care, (2) promote regional partnerships and more effective emergency medical systems in order to enhance appropriate triage, distribution, and care of routine community patients, and (3) promote local, regional, and State emergency medical systems' preparedness for response to public health events. The ECCC is guiding Federal efforts to implement the Institute of Medicine's (The Future of Emergency Care in the United States Health System) 2006 recommendation to develop regionalized, accountable systems of emergency care. The ECCC's next logical step is to fund projects to acquire more detailed information, data and best practices about regionalization of emergency care in four (4) component areas. To view the component areas and to read the presolicitation notice, click here.


8. ACF Announces $42 Million in Competitive Grant Funding for Native American Projects


The Administration for Children and Families (ACF), Administration for Native Americans (ANA) announces the availability of $42 million in competitive grant funding for fiscal year 2010 for community-based projects that promote economic and social self-sufficiency and cultural preservation for American Indians, Alaska Natives, Native Hawaiians, and other Native American Pacific Islanders from American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands. The fiscal year 2010 funding includes $27 million for continuing multi-year projects. ANA grant funding supports social, economic, and governance development; preservation of Native American languages; and environmental regulatory activities. Applicants are encouraged to contact ANA’s technical assistance regional providers below who offer project development training and pre-application training free of charge.
• Eastern Region: http://www.anaeastern.org
NASEMSO Washington Update 2010
• Western Region: http://www.anawestern.org
• Alaska Region: http://www.anaalaska.org
• Pacific Region: http://www.anapacificbasin.org
The Funding Opportunity Announcements can be downloaded and submitted at http://www.grants.gov.


9. National Broadband Plan Highlights ITS Solutions

The Federal Communications Commission (FCC) recently released its National Broadband Plan, calling the lack of broadband capacity “the great infrastructure challenge of the early 21st century.” While the number of Americans with broadband at home has increased significantly, there are still about 100 million Americans without access to broadband capacity. As a result, Congress directed the FCC to develop a plan that provides recommendations for eliminating barriers and creating policies and incentives towards the universal availability of broadband. A section of the plan is devoted to “smart transportation”, which focuses on broadband and related ITS technologies that will help make the transportation system safer, cleaner, and more efficient. Solutions such as vehicle-to-vehicle collision avoidance systems, traffic signal optimization, in-vehicle telematics, smart transit technologies, route optimization, and future policies such as congestion pricing all contribute to the need for increased broadband capacity. According to the plan, information and communications technologies can eliminate as much as 440 million metric tons of greenhouse gas emissions by 2020, while advanced communications systems have the potential to help reduce the nation’s tens of thousands of automobile fatalities each year. For more information…


10. PSHSB Launches New Web Site


The Federal Communications Commission's Public Safety and Homeland Security Bureau launched a new web page: Broadband and Public Safety and Homeland Security to better ensure that the public safety community, the general public, government agencies and communications providers have access to the latest news and information on the FCC's efforts to implement the National Broadband Plan for public safety. The implementation of the plan will include initiatives to bring interoperable communications to America's first responders through the creation of a nationwide wireless broadband network and new cyber security reporting and monitoring programs; as well as Next Generation 9-1-1 services; emergency alerts and warnings through a variety of outlets (including via television and radio broadcasts (Emergency Alert System), wireless hand-held devices, such as cell phones and the Internet) and much more. The web page includes access to the latest press releases, public notices, field hearings, and presentations. To access these pages, please visit: http://www.fcc.gov/pshs/broadband.html.


11. HHS Announces Additional Investment to Advance Widespread Meaningful Use of Health IT


U.S. Department of Health and Human Services Secretary Kathleen Sebelius recently announced awards to help states facilitate health information exchange and advance health information technology (health IT). Funded by the American Recovery and Reinvestment Act of 2009, the awards are part of the $2 billion effort to achieve widespread meaningful use of health IT and provide use of an electronic health record by every citizen by the year 2014. Every state and eligible territory has now been awarded funds under this program. The health information exchange HIE awards announced today provide approximately $162 million to 16 states and qualified state designated entities (SDEs) to facilitate non-proprietary health information exchange that adheres to national standards. Health information exchange is critical to enabling care coordination and improving the quality and efficiency of health care. For more information…


12. New GAO Report Addresses DHS Emergency Communications


In a new letter report to Congress, the Government Accounting Office (GAO) reports on (1) actions taken by the Department of Homeland Security’s Office of Emergency Communications (OEC) to establish the Emergency
NASEMSO Washington Update 2010 Communications Preparedness Center (ECPC) and (2) challenges OEC and ECPC officials reported that could affect interagency coordination through ECPC. OEC and ECPC officials interviewed reported that ECPC faces interagency coordination challenges in obtaining agreement among ECPC members on group decisions, gaining the acceptance of its stakeholders when promoting a strategy to achieve interoperable communications, providing and demonstrating value to its members, maturing as an interagency body, and working to define its relationships with other organizations with similar goals and objectives. Emergency Communications: Establishment of the Emergency Communications Preparedness Center and Related Interagency Coordination Challenges. GAO-10-463R, is available at
http://www.gao.gov/cgi-bin/getrpt?GAO-10-463R.


13. Proposed Rule for the Establishment of Certification Programs for Health IT

The Secretary of the Department of Health and Human Services (HHS) recently released a notice of proposed rulemaking (NPRM) outlining the proposed approach for establishing a certification program to test and certify electronic health records (EHRs). The HITECH Act mandates the development of a certification program which will give purchasers and users of EHR technology assurances that the technology and products have the necessary functionality and security to help meet meaningful use criteria. While we are making significant strides toward modernizing our health care system, these efforts will only succeed if providers and patients are confident that their health information systems are safe and functional. Additional information and how you can comment can be found at the http://HealthIT.HHS.Gov website. 14. TEP Steering Committee Seeks Comment on Draft Standards
The Practitioner Steering Group (PSG) sponsored by the DHS Office for Interoperability and Compatibility (OIC), of which the NASEMSO is a member, is currently seeking comments on the “Tracking of Emergency Patients” (TEP) standard; the latest in the Emergency Data Exchange Language (EDXL) family of standards used in emergency communications. Assuming you have previously reviewed the PID, the steering committee requests your review focus on the specification with data dictionary, and the outstanding issues list which are now posted on the TEP website: http://www.evotecinc.com/TEP/
• TEP Requirements and Draft Messaging Specification: EDXL-TEP-Rqmts&draftMessagingSpecV2.0_02-26-2010.doc
• Outstanding issues: TEP-Stakeholder-IssuesRev10_02-24-2010.pdf
• TEP Data Dictionary: Though included in the document, this excel file provides mappings to other efforts such as NEMSIS and NIEM which may be helpful in your review. TEPdictionaryv18.xls
Questions and comments should be provided via email to edxlswg@evotecinc.com .


15. DOJ and FBI Announce Formal Conclusion of Investigation into 2001 Anthrax Attacks


The Justice Department, FBI and U.S. Postal Inspection Service recently announced that the investigation into the 2001 anthrax attacks, which killed five individuals and sickened 17 others, has formally concluded. Representatives of the FBI and Justice Department provided a 92-page investigative summary along with attachments to victims of the attacks, relatives of the victims and appropriate committees of Congress. This document sets forth a summary of the evidence developed in the "Amerithrax" investigation, the largest investigation into a bio-weapons attack in U.S. history. As disclosed previously, the Amerithrax investigation found that the late Dr. Bruce Ivins acted alone in planning and executing these attacks. The investigative summary and the attachments are now accessible to the public and have been posted to the Justice Department Web site at www.usdoj.gov/amerithrax under the Freedom of Information Act. In addition, roughly 2,700 pages of FBI documents related to the Amerithrax case are now accessible to the public and have been posted to the FBI website at
http://foia.fbi.gov/foiaindex/amerithrax.htm under the Freedom of Information Act.


16. GAO Reports Testimony on Security Protection at Federal Facilities


Recent events including last month’s attack on Internal Revenue Service offices in Texas, and the January 2010 shooting in the lobby of the Nevada federal courthouse demonstrate the continued vulnerability of federal facilities and the safety of the federal employees who occupy them. These events also highlight the continued challenges involved in protecting federal real property and reiterate the importance of protecting the over 1 million government employees, as well as members of the public, who work in and visit the nearly 9,000 federal facilities. The GAO indicates a final report will be forthcoming to Congress later this year. Homeland Security: Ongoing Challenges Impact the Federal Protective Service's Ability to Protect Federal Facilities. GAO-10-506T, http://www.gao.gov/cgi-bin/getrpt?GAO-10-506T Highlights - http://www.gao.gov/highlights/d10506thigh.pdf


17. IOM Medical Surge Capacity Workshop Summary Now Available

spond to a medical surge. In addition, participants discussed strategies for the public and private sectors to improve preparedness for such a surge. The workshop brought together leaders in the medical and public health preparedness fields, including policy makers from federal agencies and state and local public health departments; providers from the health care community; and health care and hospital administrators. A new document summarizes the workshop. For more information…


18. Pennsylvania Legal Preparedness Toolkit Released


The University of Pittsburgh Graduate School of Public Health Center for Public Health Preparedness has developed a “Legal Toolkit for Pennsylvania Local Health Departments.” The toolkit contains model public health orders and related documents that local health departments and municipal solicitors may use as templates when drafting documents seeking judicial support for local health regulation enforcement. The toolkit is available at http://www.prepare.pitt.edu/law/ltk/Default.aspx.


