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Health Emergencies & Disasters

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Health Emergencies


  • Cardiac Emergencies (Heart Attack Information & Protocols (PLHealth)

  • Stroke Emergencies: Information & Protocols (PLHealth)

  • Disaster Preparedness

  • Emergency Medical Services (EMS) Systems Topics A-Z [www.doh.wa.gov/ Washington State]


    EMERGENCY CARE (Medical Emergency Services)


    Photo from the 1970s(?)


    • Medical Emergency Protocols

      • Saving Time Saves Lives | [also here]
        Washington State Emergency Cardiac and Stroke System [New System Launches June 2011] [www.plfr.org/operations/ems/assets/WACardiacStrokeSystem.pdf]

    • Letter [January 10, 2011]
      TO: Emergency Cardiac and Stroke System Stakeholders
      FROM: Janet Kastl, Director
      Office of Community Health Systems
      SUBJECT: Update on Emergency Cardiac and Stroke System Implementation

      The 2010 Legislature passed a law that establishes a formal cardiac and stroke system of care in our state. A tremendous amount of work has been accomplished by EMS providers, physicians and nurses across the state to design the new system. Their input has been invaluable. It took considerable time to design the system and it will take time to fully implement the system. A July 1, 2011 system “go live” date was established as a goal to work toward....



    • Cardiac Emergencies & Protocols [...] Port Ludlow Fire & Rescue, Harrison Medical Center, Kitsap Cardiology and the Poulsbo Doctors Clinic have created protocols that allow Port Ludlow Fire & Rescue paramedics to administer a host of drugs, including thrombolytics "clot busters"— which can destroy a blood clot blocking blood and oxygen to the heart — and provide immediate treatment during heart attacks. [...]

    • New Protocols Improve Care for Heart Attack Patients (Jefferson Healthcare) "A recent collaboration of representatives from Jefferson Healthcare, East Jefferson Fire Rescue, Port Ludlow Fire Rescue, Harrison Medical Center, Kitsap Cardiology, and the Doctors Clinic, has resulted in development of new protocols for treatment and transport of heart attack victims. The participants used a system of rapid process improvement (RPI) to develop these protocols, which are based on an established algorithm or decision tree...."

    • Help for hearts: Ludlow, EJFR medics have rare 'clot buster' power for heart attack patients Port Townsend Leader, 6/24/2009 "The clot-busting drug will dissolve the clot to restore blood flow to the heart.... Fire District 1 (Port Hadlock, Chimacum, Irondale, Cape George Kala Point and Port Townsend) has eight (soon to be nine) paramedics plus two chief paramedics. District 3 (Port Ludlow/Shine) has four paramedics. The medics can use the clot-busting drugs on patients they treat as part of mutual aid responses to adjacent districts....
    • Videos: Cardiac Emergencies

    • STROKE Emergencies and Warning Signs

      • Types of Strokes [National Stroke Association]

      • Stroke Treatment

      • Port Ludlow Fire & Rescue: EMS Page (Stroke)

      • Washington State: Prehospital Stroke Triage Destination Procedure

        Protocol Guidelines: Purpose

        The purpose of the Stroke Triage and Destination Procedure is to help you identify stroke patients in the field so you can take them to the most appropriate hospital. Like trauma, stroke treatment is time-critical – the sooner a patient is treated, the better their chances of survival. Fast treatment can mean less disability, too. For strokes caused by a blood clot in the brain (ischemic), clot-busting medication must be adminis-tered within 4.5 hours from the time they first have symptoms. For bleeding strokes (hemorrhagic), time is also critical. As an emergency responder, you play a crucial role in getting patients to treatment in time.

        Assess Applicability for Triage
        Report from patient or bystander of one or more sudden: Numbness or weakness of the face, arm or leg, especially on one side of the body Confusion, trouble speaking or understanding; Trouble seeing in one or both eyes; Trouble walking, dizziness, loss of balance or coordination; Severe headache with no known cause.

        Perform F.A.S.T. Assessment:

        Face: unilateral facial droop?
        Arms: unilateral drift or weakness?
        Speech: abnormal or slurred?
        Time last normal (determine time patient last known normal)

        Yes to any one sign (Face, Arms, Speech) = YES

        Washington State: Prehospital Stroke Triage Destination Procedure



    "Stroke treatment is time-critical – the sooner a patient is treated, the better their chances of survival. Fast treatment can mean less disability, too. For strokes caused by a blood clot in the brain (ischemic), clot-busting medication must be adminis-tered within 4.5 hours from the time they first have symptoms. For bleeding strokes (hemorrhagic), time is also critical. As an emergency responder, you play a crucial role in getting patients to treatment in time. [Source]

  • EMT Decision Tree Flow Chart [www.lifeguardadventures.com/media/Maps/EMTposter.pdf]


  • Emergency Transportation

    • Airlift Northwest [Services at 888.835.1599 or e-mail us at membership@airliftnw.org.] Airlift Northwest is pleased to offer an AirCare membership program that provides residents in communities in Alaska and Washington with high-quality air medical service at an affordable cost.

