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Scores Injured As Car Plows Into Walking Parade

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Driver May Have Had Medical Episode

AS MANY AS 60 PEOPLE were injured Saturday afternoon in a small Virginia mountain town when a car suddenly went out of control and barreled into a walking parade.

The Associated Press is reporting:

About 50 to 60 people were injured Saturday when a driver described by witnesses as an elderly man drove his car into a group of hikers marching in a parade in Damascus, Virginia.

The black car is the one that ran over the hikers.  TriCities.com

Washington County director of emergency management Pokey Harris said no fatalities had been reported.

The injuries ranged from critical to superficial, he said. Three of the victims were flown by helicopters to regional hospitals. Another 12 to 15 were taken by ambulance. The rest were treated at the scene.

It happened around 2:30 p.m. during the Hikers Parade at the Trail Days Festival, an annual celebration of the Appalachian Trail in Damascus, near the Tennessee state line.

A spectator captured some raw video from the early moments of the accident and uploaded it to YouTube:

 

It isn't yet known why the driver, described by witnesses as "an elderly man," suddenly drove into the hikers.  Authorities report that the vehicle involved in the accident was a 1997 Cadillac that was actually participating in the parade.  The initial sizeup is that he had some sort of medical emergency that incapacitated him.

Reports were saying that the car bolted for about 100 ft.knocking hikers over and coming to rest on a few of them.  Bystanders rushed to the car and lifted it high enough to get 3 or 4 trapped victims out from beneath it.

There were several volunteer fire units and ambulances in the parade as well, so there was an immediate response of help to triage and treat the victims.

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NY Paramedic Critical Following Head-On Crash

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Not Running Emergency

A MOBILE LIFE AMBULANCE IN ULSTER COUNTY, New York, collided head-on with a pickup truck Saturday morning. 

Daily Freeman

The crash left the ambulance driver in critical condition.  He had to be extricated by the FD before being flown to Albany.  The other medic with him was treated at Kingston Hospital then transferred to Albany also.  The two passengers in the pickup were able to get out of the truck on their own and were also transported.

The accident occurred around 7 am on Rte. 32 near Bloomington.  The two vehicles were travelling in opposite directions and the ambulance was not on an emergency call when it happened.

From early reports, the police do not yet know what caused them to end up in the same lane.

The Daily Freeman provided some raw video from the scene:

 

The Times Herald-Record has the early STORY.

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Ambulance Crash in Michigan

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Not On Emergency Call

AN AMR AMBULANCE IN HOLLAND, Michigan, collided with an auto Friday evening and left three people injured, none seriously.

The victims in the car had to be extricated.  (WOOD-TV)

The ambulance was not on a call and didn't have any emergency lights activated when the car, according to unconfirmed reports, pulled into the ambulance's path.

Three people in the car were transported with minor injuries and the two EMT's were checked out on the scene.

WOOD-TV filed this video report:

 

Car crashes into ambulance in Holland

 

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Paramedic Job Opportunities

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Slots Always Opening Up

SUSSEX COUNTY, DELAWARE, is the southernmost of the state's three counties and also the location of many, famous ocean beach resorts.  That along with a nice climate and very low personal tax burden make Sussex a nice place to live. 

If you're a certified Paramedic, it's even nicer because they are continually hiring to replace retirees and folks who leave the EMS service for other reasons.  The Delaware Technical Community College has an excellent 18-month certification program but class sizes are limited to 12 students.  While all three counties prefer to use "home-grown" recruits, the school doesn't graduate them in large enough numbers to fulfill the needs of the state.

The 99 Sussex paramedics operate from quick-response
units while local VFD's provide patient transportation
in their own ambulances.

A recent article in the Cape Gazette reported:

For the last two years, five positions have gone unfilled among a staff of 99 paramedics, said Bob Stuart, Sussex EMS director. At least 12 new paramedics have to be hired each year.

Stuart, who has worked for Sussex EMS for 23 years, said due to retirement and attrition the program will lose from 50 to 60 paramedics over the next five years. "The last two years we have lost and replaced 25 paramedics," Stuart said, adding the average paramedic works five to 10 years. "It's a very difficult job, and many people can't do it for the long term," he said.

Twelve paramedics left the program last fiscal year and 13 have left the program so far this fiscal year, Stuart said. The county funds scholarships for students who plan to work for Sussex EMS. In all, nine students will receive funding over the next 18 months, Lawson said.

Because of turnover, Sussex EMS spends an inordinate amount of time in the hiring process in an effort to keep the ranks filled.

The other two counties, Kent and New Castle, along with the Delaware State Police are also constantly looking for new hires, thus increasing the competition for the college's graduates.

Read the entire article in the Cape Gazette HERE.

Thanks to Mark Donovan

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Naked EMT Teaching – backstory

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The story behind this month's EMS1.com post

I needed a fourth topic for our statewide annual symposium. The other three were well crafted with crystal clear presentation deliverables.

Proposal four: “This class will help experienced instructors deliver a program that is focused on clinical evaluation and EMT critical thinking. See effective learning techniques independent of the National Standard Curricula. Learn how educational standard templates can be used to evaluate student competency.”

Nice description but the deliverables were works-in-progress.

  • Adopting concepts and practices for developing medical critical thinking for EMT application.
  • Going through a toolbox of effective learning techniques, which are best for experienced EMT instructors.
  • Have rubrics but no Educational Standard competency templates.

Restoring my state instructor/coordinator credentials last year required teaching a lot of EMT sessions with many organizations. Found instructors addicted to commercial National Standard Curriculum (NSC) presentations and struggling with the new topics, especially pathophysiology.