19. Oregon Isolation and Quarantine Bench Book Available


The Oregon Department of Justice and the Oregon Department of Human Services Public Health Division have developed the Oregon Isolation and Quarantine Bench Book. The book is intended to serve as a guide through the isolation and quarantine processes that can be utilized during a public health emergency, or in more routine public health cases, and provides important information about public health law, communicable disease, and infection control. To view the book, please visit: http://www2a.cdc.gov/phlp/docs/Public%20Health%20Bench%20Book%20Final_Oregon.pdf.


20. OSHA Publishes Overview of Medical Screening and Surveillance Requirements


OSHA updated the Screening and Surveillance: A Guide to OSHA Standards* pocket guide that provides occupational health professionals with an overview of OSHA requirements on medical screening and surveillance. It describes what physical examinations and tests, such as chest x-rays, lung function tests and blood tests, are required to measure worker exposure to chemicals such as hexavalent chromium and benzene, and other workplace hazards such as noise and bloodborne pathogens. This quick-reference tool also points to the appropriate standards for more specifics. Copies can be ordered online from OSHA's publications Web page. Of particular interest to EMS:
• 1910.1030(f) Bloodborne Pathogens requirements are listed on page 12.
• 1910.120(f) (Hazwoper) requirements appear on page 23.
• 1910.134(e) (Respiratory Protection) requirements are listed on page 30.


21. Safety Coalition Urges Congress to Help Cut Highway Deaths


The State Highway Safety Alliance and NASEMSO have joined forces to call for an aggressive plan to prevent hundreds of thousands of highway fatalities over the next twenty years through the upcoming surface transportation authorization bill. In a letter sent to key House and Senate committees, the coalition - which is made up of organizations from the areas of highway construction and safety, public health, and law enforcement - called for greater funding of state highway safety programs, long-term strategic planning, and research. According to the U.S. Department of Transportation, an estimated 33,963 people were killed on U.S. highways in 2009; the lowest number of deaths since 1954. The coalition has set a goal of pushing the number of annual traffic deaths to below 20,000 by the year 2030. Steve Blessing, president of the National Association of State Emergency Medical Services Officials said, "We urge Congress to reauthorize federal highway safety programs that motivate states to significantly reduce highway deaths and injuries through innovative and effective highway safety strategies." The Alliance represents state agencies with roles in improving highway safety through infrastructure, driver behavior, licensing, incident response, and enforcement approaches. See the group's letter to Congress and its authorization principles at www.nasemso.org under the Advocacy tab.


22. Clarus Initiative Provides Promising Tool for Highway Safety


Clarus (which is Latin for "clear") is an initiative to develop and demonstrate an integrated surface transportation weather observing, forecasting and data management system, and to establish a partnership to create a Nationwide Surface Transportation Weather Observing and Forecasting System. The objective of Clarus is to provide information to all transportation managers and users to alleviate the effects of adverse weather (e.g., fatalities, injuries and delays). Launched in 2004, Clarus provides near real-time atmospheric and pavement observations from more than 2,000 environmental sensor stations and 45,000 road sensors deployed by state departments of transportation. The result is a comprehensive picture of the weather along the nation’s roads that is available to any user, at anytime, anywhere in the U.S. The FHWA Road Weather Management Program, in partnership with TRB and ITS America, sponsored a workshop on Advancing Road Weather Management using Clarus Data during the TRB Annual Meeting in Washington, DC in January 2010. The presentations can be found here. Read an article on Clarus in the new edition of Thinking Highways here.
In related news, stressing the need to provide timely, high-quality road weather information to the American public, Research and Innovative Technology Administrator (RITA) Peter Appel recently announced that the U.S. Department of Transportation will sponsor up to seven innovative ideas for using the Clarus weather information system to improve roadway safety during severe weather. The Department intends to provide up to $80,000 per award in an open competition. Proposals will be accepted until April 14, 2010. Additional information on how to submit a proposal can be found at www.fbo.gov, Solicitation number DTFH61-10-R-00015.


23. Traffic Fatalities for 2009 Reach Record Low

The U.S. Department of Transportation recently announced that the number of overall traffic fatalities reported at the end of 2009 reached the lowest level since 1954, declining for the 15th consecutive quarter. According to early projections, the fatality rate, which takes into account the number of miles traveled, reached the lowest level ever recorded. The projected fatality data for 2009 places the highway death count at 33,963, a drop of 8.9 percent as compared to the 37,261 deaths reported in 2008. The fatality rate for 2009 declined to the lowest on record, to
1.16 fatalities per 100 million Vehicle Miles Traveled (VMT) down from 1.25 fatalities per 100 million VMT in 2008. The National Highway Traffic Safety Administration attributes the decline in 2009 to a combination of factors that include, high visibility campaigns like Click It or Ticket to increase seat belt use, and Drunk Driving. Over the Limit. Under Arrest which helps with the enforcement of state laws to prevent drunk driving and distracted driving. In addition, the decline is also the result of safer roads, safer vehicles and motorists driving less. NHTSA annually collects crash statistics from the 50 states, the District of Columbia and Puerto Rico to produce annual reports on traffic fatality trends. The agency intends to update 2009 estimates regularly as more data becomes available. The final counts for 2009 will be made available in the summer of 2010. To view the
preliminary fatality statistics…


24. Wyoming Becomes the 20th State to Ban Texting While Driving


U.S. Transportation Secretary Ray LaHood recently applauded Wyoming for becoming the 20th state to enact a statewide ban prohibiting drivers from texting while behind-the-wheel. The new ban will allow law enforcement officials to ticket anyone caught texting while driving in Wyoming. According to research by the National Highway Traffic Administration (NHTSA), nearly 6,000 people died in 2008 in crashes involving a distracted or inattentive driver, and more than half a million were injured. In 2009, more than 200 distracted driving bills were considered by state legislatures and legislative activity is expected to remain strong in 2010. The department recently launched a federal website, distraction.gov, as a forum and information clearinghouse.


25. Fatigue Endangers Transportation Workers and Passengers Across All Modes


The National Transportation and Safety Board (NTSB) Chairman Deborah A.P. Hersman encouraged the sleep research and healthcare community to continue their efforts to educate transportation policy makers of the dangers of fatigue in all modes of transportation. Speaking before the annual conference of the National Sleep Foundation in Washington, D.C., Chairman Hersman remarked that fatigue has been a concern for the Board since the creation of the agency in 1967 and it has been an issue on the Board's Most Wanted List of Transportation Safety Improvements since the list was established in 1990. Hersman remarked that while there are still no definitive tools to conclusively identify the degree to which a person is fatigued, the major challenge is to ensure that all those in transportation report to work rested and fit for duty - for their own safety and for the safety of those they are transporting. The complete text of Chairman Hersman's speech may be obtained on the Board's website at: http://www.ntsb.gov/speeches/hersman/daph100305.html.


26. EMS Safety Foundation November Webinar Recording and Handout Links Now Available

An archive of the EMS Safety Foundation November 2009 Webinar - “Key Lessons from the Workshop and the Summit, and EMS Safety Foundation Developments for 2009-2010” is now available. Given the importance of the information in this Webinar to the broader EMS community, there is now public access to this recording and handout from the www.ObjectiveSafety.net (TRB 2009 link) and the www.EMSafetyFoundation.org websites.


27. EMSC Releases Targeted Issues Grant Guidance


HRSA/MCHB EMSC Program announces release of FY10 Targeted Issues new competition. Targeted Issue Demonstration Grants are intended to meet HRSA/MCHB priorities of improving the health infrastructure and systems of care as well as assuring quality of care. Applications should address specific needs in the field of pediatric emergency care that transcend state boundaries. Typically the projects result in a new product or resource or the demonstration of the effectiveness of a model system component or service of value to the nation. Objectives must meet a demonstrable need, and methodologies and strategies for achieving the objectives must be realistic, appropriate, and scientifically sound. Each application must contain an evaluation plan that contains measurable outcomes and clearly defined time frames for conducting the evaluation. The program anticipates making 5 awards at $300,000 a year for 3 years with a project start date of 9/1/10. Applications are due in grants.gov on April 23, 2010. Applicants should carefully review the project focus areas on pages 1 - 2 of the application guidance.
Link to the announcement…


28. State Children's Health Legislation Report Available


The American Academy of Pediatrics has published The 2009 State Legislation Report, which outlines activity on 10 issues related to children's health and well-being. To access the report, visit http://aap.org/advocacy/statelegrpt.pdf.


29. FDA Issues Final Rule on Access/Marketing of Tobacco Products to Youth


The U.S. Food and Drug Administration issued a final rule containing a broad set of federal requirements designed to significantly curb access to and the appeal of cigarettes and smokeless tobacco products to children and adolescents in the United States. Published March 19, 2010, the new rule becomes effective June 22, 2010, and has the force and effect of law. Titled Regulations Restricting the Sale and Distribution of Cigarettes and Smokeless Tobacco to Protect Children and Adolescents, the new rule restricts the sale, distribution, and promotion of these products to make them less accessible and less attractive to kids. Among other things, the rule prohibits the sale of cigarettes or smokeless tobacco to people younger than 18, prohibits the sale of cigarette packages with less than 20 cigarettes, prohibits distribution of free samples of cigarettes, restricts distribution of free samples of smokeless tobacco, and prohibits tobacco brand name sponsorship of any athletic, musical or other social or cultural events. The entire rule can be found at www.fda.gov/protectingkidsfromtobacco.


30. North Carolina EMSC Releases Emergency Care Guidelines for Schools


The North Carolina EMSC program has released North Carolina Emergency Care Guidelines for Schools, a comprehensive resource for school staff and school nurses on what to do when a student has a medical emergency. Developed in partnership with the North Carolina Division of Public Health, this resource provides guidance on more than 50 medical conditions, and includes a section on school safety planning and emergency preparedness. Copies of the resource are being distributed to 2,800 schools in the state.


