Maximizing Your Senses: The Future of Noninvasive Monitoring in Prehospital Care Speaker: James Augustine MD Click here to read Idris’ in-depth article, “Study Determines Optimal Chest Compression Rate,” in the JEMS EMS State of the Science 2012 editorial supplement:www.jems.com/article/patient-care/study-determines-optimal-chest-compressi. “¢ The Eagles, citing the lack of science to justify the excessive use of long backboards and complete spinal immobilization, reported that it may be time for a change in present-day spinal immobilization practices and that it is probably more appropriate for field personnel to use an assessment-based approach to provided patient care, comfort and immobilization. It was noted that the National Assocation of EMS Physicians (NAEMSP), the American College of Surgeons and the Eagles will be releasing position papers soon that will address these areas and reduce the excessive, frequently unwarranted, and often inappropriate or harmful, full immobilization of patients. EMS Administration of Captopril for CHF: Does it Work? Speaker: David Keseg MD, FACEP NOTE: The March issue of JEMS will feature an in-depth article on this subject, featuring 36 solid references to research that addresses the current science, reasons why not all patients need to be fully immobilized, and alternative immobilization devices and modalities that can be used by field crews. “¢ Credentialing processes for paramedics and improvements that can should be made in the way we interview, supervise, mentor and re-evaluate paramedics; “¢ The pros and cons of police transport of patients; “¢ EMS response to mas casualty incidents (e.g., Hurricane Sandy medical move-ups and standby); and active shooter incidents; “¢ The benefits of nasal medication administration (via the mucosal atomization device) in adults and children; “¢ The expanding implementation, use and deployment of mobile heath and community practice paramedic services to serve unmet community needs (urban and rural); and to stay ahead of the curve and meet the intent and requirement of “Obama-care;” “¢ Special programs that were successfully planned and implemented in the U.S. and London to respond to, manage and transport repetitive EMS system users and abusers; alcohol and substance abuser and crisis, psychiatric and behavioral patients; “¢ New ways to analyze, refine and revise ALS response patterns (and staffing); “¢ The future transportation of patients to urgent care and alternative care facilities by ambulance; “¢ The experiences of agencies switching (and adapting to) BLS-and-ALS staffing rather than an all-ALS crew design; “¢ Reevaluation of the obsession with, and reliance on, some existing response time intervals; “¢ New uses and deployment of automated external defibrillators (AEDs). For more, go to www.SCA-aware.org; “¢ Keeping EMS personnel (and their backs) safe and healthy; “¢ The pitfalls in the performance basic assessments and where we need to improve; “¢ Taking aim at, and changing, outdated hospital diversion practices; “¢ The use of, and the precautions that should be taken if an agency allows its field crews to perform “hands-on” defibrillation during a cardiac arrest resuscitation; “¢ The on-going, expanding, frustrating and potentially harmful drug shortage crisis in America. Many medical directors are at a point where they either are or planning to consider allowing crews to use medications beyond their labeled expiration dates in the interest of public safety. “¢ The Medication Administration Cross-Check (MACC) program developed by Wichita/Sedgwick County (Kan.) EMS systems to reduce or eliminate medication errors. For more, visit http://vimeo.com/wscomd/review/40680029/9b7a58c827; “¢ A report and update on the National Registry of EMTs (NREMT), particularly new and progressive approaches planned by the leading agency for EMT certification and recertification in America; “¢ Fire Department New York’s addition of an orange triage category to the basic START triage protocols/system to enable on-scene triage personnel to prioritize patients into a special category of its own that ensures they receive proper care and not interfere with other red-, yellow- or green-tagged patients; “¢ A new, simplified and highly accurate way to calculate pediatric drug dosages developed by an emergency physician in the Miami, region, the HANDTEVY Method; “¢ Allowing purposeful hypotension in suspected hemorrhage patients; “¢ Why video laryngoscopes should be standard-of-care in EMS; “¢ How EMS and healthcare reform can and should