Publisher provided Educational Standard powerpoints are far less detailed than the NSC slides. It is ineffective for instructors to teach an Educational Standard EMT course reading from commercial powerpoint lectures.

With a grin, titled the presentation “Naked EMT Teaching.” Inspired by The Naked Presenter: Delivering Powerful Presentations With or Without Slides by Garr Reynolds.

After submitting the courses, I lobbied to teach a four-hour “Trauma for EMT” recertification. Developed a great presentation for a municipal client that I wanted to bring and brag at the symposium. Of course, the faculty contract is for “Naked EMT Teaching.”

The value of focus and clarity

Art Hsieh, a collegue and the ems1.com editor, felt that my first version of this month's column was a little unfocused.  He was kind, the scattered stream-of-consciousness document was closer to a Version 0 draft than a finished product.

A lot of open ended questions, fuzzy connections and imprecise language.

Art worked on the opening and asked if I could finish it up. It is a tremendously better column than the one I submitted.

Now the reader has two take-away items from the column and I have two bullet points for the presentation.

You can read the article here.

What we really need

Is a course that EMT instructors could attend that provides ems-focused anatomy, physiology and pathophysiology that would include teaching techniques and examples.

Asking instructors to read a physiology textbook may be as effective as my experience filling in for a physician educator.

It was a last-minute schedule conflict during a paramedic refresher class. The physician was held up in the hospital and asked me to cover the diabetic lecture. He said “You have seen my presentation before, just use my slides.”

This is the same powerpoints he uses with medical students. He provides a great class that increases the paramedic's understanding of the pathophysiology of the disease and encourages out-of-hospital caregivers to become critical thinkers.

In my hands, they were background for a disjointed presentation that covered the minimum required content. I left a few gallons of flop sweat behind the podium.

"Naked EMT Teaching" is Saturday, November 9 @ 1:30

See you in Norfolk

Mike "FossilMedic" Ward

Big Ambulance Builder Buys Smaller Ambulance Builder

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More Brand Shifting Going On

ALLIED SPECIALTY VEHICLES (ASV) of Orlando, Florida, announced Monday that they have acquired SJC Industries, an ambulance builder based in Indiana as reported by the Orlando Sentinel.

Allied Specialty Vehicles claims to be the nation's largest emergency-response vehicle producer, turning out Wheeled Coach ambulances in Winter Park and E-One fire and rescue vehicles in Ocala.

Wheeled Coach website graphic

Acquisition of the SJC  firm brings in the McCoy-Miller and the Marque ambulance brands.  They are based in Elkhart, Indiana, and had been owned by Thor Industries of Ohio who purchased the company two years ago for $20 million.  According to papers filed with the SEC, Allied paid Thor $12.5 million for the ambulance division.

Thor's core business is building RV's and buses.  Firegeezer speculates that having the bottom drop out on ambulance sales recently helped them make the decision to unload at a 38% loss.

See related article from September 21, 2010, ASV purchased Road Rescue ambulance from Spartan Motors for $8 million HERE.

Wheeled Coach WEBSITE.
Read ASV's full press release (.pdf) HERE.

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Clamors Expected to Arise For Spear Gun Control

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Wife Survives Accidental Harpooning

A RIO DE JANIERO, BRAZIL, MAN was cleaning his spear gun Monday when it accidentally discharged sending the harpoon through his wife's mouth and lodging in her spine.

Elisangela Borborema Rosa, 28, was in the kitchen of their home preparing dinner while her husband was cleaning his fishing spear gun. The gun accidentally discharged sending the harpoon into Rosa's head.

She was immediately rushed to the hospital where the doctors performed an emergency surgury and successfully removed the spear.

The Rio de Janeiro State Health Department issued a statement that quoted neurosurgeon Allan da Costa as saying "This is the first case of this type I have seen," Dr Costa said. "The peculiarity of this case is that the tip of the harpoon lodged itself between the anterior vertebral canal and the medullary canal," he said.

"One centimetre further in, and she would have been paralysed, one centimetre further out and it would have hit an artery which provides the brain [with blood] and she would have been dead."

He said he expects a full recovery.

Police are saying that they believe it was an accident, but they have launched an investigation to be certain. 

We don't think the husband tried to kill her," said an officer, "But once she fully recovers we will be able to question her and get a clearer picture of what happened."

TOMO News prepared this explanatory video that recreates the accident via animation:

 

BBC News has the STORY.

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Firefighter Dressed Up Like a Bear Run Over By Fire Engine

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Bear-ly Avoids Tragedy

A TORRINGTON, ENGLAND, RETAINED FIREFIGHTER* narrowly escaped an ugly demise Saturday night when his own fire engine ran over him during the town's annual carnival parade.

Justin Matthews was dressed up in a bear costume and participating as a "walker" in the parade, strolling along in front of his fire brigade's pumper when he accidently got caught up in the front wheel of the fire engine.

A parade bystander provided immediate first aid
to Matthews while awaiting the ambulance.
(North Devon Journal / Ellen Vernon)

The North Devon Journal continues:

The incident happened as the carnival was making its way around the roundabout next to Torrington Cottage Hospital at the top of Calf Street.

Ellen Vernon, who lives in Torrington, said there was "horror" among the crowd as everyone realised what had happened.

"I was sat on the roundabout as he came around the corner," she said. "The fire engine had several walking people in front of it.

"There was a guy on stilts or in some tall costume and another dressed as a bear. The fire engine was turning very slowly around the roundabout to back up towards Calf Street.

"As it turned the bear was walking on the inside of the roundabout and it appears the front wheel caught him.

"The bloke who had been hit starting screaming "back up, back up." Because he had the bear head on I think he had not seen or heard the fire engine."