31. Childhood Asthma Treatment: One-Size-Does-NOT- Fit-All


A new study has found the addition of long-acting beta-agonist therapy to be the most effective of three step-up, or supplemental, treatments for children whose asthma is not well controlled on low doses of inhaled corticosteroids alone. The study was designed to provide needed evidence for selecting step-up care for such children and was supported by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health. Researchers also identified patient characteristics, such as race, that can help predict which step-up therapy is more likely to be the most effective for a child with persistent asthma. The study found that almost all of its participants had a different response to the three different treatments. Although adding the long acting beta-agonist step-up was one and one-half times more likely to be the best treatment for most of the study group, many children responded best to other two treatments instead. The results were presented March 2 at the American Academy of Asthma, Allergy and Immunology 2010 Annual Meeting in New Orleans and are published online in the New England Journal of Medicine. For more information…


32. Warning Issued on Using Sling Carriers for Babies Under 4 Months of Age


The US Consumers Product Safety Commission (CPSC) has issued a warning when using sling carriers for infants younger than 4 months of age. In researching incident reports from the past 20 years, CPSC identified and is investigating at least 14 deaths associated with sling-style infant carriers, including three in 2009. Twelve of the deaths involved babies younger than four months of age. The CPSC says the slings pose a suffocation hazard to young infants who cannot yet control their head and neck movements, especially those who are frail or have breathing problems. If parents choose to use a carrier sling, they should make sure their child's face is visible at all times, according to the CPSC. The group's
press release includes diagrams showing the right and wrong ways to use the slings. CPSC is interested in receiving incident or injury reports that are directly related to infant slings. You can do this by visiting www.cpsc.gov/cgibin/incident.aspx or call CPSC’s Hotline at (800) 638-2772.


33. New WISQARS Fatal Injury Mapping Module Available


CDC's Web-based Injury Statistics Query and Reporting System (WISQARS) is a leading source of injury statistics in the United States. WISQARS provides data on injury deaths, violent deaths, and nonfatal injuries, and now a new WISQARS fatal injury mapping module allows users to produce customized, color-coded maps of injury death rates, by intent (e.g., unintentional, homicide, or suicide) and mechanism of injury (e.g., motor vehicle-traffic, fall, fire/burn, poisoning, or cut/pierce). These maps show the distribution of injury death rates nationally, regionally, and for individual states and counties. In addition, annualized estimates of total lifetime medical and work loss costs resulting from injury-related deaths are provided for counties within individual states. The new module can help public health professionals compare injury rates across geographic areas and monitor fatal injuries and their associated burden in the United States. The new fatal injury mapping module is available at http://www.cdc.gov/injury/wisqars.


34. GAO Reports Findings on Group Purchasing


In recent correspondence from the Government Accounting Office to Congress, the GAO reveals limited research is available to evaluate the efficacy of group purchasing organizations (GPO) in negotiating lower prices from manufacturers, distributors, and other suppliers of various medical products. Challenged with the question to review research on the impact of GPOs on pricing for hospitals and other health care providers, the GAO identified one article that concluded that alliances between hospitals and GPOs can contain rising health care costs by reducing product prices, reducing transaction costs through commonly negotiated contracts, and increasing hospital revenues via rebates and dividends. Read Group Purchasing Organizations: Research on Their Pricing Impact on Health Care Providers. GAO-10-323R, at http://www.gao.gov/cgi-bin/getrpt?GAO-10-323R.


35. HHS Advisory Group Proposes Safety Data Base


The Health IT Policy Committee’s adoption and certification work group recently proposed creating a national database into which clinicians could report patient data errors and unsafe conditions they encountered in their use of electronic health records. Clinicians could use the system to report instances – noticeably inaccurate patient data or an EHR technical glitch, for instance – that they believed might compromise patient safety. The group also suggested establishing an organization that could oversee a nationwide EHR safety system and provide other methods for reporting, analyzing and disseminating incident reports. The working document and an mp3 audio of the discussion is available on the work group’s web site. (See March 12.)


36. IOM Hosts Regional Meetings on H1N1 Vaccination Strategies


The Institute of Medicine’s Forum on Medical and Public Health Preparedness will host a series of regional workshops this spring to examine the H1N1 vaccination campaigns. These public workshops will provide an opportunity for participants to discuss efforts to distribute and administer H1N1 vaccine, communicate with the public and providers about the vaccine, and collect and use data. Participants will also identify and discuss strategies to improve future emergency vaccination programs and other medical countermeasure dispensing campaigns. Click on the following links to view information:

• Raleigh, NC – April 15
• Austin, TX –April 27
• Seattle, WA – May 11


37. New Issue Brief from CDC:

Unintentional Drug Poisoning in the United States The CDC’s Injury Center is highlighting the growing issue of unintentional drug poisoning in the United States. More than 26,000 deaths from unintentional drug poisoning occurred in the United States in 2006. Opioid pain medications (such as oxycodone and methadone) were involved in more than half of these deaths. Overall, the unintentional drug poisoning death rate has been rising in recent years and more than doubled between 1999 and 2006. In response to this increase, CDC’s National Center for Injury Center has developed an issue brief titled Unintentional Drug Poisoning in the United States. The brief summarizes the most recent information about deaths and emergency department visits resulting from drug overdoses. The following information is included:
• Overdose trends
• Drugs most commonly involved
• Geographic regions and populations most severely affected
• Recommendations for health care providers, private insurance providers, and state and federal agencies to consider to prevent unintentional drug overdoses, and
• Recommendations for state laws relevant to prescription drug monitoring and reimbursement.
CDC invites you to use this brief to learn more about this issue and to incorporate promising strategies into your state's poisoning prevention work.


38. Latest Report on Nation’s Health Shows Growing Medical Technology Use


The use of medical technology in the United States increased dramatically between 1996 and 2006, according to “Health, United States, 2009,” the federal government’s 33rd annual report to the President and Congress on the health of all Americans. The report was prepared by the Centers for Disease Control and Prevention’s National Center for Health Statistics from data gathered by state and federal health agencies and through ongoing national surveys. The full report is available at http://www.cdc.gov/nchs/hus.htm.


39. Nipro Huber Needle Products Recalled


FDA is alerting healthcare professionals about safety precautions to be used with Huber needles, and about a recall of one company's products. Huber needles are used to access ports implanted in chronically ill patients to withdraw blood and infuse medication and other solutions. Huber needles should be designed to penetrate a port without cutting or dislodging any silicone slivers or cores from the port. Coring could damage a port and cause leakage. In addition, if a silicone core enters a patient's vasculature, it could lead to serious adverse events. FDA inspections of one Huber needle manufacturer, Nipro Medical Corporation, found that this company's needles produced cores in 60 - 72 percent of tests. Because of this, Huber needle products manufactured by Nipro Medical Corporation for Exel International Corporation have been recalled. More information is available here…


40. AFG Grant Workshops Now Available


The Assistance to Firefighters Grants (AFG) workshop schedule is now available. The list is searchable by the locations of workshop as well as times and dates. These free workshops will be held around the country to provide information about the submission of competitive applications under the 2010 Assistance to Firefighters Grants program. The workshop lasts about two hours. Interested representatives from fire departments as well as representatives from non-affiliated EMS organizations are invited to attend the workshops. Information will be presented on program changes, program priorities, eligibility requirements, and the application process. General assistance in writing a competitive narrative for a department's grant application will also be covered. Registration is not necessary.
For more information...


41. Several New Cybersecurity Resources Available from DHS


The Department of Homeland Security has updated its web site to introduce several new references intended to help users prevent attacks to computers and networks:
• Securing your computer (US-CERT)
• Recovering from an attack (US-CERT)
• General internet security (US-CERT)
• Distributable materials (US-CERT)
• Monthly and quarterly reports (US-CERT)


42. Monroe Named CDC Deputy Director


ASTHO Immediate Past President Judith Monroe, MD (IN) has been named Deputy Director of CDC and Director, Office of State, Tribal, Local and Territorial Support. Dr. Monroe will serve as a Deputy Director of CDC and Director, Office of State, Tribal, Local and Territorial Support (OSTLTS) beginning March 22, 2010 and comes to CDC after a successful tenure as the Indiana State Health Commissioner. For more information, visit www.astho.org.


43. NAED Releases New “Accelerator Stuck” Protocol


Due to recent cases of uncontrollable acceleration in certain vehicle makes and models, and the ability of car occupants to call 911, 999, 000, 112, etc., for help, the National Academies of Emergency Dispatch (NAED) has rapidly but carefully developed a protocol to assist the Emergency Dispatcher if confronted with the caller so involved – whether the caller is the driver or a passenger. Obviously for the communication center to be involved and help the caller in these instances, such an event requires the coming together of several factors: having a phone to call with, the ability to call, have the time to call, a linear roadway space ahead, presence of traffic congestion, and vehicle speed. Any emergency communication center, whether an MPDS user or not, can use the printed protocol card under a special limited use license contained within them. However, they cannot be incorporated into any 3rd party products or CADs, modified in any way, or re-distributed for any other uses. For more information…
In related news, NAED has provided several updates to Protocol 36 related to Influenza Pandemic since its release in 2009. These materials have also been made available under a special limited use license. The protocol and related update materials can be found at http://www.emergencydispatch.org/flu.php.


