Born Rolling Down I-84

Reunited two months after Kyra Deschene's birth on I-84, (l-r) Jamie and Andy Deschene, ASM paramedic supervisor Beth Sheils, holding Kyra, and ASM emergency medical technician Julie Bissell. (Jesse Leavenworth/The Hartford Courant)

Reunited two months after Kyra Deschene’s birth on I-84, (l-r) Jamie and Andy Deschene, ASM paramedic supervisor Beth Sheils, holding Kyra, and ASM emergency medical technician Julie Bissell. (Jesse Leavenworth/The Hartford Courant)

By Jesse Leavenworth

HARTFORD COURANT

MANCHESTER — Andy and Jamie Deschene had to make a quick decision on the night of Sept. 5.

Pregnant with her second child, but not due to deliver until Nov. 9, Jamie Deschene, 30, was having labor contractions when she called Andy at work and told him to hurry home. A doctor at St. Francis Hospital and Medical Center in Hartford told the couple that if they could make it to the hospital from their Bolton home in 20 minutes, they could drive. If not, the physician advised, call an ambulance.

Jamie’s water had not broken, and the Deschenes decided to drive. Her water broke on I-384 near the Spencer Street exit.

Soon after, the infant’s feet emerged, and the couple were faced with a potentially dangerous breach birth in their car. Andy pulled off on Exit 56 of I-84 and called 911. The off-ramp was soon bustling with state troopers, East Hartford firefighters and medics from Ambulance Service of Manchester.

Pregnant herself, ASM emergency medical technician Julie Bissell had answered four or five maternity calls within the past month. Each patient’s due date was closer than the one before, Bissell said. On the last call before the Deschenes’ emergency, the woman’s water broke on the ambulance stretcher.

Andy Deschene made his 911 call at 7:42 p.m. Within minutes, East Hartford firefighter/paramedic Tamarah Collins and firefighter Judith Geier joined Bissell and ASM paramedic supervisor Beth Sheils at the scene. They secured Jamie Deschene for transport and headed to Hartford. Read the rest of the story here…

Update to CDC’s Response to Ebola

CDCCDC Tightened Guidance for U.S. Health Care Workers on Personal Protective Equipment for Ebola

CDC is tightening previous infection control guidance for health care workers caring for patients with Ebola, to ensure there is no ambiguity. The guidance focuses on specific personal protective equipment (PPE) health care workers should use and offers detailed step by step instructions for how to put the equipment on and take it off safely.

Recent experience from safely treating patients with Ebola at Emory University Hospital, Nebraska Medical Center and National Institutes of Health Clinical Center are reflected in the guidance.

The enhanced guidance is centered on three principles:

  • All healthcare workers undergo rigorous training and are practiced and competent with PPE, including putting it on and taking it off in a systemic manner
  • No skin exposure when PPE is worn
  • All workers are supervised by a trained monitor who watches each worker putting PPE on and taking it off.

All patients treated at Emory University Hospital, Nebraska Medical Center and the National Institutes of Health Clinical Center have followed the three principles. None of the workers at these facilities have contracted the illness.

For more information visit:

CDC Newsroom — Tightened Guidance for U.S. Healthcare Workers on Personal Protective Equipment for Ebola Fact Sheet – Oct 20

http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html

CDC Guidance on Personal Protective Equipment To Be Used by Healthcare Workers During Management of Patients with Ebola Virus Disease in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing) – Oct 20 Continue reading

Governor Malloy Outlines State’s Efforts to Safeguard Against Ebola

1000px-seal_of_the_governor_of_connecticut.svgAnnounces that Commissioner Mullen has Invoked DPH’s Quarantine and Isolation Authority in New Haven

 (HARTFORD, CT) – Governor Dannel P. Malloy announced today that the State of Connecticut is taking additional steps to strengthen the level of preparedness for the Ebola virus by enacting the quarantine and isolation protocols that were authorized under the order he signed last week.  In addition, the Governor is directing that every hospital in the state perform a drill within the next week to assure that procedures and Emergency Medical Services (EMS) are up to standard.

While conversations between different levels of government and state hospitals have been ongoing for months, the Governor today also announced that he is convening a Unified Command Team (UCT), chaired by Jewel Mullen, Commissioner of the Department of Public Health (DPH), to serve as point in the state’s ongoing emergency management efforts.  The team will be responsible for the coordination of resources and personnel and provide a single point of contact for communication with the public.  They will also be responsible for certifying that front line personnel at both acute care and community health care facilities and first responders have received the necessary training to deal with a potential case effectively and safely.