The parade was temporarily halted while an ambulance was called to treat Matthews and he was transported to the hospital.

Graham Rooke, Incident Manager, told the Journal: "It was a low-speed incident. He was wearing a bear suit and walking in front of the fire engine. It's for the children really.

"His foot became trapped under the front offside wheel. He has broken his tibula in his left leg and his foot is swollen but other than that we don't think there are any other injuries. It just shows accidents can happen to anyone – even the emergency services aren't immune.

Read the full STORY HERE.

*  Similar to North America's paid-on-call firefighter.

Thanks to Mark Donovan

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LAFD gets $1.6M to staff 11 ambulances with overtime crews until June

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Breaking news from the Los Angeles Times:

City Council finds money to halt controversial LAFD staffing plan

The Los Angeles City Council voted Tuesday to give the Fire Department $1.6 million to reverse a controversial new ambulance staffing plan.

The money will pay for the agency to add 11 new ambulances to the department's fleet through June. And it will put at least a temporary halt to a redeployment that as of Sunday reassigned 22 firefighters per shift from engines to medical rescue ambulances.

The council did not commit to staffing the new ambulances next year, which Cummings said will cost $9 million.

For now, firefighters will be asked to work overtime to staff the ambulances, he said. On days the agency cannot find enough volunteers to work overtime, Cummings said he will opt to staff the ambulances instead of fully staffing the firetrucks.

He said he could not guarantee that the new money will keep firefighters on firetrucks. "I'm staffing for the community need, which is ambulances," he said.

On Friday, Cummings rejected a request from members of the City Council to postpone Sunday's start of the plan.

Sequestration Stymies Federal Participation at Fire Rescue Med

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… at least we still have 4th of July fireworks at the National Mall

There are two events at the IAFC Fire-Rescue Med that make the conference unique. The EMS section business meeting and the Federal Roundtable.

The bi-annual business meeting provides the section members with an update on projects and initiatives. One of the most valuable aspects of the meeting is a report of the liason partners to the IAFC EMS Section.  You get an up-to-the-minute snapshot of what is happening around fire-based ems.

Normally held the evening before the first general session, noticed that the always-present Drew Dawson from the U. S. Department of Transportation was not at the meeting.  

The second event started a couple of years ago, a panel of federal representatives that have an impact on EMS. Coordinated by Chief John Sinclair, these sessions were great in understanding the nuances of federal ems involvement.

Sadly, the federal roundtable that was scheduled for this morning was cancelled. No funds for federal travel.

Mike "FossilMedic" Ward

A Mother’s Day Memory (reprint)

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My first ambulance field rotation was on Mother's Day, 1971.

I was a high school senior taking the "Emergency Medical Technician/Ambulance" course offered through the adult and vocational training division of the community college.

Mike DeWalt was in the class and let me ride with him at Northern Virginia Doctor's Ambulance. This was a private ambulance service that provided occasional back-up for the Alexandria Fire Department.

A Busy Sunday

The EMT-in-charge was a tall, skinny musician who worked part-time at the ambulance service. A very friendly and helpful guy, he was reading Dale Dubin's Rapid Interpretation of EKG's

While Virginia had not authorized a paramedic training program, Glenn Luedtke wanted to be prepared. 

Some of you know Glenn from his work on the NAEMT EMS Safety Course.

Or his tenure as the EMS Director for Sussex County (Delaware) or Cape and Islands (Massachusetts).

There were six nursing home-to-house transports scheduled that morning. Followed by six return trips that evening.

Idealistic high schooler meets complex relationships

With nearly no life experiences, and that teenaged sense of "how things SHOULD be," it seemed to me that many of these patients were going to homes hostile to the visit.

I could not understand why Glenn talked so loud to the patients, or why he insisted on talking with the family before we moved the stretcher into the house. 

Now I get it

During the past five years I have been on a geriatric journey with my parents. Including an acceleration in 2011 that requires more action than discussion.

I whined about an interfacility transport experience (On Airline Travel and Ambulance Transfers ) and finding my "Adult Command Voice" (“The Greatest Generation” white-knuckles through another Winter Carnival ).

The novelty of being the designated adult/primary caregiver has worn off.

We are in the day-to-day grind of assuring a safe and comfortable environment for a couple who are struggling to maintain as much independence and autonomy as they can while medical conditions continue to change.

Just before Mother's Day in 2011 was an intense effort get Mom out of a hospital and into an assisted living facility that evening. Worked with Dad to visit a couple of places and make a decision by early afternoon. Not a lot of choices within our timeframe.

Followed by an evening stand-off with my Dad who wanted to take her home (where there was no assistance in place and physically inappropriate).

We told you …

The language of federally-regulated health care ranks right up with airline travel. Accurate statements made in a neutral tone using industry terms. 

They were told on admission that she was on "observational" status and would be discharged in three days. They did not realize it until her last night.

Even with this issue, the federally-regulated part of health care provides much better information than the unregulated parts of health care. 

"What I want is …"

… not what we can get you.  It sometimes feels like I am explaining to a 9 year old why he cannot drive the car.

When I wrote the original post I was at work at the university. It was the final day of EMS testing and I was looking at the list of things to do that week. Wondering if it is safe to make a business trip and resenting the probable answer.

On Mother's Day 2011 I finally understood the complex emotions felt by the children when we delivered their Mom for a visit in 1971. Relationship defined by decades of experience, conflict and compromise.

Mother!

