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da’ Shore has a great Memorial Day flush

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Biggest Demoflush Since 1992!

When dinosaurs staffed Dodge Type II, Suburban and Cadillac ambulances, the Town of Ocean City's implemented a unique measurement of weekend crowds: 

Demoflush.

Estimating resort weekend population based on the amount of sewage generated is a unique Ocean City tradition.

It started in 1971 as the city struggled to develop a health services plan for a narrow penninsula resort that went from 1,493 permanent residents to summer weekends with 50,000 to 250,000 visitors.

A 1973 seminar in Operations Research in Health Planning included reports on the Ocean City project:

The statistics yielded by the surveys were detailed by Peter G. Goldschmidt, also a graduate student at Johns Hopkins. (he went on to become a physician and PhD)

A clinic operated by a local physician with summer assistants provided most of the care for the visitors; the clinic saw about 160 patients on an average August day but was forced to turn away another 20.

Of every 1000 accidents or episodes of illness reported in the survey, only about 200 cases were actually treated and carried to the point of discharge; the rest either did not seek care, were unable to obtain it, or did not follow up on the initial visit.

Visits from permanent residents were found to make up 20 percent of all visits in 1971; this was projected to increase to 35 percent in 1980, with planned development of the area, and the summer population by that date was projected to increase to 300,000. Apart from accidental injuries, the major complaints reported were "nervous anxiety" and high blood pressure.

On completion of the study, the team recommended immediate establishment of first-aid stations on the beach and the development of a disaster plan for the area, with all health activities to be coordinated by a health care corporation in order to provide continuity of service the year round. The city council endorsed the plan and charged the medical commission to carry it out.

Two first-aid stations, staffed by nurses and aides, were opened the following summer and handled 1600 calls for service, most of which did not require physician care.

The health care corporation was established but is still without a staff; political realities intervened with the discovery that the health care of the summer visitors had low priority on community funds raised from the permanent residents, and efforts to raise funds from other sources have so far been unsuccessful.

More here: Operations Research in Health Planning (1973)

During that time a "rogue" physician established a clinic near the convention center, complete with a private ambulance that never moved from it's perch on the corner of his lot.

In 1974 the town had one Maryland Cardiac Rescue Technician on the job. Frank Muller took one of the first CRT classes in Baltimore. The nearest hospital was 30 miles away in Salisbury. We transported to a clinic in order to stabilize patients before the 45 minute transport.

Our operating medical director (OMD) taught us to set up ekgs, start IVs and do minor suturing when we brought patients into his clinic. It was just-in-time training as the need arose. We worked under his direct supervision, supplementing a thin clinic staff.

The OMD taught me how to set up an EKG after transporting a large, panic-strickened, 40-something guy with chest pain who was profusely sweating and slick with suntan lotion.  The patient arrested in the clinic and did not get to Penninsula General Hospital. My first time using a defibrillator.

Peter G. Goldschmidt and Andrew W. Dahl published the results of their work.  "Estimating Population in Seasonal Resort Communities" published in the April 1976 issue of growth and change: A Journal of Urban and Regional Policy

Tex Jobe, US Army Corps of Engineers photo, June 1998 via Wikipedia

Joan Shriner, writing in Friday's Maryland Coast Dispatch provided the details:

According to (Town of Ocean City) Communications Manager Donna Abbott, this year’s demoflush population calculations for the holiday weekend saw an estimated 281,895 people, which is well over last year’s estimate for Memorial Day weekend, which was set at 254,717.

“I have demoflush figures back to 1992 and I could not find a higher demoflush estimate for Memorial weekend then what we just had this past weekend,” Abbott said.

read more here: Holiday Weekend Gets Season Off To Booming Start

Memorial Day Crowds

  • 2011: 281,895
  • 2010: 254,717
  • 2009: 270,421
  • 2008: 226,748
  • 2007: 259,823
  • 2006: 239,789
  • 2005: 216,371
  • 2004: 242,286
  • 2003: 197,725
  • 2002: 237,791
  • 2001: 216,038
  • 2000: 242,730
  • 1999: 248,446
  • 1998: 234,961
  • 1997: 204,972

Demoflush figures courtesy of Ocean City Tourism.

Ocean City is the second largest city in Maryland on summer weekends.