“We have been taking this situation very seriously for weeks,” said Governor Malloy.  “Over that period of time, we have been working with health officials to prepare for a potential case here in Connecticut, and I am today formalizing that effort with the establishment of a Unified Command Team.  While we don’t yet know if there is a confirmed case of Ebola in our state, the report that a Yale student has exhibited symptoms demonstrates why preemptive action is the right approach.  I believe we must go above and beyond what the CDC is recommending, just as we did last week when I issued a preemptive declaration.  I want everyone to know – from the nurses in our emergency rooms to our first responders and our law enforcement personnel – we will provide whatever resources we have at our disposal so that you can do your critically important jobs safely and effectively.”

The UCT will be composed of officials from the Governor’s Office, the Department of Public Health, the Department of Emergency Services and Public Protection, the State Department of Education, the State Department of Energy and Environmental Protection, the State Department of Administrative Services and the Department of Corrections.

Governor Malloy said that for several weeks, the state has been communicating with Connecticut hospitals and other health care providers providing them with the most up to date information and guidance from federal health authorities.

Last week, Governor Malloy issued an order declaring a public health emergency as a precautionary matter. The order gives the Commissioner of the Public Health Department the authority to quarantine and isolate an individual or a group of individuals whom they reasonably believe has been exposed to the Ebola virus or infected with the Ebola virus. The order was executed as a precautionary and preparatory measure in the event that the state has either a confirmed infection or has confirmed that someone at risk of developing the infection is residing in the state.

Earlier this month, Commissioner Mullen asked each hospital to complete a detailed hospital checklist for Ebola preparedness. During the Unified Command briefing, Commissioner Mullen said that all acute care hospitals had completed and returned the checklist. She said DPH also held a conference call with hospital representatives this week to review their preparedness efforts.

“Connecticut hospitals clearly have a heightened level of awareness for detecting a patient with Ebola, given the level of cooperation we have received in preparing for a possible case,” said Dr. Mullen. “The survey shows that every hospital is engaged in planning and preparedness around Ebola.  Critical to preventing an Ebola outbreak in the United States is that all hospitals are able to recognize when a patient may be at risk for Ebola and take the appropriate steps. We continue to work with hospitals to ensure they can detect a patient with Ebola, protect health care workers so they can safely care for the patient, and respond in a coordinated fashion with their healthcare system.”

United Way 211 is providing information and links on its website at www.211ct.org, or you can call 2-1-1.

Today, the Governor and the Commissioner are issuing the following guidance, which is more stringent than the guidelines thus far issued by the Federal Center for Disease Control and Prevention (CDC): If you become sick with a fever a fever with and/or any of the symptoms of Ebola virus disease such as nausea, vomiting and diarrhea, and you:

  • Have traveled to Liberia, Sierra Leone, or Guinea in the last 21 days, or
  • Have had contact with a person who has Ebola virus disease.

You will be sent to a hospital for evaluation and placed in room separate from other patients – this is called isolation.

If you are not sick, but have traveled to affected areas or been in contact with an infected individual, you will be required to stay at home for 21 days and take your temperature twice a day.  Public heath health workers will contact you twice a day by phone to see how you are doing.  This is called quarantine. If you develop a fever or other symptoms suggestive of Ebola virus during the time that you are required to be home, you will be sent to a hospital for evaluation and placed in room separate from other patients.

“The first responder community continues to monitor the current situation and prepare for any potential threat to public safety or health using their established protocols,” said Department of Emergency Services and Public Protection Commissioner Dora B. Schriro. “We are at the ready to assist and support our local partners in this critical state-wide effort.”

According to the CDC:

  • You can’t get Ebola though air
  • You can’t get Ebola through water
  • You can’t get Ebola through food.

You can only get Ebola from:

  • Touching the blood or body fluids of a person who is sick or has died from Ebola
  • Touching contaminated objects, like needles
  • Touching infected animals, their blood or other body fluids or their meat.

###

For Immediate Release: October 16, 2014

 

Ebola Preparedness and Treatment by Emergency Medical Services

CDCMANCHESTER and HARTFORD — The following are a list of documents, checklists and other background information related to the Ebola virus for use by Emergency Medical Services providers.

Ebola Case Definition

Ebola PPE Poster from CDC

Detailed EMS Checklist for Ebola Preparedness

Known cases remain isolated to the Dallas, Texas area and healthcare providers should continue to get their information from credible and reliable sources such as the Centers for Disease Control and Prevention.

Department of Public Health Provides Update on Ebola to EMS

CDOFHThe following is a message from CT-Department of Public Health:

To all EMS Organizations (including Fire and Police First Responders) and EMS Sponsor Hospitals:

Good afternoon. Attached is a “Detailed Emergency Medical Services (EMS) Checklist for Ebola Preparedness” issued by CDC and ASPR as well as a general press release from the Office of Governor Malloy on the issue.