Mike "FossilMedic" Ward

originally published May 8, 2011

Embezzling instructor/coordinator = high school EMT students denied certification testing

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Three Texas high school EMT programs affected by unscrupulous instructor/coordinator

A FaceBook post last night from Daniel Murphy tells a sad tale:

The students that are currently taking the EMT class will not be eligible for EMT certification. All EMT courses must be coordinated by a state certified EMT coordinator. Unfortunately, the coordinator that we were using this year, Craig Kolls (Kyle Fire Department), was recently arrested and consequently fired from the Kyle fire department for embezzling funds used to pay for these coordinating services.

He did not register our school with the state or submit the paperwork necessary for our students to be eligible to sit for certification. We did not find this information out with enough time to find a new coordinator and get state approval needed to sit for certification. We were not the only schools affected, Hays and LBJ high schools were also subject to this unfortunate situation.

We are in the process of obtaining a new coordinator and medical director for next year, but unfortunately this cannot be done in enough time for this school year. The students this year will defiantly receive credit for the course at Lockhart High School, but will not be eligible to sit for the NREMT (National Registry of Emergency Medical Technicians) exam.

This will not effect next years EMT classes. As I mentioned above, we are in the process of contracting a new coordinator and should complete the necessary paperwork by the end of June. That sucks… You just broke a bunch of kids hearts and dashed their dreams… Don't worry jerk, we will find a way to help these kids.. to the kids involved… Don't worry, ems is a small family.. we will find a way… Share, tag, let everyone know

This appears to be the other shoe dropping from a March arrest.

Kim Hilsenbeck (2013 March 27) Former Kyle Fire Department division chief facing criminal charges  Hays Free Press

Following a month-long investigation by the Texas Rangers, a former high-ranking officer in the Kyle Fire Department, Richard Craig Kolls, Jr., is facing criminal charges.

According to the Hays County Sheriff’s Office jail records, he was charged with abuse of official capacity, a Class A Misdemeanor, and with forgery, which is a Felony.

According to Kyle Fire Department Interim Chief Clay Huckaby, Kolls was allegedly conducting firefighter and EMT training courses in Hays County and around the region under the auspices of the Kyle Fire Department. The work included signing contracts that legally bound the department for up to $1 million in liability damages. Yet the invoices were in his name and the fees were paid directly to him and not reported to the department.

Sources close to the issue told the Hays Free Press that former Kyle Fire Department Chief Glenn Whitaker, who resigned in February, knew about Kolls and his illicit activity and was going to terminate him. Whitaker was supposedly persuaded by a now former fire department officer to put Kolls on probation for one year and require restitution of the funds. Kolls was still employed at the time Whitaker left the department.

Wonder if the Texas Office of EMS can provide a creative and effective remedy for the three high school EMT programs affected by this individual?

Mike "FossilMedic" Ward

If You Can’t Say Something Nice

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Originally a blog post on July 7, 2012

Several years ago I wrote a couple books about local fire departments. These were photo histories of Raleigh and Wake County firefighting. They were softcover volumes, about 220 pages each. (And bargain priced at $19.95, list!) They contained relatively little writing– a couple pages of introductory text, and captions for around 200 images. So maybe "authored" is a better word than "written" here.
 

 
Both books contained errors. Small, medium, and big mistakes. The whopper was probably the wrong picture of old Station 6 in the first chapter of the first book. Sure, it looked like a former firehouse. Had two stories and everything. But the right building is right next door. A single-story affair, half of which the fire station occupied. (Lists of these errors, by the way, is available at www.legeros.com/books.)

The authoring process provided a valuable or perhaps invaluable lesson in limitations. Despite my best attempts at accuracy and clarity and artistic expression, the results were flawed. The books contained imperfection. There were things that I didn't like. They were typos, like Falls off Neuse instead of Falls of Neuse. There were boo boo's, like the aforementioned photo. Or, get this, the claim that Raleigh's first paid fire chief was the first one in America. Wrong!

(That howler came from a general history book about Raleigh. The correct statement might be that Fire Chief Sherwood Brockwell was the youngest full-time chief in the country at the time. Or maybe one of the youngest.)

There were also errors of omission. Things worthy of inclusion, but which weren't included. For example, there's no reference to the city's first line of duty death. Why not? During my period of research– and when Yours Truly was just learning to walk as a historian– only the sketchiest of facts presented themselves. Opting for safety over sorrow, the then-incomplete tale of Vernon Smith was left untold. (I didn't even have a photograph to write a caption about! That picture– of the overturned engine– was found on eBay a couple years later.)

 

 
And, obviously, there were a whole mess of facts and figures that were clarified or corrected or worthy of expansion, as discovered upon subsequent research for the second book. And which has continued from that point to present day. But that's the nature of timing and opportunity.

A couple years ago, a bunch of us local history authors appeared at Barnes & Noble at Crabtree. I asked this question of the most experienced author: "How can you write history books that don't contain mistakes?" Her answer: "Don't write books."

What she meant, of course, was that the process of researching history and writing about history (and the process to get them published) contains a margin of error that's always there.

Something else happened to me in the process of becoming Author Man. I developed a critical eye toward these types of books. I became increasingly discriminating with regard to, accuracy of historical information, aesthetics and quality of old photos, and the totality of this thing called a "fire history book."

I haven't written any more history books about firefighting– not yet, at least– but I have bought or read quite a few. Say, three or four dozen over the years. And guess what? That critical eye has been staring coldly and at times unsatisfactorily at those nifty new books.

Boy, oh, boy, the things that I've seen. Inconsistencies of writing or editing styles. Bad cropping or poor color correction of images. Lame layouts of pages. Poor quality reproductions of photographic or digital images. Factual mistakes. And so on.

In fact, some (just some?) of same things that you'll find in Raleigh & Wake County Firefighting and Raleigh & Wake County Firefighting, Volume II.  (Should this physician heal thyself first? He hopes to, and will someday write– er, author– more fire history books and with fewer errors per chapter than the first go-around.)