Mike "FossilMedic" Ward

Related post: August 21, 2007 Beach Patrol First Responders

Work at ‘da Shore

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WUSA9


Ocean City Fire Department Career Division
PART-TIME EMPLOYMENT
Firefighter/EMS Provider Positions

.
Looking for skilled Firefighter/EMS providers to augment our full time staff for the 2011 season. Individuals must be at least 18 years of age and meet the following requirements at the time of application:

.

  1. High School Diploma or GED
  2. Valid EMT-B, CRT/EMT-1, or EMT-Paramedic license or certificate. Successful candidates must obtain Maryland License or certification within 30 days of employment.
  3. Maryland Firefighter 1 certificate, National Pro-Board Firefighter 1 rating or equivalent.
  4. Valid driver’s license at the time of application with 2 years driving experience.
  5. One year of validated experience in driving and operating an emergency vehicle in the emergency mode is preferred.
  6. Current BLS Healthcare provider or Professional Rescuer CPR card.
  7. EMT-Paramedics must have a current AHA ACLS card.

To request an application packet:

By Email: CAREERFD@oceancitymd.gov
By Phone or for questions:

Contact:
Christine Perry, Administrative Coordinator
Ocean City Fire Department
1409 Philadelphia Ave.
Ocean City, Maryland 21842
Phone: 410-289-4346 or Fax 410-289-8421
EOE

Deadline for requesting an application is 1/28/2011

Ocean City Fire/Rescue Website

CAREER FIRE/EMERGENCY MEDICAL SERVICES

Ocean City Fire/EMS division responds to approximately 5,300 calls for service each year.

There are 42 full-time field personnel and 30 part-time personnel.

Mike “FossilMedic” Ward

Lawsuit dismissed – no special relationship

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A carbon monoxide leak kills two tourists in Ocean City, MD on June 27, 2006. This week a federal judge dismissed the $20 million civil lawsuit against Ocean City paramedics, stating no “special relationship” was forged between the defendants and the victims.

The incident lead to a town ordinance requiring CO alarms to be installed in hotels and motels in the Eastern Shore resort.

911dispatch.com posted a .pdf of lawsuit  (HERE)

CONFUSION AT THE SCENE LEADS TO NO PATIENT CONTACT

OC_PM01_web Ocean City EMS conducted an investigation and provided a timetable at a July 13, 2006 media briefing.

The following timeline comes from the 2006 briefing augmented with details within the 2009 lawsuit.

  • 9-1-1 received a call around 9:27 am from Room 125 where caller stated “Something is wrong with my daughter and I, we just don’t feel well at all. Would you please send somebody up here?.” The caller also said that they could not breathe, and they had a pounding headache and just didn’t feel like they were able to stay awake.
  • First paramedic ambulance dispatched at 09:30 am.
  • Second paramedic ambulance dispatched at 09:31.
  • First paramedic ambulance arrived at hotel at 9:32 am, second unit arrives 9:33 am.
  • Yvonne Boughter, a nurse on vacation with her family,  placed her first 9-1-1 call at 09:43 am. Boughter told the dispatcher her family had been ill all night. Husband was having trouble breathing, speaking and vomiting. Daughter was vomiting. She gave the dispatcher her room number, 121, and confirmed it later in the conversation, and also provided her cell phone number before lapsing back into unconsciousness.
  • (The 2006 OC EMS timeline states “At 9:45 a.m., another 911 call was received, this time from room 121 of the Day’s Inn for four victims complaining of what they believed to be food poisoning.”)
  • Third paramedic ambulance dispatched at 9:48 am in response to Boughter 9-1-1 call. Dispatch said the caller was in “Room one-two-one, 121″
  • Third paramedic ambulance arrives at 9:54 am, was directed by the first paramedic unit to assist them with the four patients found in Rooms 125 and 127.
  • All three ambulances used to transport patients from 125 and 127. Transports made at 09:54, 09:55 and 10:00.
  • (From 2006 OC EMS timeline: “Up to this point, all four victims transported to the hospital were from the same family sharing rooms 125 and 127. While all these events were transpiring, no paramedics ever responded to room 121.”)
  • At 1:54 pm Yvonne Boughter placed another 9-1-1 call: “Yeah … um … I called you earlier and nobody came yet,” she told the dispatcher, according to the complaint. “My husband has passed away, my daughter looks like she passed away also. She’s mottled and cold to the touch.”
  • A paramedic ambulance crew was dispatched and entered Room 121 at 2:02 pm, the first contact with Boughter.