co-exist; “¢ The need for all EMS agencies (particularly fire service EMS agencies) to be ready and willing to change their scope of work and adapt to the needs and demands of the changing healthcare and unscheduled care environment, just as the fire service did for fire prevention; “¢ EMS crews and resources dedicated as a key part of the home healthcare and patient follow-up landscape; “¢ The need for better (and much more) pain relief for patients treated in the field; “¢ New resuscitative techniques for cardiac arrest; “¢ The use of: tranexamic acid (TMX); out-of-hospital blood transfusions; Praxis for anaphylaxis; Geodon (ziprasidone) and ketamine; and the treatment of hypotensive patients with the ResQGuard TD from Advanced Circulatory Systems; “¢ Benefits of the “pit crew” approach to crew resource to deploy and management personnel responsibilities on-scene to ensure they function efficiently and effectively at resuscitations, in an incident command manner; “¢ The need for, and special demands of, special event EMS planning and coverage. Attendees got a first-hand look at the planning, equipment/apparatus staging, call-loading and impact on EMS during and after the events, particularly the challenges of caring for injured post-event revelers. (Events covered included: The London Olympic Games; the 2012 World Series in San Francisco; the Boston Marathon and the Super Bowl and Mardi Gras in New Orleans.); “¢ The importance of training emergency responders about proper emergency vehicle driving, and the fact that the public, enclosed in highly insulated noise-tight vehicles that have high-powered, high-volume, multiple speaker stereo systems, cannot hear an approaching ambulance even if it has its siren in operation. Clinical Implications: The most important EMS research of the year Speaker: Corey Slovis MD, FACP, FACEP, FAAEM Hypothermia: Not Just for Ventricular Fibrillation Anymore? Speaker: Brent Myers MD, MPH, FACEPThursday, March 7, 8—9 a.m. Discussions focused on the fact that: 1. An accepted spinal immobilization protocol (when and who to immobilize) was reasonable for all EMS systems to have and use; 2. Conventional spinal immobilization protocols in use today do not reflect the current standard of care; 3. Not all patients need to be fully immobilized; and 4. Crews should be allowed and empowered to use whatever clinically acceptable immobilization device or material, such as flexible stretchers, scoop-type stretchers and vacuum mattresses and splints, when spine and/or cervical injuries are suspected. Report from the Eagles: What’s Hot, What’s Not Speaker(s): Brent Myers MD, MPH, FACEP; Corey Slovis MD, FACP, FACEP, FAAEM; David Keseg MD, FACEP; David Miramontes MD, FACEP, NREMT; Eric Beck DO, NREMT-P, CCEMT-P ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((())))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))Eagles to Present at EMS TODAY, March 7—9Members of the “Eagles Consortium” will present important information from the EMS State of the Science Conference at the JEMS EMS Today Conference & Exposition in Washington, D.C., March 7—9. www.emstoday.com/register.html?s_kwcid=TC|1028521|emstoday%20com||S|p|18021647483 Go to www.gatheringofEagles.us to review or download any or all of the conference presentations Eagles Lightning Round Speakers: Brent Myers MD, MPH, FACEP; Corey Slovis MD, FACP, FACEP, FAAEM; David Keseg MD, FACEP; David Miramontes MD, FACEP, NREMT Maximizing Your Senses: The Future of Noninvasive Monitoring in Prehospital Care Speaker(s): James Augustine MDWednesday, March 6, 7—8 p.m. Ready to Roll: When the Unexpected Occurs Speaker: Jason Killens Operations Director, London Ambulance ServiceThursday, March 7, 10:30 a.m.—12 p.m. (90 minutes) EMS medical directors from 60 of the largest population centers in the U.S. and London provided outstanding lectures to attendees at the annual U.S. Metropolitan Municipalities EMS Medical Directors Consortium, EMS State of the Science (“Gathering of Eagles”) Conference in Dallas this weekend. (See gallery of products.) For a glimpse at many of the new products, click through the photo galley accompanying this article or visit the exhibit hall at the EMS TODAY Conference and Exhibition at the Washington DC Convention Center (801 Mt Vernon Pl NW Washington, DC) March 7-9, 2013. EMS personnel can browse the exhibit hall for free. TBI: Prehospital controversies & management update Speaker: Eric Beck DO, NREMT-P, CCEMT-P For a map and directions to the Washington, DC, Convention Center, click the following link: www.visitingdc.com/maps/washington-dc-convention-center-map.asp The prestigious Copass award is presented to the Emergency Medical Services Medical Director who has demonstrated longstanding service, contributions and leadership in the unique realm of out-of-hospital emergency care and who, in addition, has served as a role model, not only for emergency medical services personnel, but also for fellow 9-1-1 system medical directors across the nation. “ƒ ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((())))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))Eagle Creek Retreat SystemEMS systems and media outlets represented at Eagle Creek include: The intense, focused conference featured timely topics that EMS agencies and provider now face, or will face in the immediate future. Zeroing in on Hemorrhagic Shock Speaker: Peter Taillac MD, FACEP The medical directors, representing EMS agencies that serve more than 100 million citizens throughout the U.S., presented 55 powerful, relevant and visionary lectures (one every 15 minutes) to an audience of more than 600 attendees. What EMS has Learned from the Iraq & Afghanistan Battlefield Speaker: Peter Taillac MD, FACEPThursday, March 7, 10:30 a.m.—12:30 p.m. (two hours) What EMS has Learned From the Iraq and Afghanistan Battlefield Speaker: Peter Taillac MD, FACEPFriday — March 8, 8—10 a.m. The Queen’s Diamond Jubilee: Working across agencies & disciplines for event management Speaker: Jason Killens Operations Director, London Ambulance ServiceThursday, March 7, 1:45—3:15 p.m. (90 minutes) Lessons Learned: EMS Use of Ketamine for Excited Delirium Speaker: David Keseg MD, FACEP Optimizing Your EMS Medical Director Speaker: Eric Beck, DO, NREMT-P, CCEMT-P Click here to see course descriptions and speaker biographies. “¢ Research by Ahamed Idris, MD, of the University of Texas Southwestern Medical Center, was presented at the conference by Paul Pepe, MD, Eagles Coalition leader. It showed that the performing too few or too many compressions will significantly reduce CPR effectiveness and return of spontaneous circulation (ROSC) results. (In fact, studies are now showing that such devices such as the impedence threshold device (ITD) are effective if used during resuscitation within the 100—120 compression “sweet spot.” Key topic areas included: “¢ The latest in STEMI care, effectiveness of therapeutic hypothermia (TH) during resuscitation; the need to reduce interruptions in the delivery of compressions; the significant increase in the resuscitation of victims after their agencies began using mechanical CPR devices; and the need to stay with the “sweet spot of compressions,” which is in the range of 100—120 compressions per minute; Seizure Management in 2013 Speaker: Jason McMullan MD ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((())))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))Jon Jui, MD, Receives 2013 Michael Copass Award Jonathan Jui, MD, MPH, EMS Medical Director for Multomah County, Oregon (which includes the cities of Portland, and Gresham and the Portland Airport) and professor of Emergency Medicine, Oregon Health and Science University, Portland, OR was the recipient of the 2013 Michael Keys Copass Award. ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((())))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))Innovations & New Products on Display at Eagles ConferenceExhibitors at the U.S. Metropolitan Municipalities EMS Medical Directors Consortium, EMS State of the Science Conference offered several new products, enhancements to existing products and software and devices designed to optimize patient assessment and care, and make work performed by crews safer and more efficient. Watch a special public safety video announcement produced by MONOC EMS, one of New Jersey’s premier ALS response agencies. Acadian Ambulance Service Albuquerque, N.M. American Medical Response Anchorage, Alaska Grady EMS in Atlanta Austin, Texas Boston Chicago Cincinnati, Ohio Columbus, Ohio Dallas Denver, Colo. El Paso, Texas Federal Bureau of Investigations Ft. Worth, Texas Greenville, S.C. Honolulu, HI Houston Indianapolis Journal of Emergency Medical Services Kansas City, Mo. London Louisville. Ky. Memphis, Tenn. Miami Milwaukee, Wis. Minneapolis, Minn. Nashville, Tenn. New Orleans Fire Department of New York (New York City) Oklahoma City, Okla Orange Cty, Fla. Philadelphia Phoenix Portland, Ore. Raleigh/Wake County, N.C. Salt Lake City San Antonio, Texas San Francisco St. Louis St. Paul, Minn. Tucson Tulsa, Okla. Washington, D.C. Wichita, Kan.