But parenthetical asides aside…

So there he sits, man in his man cave, in that room over the garage with the fire engine-red walls (the former owners were State fans), and pouring over some new fire history/apparatus/buff book. And he's just shaking his head. Maybe it's just a few flaws. Maybe it's a whole book of them. Usually, it's somewhere in the middle.

And… so what?

"If you can't say something nice, don't say anything at all," goes the familiar refrain. Is there really any good reason to rant about these things? (This is a rant about ranting, so it's justified!) Is there a tangible value in calling attention to quality issues in fire history books?

Honestly, I don't know.

Fire history books and fire apparatus books and fire buff books are such a relatively rarity that any new release is a reason to celebrate. Based on my brief period in the author's seat, there are going to be flaws. There's inherent imperfection in getting from here (idea of book) to there (copy of book).

Advances in digital photography and digital publishing aren't helping things, either. It's easier than ever for people to take digital photos. The results, however, don't always have the resolution of a photographic print. (And if that lower-resolution shot is the only shot you have, well…)

It's also increasingly easy to create book-like content using desktop computing applications. These can be created in shorter periods of time, and in greater quantity. This can also impact quality. (A six-month book project is a world of difference from a six-year book project.)

And, let's be honest, not every author has at their disposal the North Carolina State Archives, their collection of News & Observer and Raleigh Times negatives dating to the 1940s, and months and years of free time for photo (and caption) research. (Those were the conditions of creating the Raleigh and Wake County books.)

Is there a point to my points, then? Beyond just a plea from Yours Truly to "please make better books?"

Maybe that's it.

Dear authors, please strive for quality. Your discriminating readers will appreciate it.

Thank you.

 

LAFD reduces Light Force staffing to put 11 additional ambulances on the road

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"After asking for money and not receiving it, I am moving forward.” Chief Cummings said. “What we need is additional ambulances."

On May 5, staffing at 22 LAFD Light Forces (tiller truck + pumper) will be reduced from a staff of six to a staff of five. Eleven EMT-level ambulances will be placed in service.

This represents a 1/3rd increase in staffed EMT ambulances (total 45) and should reduce the workload of the 89 paramedic ambulances and the need to send a fire company first responder to medical calls.

Ben Welsh, Robert J. Lopez and Kate Linthicum (2013 April 25) LAFD chief presses ahead with firefighter reassignment plan. Los Angeles Times

Ben Welsh (2013 April 16) Draft LAFD ambulance plan. Los Angeles Times

Ambulance Transport a long-standing LAFD issue

After a high profile crisis in public confidence in 1999, the department embarked on an ambitious expansion program that was funded by the city council.

By the end of the expansion, LAFD increased the transport fleet by 40%. A June 2005 snapshot showed:

  • 83 paramedic ambulances
  • 45 EMT ambulances
  • 6 part-time transport units
  • "Paramedic asset" in every fire station
  • EMS Supervisor (Captain II) in every battalion
  • Expanded staff of civilian ems educators 

The department added 210 paramedic positions.

Recession Erodes Resources

LAFD has been shrinking on-duty resources since 2008, reflecting the continuing impact on the city budget. We estimated that the department had 228 fewer firefighters on duty every day in July 2011 than they had in July 2005, with temporary closure of stations. At the start of the FY 2012 budget they closed 12 engine companies and 6 light forces, eliminated a division chief and 8 EMS Supervisors. A total of 357 positions were eliminated.

While the budget has shrunk since 2008, the number of requests for ambulances has increased.  On May 5, 2013, LAFD will have an ambulance fleet that is 6 paramedic ambulances larger than the 2005 fleet. There were 316,866 calls for EMS in calendar year 2011 – 298,205 in calendar year 2007

Mike "FossilMedic" Ward

Santa Clara Fed Up With Rural / Metro

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Too Late Too Often

SANTA CLARA COUNTY, California, has put their emergency ambulance provider, Rural/Metro, on notice that they may lose their contract with the county.

Rural/Metro entered into the current agreement in July 2011 to provide the 9-1-1 EMS service to 14 of the county's cities and most of the unincorporated areas.  The contract stipulated that Rural/Metro would maintain a response time of less than 12 minutes  to 90% of the emergency calls.  In the less than two years of the contract's operation, Rural/Metro has already paid out $4.7 Million in fines for failing to maintain the agreed upon response times and other violations such as failing to keep enough ambulances in service.

Santa Clara County EMS Agency photo

The high amount of fines is an accumulation of penalties that have added up nearly every month since the service began.  The County Executive notified Rural/Metro in January this year that they were in violation of their contract and this week he elevated the warning to saying that just one more violation could bring a termination of the contract.

The San Jose Mercury News reported:

Rural Metro took over the county's main ambulance contract for its 1.8 million residents in July 2011, after beating out the provider of more than 40 years, American Medical Response, with a far cheaper bid. The $375 million contract award followed years of study and a bitter battle between the two national ambulance chains that made the final cut.

Just two weeks into the contract, Rural Metro failed to meet its response times in a northern section of the county, arriving within the 12-minute required time frame only 83 percent of the time. Similar violations occurred again in October 2012, when they came closer but fell short with an 89.57 percent rate. And then in the San Jose area in December, the response again fell below 90 percent; an 89.66 percent rate. The two violations within six months of each other triggered the January "material breach" of contract.

The 90 percent response time requirement is standard industrywide, and had not been missed by AMR in more than 10 years in the county, according to that company's west coast CEO, Tom Wagner.