44. 2010 is the International Year of the Nurse


The 2010 International Year of the Nurse (IYNurse) is the centennial year of the death of the founder of modern nursing — Florence Nightingale (1820-1910). To celebrate this historic milestone, the 2010 IYNurse was established to actively involve the world’s nurses — estimated to be more than 15 million — in a celebration of commitment to bring health to their communities, locally and worldwide. Based on three years of planning, 2006-2009, a worldwide network of nursing “focal points” was developed and related strategies have been identified, including a 2010 IYNurse Web site. Allied international, regional and local events and projects - both large and small — are planned and encouraged to span 2010. All of these combined efforts will provide a sustained platform for millions of nurses to call for renewed commitment — globally, nationally, regionally and locally — to establish and implement a worldwide mandate toward achieving a healthy world. For more information…


45. James Page Collection Launches at UCLA Library


The James O. Page Charitable Foundation and the University of California Los Angeles (UCLA) have announced the launch of a special collection dedicated to the archives of Jim Page, including original articles, correspondence, speeches, audio tapes and even a video of the last lecture he gave. Page is credited as the father of modern EMS and was founding publisher of JEMS, the Journal of Emergency Medical Services. An attorney and fire chief, he was known for his insightful writing, speeches and love of EMS history. He died from sudden cardiac arrest in 2004. The Collection is physically housed at the Louise M. Darling Biomedical Library at UCLA and can be accessed by the public by making an appointment. The Collection’s website can be accessed at http://www.jamesopage.org. The website makes dozens of articles and various multi-media materials available as well as information about the library’s location, hours and contact points. The Collection was endowed by the James O. Page Charitable Foundation through a grant from the Physio-Control Corporation, and through the contributions of individuals and organizations. The James O. Page Collection is produced in collaboration with the James O. Page Charitable Foundation. For more information…


46. Comparison of Dopamine and Norepinephrine in the Treatment of Shock

atment of shock. There is a continuing controversy about whether one agent is superior to the other. Methods: In this multicenter, randomized trial, (authors) assigned patients with shock to receive either dopamine or norepinephrine as first-line vasopressor therapy to restore and maintain blood pressure. When blood pressure could not be maintained with a dose of 20 μg per kilogram of body weight per minute for dopamine or a dose of 0.19 μg per kilogram per minute for norepinephrine, open-label norepinephrine, epinephrine, or vasopressin could be added. The primary outcome was the rate of death at 28 days after randomization; secondary end points included the number of days without need for organ support and the occurrence of adverse events. Conclusions: Although there was no significant difference in the rate of death between patients with shock who were treated with dopamine as the first-line vasopressor agent and those who were treated with norepinephrine, the use of dopamine was associated with a greater number of adverse events. (ClinicalTrials.gov number, NCT00314704 [ClinicalTrials.gov] .) The authors "strongly challenge" the current American College of Cardiology–American Heart Association guidelines that recommend dopamine as a first-line agent for cardiogenic shock. Abstract here. Subscription required for full article.


47. Glucocorticoids for the Treatment of Anaphylaxis


Steroids (glucocorticoids) are often recommended for use in the management of people experiencing anaphylaxis. However, the evidence base in support of the use of steroids is unclear. Authors therefore conducted a systematic review of the literature, searching key databases for high quality published and unpublished material on the use of steroids for the emergency treatment of anaphylaxis while contacting experts in this health area and the relevant pharmaceutical companies. Authors were unable to find any randomized controlled trials on this subject and conclude that there is no evidence from high quality studies for the use of steroids in the emergency management of anaphylaxis. The abstract can neither support nor refute the use of these drugs for this purpose. For more info…


48. Low Yield Seen for Elective Coronary Angiography


Coronary angiography has a low diagnostic yield in patients with suspected coronary artery disease undergoing elective catheterization, according to a study in the New England Journal of Medicine. Using a large U.S. registry, researchers examined postcatheterization diagnoses in some 400,000 patients undergoing elective procedures: only 38% had significant obstructive disease, and 39% had no coronary disease. Patients who had a positive result on noninvasive testing before catheterization (such as an electrocardiogram or stress testing) were moderately more likely to have obstructive disease than those who did not undergo such testing (41% vs. 35%). The authors conclude that current criteria for use of catheterization "need to be improved substantially." NEJM article (Free abstract; full text requires subscription) NEJM editorial (Subscription required)


UPCOMING EVENTS
***STATEWIDE EMS CONFERENCES***


*TN EMSC: 2nd Annual EMS Star of Life Awards Dinner & Ceremony. May 11, 2010, 6 to 9 pm. Sheraton Nashville Downtown Hotel, Nashville, Tennessee Sponsor the Star of Life! – Nominations are due April 9, 2010. For sponsorship packets & more info go to: www.tnemsc.org
*Symposium by the Sea 2010. Sponsored by EMLRC and FCEP. .July 29 - August 1, 2010 Boca Raton, FL The Boca Raton Resort & Club. Go to http://www.emlrc.org/sbs2010.htm for more information.
Pennsylvania State EMS Conference. September 16-18 (with preconference sessions on September 14-15), 2010 at the Lancaster County Convention Center in Lancaster, PA. More information can be found at www.pehsc.org.
* TN 9th Annual Update in Acute & Emergency Care Pediatrics Conference. October 1-2, 2010. Wilderness At the Smokies Resort, Sevierville, Tennessee For more info go to: www.tnemsc.org
PULSE CHECK 2010, the 55th Annual Educational Conference & Trade Show of the NYS Volunteer Ambulance & Rescue Association, will be held Thursday evening September 30, 2010 to Sunday morning October 3, 2010 at the Holiday Inn Albany on Wolf Road. Information is posted on the Association’s web site at www.nysvara.org.
New Jersey Statewide Conference on EMS, Atlantic City November 11th - 13th 2010. For more information visit:
www.njemsconference.com
New Jersey METI Games. November 11th - 12th, 2010. For more information visit www.njemsconference.com.


***National Conferences and Special Meetings***


*HRSA/MCHB’s Emergency Medical Services for Children Program will be hosting a webcast entitled:
State of All Hazards Preparedness for Children: Partnerships & Models for Merging Emergency Department & Disaster Preparedness Efforts Nationwide on Wednesday, March 24, 2010; 1:00-2:30pm Eastern
Please go to the following link to register and to download agenda and handouts related to this webcast.
http://www.mchcom.com/liveWebcastDetail.asp?leid=414
EMS Education Implementation Webinar. March 24, 2010 3 pm. “How to Use the Gap Analysis Template to Identify a State SOP and Other Materials” More info including registration link at www.nasemso.org as speakers and topics are confirmed. 

 

Red Lodge ambulance district to go to vote

LORNA THACKERAY Of The Gazette Staff

http://billingsgazette.com/news/state-and-regional/montana/article_c3b30aca-34a8-11df-8dba-001cc4c03286.html

RED LODGE — In mid-July, about 3,400 voters in Red Lodge and a surrounding area that covers about a third of Carbon County will be able decide what level of ambulance service they want to pay for.

If voters approve creation of a Red Lodge-Roberts ambulance district, each household and developed commercial property in the new district would be assessed $69 a year to sustain the current level of advance life support (ALS) ambulance service.

New district drive 

If they do not, at least two of four Red Lodge paramedics could lose their jobs and the level of both advanced life support and basic life support will be reduced, said Red Lodge Fire Chief Tom Kuntz. Kuntz is leading the drive for the new district. 

The city has historically paid for the ambulance service, providing medical transportation not only for city residents, but for people sick or injured in a large area of the county. For the past several years, county government has kicked in $10,000 to support the program.

 But the program is bleeding money at its current level of service, Mayor Brian Roat said.

“Four years ago, the city supplemented the ambulance budget with $9,000,” he said. “Last year it was $205,000. It’s become economically unsustainable.”

 There are a lot of reasons the cost of medical transportation soared beyond city resources. The budget for the current fiscal year is $455,628

“Part of it’s Medicare reimbursement levels,” explained Carbon County Commissioner John Prinkki. “Close to 80 percent of our calls are billed to Medicare. So 80 percent of our calls are reimbursed at 80 percent. And just like any other business, some people don’t pay at all.”

 Increased cost

But the biggest reason for increased cost was the decision to run the ambulance service with four paid paramedics, Roat said.

 Kuntz contends that four paramedics is “pretty much what it takes to manage the level of service we have.”

Although the primary function of the paramedics is to supervise and support 40 ambulance volunteers, the paramedics also provide ALS services that he believes area residents need and have come to expect.

“It’s a wonderful service,” the mayor agreed, but he’s less enthusiastic than the fire chief. “The reality of it is everybody would like to have the finest of everything. But if you can’t really afford it, then you go back to what you can afford.”

That doesn’t mean refusing to send the ambulance on calls outside the city limits, as some have suggested will happen if the proposed district fails, he said. That makes no sense to him. Other members of the city council, however, have been blunt in their resentment of city taxpayers paying for services to residents outside city limits.

Roat insists that city ambulances will continue to respond no matter which way the vote goes. The only question will be the level of care.

Level of service

Under the basic life support model, most services are provided by volunteer Emergency Medical Responders (EMTs).

The difference between EMTs and paramedics is 140 hours of training compared with more than 2,000 hours, said Kyle Starr, assistant chief for emergency medical services. Red Lodge has operated in the past with EMT-Intermediate responders, who have more advanced training, Roat said.

But paramedics have a higher level of skill in assessing and caring for patients, as well as the ability to administer 60 life-saving emergency medications — drugs that can counter major allergic reactions and cardiac emergencies, for instance. They can also administer pain medications, an important consideration for accident victims who may be an hour or more away from an emergency room.

And even more critical is the speed provided by a paid on-duty paramedic who can jump into a quick-response vehicle parked at the fire station and get to the scene within minutes. The ambulance may take a little longer, because volunteers usually have to respond from home or their workplace, Starr said.