    • AirCare Membership | or here

    • Airlift NW: ?Air Medical Services For Referring Health-Care Professionals "Within moments of receiving an emergency call, an Airlift Northwest team is on the way. While the flight crew prepares for takeoff, the Airlift Northwest 24-Hour ComCenter sets in motion a coordinated emergency response network by: •Alerting our aviation partners to determine if a flight can be made based on weather and other aviation factors; •Communicating directly with requesting agencies; •Collecting and relaying patient information; •Providing estimated time of arrival (ETA) updates to all involved in the transport procedure; and •Arranging for ground transportation, if required" (posted on plhealth inFeb 2014)
    • 24 Hour ComCenter
    • Landing Zone Guidelines
    • Before Helicopter Arrives
    • Helicopter Arrival and Landing
    • Helicopter Departure
    • "All aviation services, pilots and mechanics are provided by Air Methods Corporation and Aero Air."
    • Airlift NW: History & Qualifications

    • Bases & Flight Maps [Base map and aircraft specifications (PDF)Our flight maps provide more information about flight times from the regions we serve. (All flight maps are in PDF format.) •Arlington •Bellingham •Juneau •Olympia •Seattle •Western Washington
    • LITERATURE:
        Galvagno SM Jr, Haut ER, Zafar SN, Millin MG, Efron DT, Koenig GJ Jr, Baker SP, Bowman SM, Pronovost PJ, Haider AH. "Association between helicopter vs ground emergency medical services and survival for adults with major trauma." JAMA. 2012 Apr 18;307(15):1602-10.

  • Locations of Medical Emergency Equipment in PL:

  • Who To Notify In Case Of Emergency [Form for extensive, personal information for medical emergencies] [USAA Educational Foundation]

  • 5 Tips for Taking an Elderly Patient to the Emergency Room [Hospital.com]

  • Trauma Care

    • UW-Harborview Trauma Center All trauma centers are designated with levels to ensure that facilities have the resources, organizations and expertise to provide optimal care for injured patients. Harborview is the only Level I adult and pediatric trauma center in Washington, Alaska, Montana and Idaho.

    • 2011 Trauma Summit in Seattle [10 videos on different injuries & fractures] This 2nd Annual Trauma Symposium, hosted by Seattle's Harborview Hospital and UW Medical Center, offers viewers a look at clinical care concerns and advanced research in a variety of musculoskeletal disorders with an emphasis on traumatic injuries of the upper extremities.

    • Emergency Medical Services & Trauma System [Wash State Dept of Health]





    DISASTER PREPAREDNESS

    • Disaster Preparedness Committee (PLVC, February 2014): Dave Aho – chair.
      Members: Michael Asbury, Linda Haskin, Russ Henry, Pat Lobrey, Kevin Ryan, Terry Umbreit

    PLVC Board Meeting Minutes of Jan 3, 2013

    Disaster Preparedness Committee: Pat Traci, Committee Chairperson, gave a history and update on the committee and its activities for 2012. The primary goal of the program is to educate resident regarding preparations for a major disaster that might result from earthquake or fire. There are emergency radios and the Fire Department also has radios and a back-up generator. There is a system of neighborhood block captains in both North and South Bay. In the event of an emergency, they would survey their areas for damage and injury and report to the Fire Department via radio. In South Bay, Pat Lowrey, Kevin Ryan and Tink Green are responsible for reporting and in North Bay, Russ Henry and Pat Cooper assume the responsibilities.

    Radio drills are conducted quarterly. Community Emergency Training (CERT) has been given to 70 residents; however, there is financial support needed to continue the training. The training was funded by a private grant but the budgetary problems of the Fire Department are expected to have an impact on future CERT training.

    At the present time, a CERT course is being planned for May or June. Formation of CERT teams is under consideration. Chief Brad Martin has met with a representative of the Disaster Preparedness group to discuss the teams and continuing radio drills. Following a discussion, a motion was made, seconded and passed unanimously to accept the requested $1,000 budget for 2013.

    The complete Committee Report is on the PLVC website at www.plvc.org [not found as of mid Jan 2013].

    
    From Pat Traci to PLVC Officers
    Sent: Saturday, December 29, 2012 10:56 AM
    Subject: Re: Request for Updated Information
    
     Director of the PL Disaster Preparedness Committee: Pat Traci
            1. Coordinators 
                a) North Side: Russ Henry & Pat Cooper
                b) South Side: Pat Lohrey ,Kevin Ryan, Tom Stone 
            2. Radio Operators: Tink Green & Halen Whitling
            3. Block Captains: about 100 people designated on north 
    	& south sides.  
            4. CERT Trained Residents: currently, there are about 74.
     




  • Navigate & Search!


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    (Then Interim) Fire Chief Brad Martin at the April 2012 Wellness Forum


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    Fire Chief Ed Wilkerson visits the PLVC booth at the 2011 Festival at the Bay and its wellness exhibits, including the FILE OF LIFE (here together with Ursel Krumme, the organizer of the Wellness Education Resource Center)

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    FROM THE "PORT LUDLOW 2012-2013 RESIDENTIAL AND BUSINESS LISTING" (PLVC Project)

    [or the red "Telephone Directory"]


    Disclaimer:
    The WebGuys behind this assembly of Web resources are not responsible for the content of the Web Sites to which they have provided links.
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    Last updated: February 2014(gk) -- plhealth.org(at)gmail.com


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