Governor Malloy Briefed on Ebola Situation

As stated in the checklist, its purpose is to “ensure the agency is able to help its personnel detect possible Ebola cases, protect those personnel, and respond appropriately.” Coordination and communication with receiving hospitals will also be an important element of managing any suspected cases of Ebola. Please review this information and consult with your EMS Sponsor Hospital for specific guidance.

EMS Ebola Checklist

Additionally, the CDC has updated their Interim Guidance for EMS and 9-1-1 PSAPs for Management of Patients with Known or Suspected Ebola Virus Disease in the United States. The guidance may be accessed at:

http://www.cdc.gov/vhf/ebola/hcp/interim-guidance-emergency-medical-services-systems-911-public-safety-answering-points-management-patients-known-suspected-united-states.html

Kudos from the Cath Lab: Volume 9

Aetna Paramedic receives Kudos from the Cath LabHARTFORD — During August 2014, ASM Paramedic Rachel Buechele and her partner Stephanie Boutot responded to a medical call in one of the towns ASM serves. The first EKG was indicative of a STEMI and Rachel wirelessly transmitted the 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field. (#14-73447)

“An incredible job by EMS with efficient recognition, treatment and early notification. St Francis Hospital and Medical Center is excited about the partnership we have with the ASM and Aetna staff. We are grateful for the teamwork displayed toward improving care for our STEMI patients, as well as others.”            – John Quinlavin, EMS Manager, Saint Francis Hospital and Medical Center.

Comments: Cath showed 100% Mid RCA Lesion which was opened and stented.

 

STEMI 2

 

Kudos from the Cath Lab: Volume 8

Aetna Paramedic receives Kudos from the Cath LabHARTFORD — During August 2014, Aetna Paramedic Matthew Carter and his partner Kathryn Stewart, wirelessly transmitted a 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field.

“Another great job by your staff!! ”            – John Quinlavin, EMS Manager, Saint Francis Hospital and Medical Center.

Cath showed 100% LAD Lesion which was opened and stented.

STEMI Transmission 

ED Arrival 18:34 Sat
EKG Complete 18:37
Cath Lab Paged 18:17
Cath start 19:09
First PCI Time 19:17
Door to Balloon Time             43 Min
Mode of Arrival EMS Other EMS STEMI Alert Cath Lab Activated
EMS Agency Aetna Lifenet @ 18:13 Yes

ASM in Motorcade and on Standby During Vice Presidential Visit

EAST HARTFORD — On August 20, 2014, two crews from ASM assisted with Vice President Joe Biden’s visit to Connecticut by being part of the motorcade and standing by at Goodwin College in East Hartford. Pictures are attached, care of Dan Hammett and Jason Bak. A special thanks to East Hartford Fire Department for their partnership.

High Praise for ASM’s Josh Traber and Tracy Luetjen

Ambulance Service of Manchester: Josh Traber

ASM’s Josh Traber

MANCHESTER — On August 10, 2014 ASM’s Josh Traber and Tracy Luetjen responded to a 911 call in one of the towns that ASM serves. One to two weeks after the transport the patient was randomly selected to receive a Patient Satisfaction Report.

The patient marked Strongly Agree for all 15 categories answered within the survey. When asked to use or word or phrase to describe the crew the patient wrote: Professional competent Life Savers!

The patient went on to write, “I credit the entire team from ASM with saving my life. I especially thank Josh for staying in command with a calm effective professional demeanor. I appreciate that he listened carefully to me and took action to east my discomfort. He kept me informed all the way through even though to most people it may have appeared that I was losing the ability to communicate due to the pain. My diagnosis was life threatening and I am thankful every minute for all the team did to get me to the emergency room quickly and safely.”

ASM's Tracy Luetjen

ASM’s Tracy Luetjen

The patient went on to say that in triage, “Tracy remained calm and was able to help keep me focused. By having a simple conversation I flet like he cared and he kept me from “panic mode.” I am grateful to be alive! Thank you Josh, thank you Tracy!”

-14-69358 (Information appears with permission).

Kudos from the Cath Lab: Volume 7

Aetna Paramedic receives Kudos from the Cath LabHARTFORD — During August 2014, ASM Paramedic Preceptor Dave White and his preceptee Paramedic Sean Norton, aboard Andover Fire Department ambulance, wirelessly transmitted a 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field.