NO CONTACT = NO SPECIAL RELATIONSHIP

Senior U. S. District Court Judge William Nickerson granted the Town’s motion to dismiss the case.  In the opinion document, the judge cited a handful of cases in which the special relationship doctrine was evoked, most involving a law enforcement officer’s duty to render aid to a 911 caller.

In the absence of a special relationship between the defendants and the Boughter family, there is no legally recognized duty, and thus, no sustainable claim of negligence,” Nickerson’s opinion reads. “For these reasons, the Court finds the defendants’ motion to dismiss the case must be granted. …

Here, the court must conclude in the case at bar the defendants took no affirmative action, as Maryland courts have understood that term, to give rise to a special relationship. A 911 call was received and a response team was dispatched. It never reached the Boughter family. As the Maryland Court of Appeals has made clear, that is insufficient to create a special relationship.

The Maryland Coast Dispatch has details from an article posted today:  HERE

Mike “FossilMedic” Ward

Beach Patrol First Responders

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Thirty some summers ago I worked as a seasonal EMT for the Town of Ocean City Maryland.

Back then the fire station at 102 Dorchester Street had the dispatch office. Beach Patrol headquarters was about two blocks south.

We first knew of an emergency on the beach when a powder blue Ford Pinto would rush from the Beach Patrol headquarters, with a small blinking red light on the roof and a tinny mechanical siren screaming from the left front fender.

Time would stretch to a quarter hour or longer before the ambulance received a request for service. Even with a room full of scanners and direct telephone lines at the fire station, we had no idea what was happening on the beachfront, since the beach patrol used semaphore flags.

Last Friday (August 17, 2007) , Maryland Coast Dispatch staff writer Ali Baker recounts a Fourth of July cardiac arrest on the beach with a profoundly different result. It shows the value of prompt first response within an interagency plan.

This link takes you to the article: AEDs Saving Lives On Ocean City Beach

There are three important parts to this story:

  • a donation
  • expanded first responder role
  • city-wide radio interoperability

The family of Roger L. Herrell donated $6000 to the Beach Patrol to purchase four automatic external defibrillators. This was in appreciation for the efforts of the Beach Patrol in the rescue attempt for Mr. Herrell in 1999.

There are 12 Beach Patrol AEDs distributed to the four patrol areas that make up the 10.5 miles of beachfront and carried on the all-terrain quad response vehicles.

The Ocean City Beach Patrol assists about 2,500 bathers in distress each season. Many of the surf rescues are cardiac emergencies caused by the bather struggling against the rip tide of the current.

In 2006, the Beach Patrol received the "Outstanding EMS Program Award" from the Maryland Institute for Emergency Medical Service Systems.

From the MIEMSS award narrative:

Like other first responders, the Beach Patrol often have to resuscitate people with CPR or the AED. Each of the 5 cardiac arrests that occurred on the beach or in the ocean last summer was successfully resuscitated.

In addition, last summer the Ocean City Beach Patrol gave first aid for 1,567 minor injuries; they worked with Ocean City Fire/EMS to treat 126 individuals who did not have life-threatening injuries but who required a paramedic response, and 105 patients with life-threatening injuries (mostly cervical spine injuries caused by body surfing or shallow water diving).

Cervical spine injuries require careful stabilization and tricky extraction from the ocean, as waves continue crashing. In addition, environmental conditions are often conducive to spinal injuries, resulting in several patients with spinal cord injuries having to be rescued in quick succession.

The Ocean City Beach Patrol has developed a technique for stabilizing and removing patients from the surf when spinal cord injuries are suspected. This technique was recently accepted as a state standard of care by MIEMSS, and the Beach Patrol has developed a video with MIEMSS to help train others in the techniques.

The third factor is a carefully grown 800 MHz trunked radio system that started in 1993.

Installed five miles inland for protection from hurricanes, the system placed all city agencies on one digital radio system. The system expanded in 2000 to include an emergency talk channel (Channel 9). Channel 9 is monitored every hour of every day by 911 dispatchers.

One of the five resuscitations in 2005 shows the value of radio interoperability. Beach Patrol Sergeant Tim Uebell was not on duty, but heard the dispatch for a person collapsed on the boardwalk on the EMS channel. Just a few blocks away, Sergeant Uebell was first to arrive and used one of the Herrell purchased AEDs to make a difference.

Related: June 06, 2011: da’ Shore has a great Memorial Day flush

Mike "FossilMedic" Ward