Set that radio to the right channel and pay attention!
Dallas FD Ambulance Stolen
A Dallas Fire Department ambulance was stolen from the station on Monday, April 5. Dallas Police, Dallas County Deputies, and Texas State Troupers pursued the suspect for over two hours. The individual that took the ambulance led law enforcement on a chase through city streets, freeways, rural roads and residential neighborhoods. 'Spike strips' were deployed in an attempt to bring the ambulance to a stop. Without tires the driver attempted to leave the roadway and got stuck. The suspect attempted to flee the scene but was quickly taken into custody and arrested.
The incidence of ambulance thefts has increased dramatically in the past few months, often while a patient is on board. Not only do these incidents put the EMS crew and patient at risk but in some cases the patient has died for lack of care, which could potentially open an agency to civil liability. Keep your truck locked when not in use and maintain awareness. Keep your patient compartment locked when occupied with a patient.
What does it take to be a Tactical Paramedic?
Would you like to establish yourself as a credentialed member of this rapidly growing industry segment? We believe in a three-phased approach to career development as a tactical medical provider. A TMP/TEMS course is your objective and an operator course helps to integrate you into team operations. The "cherry on top of the sundae" is board certification as a TP-C®/TR-C®. Board certification verifies your knowledge and expertise using an unbiased independent exam process. This illustrates your willingness to seek the pinnacle of your industry to potential employers. If you are currently employed as a tactical medic this process can offer a level of liability mitigation to your employer.
Public Servant Solutions provides a preparatory course to help you prepare for the International Board of Specialty Certifications® exam for either of the above certificates. Public Servant Solutions is an "Approved CE Provider" of the IBSC® and can also provide you with the re-certification hours that you are required to get from an IBSC approved CE provider for each certification period. These hours also meet other recertification requirements, including the NREMT and several states. Even if a provider does not require or have interest in the certificate, the material provided during this course is extremely useful to the TMP, as many topics are covered that are often not covered in a TMP course due to time restrictions. This is the most important reason to attend a prep course prior to taking the certification test. The TR-C course is provided for non-paramedics that have advanced pre-hospital medical training, such military providers transitioning to the civilian workforce, or law enforcement officers with previous EMS or military medical training.
Public Servant Solutions is hosting a live virtual Tactical Paramedic-Certified and Tactical Responder-Certified Prep and Review course May 3-6, 2021. The link below takes you directly to the landing page for these courses, and provides additional information for current or retired military, as well as agency needs. For general information contact us through the link at the top of the newsletter.
Public service agencies across the globe are finding creative ways to use UAV’s to help in medical emergencies, search and rescue, and criminal apprehension. Drone technology takes the advantages of the helicopter and increases use cases based on the obvious cost effectiveness, ability to get in the air sooner, less possibility of loss of flight crews, and ease of operation and landing. Payload capacities and airborne operational times are increasing regularly.
‘Just in time’ payloads of medical equipment, or resupply has already proven itself in developed countries, but the greatest impact may be seen in developing countries. Imagine areas that cannot be serviced by helicopter EMS due to logistical and cost constraints that could benefit from life-saving cardiac and other medical therapies. Drones have been used to deliver blood products in Rwanda. Many of these countries lose patients due to highly poisonous reptiles because the expensive anti-venoms cannot be cost effectively maintained across rural areas. This is often a small payload, so more weight can be devoted to operational batteries giving drones more flight time and longer ranges. The flight distances can be further extended by providing chargers for the small clinics that would provide the patient care, or including on-board chargers. The use of pre-entered GPS coordinates to locate the clinic in question, then make the ‘homing’ trip back to base is possible based on the existing global GPS satellite system.
This concept would be easier to create in rural areas across the US. In addition to visual recon and distribution of medical supplies, UAV’s have already found other uses in the fire service. In California and Arizona, drones are used to deploy ‘dragon eggs’ which contain an accelerant are used for controlled burns to prevent and control large brush fires. UAV’s can cover distances in minutes that often take ground-based vehicles hours to traverse.
One of the things that has assisted in the use of drones in the United States is the Public Safety Tactical Beyond Visual Line of Sight (TBVLOS) waiver the Federal Aviation Administration unveiled in August of 2020. This waiver to 14 CFR 91.113(b) allows holders of the exemption to fly drones to distances beyond visual sight and on the other side of a buildings and similar situations. This allows for rescue searches of large areas of devastation, forest, etc., as well as flight over hazmat scenes and large fires for a much safer form of recon of those scenes, potentially saving firefighter lives. Another lifesaving effort increases police officer safety dealing with aggressive but evasive criminals, SWAT operations, and explosive environments.
Several states have also passed legislation regarding and supporting the use of drones in these capacities. The State of North Dakota was the first state to allow law enforcement to use drones as a delivery platform for non-lethal force. Imagine an actor that has EMS and law enforcement pinned down with rifle fire when a super quiet drone approaches from an unseen perspective and delivers a brief but effective electrical charge that renders the subject incapable of firing for long enough to be safely subdued.
Looks Like Isopropyl Wins Out!
By now most of us have heard the tales of isopropyl alcohol and ondansetron that fit somewhere between ‘old wives tales’ (sorry ladies) and “Hold my beer and watch this” but how much truth is there to this?
A study in the Annals of Emergency Medicine conclude the efficacy of this wonder cure. The study was headed up by Mark D. April, MD at Brook Army Medical in 2018. Three groups were randomized: one group was given inhaled isopropyl alcohol and 4 mg of ondansetron (Zofran) ODT. The second group received inhaled isopropyl alcohol and oral placebo. The third group received inhaled saline solution placebo and 4 mg oral ondansetron. Outcome was mean nausea reduction measured on a 0 to 100 mm visual scale at time of intervention and at 30 minutes. The mean decrease in nausea was 30 with the first arm, 32 in the second are, and 9 in the third arm.