The level of service has fluctuated during the past 20 years, Kuntz said. In the 1990s, the city had four paid emergency medical service employees in the fire department. The number moved up and down for various reasons. The ambulance service started providing ALS service in the early 1990s, but not at the paramedic level, the chief said. Paramedics became a regular presence within the past decade and reached the current level of four as the community and the need expanded, he said.

Kuntz is convinced that residents of the district want to maintain the quality of care they have now. That’s why more than 1,000 of them signed a petition asking the county to form the district, he said.

“People expect and value ALS,” he said.

The difference in level of care can be critical.

“In about 50 percent of our calls, an EMT can do all that needs to be done,” Kuntz said. “In about 25 percent of the cases, it doesn’t really matter. In the other 25 percent, it can make all the difference in the world. It can mean life and death.”

Kelly Evans, administrator at Beartooth Hospital and Health Center in Red Lodge for the past 19 years, supports formation of the district for much the same reason. The hospital emergency room, which handles 1,800 to 2,000 visits a year, sees a lot of trauma patients, especially during ski season and summer tourist season.

“Between 9 and 10 percent require a transfer to Billings to the next level of care,” she said. “Those are by and large in need of ALS.”

If ALS was not available through Red Lodge Ambulance Service, the hospital would have to call Billings for ground transportation or a helicopter. Once, six years ago, when ALS was not available in Red Lodge, the hospital had to send a nurse in the ambulance. The absence of an RN played havoc in the tightly staffed hospital.

“That was very stressful,” she said.

The proposed district does appear to draw wide support, including from outside the city, where residents have not had to pay to maintain the ambulance service. (They get a bill when they are transported by ambulance, as do residents of Red Lodge.) Kuntz estimates that a third of the 450 to 500 calls each year come from outside the city limits.

At the meeting Monday where Carbon County commissioners approved a resolution to place the issue on the ballot, one county resident acknowledged that he had been receiving a high level of service with no financial responsibility.

“I should pay for it and we should have a vote on whether we want to pay for it,” he said.

Some opposed

Not everyone thinks the district is a good idea. Many opponents live in Joliet and volunteer for the Joliet Ambulance Service. Joliet is not included in the boundaries of the district, although its response area abuts the proposed district.

The Joliet contingent fears that the new district will take business from their ambulance service and threaten its economic viability. No assurances or promises to work together have eased their fears.

“We definitely don’t want to hurt Joliet in any way,” Kuntz argued. “We need them.”

But Sarah Wallila of Roberts, a volunteer for Joliet’s ambulance, said that she is not persuaded that it will play out that way.

“I’m concerned with them coming into some of the Joliet ambulance service area and cutting into our revenue, which is what sustains us,” she said. “The trickle-down effect could very well put the Joliet Ambulance Service out of business.”

She said she is mostly worried that the district will infringe on the Cooney Reservoir area and about six miles of Highway 212 currently served by Joliet. Wallila said she is doubly offended by the fact that she lives within the proposed district and will have to pay the $69.

Joliet has two ambulances and 13 to 15 volunteers. Two of the volunteers are paramedics. They are not always available, she said, but in situations where advanced care is needed, the Joliet ambulance will meet an ALS ambulance from Billings.

Red Lodge has two ambulances in Red Lodge and one each in Luther and Roberts.

At the Monday meeting, the county commissioners unanimously voted to put the proposed district on the ballot. Initially, they had hoped to put it to a vote in the June primary, but for technical reasons that won’t be possible. The county will conduct a mail-in ballot that will conclude July 13.

Prinkki said the county will pick up the $3,000 cost of the election. Ballots will be mailed to active registered voters in Red Lodge and Bearcreek, as well as the Red Lodge and Roberts fire districts.

Roat said he thinks Beartooth hospital should help pick up some of the cost.

“The hospital doesn’t contribute anything,” he said. “If we didn’t have paramedics in the ambulance, the hospital would have to send a nurse.”

He said he doesn’t fault the hospital, because in the past it has struggled to make ends meet. But he said he doesn’t believe the hospital is struggling now.

Evans, the hospital administrator, said the mayor hasn’t approached the hospital directly, only through statements to the media. She said she could not think of a situation in the country where a private hospital paid a government entity for ambulance service. The hospital gets no tax subsidies and provides many services to the community, including charity care, she said. It’s running a deficit of $800,000.

“I think we’re doing our job without taking on transportation,” Evans said.

MMA Field Guide available on FSTS’s Website

The Montana Mutual Aid Field Guide is available for download on the FSTS web page (www.montana.edu/wwwfire) or directly at http://www.montana.edu/wwwfire/files/MMA_FOG_10SP.pdf

GEORGIA EMT DIES IN THE LINE OF DUTY-HEART ATTACK IN THE UNIT

Thanks Billy G from The Secret List @ www.FireFighterCloseCalls.com

 

It is with deep regret that we advise you that an Upson County (Georgia) EMT has died in the Line of Duty. EMT. EMT Tim Cochran had a heart attack on March 3, 2010 while he was in his EMS unit, and he was found slumped over the wheel in full cardiac arrest.  Unfortunately he died on March 16, 2010, at approx. 1500 hours at the age of 57.


Funeral Arrangements - Visitation Wednesday March 17, 2010, 1700 to 1900 Coggins Funeral Home - 321 Hannahs Mill Rd. - Thomaston, GA 30288-2808 - Ph 760-647-9881/ Funeral Thursday March 18, 2010 East Thomaston Baptist Church 11 AM / 206 Park Lane - Thomaston GA. 30288-3727

 

As always, our most sincere condolences.

FF-EMT DEATH: Life Sentence + 26 years

Thanks Billy G from The Secret List @ www.FireFighterCloseCalls.com

 

The paraplegic who "drove with a stick" and then struck and killed Delaware City (DE) Firefighter/EMT Michelle Smith in the Line of Duty as she treated an injured motorcyclist on Dec. 20, 2008, was sentenced to life in prison plus 26 years, Thursday.


The life sentence for Joseph M. Taye Jr., who was operating his car's pedals with a stick because he does not have use of his legs, was a minimum mandatory because Superior Court Judge Jerome O. Herlihy ruled that the victim, Michelle Smith, was a Firefighter acting in the line of duty when she was killed.
The additional time of 26 years came from assault charges related to Taye striking and further injuring the motorcyclist, Edward Reiss, and Taye fleeing after the accident.


At the hearing Thursday, Taye, sitting in a wheelchair and dressed in an orange prison jumpsuit, broke his silence and admitted to his reckless behavior and offered an apology to Smith's family and the entire emergency responder community. "I'm deeply in debt to you. There is no gauge (to measure it)," he said. "Michelle did not deserve this and for that I'm deeply sorry."


Taye, 29, said he was surrounded by cars that night, saw the fire truck and was looking at it as he passed. Then, he said, the car in front of him swerved and he slammed into the parked police car at the scene and blacked out. According to prosecutors, Taye's car then struck Reiss and Smith, sending her body flying.
Taye also said it was not an excuse -- and he knew his comments would not affect his mandatory sentence -- but he explained that he was angry about losing the use of his legs and had been in denial about his disability. "I hated being paralyzed. I got so wound up in trying to look normal that I ignored the consequences," he said.


Before Taye spoke, Michelle Smith's mother Joanne Newton -- who was wearing a button with her daughter's picture on it -- told Herlihy that Taye's crimes deserved the death penalty. "If he hadn't done what he did, if only he cared, we wouldn't be standing here," she said, between tears. Her 29-year-old daughter's death "plays over and over in our heads every day," she said, recalling Smith's daughter standing by her mother's hospital bed saying, "Mommy you can't die. I need you and you need me."


Deputy Attorney General Sean Lugg told the judge that Taye "earned" his life sentence through his selfish, reckless actions in a quest for immediate gratification. He said Taye chose to ignore his own children -- who were visiting him that weekend -- to go out to a go-go bar with a friend. He chose to drive himself there -- using a stick rather than getting the proper equipment for his car or proper training. He chose not to ride with that friend. And then he chose to drive himself home, where he chose to drive at a high rate of speed, chose what lane to drive in and chose to pass the fire truck.

 

The judge also noted that no one has ever identified the person who picked Taye up after the accident and helped him flee the scene. Herlihy concluded with several observations "that need to be said," though they were not a factor in his sentence. Since overseeing this trial, Herlihy said he has noticed how few people actually give proper deference to emergency crews on the road. "Too many drivers in this state are too cavalier about paying attention to emergency vehicles," he said. "I just see too much of it."


And despite presiding over thousands of trials, Herlihy said nothing has stuck with him like the vivid, eyewitness testimony about what happened to Smith's body after it was struck.


"I don't look at pictures of firefighters standing at the scene of an accident the same way anymore," he said, adding he thinks that one motorist like Taye "could wipe out three or four of them."


The courtroom was packed with some 40 firefighters Thursday from eight companies. Outside the courtroom, Delaware City Chief Jamie Rosseel said, "I think we all agree justice was served." (Details for this Secret List from DelawareOnLine.com)

 

Are you sure the ignition is off? (09-914)

This week's ROTW is 09-914. An excerpt of the event narrative appears below. Hybrid vehicles are gaining in popularity among automakers and buyers. Nowadays, all of the major manufacturers now offer a version of a hybrid vehicle. Hybrid technology is being incorporated into all styles from coupes to SUVs. J.D. Power and Associates predicts that hybrid technology vehicles will account for 7 percent of the car market by 2015, which would be a threefold increase. This prediction gives emergency responders a heads up on the likelihood of encountering hybrid vehicles in the future, and incidents like the account in 09-914 give us a heads up on a special handling tip when the new technology is encountered.

