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EMT City Administrator

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  1. Generally if a thread has been dead for almost a year and a half, like this one and some of the others you've commented on, the discussion has pretty much run its course.

    Ummm.. not necessarily. Anyone that has something to add is welcome to do so. The other option is he could start a new thread and then everyone would jump on him to use the search feature as there is already a thread on it.

    Please feel free to contribute to any post you want.

  2. Yes, this forum is for pre-hospital medicine and anything else a member wants to talk about. If a member wants advice on how to wire his POV because that is how his particular department operates, I see no issue with it.

  3. Once again... if there is an issue with a post, please hit the report button instead of calling someone out in the forums.

    The links to amazon are are automatically converted to "EMT City" links and we would get a percentage of the sales while the person is on the site.

  4. By ADRIAN RUTHERFORD; LISA SMYTH

    PROPOSALS to radically change organ donation policy in Northern Ireland by introducing a presumed consent system will save lives, it has been claimed.

    Health Minister Edwin Poots yesterday unveiled plans to switch to an opt-out model, where organs can be harvested from anyone who hasn't registered an objection.

    The move, which would bring Northern Ireland into line with other European countries, is aimed at increasing the number of donated organs.

    It follows a high-profile campaign fronted by Joe Brolly, who has pressed for a change in legislation since he donated a kidney to a friend last year.

    Yesterday the former Derry GAA star said he was convinced the move would save lives.

    "This is going to work and it's going to make a massive difference to people's lives," he said. However, a transplant expert said an opt-out system may not make a tangible difference because the plans would still give bereaved relatives an effective veto over donation.

    Lynne Holt, a transplant co-ordinator at the Freeman Hospital in Newcastle-upon-Tyne, said almost half of relatives object to organs being removed.

    "If there is any change to the system being introduced, but we still plan to take consent from the next-of-kin, I don't see that as being the way forward," she said.

    "In the UK, 44% of the next-of-kin sit by the bed of a patient in intensive care and refuse consent for organs to be taken. Changing the paperwork isn't really going to make a difference until we deal with the issue of consent."

    The Health Minister outlined the plans at a Press conference at Belfast City Hospital yesterday.

    Mr Poots (left) said Prime Minister David Cameron had indicated he had no plans for a UK-wide presumed consent system, so the Executive had decided to push ahead.

    The DUP minister revealed how his own family had experience of the organ donor system. "I have personal knowledge of this in that one of my uncles is one of the longest recipients of an organ, having had a kidney transplant over 30 years ago," he said. "My mother might have been alive had she had the opportunity to have a liver transplant when she was younger, but that opportunity didn't come her way.

    "So I think there is a great opportunity out there to ensure as many people as possible have the opportunity to live a healthy life who otherwise wouldn't."

    Mr Poots said 30% of people here are on the organ donor register, but he wants it to be even higher. He plans to launch a public consultation, and if the feedback is positive he will introduce legislation at the Assembly.

    Mr Poots praised Mr Brolly for bringing the issue of organ donation into the public spotlight. Mr Brolly donated one of his kidneys to a fellow coach at his local GAA club last year.

    The transplant operation on Shane Finnegan ultimately failed, but Mr Brolly has become a vocal campaigner on organ donation.

    The All-Ireland winning star, now a leading barrister, said he believed the switch would make a lasting difference.

    "This is going to save lives," he said. "Until now this was an invisible tragedy. People didn't appreciate it, they weren't aware of it." He was accompanied by Mr Finnegan, who also paid tribute to the work done by his friend.

    Dr Henry Brown, clinical director of nephology and transplant at Belfast City Hospital, said the proposals would make a huge difference.

    "There are a large number of people waiting for organ transplants and not everyone has the opportunity to have a live donor transplant," he said.

    "Anything that will increase the number of deceased donor organs that are available is good news.

    "It will save lives and make the quality of life for people so much better."

    factfile e Under current legislation, organs can only be removed if a person carries a donor card or relatives have given permission. e Mr Poots proposes changing the legislation so that consent is presumed unless stated otherwise, however the 'soft' system would still allow families to stop donations taking place.

    e Around 200 people are currently awaiting an organ transplant in Northern Ireland.

    Originally published by BY ADRIAN RUTHERFORD AND LISA SMYTH.

    © 2013 Belfast Telegraph. Provided by ProQuest LLC. All rights Reserved.

    A service of YellowBrix, Inc.

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  5. By Mannix Porterfield, The Register-Herald, Beckley, W.Va.

    Feb. 03--Even now, Craig Dorsey says he can still hear the voice of his late son.