Adding to Rural/Metro's woes is a rising labor problem.  Earlier this month on April 17 their unionized employess (which include the paramedics, EMTs and dispatchers) voted 97% in favor of authorizing their bargaining team to call a strike if current negotiations break down.

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Ambulance Fire Smokes Up Hospital

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Hospital Temporarily Evacuated

A HOLDREGE, NEBRASKA, HOSPITAL was temporarily evacuated Sunday morning when one of their ambulances caught fire in the parking garage next to the emergency room.

KHGI-TV

The Phelps Memorial Medical Center's two ambulances were both parked in the tightly confined parking space when a fire broke out in the engine compartment of one of them around 10:30 am.

The acrid smoke immediately began seeping through the entire facility as the Holdrege VFD responded and extinguished the fire.

The ambulance was a total loss, but the patients were able to be brought back into the hospital after about an hour.  The ER had to be temporarily relocated because of the strong smoke odor that remaind for a while.

KHGI-TV has the full story in this video report:

 KHGI-TV/KWNB-TV/KHGI-CD-Grand Island, Kearney, Hastings

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Driver of Other Vehicle Charged In Fatal Ambulance Crash

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Man's Careless Driving Caused the Accident

A SOUTHAMPTON, England, man in his 20's was arrested and charged Friday morning with "suspicion of causing death by driving without due care and attention."

The Telegraph reports:

A female paramedic and an elderly patient were killed when an ambulance on a 999 call careered off a road and hit a tree.

Solent News

The paramedic was driving the emergency vehicle when it ploughed into a ditch in the New Forest on Friday morning.

One of the elderly man's relatives and another paramedic, who were both in the back of the ambulance, suffered serious injuries in the crash on the A337 between Brockenhurst and Lyndhurst. The female paramedic and the elderly man were pronounced dead at the scene.

Daily Mail

It is not yet known why the ambulance driver left the road.  There are no indications of an actual collision, but is possible that she was swerving to avoid one.  The investigation will continue through the day.

The Daily Mail has an extensive report with more photos HERE.
The Bournemouth Echo has MORE.

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The “Me Generation” Strikes Danbury Ambulance Crew

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They Must Have Been In His Way

A DANBURY, CONNECTICUT, AMBULANCE crew was working on a patient in the rear of their unit Friday night when they were startled by it suddenly moving forward.

The Oxford Patch tells us that Peter Prunty, 52, hopped in the driver's seat of the ambulance while emergency workers were treating a patient on Sand Pit Road at 8:13 p.m. and drove the vehicle about 50 feet, the report states. Police said Prunty got out of the ambulance, climbed into a car and drove away. EMTs took down the license plate and called police, who quickly located Prunty, according to the report.

The Danbury police charged Peter Prunty with interfering with an emergency crew and he was released on $500 bond.

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Mother-Of-The-Year Aims Car Into Ambulance Bay

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Instead Of Calling 9-1-1

A GREENSBURG, PENNSYLVANIA, WOMAN has been charged with DUI after deliberately smashing her car into an ambulance bay of the Mutual Aid Ambulance Service headquarters earlier this month.  April Blotzer, 37, had her two toddlers ages 3 and 5 years with her when she took aim at the parked ambulances.

Google Street View

The Pittsburgh Tribune-Review is reporting:

About 8 p.m. April 13, Blotzer drove into an open garage bay at the ambulance group's building on West Otterman Street in the Ludwick section, just missing employee Matthew Brantner, authorities said.

Two children, ages 3 and 5, were in Blotzer's 1999 GM Envoy at the time, police said.

Brantner said he jumped out of the way to avoid being struck. He yelled at the driver, and she said "the hospital wouldn't help her, so she figured if she would drive into some ambulances … someone would help her," according to court papers.

She backed out of the bay and drove into another open one, where her vehicle struck a Chevrolet Suburban parked inside, police said. Blotzer became confrontational with police, according to court papers.

 

She was charged yesterday with driving under the influence, endangering the welfare of children, recklessly endangering another person and resisting arrest.

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Another Stolen Ambulance

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Located 20 Hours Later

BIRMINGHAM, ALABAMA, POLICE located a stolen ambulance about ten blocks away from the hospital where it was taken while the crew was inside delivering a patient they had brought from Elmore County.

The Haynes Ambulance unit was one of four that were parked in the ambulance bay of the UAB Hospital at 8 pm when somebody, apparently picking at random, hopped in a drove off.

This photo of the stolen unit was posted by Haynes on their Facebook page

The ambulance was found Sunday afternoon about 20 hours after it had been taken.  It isn't yet known if any equipment or supplies have been taken.  Haynes officials are on their way to Birmingham this morning to inventory and check out the unit.

The Gadsden Times has the latest HERE.

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Tipsy Ambulance Drivers

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Not A Good Week For EMS Supervisors

TWO AMBULANCE DRIVERS HAVE been arrested and charged with DUI in the past week.

From Kentucky the Lexington Herald-Leader tells us:

The driver of an ambulance was arrested and charged with driving under the influence in Pike County on Saturday.

State police said they got a call from someone who reported that the Appalachian First Response ambulance had hit a guardrail and was weaving while heading on south on Ky. 319.

The driver, Jeffrey J. Hignite of Hazard, was arrested and charged with DUI, first offense. He was taken to the Pike County Detention Center.

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From eastern Pennsylvania KYW-TV Philadelphia reports:

A Bucks County ambulance driver has been fired from his job after he was involved in a minor accident while transporting a patient last weekend. Police say he was driving drunk.

Middletown police say the Newtown ambulance was transporting the passenger from St. Mary Medical Center to a facility in Montgomery County when the vehicle hit the curb on Route 1 near Neshaminy High School and flattened a tire.