"My department responded to a four vehicle auto collision with two injuries. All occupants, except for one operator, which EMS was treating, were out of the vehicles and there was no entrapment...We positioned the apparatus and traffic cones to create a safe working area. We also insured that the parking brakes were set and ignition keys (were) removed from all vehicles...

Three of the vehicles had their engine compartments wedged under or into the preceding vehicle, making access to the vehicle batteries very difficult. As the vehicles were now unoccupied and the tow trucks began to arrive, we then assisted with traffic control to safely get the vehicles removed from the scene and began recovering fluids and debris.

One of the involved vehicles was a [deleted] hybrid. The tow operator did not seem to be familiar with the vehicle's systems and had difficulty getting the vehicle into neutral to load it onto his flatbed. After several attempts, the vehicle was loaded and secured on the flatbed. The tow operator then began using the wheel lift on the flatbed to tow the next involved vehicle. While they were hooking up the second vehicle, I noticed vapor coming from the hybrid's exhaust..."

Handling the hybrid vehicle first requires obtaining knowledge of how the technology works, what systems are in each vehicle, and what hazards those systems pose to emergency responders. Once you have read the entire account of the events in 09-914 and the related reports, consider the following:

<>

  1. Most local dealers have hybrid vehicles on the lot. Have you visited a dealer and arranged for a demonstration of the hybrid components?
  2. When you respond to a motor vehicle collision, who is responsible for ensuring the vehicles are secured (engines shut off, brakes set, wheels chocked, etc.)?
  3. Which vehicle power plant presents more hazards, internal combustion engines or hybrid technology? Explain your answer.
  4. On average, how long do the high voltage capacitors in a hybrid vehicle need to bleed off their stored power?
  5. Shutting off a hybrid vehicle accomplishes neutralizes four hazards. What are the four hazards? (The answer can be found in Hybrid Vehicle Safety Link #1 below).

Related Reports - Topical Relation: Securing Vehicles
05-174
06-359 
07-1136

08-652
09-325

Hybrid Vehicle Safety Links

For more information on hybrid vehicle safety, visit:

Have you experienced a near miss with a hybrid vehicle? Firefighternearmiss.com has a place for you to share your experience with the rest of the fire and emergency services.

Note: The questions posed by the reviewers are designed to generate discussion and thought in the name of promoting firefighter safety. They are not intended to pass judgment on the actions and performance of individuals in the reports.

Rynnel Gibbs
Program Coordinator
National Fire Fighter Near-Miss Reporting System
4025 Fair Ridge Drive
Fairfax, VA 22033
P: 703-537-4832
F: 703-273-0920
rgibbs@iafc.org
www.firefighternearmiss.com

 

The National Response Team (NRT) Ethanol Quick Reference Guide (QRG) has been recently approved and is now publically available. The QRG provides an overview of the properties, detection methods, and environmental and health effects of ethanol, ethanol fuel blends, and gasoline, and may be used by first responders as a quick reference tool.

The QRG is now available on the NRT homepage under Guidance, Technical Assistance & Planning à Hazards à Chemical Hazards (QRGs and other links). The QRG may be accessed via the following links:

Link to Chemical Hazards webpage:
http://www.nrt.org/production/NRT/NRTWeb.nsf/PagesByLevelCat/Level3ChemicalH azards?

Direct link to QRG document:
http://nrt.org/production/NRT/NRTWeb.nsf/AllAttachmentsByTitle/SA-1060ETOH-8
5-FinalRev00_2010_022610.pdf/$File/ETOH-85-Final_Rev00_2010_halfpt%20increase_022610.pdf

 

Beaufort County EMS, fire district deny allegations in wrongful death lawsuit

By RENEE DUDLEY

http://www.islandpacket.com/2010/02/28/1155692/beaufort-county-ems-fire-district.html

Beaufort County EMS and the Bluffton Township Fire District have denied allegations in a lawsuit filed in December by a Bluffton woman who said an ambulance's delay at an unmanned security gate in her neighborhood led to her husband's death.

Both county EMS and the fire district ask that the suit be dismissed, according to their answers, filed Jan. 22 and Jan. 19, respectively.

County EMS "used due, reasonable and proper skill in assessing care for treating and providing emergency care services to ... Mr. (James) Smith in compliance with the generally accepted emergency standards of care," according to the answer.

The fire district responded similarly: "The care and treatment ... rendered by BTFD was within the standard of care required of its profession."

Sarah Smith of Baynard Park filed the negligence and wrongful death lawsuit Dec. 17 on behalf of her late husband, James Smith, 65, who suffered a heart attack at his home and died 11 days later on April 18.

Sarah Smith seeks unspecified damages against the defendants.

Though six defendants were named in the suit, answers have been filed only by the two emergency response agencies. The other defendants are:

• Centex Homes, the Nevada company that developed Baynard Park.

• The Baynard Park Property Owners Association.

• Omni Management Services.

• Bundy Appraisal & Management.

Omni and Bundy are property-management companies that have operated in Baynard Park, according to the suit.

The suit says the defendants' negligence caused James Smith to experience "conscious pain and suffering, and ultimately an untimely, premature and painful death" -- an allegation both the EMS and fire departments deny in their answers.

The suit alleges that "had EMS arrived at Mr. Smith's residence in a timely manner, then, to a reasonable degree of medical certainty, it could have successfully resuscitated (him) in a prompt fashion" and he wouldn't have died. James Smith's medical records were reviewed by an expert witness who made that determination, according to court documents.

Beaufort County EMS denies those allegations in its answer.

County EMS "used reasonable and proper skill and care in responding to, assessing and caring for the decedent in accordance with the applicable standard of care," according to the answer.

The incident at the center of the suit occurred at 9:25 p.m. April 7. James Smith apparently was suffering a heart attack when his wife called 911.

An ambulance from Beaufort County EMS arrived at Baynard Park's security gate in about four minutes but was delayed two to three minutes because paramedics couldn't open the unmanned gate, according to a report the county provided to The Island Packet and The Beaufort Gazette in April. Responders arrived at the patient's home nearly nine minutes after leaving the station, according to the county's report. EMS took Smith to Hilton Head Hospital, where he later died of irreversible brain damage, his son told the newspapers in April.

Sarah Smith's suit alleges, among other things, that Beaufort County EMS acted negligently because:

• Paramedics and emergency medical technicians didn't know how to operate the unmanned security gate and didn't keep proper records of codes to open it.

• Ambulances weren't equipped with an emergency override key that the Bluffton Township Fire District was outfitted with -- or with an override system of any sort.

• It failed "simply to have driven their EMS vehicle around the gate" to treat James Smith in a "timely manner."

County EMS denies all three allegations in its answer.

When firefighters, who routinely go to medical calls, arrive at any unmanned gate first, they use emergency override keys to open the gates for ambulances, officials have said.

When Beaufort County EMS arrives first, paramedics must use codes listed in their ambulances because they do not have physical override keys.

When paramedics arrived at the Baynard Park security gate -- which is manned only from 7 a.m. to 7 p.m., according to the suit -- they entered what they thought was the gate's code. The gate did not open.

Before trying again, they had to wait 45 seconds because the system is set to freeze temporarily after failed attempts, according to the suit.

When they tried again, the gate remained closed.

County EMS did not directly respond to the sequence of events in its answer, which admits only that "if an incorrect code was entered, there was a delay in the key pad" and that "the code provided to (county EMS) did not open the gate at Baynard Park."

They were using a code listed in a book carried in their ambulance, according the county report provided to the newspapers.

About a minute after the ambulance arrived at the gate, a Bluffton Township fire engine arrived, the county's report said. It was equipped with a device called a Knox-Box Rapid Entry System -- an override device that opens residential gates for emergency personnel.

But on the call to the Smiths' house, firefighters couldn't get into a security box where the Knox key was kept because of a blown fuse on the fire truck, according to the suit.

The fire district acknowledges in its answer there was a blown fuse on the truck. Another fire official, however, had driven to Baynard Park in his own vehicle and was able to open the gate because he had another Knox key, the answer says.

The Beaufort County Council passed a measure in October requiring all new gated communities to have codeless and keyless systems on each gate to prevent similar incidents. Existing communities must retrofit their systems -- at their own expense -- by October 2010.

 

Medic Stabbed-LODD Update

Thanks Billy G from The Secret List @www.FireFighterCloseCalls.com

As an update to last nights EMS LODD, it appears that the Bensalem EMS Paramedic was attacked and stabbed by that mentally disturbed patient. According to police: "Police and Bensalem rescue responded to a subject with mental illness call on Knights Road.  The medics arrived shortly before police and the medics were approached by the subject and as a result of that, one of the medics was severely injured."
The Paramedic later died in the Line of Duty, at the hospital. The 37 year old Paramedic leaves behind his wife and 2 daughters.

 

Check out www.PhillyFireNews.com  for the latest local area updates on this tragic incident.

HERE is a link to the Bensalem Rescue Squad/EMS who will also post additional details as they become available: www.bensalemrescue.org  We will post additional updates on our home page as well.