The conclusion: Among ED patients with acute nausea and not requiring immediate intravenous access, aromatherapy with or without ondansetron provides greater nausea relief than ondansetron alone.
Initially brought to the medical community as a South American folk remedy, the use of alcohol has been well studied in the anesthesia world, with over eight studies proving its safety and effectiveness. An observational study found that prehospital care providers were able to provide nausea relief to 84% of patients being transported using alcohol preps.
News Effecting EMS
American Rescue Plan Act of 2021
The American Rescue Plan Act of 1921 has been signed into law (March 11, 2021). One of the provisions of the law is that it allows CMS the authority to waive current ‘transport required’ and would allow reimbursement to EMS agencies for treatment in lieu of transport during public health emergencies. This would allow CMS to pay EMS agencies for treatment in response to a 911 call where the patient was not transported to a hospital but was instead treated with community EMS protocols.
When the pandemic began CMS agreed that the funding would be fair and reasonable but that they did not have the statutory authority to waive the transport requirement. EMS leaders at all levels are hailing this as a massive step in the right direction.
At this point the affect of this is to declare that CMS has the authority to do this. The Act identifies that EMS agencies must have a community-wide EMS protocol in place that clarify when treatment without transport should take place.
The pandemic has created many losses, from many perspectives, but it has let EMS demonstrate that treatment in place is safe and efficient. Many EMS providers and leaders alike feel that one of the most important parts of this is the establishment of the fact that the patient can be provided with care by us and does not always require transportation to someone else to provide that service.
How Are We Doing with Certifications?
By the end of 2020, over 11,000 EMS personnel have renewed their EMS certification. Of these:
• Over 1,600 applicantions upgrading to a higher level of EMS certification were processed.
• DSHS issued over 4,500 new EMS certifications; 800 were reciprocity applicants from other states.
• Over 300 new EMS Instructor certificates were issued.
Remember Renewal Requirements
DSHS EMS suggests that you start the renewal process two to four months out to ensure your complete the requirements on time. Remember, you are unable to work after your expiration date, if your certification or licensure has not been completed.
Jurisprudence classes and exam are required prior to each re-certification process. The certificate must be uploaded with your recertification packet in pdf form. Contact us if you need a jurisprudence course.
All persons that have not previously obtained an electronic fingerprint must do so prior to recertification. If you are unsure about whether you have been fingerprinted FOR EMS you can check on the DSHS EMS website. Fingerprints collected for other licenses, such as a License to Carry or other business license cannot be used. Follow this link to confirm that you have been printed. You must make an appointment with IdentoGo for the fingerprints. The required service code can be found at http://www.dshs.texas.gov/emst...
Governor Abbott Provides Update On Operation Lone Star In Weslaco
Governor Greg Abbott today held a press conference in Weslaco where he provided an update on Texas’ response to the humanitarian crisis at the southern border through Operation Lone Star. Prior to the press conference, the Governor received a briefing from the Texas Department of Public Safety and local law enforcement on the ongoing crisis at the border.
Since the launch of Operation Lone Star on March 4th, DPS has made 598 criminal arrests and made over 16,000 referrals of illegal immigrants to the U.S. Customs and Border Protection. This averaged out to 21 criminal arrests per day and more than 571 referrals per day to border patrol. The operation has also led to the seizure of 14 pounds of cocaine, 23 fire arms, and millions of dollars in currency, and the arrests of nine gang members involved in the movement of this contraband.
Governor Abbott also highlighted the rise in violence at the border, detailing stories of abuse, assault, rape, and attempted murder of migrants at the hands of smugglers and cartel members. The Governor recognized DPS Trooper Curtis Woodard, who helped rescue a mother and her six-month old baby who were thrown from a raft into the river by cartel members. The Governor noted that the Biden Administration's continued refusal to secure the border has perpetuated the sharp rise in illegal crossings and urged President Biden and Vice President Kamala Harris to take immediate action to end the humanitarian crisis.
"Operation Lone Star is delivering results to keep our communities safe, but it is also exposing the continued failures of the Biden Administration to secure the border," said Governor Abbott. "I want to thank the men and women of the Texas Department of Public Safety, the National Guard, and U.S. Border Patrol for putting their lives on the line every day to secure the border, arrest dangerous criminals, and protect the victims of trafficking and smuggling. It is past time for the federal government to step up and secure the border, and I am urging the Biden Administration to take action now to save lives and get this crisis under control."
Governor Abbott Issues Executive Order Prohibiting Government-Mandated Vaccine Passports
Governor Greg Abbott today issued an Executive Order prohibiting state agencies or political subdivisions in Texas from creating a "vaccine passport" requirement, or otherwise conditioning receipt of services on an individual’s COVID-19 vaccination status. The order also prohibits organizations receiving public funds from requiring consumers to provide documentation of vaccine status in order to receive any service or enter any place.
"Everyday, Texans are returning to normal life as more people get the safe and effective COVID-19 vaccine. But, as I've said all along, these vaccines are always voluntary and never forced," said Governor Abbott. "Government should not require any Texan to show proof of vaccination and reveal private health information just to go about their daily lives. That is why I have issued an Executive Order that prohibits government-mandated vaccine passports in Texas. We will continue to vaccinate more Texans and protect public health — and we will do so without treading on Texans' personal freedoms."
Be Safe Out There!
Public Servant Solutions
POB 710, Ganado TX 77962 United States
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