When police arrived, they suspected the driver, identified as 30-year-old Nicholas White of northeast Philadelphia was intoxicated. Police say he failed two field sobriety tests. According to court documents, he told police that he’s an alcoholic.

He’s charged with driving under the influence, reckless endangerment and careless driving. An ambulance company official says White worked for them for about two years. He was terminated the day of the accident.

Newtown Ambulance Squad

 

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Have You Ever Run An “Elephant Stomp” Extrication?

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Every Now And Then In South Africa

THE KRUGER NATIONAL PARK in South Africa is a massive wild animal preserve isolated from civilization, for the most part.  It is criss-crossed with extensive single-lane dirt roadways that are used by millions of foreign tourists to wander along and view the wildlife.

SANParks

But you have to be careful because if you need medical help, it comes later via helicopter from a long ways away.  A Polish couple learned this the hard way Monday morning when they drove their car too close to an elephant who asserted his territorial rights.

The Daily Mail is reporting:

Two tourists visiting the national park were injured after an elephant charged and overturned their car.

Kruger National Park spokesman William Mabasa said: ‘We stay here every day. We meet elephants on the road. We basically give them space but tourists sometimes don't.’

It is unclear why the elephant became aggressive, Mr Mabasa added. He is appealing to the public to be alert in Kruger park and try not to get too close if they see an elephant approaching on the road.

The male tourist was taken to Clinix Phalaborwa Private Hospital, near the park, and was said by an official at the hospital to be in critical condition with multiple rib fractures. His female companion was also being treated there for a pelvis fracture, but her injuries were not said to be serious.

The hospital employee, who spoke on condition of anonymity because he was not authorised to speak to the media, added that officials planned to transfer the pair to a hospital in Pretoria.

SANParks photo

IOL News in Pretoria adds:

A doctor and paramedics backed by a helicopter rushed to the scene on the H1-7 tar road between Shingwedzi and Punda Maria in the northern half of the park at about 6.30am on Monday, SANParks said.

"We were told by the woman that when they saw the elephant charging, they stopped their car and switched off the engine. Apparently they had been told that when one switches off the engine – an animal stops charging. But the elephant didn’t, it went on and trampled the car," the park’s head of communications and marketing, William Mabasa, said.

Fortunately for the couple, as the elephant was trampling the car, they were thrown out through the windows. Had they not been out of the car, the incident could most likely have been fatal, Mabasa added.

The last time an elephant flipped a car in the park was this past November.

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Boston Bombing Update

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First Bomb Reconstructed Already
Less Than 24 Hours After Detonation

FBI AND ATF BOMB EXPERTS have already compiled evidence that shows that the bombs were packed in pressure cookers, then carried in backpacks, set down and detonated by a remote control.

Boston Globe

Associated Press is reporting:

The bombs that ripped through the Boston Marathon crowd appear to have been fashioned out of ordinary kitchen pressure cookers, packed with nails and other fiendishly lethal shrapnel, and hidden in duffel bags left on the ground, investigators and others close to the case said Tuesday.

Officials found that the bombs consisted of explosives put in common 1.6-gallon pressure cookers, one containing shards of metal and ball bearings, the other packed with nails, according to a person close to the investigation who spoke on condition of anonymity because the probe was still going on. Both bombs were stuffed into duffel bags, the person said.

At a news conference, Richard DesLauriers, FBI agent in charge in Boston, confirmed that investigators had found pieces of black nylon from a bag or backpack and fragments of BBs and nails, possibly contained in a pressure cooker. He said the items were sent to the FBI for analysis at Quantico, Va.

Pressure cooker bombs are popular devices used by Al-Qaida, but their plans on constructing them are widely available on the interenet after they were publish in the terrorist organization's English-language magazine four years ago.

The Telegraph writes:

The recipe – along with a rationale for post-9/11 terror – was printed three years ago in al-Qaeda’s English-language promotional online magazine, Inspire.

In an article, it instructed readers on how, as its headline writers put it, to "Make a bomb in the kitchen of your Mom." It gave the types of explosive, timers and other ingredients needed – along with, it said, a pressure cooker.

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The Richard Family / Zuma Press

Bill Richard's family were all gathered near the finish line to cheer several friends of theirs  as they came to the flag.  His young daughter had run in a kid's race on Saturday and was ecstatic over winning a prize ribbon.  One of the blasts killed the oldest son Martin, age 8, (left, above) and his mother Denise suffered a brain injury.  The little girl lost a leg and lived through it only for the fast and efficient work of a nearby paramedic.

NBC News reports:

"My dear son Martin has died from injuries sustained in the attack on Boston," father Bill Richard said in a statement released on Tuesday. "My wife and daughter are both recovering from serious injuries. I ask that you continue to pray for my family as we remember Martin."

Friends and neighbors in the Richards’ middle-class neighborhood of Dorchester, Mass. were stunned by the family’s loss.

The family was a "typical, all-American, lovely family," neighbor Margaret Admirand said, choking back tears. "It’s devastating. He was an adorable little boy," she said. "It’s very hard to talk about. He was a sweet little kid."

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Also from NBC News:

Two brothers who went to the Boston Marathon to cheer on a friend each lost a leg in Monday’s bombing, their family said, asking the public for prayers.

NBC News via Facebook

Paul Norden, 31, and his brother, J.P., 33, were being treated at separate hospitals on Tuesday, their worried relatives rallying around them.

Paul’s girlfriend was being treated for burns at a third hospital.

The brothers, both roofers who had recently been laid off, were at the marathon to support their friend, firefighter Mike Jefferson, who escaped injury.