 

NASEMSO Update:

1. NASEMSO Endorses Highway Safety Reauthorization


NASEMSO has joined several national organizations in signing onto a letter from the State Highway Safety Alliance to U.S. Senator James Inhofe in support of the following recommendations for the highway safety portions of the next surface transportation reauthorization legislation:
o A national highway safety goal of halving fatalities by 2030 with state targets that support the national goal.
o Increased safety funding to enable states to reach that goal.
o Streamlined program administration and enhanced flexibility to focus federal resources where they are most needed.
o A strengthened strategic highway safety planning process to ensure that states reach their targets.
o Enhanced data collection and analysis so that problems can be identified and progress tracked.
o Increased investment in safety research and development so that states can implement evidence-based programs.
o Better preparation of the highway safety workforce in order to develop a cadre of safety professionals.
o Incentives which will encourage states to improve as opposed to more sanctions.
Read the letter to Senator Inhofe here.


2. NASEMSO Seeking EMS Calendar Items for 2010


NASEMSO welcomes the submission of statewide and national conferences or programs of interest to the EMS community for posting on our web site and in Washington Update! Descriptions should include the title, sponsor, location, date(s), contact information, and web site (if applicable.) Please send these items to NASEMSO Webmaster Karen Thompson-- Thompson@nasemso.org and/or WU Editor Kathy Robinson-- robinson@nasemso.org.


3. Education Agenda Panel Added to EMS Today in Baltimore


NASEMSO will host an expert panel at EMS Today in Baltimore next week. “EMS Education Agenda: What You Need to Know About Implementation” will help explain the steps needed to implement the EMS Education Agenda, progress that is being made across the country, and how to find resources that will help the EMS community be part of the implementation team. The intended purpose of the program is to answer questions about implementation and the Education Standards, EMS program accreditation, and national EMS certification.
The distinguished panel will include:
Drew Dawson, Director, NHTSA Office of EMS
Dan Manz, Vermont State EMS Director; Chairman NASEMSO Implementation Work Group and George Hatch, Executive Director, CoAEMSP
William Brown, Executive Director, NREMT
Deb Cason, Principal Investigator, National EMS Education Standards, NAEMSE
The session will be held on Saturday, March 6, 2010 following the closing keynote in Room 33 at the Baltimore Convention Center.
In related news—
• The powerpoints from the series of webinars offered by NASEMSO on implementation have been posted on the web site at http://www.nasemso.org/EMSEducationImplementationPlanning/Resources.asp.
• The production schedule for EMS textbooks and other materials has been revised and is available here.


4. New Health Report Available from RWJF


The County Health Rankings—the first set of reports to rank the overall health of every county in all 50 states—were released by the University of Wisconsin’s Population Health Institute and the Robert Wood Johnson Foundation (RWJF). The details of this fascinating data are available at http://www.countyhealthrankings.org. “These Rankings demonstrate that health happens where we live, learn, work and play. And much of what influences how healthy we are and how long we live happens outside the doctor’s office,” says Risa Lavizzo-Mourey, M.D., M.B.A., president and CEO of the Robert Wood Johnson Foundation. “People, no matter where they live, should have the best possible opportunity to be healthy.”


5. DHS Fails to Meet Requirements for HSPD 12


Homeland Security Presidential Directive 12 (HSPD-12), Policy for a Common Identification Standard for Federal Employees and Contractors, requires the development and agency implementation of a mandatory, government-wide standard for secure and reliable forms of identification for federal employees and contractors. All federal departments and agencies are to implement an HSPD-12 program to meet the standard established by the policy, which aims to enhance security, increase government efficiency, reduce identity fraud, and protect personal privacy. Although DHS has established an identification credentialing and issuance process, the department has not made the implementation of an effective HSPD-12 program a priority. The original completion date for the issuance and use of identity credentials by all federal employees and contractors was October 27, 2008. As of September 22, 2009, only 15,567, of the approximately 250,000 department employees and contractors, had been issued identity credentials. In a new report, Resource and Security Issues Hinder DHS' Implementation of Homeland Security Presidential Directive 12, the Office of the Inspector General (OIG) makes 15 recommendations to DHS’ Chief Security Officer, in conjunction with the Chief Information Officer for resolving the issue. Read the report here.


6. New Sample Bill Will Aid States in Banning Texting While Driving

U.S. Transportation Secretary Ray LaHood has unveiled sample legislation to be used as a starting point for states crafting new laws to prohibit texting while behind-the-wheel, the latest step in the campaign against distracted driving. The sample state law, prepared by the National Highway Traffic Safety Administration (NHTSA) and a cross-section of safety and industry organizations, would authorize law enforcement officers to stop a vehicle and issue a citation to drivers who are texting while driving. The department recently launched a federal website, www.distraction.gov, as a forum and information clearinghouse. Distraction.gov is a source of comprehensive information on distracted driving. Currently, nineteen States and the District of Columbia have texting laws covering all drivers. In 2009, more than 200 distracted driving bills were considered by State legislatures and legislative activity is expected to remain strong in 2010. Click
here to see the sample bill and the groups that participated in drafting it.


7. HHS Awards $100 Million to 10 States to Test Innovations in Children's Health Care


Health and Human Services Secretary Kathleen Sebelius today announced $100 million in federal grant funds to 10 states to improve health care quality and delivery systems for children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). The grants, which will be awarded over a five year period, were funded by the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). The money will help states implement and evaluate provider performance measures and utilize health information technologies such as pediatric electronic health records and other quality improvement initiatives. For more information on these state grants, click here.


8. AHRQ Releases 2007 Hospital Emergency Department Data


The Agency for Healthcare Research and Quality has released its 2007 Nationwide Emergency Department Sample (NEDS) -- the largest, all-payer emergency care database in the United States. NEDS can help public health experts, policymakers, health care administrators, researchers and others find the data they need to answer questions about the cost of emergency care, medical treatment effectiveness, and the quality of, access to, and use of emergency department, and other issues. The database contains more than 26 million records of emergency department visits at roughly 1,000 U.S. community hospitals – approximately a 20-percent stratified sample -- and captures information both on visits that do not result in admission and those that do. NEDS is part of the AHRQ's Healthcare Cost and Utilization Project (HCUP), a Federal-State-industry partnership for building a standardized, multi-state health data system. For more information about NEDS, go to http://www.hcup-us.ahrq.gov/nedsoverview.jsp


9. AHRQ Report and Tools to Identify and Run Alternate Care Facilities


A recently released report from the Agency for Healthcare Research and Quality explains how to select and operate alternate care facilities -- locations that can easily and quickly be equipped to augment or replace health care services when hospitals and other traditional care sites are inoperable or overwhelmed.
The evidence-based report, Disaster Alternate Care Facilities: Selection and Operation, includes input from planning and preparedness experts in public, private and government sectors who have real-world experience in standing up and running alternate care facilities. It includes:
· A template to develop an operations manual.
· Staffing recommendations for various types of alternate care facilities.
· Equipment and supply options for planning and operation.
The report supports two Web-based interactive tools that provide user-customized plans to implement key components discussed in the report: site selection and the transfer of patients. The tools are: Disaster Alternate Care Facility Selection Tool (http://www.ahrq.gov/prep/acfselection/acftool/) and Alternate Care Facility Patient Selection Tool (http://www.ahrq.gov/prep/acfselection/pselectmatrix/).


10. NTSB Issues 2010 Most Wanted List


The National Transportation Safety Board has issued its 2010 Federal Most Wanted List of Transportation Safety Improvements, adding rail, aviation and marine issues, and updating the status of other issues on the list. At the same time, the Board removed the issue areas dealing with improved protection for school bus passengers and fatigue in the pipeline industry. Besides removing two issue areas on the list, the Board reviewed the remaining 13 issue areas on the list and added two new ones. An updated brochure describing each Most Wanted issue area
can be accessed at http://www.ntsb.gov/Recs/brochures/MostWanted_2010.pdf.


11. New CDC Office to Draw Attention to Preventative Interventions


The Centers for Disease Control and Prevention (CDC) has announced that it is creating a new Office of Prevention through Health Care (OPTH) to enable CDC to more aggressively and effectively develop and disseminate policies that leverage the health care system to improve health through prevention. The office will coordinate health care activities across CDC programs and lead engagement with other Department of Health and Human Services” operating divisions and with external partners on health care issues.


12. FCC's Emergency Response Interoperability Forum Rescheduled


The Federal Communications Commission’s (FCC’s) Public Safety and Homeland Security Bureau (Bureau) has rescheduled its public forum to discuss the creation of an emergency response interoperability center for public safety broadband communications for Tuesday, March 2, 2010, from 2:00 p.m. - 4:00 p.m. The March 2nd meeting will be held in the Commission Meeting Room (TW-C305) located at 445 12th Street, SW, Washington, D.C. 20554. Please note that this forum had been originally scheduled for February 10, 2010, but was postponed due to severe winter weather. The forum will be open to the public; admittance however will be limited to the seating available.
Audio/Video coverage of the meeting will be broadcast live with open captioning over the Internet from the FCC's web page at www.fcc.gov/realaudio. The FCC’s web cast is free to the public and does not require pre-registration.


13. New NAEMT Position Statement Opposes EMS Participation in Executions


In a new position statement, the National Association of Emergency Medical Technicians (NAEMT) states its strong opposition to participation in capital punishment by EMTs, paramedics or other emergency medical practitioners. Participation in executions is viewed as contrary to the fundamental goals and ethical obligations of emergency medical services. Historically, the role of EMS practitioners has been to promote, preserve and protect human life. NAEMT’s EMT Oath is based on the basic principles of saving life, respect for human life and the non-infliction of harm to all recipients of emergency medical services. To view the full position statement, please go to the NAEMT Positions page in the Advocacy section of www.naemt.org.