AddThis Sharing ButtonsShare to FacebookFacebookFacebookShare to TwitterTwitterTwitterShare to EmailEmailEmailShare to RedditRedditRedditShare to MoreAddThisMore A broad majority in the Swedish parliament Wednesday approved adoption of same-sex marriage legislation after a six-hour debate. Six of the seven parties in parliament had backed the proposal drafted by the Committee on Civil Affairs to introduce a gender- neutral marriage law. The proposal was approved by a 261 to 22 vote, with 16 abstentions. (Read full story in Earth Times) AddThis Sharing ButtonsShare to FacebookFacebookFacebookShare to TwitterTwitterTwitterShare to EmailEmailEmailShare to RedditRedditRedditShare to MoreAddThisMore
AddThis Sharing ButtonsShare to FacebookFacebookFacebookShare to TwitterTwitterTwitterShare to EmailEmailEmailShare to RedditRedditRedditShare to MoreAddThisMoreBoeing received federal approval on a comprehensive wetlands mitigation plan to preserve 4,000 acres of land in South Carolina, including more than 2,000 acres of wetlands, near the Francis Marion National Forest.Boeing worked in partnership with the U.S. Army Corps of Engineers, state and local agencies and conservation organizations to identify the tracts for preservation, which the company said results in a substantial increase in public lands, public access, and protections of water quality and several threatened and endangered wildlife species.One of the partners, Mark Robertson, South Carolina executive director of The Nature Conservancy said, “This investment significantly advances a national effort to protect and restore the fire dependent native longleaf pine ecosystem.”“Together, these acquisitions represent one of the largest private conservation investments in the Francis Marion National Forest and surrounding region.”(LEARN more from GreenvilleOnline)Three Wood Storks at Sunrise by Andrea Westmoreland via CC licenseAddThis Sharing ButtonsShare to FacebookFacebookFacebookShare to TwitterTwitterTwitterShare to EmailEmailEmailShare to RedditRedditRedditShare to MoreAddThisMore
Chief of staff Claire Sokas said CrimeReports would alert students, faculty and staff about reported events occurring in their respective neighborhoods. Shibata said the meeting sought to analyze University maps and define neighborhoods within campus based on geographical landmarks. Doing so, she said, will provide students with access to the most relevant security information for their area of campus on the CrimeReports website. “Our hope is for the system to continue advancing on campus,” he said. “Our goal was to identify the best way of utilizing CrimeReports on campus, in a way that would make sense to students based on where they live,” he said. “We also wanted to give as much information as possible in an interactive way.” McCormick said student government was grateful for the opportunity to collaborate with CrimeReports to improve accessibility to campus safety information. “[We’re drawing] lines on the map in a way that makes sense for students and staff on campus,” Shibata said. Student body president Pat McCormick said creating campus neighborhoods would make the CrimeReports database more user-friendly for student users. Campus Life Council’s regular meeting was postponed Monday afternoon, as members met with Notre Dame Security Police (NDSP) Sgt. Keri Kei Shibata to customize the online CrimeReports database. The customization is part of an ongoing initiative to improve interactive campus security. “All my guys would be interested in [the] D6 [parking lot],” he said. “The parking lots are where students are the least aware of where crime is going on, but need to be the most aware,” Sokas said. Ed Mack, rector of O’Neill Hall, said the Notre Dame CrimeReports information would be useful to residents of the hall. Student body secretary Katie Baker said NDSP will distribute flyers containing the CrimeReports web address, instructions for using the site and information about the CrimeReports iPhone mobile app. One proposed neighborhood would include South Quad, West Quad, Carroll Hall, the Morris Inn, the Hammes Notre Dame Bookstore, Main Circle and the bookstore basketball courts, she said. Other neighborhoods will include campus parking lots.
Phillip Ray, 65, of Port Neches was arrested for prostitution – Class A Misdemeanor with a $3,000 bond. He is still in Jefferson County Jail.Edward Jimenez, 31, of Port Arthur was arrested for prostitution – Class A Misdemeanor. He is still in Jefferson County Jail.Additional charges are expected once the investigations are complete. Two local men were among a group of 21 arrested recently in an anti-human trafficking operation spearheaded by the Beaumont Police Department and Jefferson County District Attorney’s Office.The agencies teamed up and ran a two-day, joint, anti-human trafficking operation targeting sex buyers.The two-day operation led to the arrest of 21 males that solicited sexual relations from minors and adults. “We would like to give a special thank you to Collective Liberty and McLennan County Sheriff’s Office for their help and technical assistance on this operation,” a Beaumont Police statement read Saturday night.“Human trafficking is modern day slavery – the exploitation of men, women and children for forced labor or sex by a third party for profit or gain. A person doesn’t have to be transported across borders for trafficking to take place, it can occur anywhere.” Police said sex trafficking is fueled by the demand that these buyers provide. “Without men who are willing to purchase sex, traffickers and pimps would not exploit victims, many of who are children, and force them into a life of prostitution,” Beaumont Police said. “The purpose of this operation was to reduce demand and deter people from buying sex.”Anyone can join the fight against human trafficking. If you see something, say something. If you wish to remain anonymous, call Southeast Texas Crime Stoppers or download the P3 Tips app and use your smartphone or tablet submit your information or pictures. All tips are anonymous and you could be eligible for a cash reward.