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EMS Lieutenant Busted On Drug Theft

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More Missing Fentanyl

SOUTH BEND, INDIANA, FIRE DEPARTMENT EMS Lieutenant Timothy Greenlee, 38, was arrested Sunday and charged with official misconduct and theft.

An investigation had begun when it became apparent that some quantities of Fentanyl had come missing from SBFD ambulances.  The South Bend Police Department issued the following press release:

On Saturday, April 13, 2013, investigators from the SBPD were contacted by officials of the South Bend Fire Department (SBFD) to assist with an inquiry concerning missing or mishandled narcotics that were in the possession of the Fire Department. The missing medication, Fentanyl, is usually located on SBFD ambulances for utilization to treat patients that are in their care.

Officials of the SBFD had been looking into this matter and through their own self-initiated investigation, narrowed the inconsistencies concerning the missing Fentanyl to a specific person who is a regularly employed crew member of the SBFD ambulance corps.

After being briefed by administrative officials of the Fire Department concerning the facts that they had uncovered, a SBPD detective questioned and later placed into custody Lieutenant Timothy Greenlee, a Paramedic, age 38 of South Bend as the single suspect in the case of the missing narcotics. Lt. Greenlee was booked into the St. Joseph County Jail under the felony charges of Official Misconduct and Theft.

Yesterday (Monday) he was bonded out and released from custody, but has been placed on administrative leave.  WSBT-TV reported via the South Bend Tribune:

South Bend Fire Chief Steve Cox says department investigators were able to identify a suspect quickly because of systems they have in place to regulate narcotics used for patients.

Cox says Greenlee was placed on administrative leave Sunday.

"This insures that this individual will not be performing patient care or firefighting duties in the public trust," said Cox. "It is incredibly important to the fire department this trust is completely preserved in order for the citizens of South Bend to remain confident in the level of service that is expected of us."

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Active: Terroristic-Style Bombings Interrupt Boston Marathon

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MAJOR INCIDENT UNFOLDING

*  TWO EXPLOSIONS AT FINISH LINE as runners are coming through.

WBZ-TV

*  HIGH INJURY COUNT – POSSIBLE DEATHS – Reports of human limbs being blown off.

*  BLASTS IN RAPID SUCCESSION around 2:50 pm about three hours after winner had passed by.

*  MORE SUSPECTED EXPLOSIVE DEVICES found in area.

USA Today is reporting:

Witnesses said the blasts occurred in quick succession about 2:50 p.m. on Boylston Street near the intersection of Exeter Street, three hours after the winner had crossed the finish line. Some store fronts were blown out.

CNN

Bloodied spectators were carried to medical tent intended for runners. Several of the injured has lost limbs, and at least one police officer was hurt.

"Somebody's leg flew by my head. I gave my belt to stop the blood," spectator John Ross told the Herald.

Organizers immediately stopped the race and locked down the marathon headquarters.

CNN

The elite women runners started the race at 9:30 a.m. and the elite men followed about 30 minutes later. About 27,000 runners were in the field for the Patriots Day race.

"There are a lot of people down," one man, whose bib No. 17528 identified him as Frank Deruyter, told the Associated Press.

Smoke hung over the neighborhood as police cleared the thousands of spectators who had jammed the route.

The final 100 meters of the race is lined with bleacher seating, reserved for race officials and invited guests. The area on Charles River, on the north side Boylston Street is open to the general public. At the corner of Hereford and Boylston Streets, there is a Boston EMS Medical Tent and a fire station.

The Mandarin Oriental hotel on Huntington has been evacuated. A hotel employee who did not provide his name said all businesses on the block had been evacuated as a precautionary measure.

WHDH-TV had tape rolling when second bomb went off:

 

The New York Police Department has stepped up security around landmarks in Manhattan, including near prominent hotels, in response to at least one explosion near the finish line of the Boston marathon on Monday, said Paul Browne, deputy commissioner of the NYPD.

Browne told Reuters that New York police were re-deploying counter-terrorism vehicles around the city.

Video from WBZ-TV:

 

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Raw video from WPXI-TV:

 

There have been reports of several suspicious packages, bags etc., in the area and at least one of them was destroyed by the police bomb squad.

There is an ongoing fire at the JFK Library several blocks away that may have involved an explosion.  The police are currently deeming that description as accurate, however they do not believe it to be related to the other incidents currently.

An updated report from ABC News is saying:

Authorities in Boston have found other explosive devices that they were working to dismantle, a federal law enforcement source told CNN. The devices were "low flashpoint," and did not appear to have shrapnel inside them, the source said.

It was unclear who may have planted the bombs. There were no credible threats before the race, a state government official said.

Out of an abundance of caution, the Lenox Hotel was evacuated, the Boston Globe reported, as authorities looked into possible security concerns.

Massachusetts General Hospital said it was treating 19 injured people, six of them in critical condition. Tufts Medical Center reported that it was treating nine people. Combined, that brings the number of injured to at least 28. Police reported 22 people injured.

Crowds were in the area watching the runners when the blasts took place.

 

An emergency room doctor at Massachusetts General Hospital told ABC News that they have performed several amputations, particularly on victims whose legs were injured. Many of the victims are runners still wearing numbers on their shirts, the doctor said.

He described the injuries as "shrapnel-type wounds" as possibly caused by "pipe bombs," though police have not confirmed that description.

Earlier, trauma nurse from Massachusetts General Hospital told ABC News that medical workers had set up a temporary morgue at a medical tent at the road race and were treating patients with severed limbs and children with severe burns.

An unconfirmed report said that police have been assigned to maintain a presence at a hospital room containing a "person of interest" who is being treated for severe burns.

 

THIS REPORT WILL BE UPDATED periodically.  Keep checking back.

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