14. TFAH—Director of Government Relations


Trust for America’s Health (TFAH), a leading public health advocacy group, seeks a Director of Government Relations. Must have excellent leadership, collaboration, communications and organizational skills, and expert knowledge of federal legislative and regulatory processes. Trust for America’s Health (TFAH) is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority. We believe that prevention must drive our nation’s health strategy; Americans deserve healthy and safe places to live, work and play; every community should be prepared to meet the threats of infectious disease, bioterrorism, and natural disasters; and Americans deserve to know what government is doing to keep them healthy and safe. For more information, visit www.healthyamericans.org.
Please send resume, cover letter and salary history to Richard Hamburg, Deputy Director, Trust for America’s Health, 1730 M Street, NW, Suite 900, Washington, DC 20036 or rhamburg@tfah.org. No calls please.


15. Emergency Medical Services Intervals and Survival in Trauma: Assessment of the “Golden Hour” in a North American Prospective

Cohort. Craig D. Newgard, Robert H. Schmicker, Jerris R. Hedges, John P. Trickett, Daniel P. Davis, Eileen M. Bulger, Tom P. Aufderheide, Joseph P. Minei, J. Steven Hata, K. Dean Gubler, Todd B. Brown, Jean-Denis Yelle, Berit Bardarson, Graham Nichol, Resuscitation Outcomes Consortium Investigators Annals of Emergency Medicine - March 2010 (Vol. 55, Issue 3, Pages 235-246.e4, DOI: 10.1016/j.annemergmed.2009.07.024). Authors challenge long-standing beliefs about the “Golden Hour.” Presented as an abstract at the Society for Academic Emergency Medicine Annual Meeting, May 2008, Washington, DC. Article available at http://www.annemergmed.com/article/S0196-0644(09)01284-0/fulltext.


UPCOMING EVENTS


**Updated Information on the Advocates for EMS Policy Summit**
Location: Thursday, March 4, 2010, 3:00-5:00 p.m. Baltimore Convention Center, Room 350, Baltimore, MD
Confirmed Participating Federal Officials:
Richard Hunt, M.D., Centers for Disease Control, HHS
Michael Handrigan, M.D., Emergency Care Coordination Center, HHS
Rick Patrick, Office of Health Affairs, DHS
Mike Stern, U.S. Fire Administration, DHS
Drew Dawson, National Highway Traffic Safety Administration, DOT
Session:
Please join Advocates for EMS and honored Federal Officials for an interactive discussion about policies affecting EMS providers. You will have the opportunity to learn about critical issues facing the EMS community and share your input on the opportunities and challenges you face in providing emergency medical care every day. Previous EMS Summits have lead to both policy and law changes, so your voice does count! The session will be followed by a reception from 5:00-6:00 p.m. in the Camden Lobby right outside Room 350. More details about EMS Today are posted at www.emstoday.com


***STATEWIDE EMS CONFERENCES***


* Pennsylvania State EMS Conference. September 16-18 (with preconference sessions on September 14-15), 2010 at the Lancaster County Convention Center in Lancaster, PA. More information can be found at www.pehsc.org.
PULSE CHECK 2010, the 55th Annual Educational Conference & Trade Show of the NYS Volunteer Ambulance & Rescue Association, will be held Thursday evening September 30, 2010 to Sunday morning October 3, 2010 at the Holiday Inn Albany on Wolf Road. Information is posted on the Association’s web site at www.nysvara.org.
New Jersey Statewide Conference on EMS, Atlantic City November 11th - 13th 2010. For more information visit:
www.njemsconference.com
New Jersey METI Games. November 11th - 12th, 2010. For more information visit www.njemsconference.com.

***National Conferences and Special Meetings***


The NIOSH Personal Protective Technology Program will host the 3rd Annual Stakeholders’ Meeting on March 2 and 3, 2010 at the Hyatt Regency Pittsburgh Airport.
EMS Today. JEMS Conference and Exposition. March 2-6, 2010. Baltimore Convention Center, Baltimore, MD. More information at www.EMSToday.com.
2010 AAMS Spring Conference. March 17-19, 2010 Washington Marriott at Metro Center, Washington, DC. For more information, go to www.aams.org.
*EMS Education Implementation Webinar. March 24, 2010 3 pm. “How to Use the Gap Analysis Template to Identify a State SOP and Other Materials” More info including registration link at www.nasemso.org as speakers and topics are confirmed.
EMSC Town Hall Conference Call. April 14, 2010 from 3:30 pm to 5:00 pm (eastern). The local number is (202) 476-6338 or call toll-free dial (877) 355-6338 and enter EMSC (3672) for the meeting ID#.
*EMS Education Implementation Webinar. April 21, 2010 @ 3 pm. “Depth and Breadth: What Does It Mean to EMS Education?” More info including registration link at www.nasemso.org as speakers and topics are confirmed.
IAFC’s Fire Rescue Med Conference. May 1-5, 2010. Orleans Hotel, Las Vegas, NV. For more information, go to http://www.iafc.org/displaycommon.cfm?an=1&subarticlenbr=6.
EMS ON THE HILL DAY, May 3-4, 2010, Washington, D.C. Updates and more information on the event will be posted on the NAEMT web site, www.naemt.org.
ITS America Annual Meeting and Exposition. May 3-5, 2010. Houston, TX. For more information go to http://www.itsa.org/annualmeeting.html.
*2010 Integrated Medical, Public Health, Preparedness and Response Training Summit. May 12-16, 2010. Opryland Hotel, Nashville, TN. For more information—go to http://guest.cvent.com/EVENTS/Info/Summary.aspx?i=3d37b6ef-7182-487c-a0d9-87287aaa50ef.
*EMS Education Implementation Webinar. May 19, 2010 @ 3 pm. “Who Should Teach: Identifying Instructor Qualifications for Using the New Education Standards” More info including registration link at www.nasemso.org as speakers and topics are confirmed.
*National EMS Week 2010. May 16 thru May 22 with May 19 set aside as Emergency Medical Services for Children (EMSC) Day. Order Your 2010 EMS Week Planner (Kit) Here.
ACEP 2010 Leadership and Advocacy Conference. May 16-19, 2010. Washington, DC. Go to www.acep.org for more information.
Joint NASEMSO Mid-Year/EMSC Grantee Meeting. May 25-27, 2010. Doubletree Hotel, Bethesda, MD. More info at www.nasemso.org.
Institute of Medicine Forum on Medical and Public Health Preparedness for Catastrophic Events. June 9-10, 2010. Washington, DC. See http://www.iom.edu/en/Activities/PublicHealth/MedPrep.aspx for more information.
*EMS Education Implementation Webinar. June 23, 2010 @ 3 pm. “Developing Standards Based Instruction” More info including registration link at www.nasemso.org as speakers and topics are confirmed.
EMSC Town Hall Conference Calls 3:30 pm to 5:00 pm (eastern) July 14, 2010. The local number is (202) 476-6338 or call toll-free dial (877) 355-6338 and enter EMSC (3672) for the meeting ID#.
*EMS Education Implementation Webinar. July 21, 2010 @ 3 pm. “How Does Program Accreditation Improve the Quality of EMS Education? ” More info including registration link at www.nasemso.org as speakers and topics are confirmed.
Pinnacle 2010. July 26-30, 2010. Sheraton San Diego Hotel and Marina. San Diego, CA For more information, go to www.pinnacle-ems.com.
6th International Roundtable on Community Paramedicine. August 9-13, 2010, Vail CO. For more information, go to http://www.ircp.info/.
*EMS Education Implementation Webinar. August 25, 2010 @ 3 pm. “Identifying Methods to Measure Cognitive, Psychomotor, and Affective Competency” More info including registration link at www.nasemso.org as speakers and topics are confirmed.
15th Annual NAEMSE Symposium. September 7-12, 2010. Renaissance Hotel & Convention Center in Schaumburg, IL. For more information, go to http://www.naemse.org/symposium.
*EMS Education Implementation Webinar. September 15, 2010 @ 3 pm. “Progression/Regression Strategies: Models of Success.” More info including registration link at www.nasemso.org as speakers and topics are confirmed.
ENA Annual Meeting. San Antonio Convention Center, San Antonio, TX. General Assembly September 22-34, Scientfic Assembly September 23-25, 2010. Go to www.ena.org for more information.
NAEMT Annual Meeting at EMS EXPO 2010 - Sept. 27 – Oct. 1, 2010. Dallas Convention Center, Dallas, TX. For more information, go to http://www.firehouseevents.com/.
ACEP Scientific Assembly 2010. September 28 - October 1, 2010. Mandalay Bay, Las Vegas, NV. For more information, go to www.acep.org.
Institute of Medicine Forum on Medical and Public Health Preparedness for Catastrophic Events. October 6-7, 2010. Washington, DC. See http://www.iom.edu/en/Activities/PublicHealth/MedPrep.aspx for more information.
NASEMSO Annual Meeting. October 10-15, 2010, Norfolk Marriott Waterside/Waterside Convention Center Norfolk, Virginia. More info available at www.nasemso.org. Sponsorship and exhibitor information now available.
2010 Air Medical Transport Conference October 11-13, 2010. Ft. Lauderdale, FL. For more information, go to www.aams.org.
*EMS Education Implementation Webinar. October 20, 2010 @ 3 pm. “System Update: 2010 NASEMSO Survey Results.” More info including registration link at www.nasemso.org as speakers and topics are confirmed.
*EMS Education Implementation Webinar. November 22, 2010 @ 3 pm. “The Role of National Certification in Implementing the EMS Education Agenda.” More info including registration link at www.nasemso.org as speakers and topics are confirmed.
ECCU 2010. Emergency Cardiac Care Update, December 8-11, 2010. San Diego, CA. Sponsored by the Citizen CPR Foundation. For more information, go to http://eccu2010.com/.

 


 


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