Mark leaves to cherish his memory his brothers, Harold (Anita), Dwight (Mary) of Port Arthur, TX, Patrick (Mertis) of Pearland, TX; sisters, Eddie Marie (Tommie), Brenda (Lawrence), Barbara, Mary (Ronnie) all of Port Arthur, TX, Cynthia (Melvin), Pamela (Gregory) of Pearland, TX, Sheril (Alex) of Harbor City, CA; sisters-in-law, Earline of Hawthorne, CA, Helen of Alvin, TX, and a host of nieces, nephews, cousins and friends. March 21, 1963, a special child was born to Charles and Mary Jo Baker in Port Arthur, Texas.Mark was the thirteenth child born to this union. Mark transitioned from this earthly life on January 4, 2021 at Magnolia Manor nursing home in Groves, TX.He is preceded in death by his parents, Charles and Mary Baker; brothers, James, Charles, John, and Gary; sisters, Patricia and Glenda. Due to Covid-19 Pandemic, a public viewing will be held Saturday, January 09, 2021 from 9 a.m. until 11 a.m. at Thomas Blvd. Church of Christ, 2948 Thomas Blvd., Port Arthur, TX.A private funeral service will follow. Burial will be in Live Oak Cemetery.
View Comments Show Closed This production ended its run on Oct. 27, 2019 Related Shows TV audiences were given a taste of Broadway’s best on Wednesday night when the company of Beautiful: The Carole King Musical offered up a performance from the hit show on live TV. Broadway star Abby Mueller led the cast in a medley featuring King’s iconic songs on NBC’s hit series America’s Got Talent. Watch the company sing out below and make plans soon to visit the Sondheim Theatre and experience Beautiful for yourself. Beautiful: The Carole King Musical Star Files Abby Mueller as Carole King(Photo: Joan Marcus) Abby Mueller
ShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr Front-line staff can easily run afoul of CFPB regulations.by. Jonathan BundyIf your job responsibilities involve originating mortgages, then you’re likely already familiar with the Consumer Financial Protection Bureau’s (CFPB) mortgage loan originator (MLO) rule.But the rule casts a wide net beyond the mortgage department. That’s why front-line staff must avoid getting caught in the net when making referrals to MLOs.This rule went into effect in January. It defines an MLO as any individual who performs loan origination activities for compensation, such as taking an application, offering credit terms, or negotiating credit terms for a closed-end consumer credit transaction secured by a dwelling.If you make referrals to loan officers engaged in these activities, you must understand the rule. If you’re subject to the rule, you must obtain an NMLS (Nationwide Mortgage Licensing System) identification number, receive an extensive background check, and undergo continuing education.Credit union staff make the most out of every interaction with members. Many credit unions provide compensation incentives to front-line staff for referring teller or call center interactions to loan specialists, who might then serve members with closed-end mortgages. continue reading »
Workers rejoice: Economists say their companies are granting more pay raises this year.by. Annalyn Kurtz Forty-three percent of economists surveyed by the National Association for Business Economics (NABE) said their firms have increased wages in the last three months. That’s up from last year, when only 19% of economists were reporting wage gains.Even if wages aren’t going up at your workplace, the tide of cutting wages might be done. No one reported pay cuts at their firm, while 57% said wages were flat.As for the future, 35% of economists said they expect their firms to raise wages in the next three months with the other expecting wages to stay the same.The survey is of 79 economists who represent a variety of industries. About 40% of their firms employ 1,000 people or more.While the survey is encouraging, other data show wages are rising but not enough to keep up with rising prices. In fact, once inflation is factored into the equation, so-called “real wages” were actually 0.1% lower in May, than they were a year earlier, according to the Bureau of Labor Statistics. continue reading » 6SHARESShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr
Asia News International: Experts in research and policy have examined different ways to enhance and promote STEM education – science, technology, engineering and math – among students, but most of these efforts are focused within the four walls of the classroom.A new study goes beyond the classroom to examine the unique role that parents can play in promoting students’ STEM motivation.“Our focus for this project was different from our previous work. In classes, we try to promote students’ motivation and performance in that class, but with families, our goal is to promote choices about which courses to take,” said lead author Judith Harackiewicz, of the University of Wisconsin.Because many math and science classes are not required, especially in the last two years of high school, student enrollment may be a more fundamentally important issue than student motivation.Read the whole story: Asia News International More of our Members in the Media >