    Hours after he lost his Craig II, along with three other men in a horrific propane gas explosion at a convenience store, Dorsey says the son spoke to him.

    "Daddy," came the familiar southern drawl of "Toad," as he was known affectionately by his father. "It's OK, Daddy. It's OK."

    Wednesday marked the sixth anniversary of the explosion that roared through a large convenience store in Ghent. Five other people at the Little General Store suffered nonfatal injuries.

    Debris was thrown in a large radius, and windows were blown out at a nearby grade school.

    As the anniversary approached, Dorsey headed to Myrtle Beach, not for a winter respite, but simply to take up a knowing brother's invitation to stay in a new condo and get away from the old haunts, as memories of that fateful day came flooding back.

    "It don't get no easier as the years go by," says Dorsey, a pastor who served, alongside his son, as an EMT with the Ghent Volunteer Fire Department.

    "I'm missing him and angry that it happened when it shouldn't have happened."

    Craig Dorsey II was 24 when the blast occurred Jan. 30, 2007, ending a fascination with firefighting that went back to his days as a youngster, a desire to follow in his father's footsteps.

    "Little Craig went with me when he was 10 to the fire department," the father says.

    "We ran fire calls together. We'd get called to wrecks. I would be thinking he was in school. But I'd look up and there he was on the car wrecks. In his senior year, I told the fire department not to let him come down to make sure he had graduated."

    One of his happier days came when his son gained his EMT license.

    "The red lights and sirens -- that's what he lived for," the father said.

    When the father left the Army as a parachute rigger for the 82nd Airborne Division, based at Fort Bragg, N.C., he became a police officer a short while. His son served with him in Mullens. The father-son team stayed together at the fire department.

    Dorsey can recall only snatches of his son's funeral since that day was a blur, given his emotional turmoil.

    But the day of his death remains clear.

    At the time, the family lived in Mabscott, and his son's girlfriend called to let him know Craig Jr. was on the call to the store about a propane gas leak.

    No sooner had he pulled on his boots and barreled down the West Virginia Turnpike en route to Ghent than the realization of loss hit home. His son was gone.

    "I knew in my heart he was dead," he said. His apprehension was confirmed when he pulled into the Little General lot.

    "I got on the scene and the ambulance people all knew me. I told them to roll him over. I didn't want him to get cold. That's what I was thinking."

    Grief endures when a loved one passes on.

    "You go on," Dorsey said.

    "I have other children and grandchildren. He was my firstborn. He was named after me. I remember when he was a baby. He would lay on my chest. We'd watch television. I'd pat him on the butt and he'd go to sleep. He died doing what he really loved. He lived and died as a fire department EMS."

    Three minutes before the son arrived at the convenience store, he called his father.

    "I miss my son," the father said.

    "I miss him calling me every day. He used to call me two to three times a day, just to say, 'Hey, Daddy.' The last words I ever heard him say, and we always made a point of this were, 'Hey, I love you.' I still have his cell phone number in my phone. I never took it out."

    -- E-mail: mannix@register-herald.com

    ___

    ©2013 The Register-Herald (Beckley, W.Va.)

    Visit The Register-Herald (Beckley, W.Va.) at www.register-herald.com

    Distributed by MCT Information Services

    A service of YellowBrix, Inc.

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  6. By Chris Palmer, The Philadelphia Inquirer

    March 13--The bookkeeper of the Warrington Community Ambulance Corps was charged Monday with stealing nearly $650,000 from the agency over several years to fund her trips to casinos, according to police records.

    Danette Lewchick, 56, of Jamison, the agency's financial secretary, systematically stole money between January 2008 and July 2012, the records say, by writing checks to herself and withdrawing money from the agency's bank accounts, often at ATMs within Parx Casino in Bensalem.

    The checks and withdrawals ranged from $600 to $25,000, records say. All told, the theft allegedly amounted to $642,741 over the course of about 41/2 years. According to the most recently available financial reports, the agency took in about $1 million per year in revenue between 2008 and 2010. Of that figure, almost $700,000 came from ambulance fees. An additional $240,000 represented public grants.

    Marc J. Furber, an assistant district attorney, said Lewchick's alleged theft was "staggering," adding, "especially considering we're talking about a community organization that relies on public funds and donations."

    Lewchick's attorney, Jeffrey Solar, did not return calls for comment.

    The attorney for the agency, Grace Deon, said that Lewchick has not been fired but that she has not gone in to work for the agency since the financial malfeasance was discovered in July.

    Lewchick has a history with gambling. According to a 2005 filing in Bankruptcy Court, Lewchick, who at the time went by the name Danette Albanese, claimed losses totaling nearly $40,000 to Harrah's, Borgata, and Trump casinos. She also had $200,000 in debt relating to four mortgages and an automobile loan, and owed around $100,000 to various individuals in personal loans, the filings say.

    Deon said the agency was unaware of Lewchick's financial history when she was hired. Lewchick was made the primary bookkeeper in 2008, according to police records.

    Lewchick's stepmother, Jennifer Lewchick, is the agency's chairwoman, but both Deon and Furber said there was no indication that anyone else knew about Danette Lewchick's actions.

    --

    Contact Chris Palmer, 609-217-8305, cpalmer@phillynews.com, or follow on Twitter, @cs_palmer

    ___

    ©2013 The Philadelphia Inquirer

    Visit The Philadelphia Inquirer at www.philly.com

    Distributed by MCT Information Services

    A service of YellowBrix, Inc.

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  7. About 26,500 "ghost" patients are set to be taken off GP registers.

    It will save the NHS nearly Pounds 1.7 million a year as family doctors are paid about Pounds 65 for each patient registered at their practice. The "ghost" patients have been found in a review by the primary care trust (PCT) for Leicester, Leicestershire and Rutland. They are people registered with a doctor but not believed to be living in the area any longer.

    GPs said that while they supported the "list cleansing", ordered by the Department of Health, they feared some patients might suddenly find themselves without a doctor.

    Dr Angela Lennox, a GP in the St Matthew's, Leicester, said: "Some people move abroad and don't tell anyone and others - particularly young people - move around with work and don't register with another practice so it is important we have an accurate list.

    "My only worry is that PCTs have been known to get things wrong and remove genuine patients from lists.

    "It is not uncommon for people, especially vulnerable groups, not to respond to letters.

    If anyone is worried they should contact their GP surgery."

    The review began last August when 8,886 letters were sent to the heads of households where seven or more people were registered as living and covered about 80,000 individuals.

    As a result of responses, 12,700 patients were marked as having moved away. A second letter was then sent to more than 38,000 people who had not replied. A final letter is now being sent to 13,856 patients telling them they will be removed from the practice list where they are registered.

    The notice to take someone off a GP list will be withdrawn if the patient contacts their doctor within six months.

    If they have been removed from a list they will have to reregister.

    As well as the reduction to doctors' funding, the removal will also mean a cut of Pounds 662,500 allocated to the three clinical commissioning groups (CCG) in Leicestershire, due to take on full responsibility for local health services on April 1. Each group has been given Pounds 25 per patient to pay for their office running costs.

    Sue Malpas, senior contract manager for NHS Leicester, Leicestershire and Rutland, said: "We have more patients registered than the Census figures show as the area's population, so we need to get a clearer picture of the number of patients registered at each practice. "However, we also wanted to ensure that anyone who wanted to remain with their GP had the chance to do so."

    Dr Mark Findlay, a GP in Barwell, said: "The difficulty comes if you have someone, particularly the elderly, who doesn't respond to the letter.

    "They might find when they do contact their surgery their medical notes have been returned to the patient registration centre in Nottingham."

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  8. The future looks brighter for Retford's threatened ambulance station after service bosses agreed to work alongside local campaigners to find a solution.

    Save Our Station (SOS) spokeswoman and ward councillor Adele Mumby had a meeting with EMAS chief executive Phil Milligan in which the proposed closure of Retford's North Road ambulance base was discussed. The ex-town mayor put forward suggestions which could see the five-bay building saved from the restructurer's axe.

    "I have a few ideas that Mr Milligan agreed were worth looking into - it seems likely that the nearest 'hub' could remain in Worksop rather than Mansfield, so Retford would still have to lose its facilities to re-stock the vehicles," said the East Retford North representative. The issue EMAS have is to do with the cost of keeping open a building that only has two of the five bays in use; but he agreed North Road is a good location."

    Although EMAS chiefs have considered moving the ambulance fleet into a 'shared hub' with other emergency services, Adele has suggested that firefighters currently based at the Wharf Road fire station could instead relocate to the more accessible North Road facility's surplus bays.

    "There is an issue with traffic and access at the fire station site, from North Road it is easy to get out of the town. Mr Milligan is going to ask his planners to look into the idea as he has agreed that our present location is the best."

    "At the moment, it is looking like Retford has a good chance of remaining open, with some reduced services, while Worksop will be the 'hub'. I'd like to thank everyone who has supported SOS - this progress shows what we can do if we work together, " she added.

    EMAS has extended the consultation period until it makes a decision on Retford's future.

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