“What a great job with notification and communication by your medic! He called early (19:08) to have a conversation with MD regarding an unclear EKG and provided additional information on subsequent patches. I was very impressed with his professionalism and clinical skill. Early notification and a very well presented paramedic report to the MD allowed for early activation of our cath team by 13-18 minutes.”            – John Quinlavin, EMS Manager, Saint Francis Hospital and Medical Center.

EMS Agency:    ASM

Indication:         STEMI

Time
ED Arrival 19:29
Cath Lab Paged 19:16
Cath start 20:17
First PCI Time 20:28
XXX – Total
Door to Balloon Time 0:59

ASM Responds: LifeStar Called To Serious Crash On I-84 In Tolland; Highway Shut Down

Photo credit: @TollandAlert

Photo credit: @TollandAlert

By KELLY GLISTA and CHRISTINE DEMPSEY

The Hartford Courant

10:34 a.m. EDT, July 10, 2014

TOLLAND — LifeStar helicopters and several emergency crews were called to the scene of a serious crash on the eastbound side on I-84 Thursday morning, according to officials.

State police said the single-vehicle accident happened near exit 68. The eastbound side of I-84 remains closed as police investigate the crash, but the westbound lanes have been partially reopened.

The crash was reported about 8:40 a.m., Assistant Fire Chief Douglas Racicot said. The car was down an embankment, in the woods, and there were four victims, three of whom were reported to have been ejected from the vehicle, he said.

As of about 10:15 a.m., two patients were in critical condition, one was in serious condition and a fourth was being evaluated for less serious injuries at an area hospital.

The car was about 50 feet into the woods and plunged down a 40 foot drop, Racicot said.

Numerous police and fire officials responded to the scene as well as about seven ambulances. Both of the medical helicopters available in Connecticut were initially called to the scene and emergency crews requested a third out of Massachusetts.

Three paramedic ambulances were dispatched to the scene by the Ambulance Service of Manchester, a spokesman said.

Read the full Courant article here…

Manchester Man Charged With Hit And Run After School Bus Accident

MANCHESTER — After ramming his car into the rear of a school bus Tuesday evening, a local man drove away and then tried to lie about the accident, police said.

No one was seriously hurt.

Allan Perry, 27, of Oak Street, was charged with various motor vehicle violations, including evading responsibility. Perry, who was not hurt, was being held Tuesday night at the police station, Lt. David Ellsworth said.

The accident happened at about 4:55 p.m. at Main and Center streets. The driver of a 2010 Chevrolet Impala hit the rear end of a school bus carrying eight children, ages 10-14, Ellsworth said. The children complained of bumped heads and headaches, but none required hospitalization, he said.

Read the full article here…

High Praise for Manchester Fire Rescue EMS and ASM Team

MFRE ASMMANCHESTER — On March 30, 2014 a crew from ASM responded with Manchester Fire-Rescue-EMS (MFRE)’s Truck 2 to a complaint of difficulty breathing. The patient responded to ASM’s satisfaction survey and had glowing things to say about the entire team: MFRE Truck 2’s Mike, Tim (paramedic), Jim and Angelo and ASM’s Bobbi Basque and Lauren Mathiau.

The patient answered “Strongly Agree” to all 16 clinical-based satisfaction questions. When asked to use a word to describe the team, the patient wrote “Professional.” The patient was brought directly to the Cardiac Catherization lab at Hartford Hospital.

The patient then hand wrote the following comments: “Thanks to Manchester Fire Rescue and the ASM people…they saved my life. As soon as [EMS] came in they made the decision to get me in the ambulance and moving to the hospital and had the hospital ready. Doctor said ten more minutes and I would not be here. They kept me alive, took me to the right place, in time and the Hospital took it from there. What can I say? Thank you to the people that provided the service and especially [the EMS team]. Time was short and they made the right decision and knew what they were doing. Again, thank you for saving my life.”

-#14-26976

Four Hurt In School Bus Crash In Rocky Hill

hc-rocky-hill-school-bus-crash-0501-20140430-001By DAVID OWENS, The Hartford Courant

Read the full story here…

12:09 p.m. EDT, April 30, 2014

ROCKY HILL — Four people with minor injuries were taken by ambulance to area hospitals after an accident involving a school bus on northbound I-91 in Rocky Hill Wednesday morning.

Three children aboard the bus complained of pain.

Several ambulances were dispatched to the crash, near exit 23.

Ambulance Service of Manchester and Aetna Ambulance Service crews transported three children to Connecticut Children’s Medical Center and one adult to Hartford Hospital.

The bus was carrying sixth graders from East Haven‘s Joseph Melillo Middle School to the Connecticut Science Center, school officials said.

State police were investigating. The crash was reported at 9:51 a.m.

Praise from LifeChoice Donor Services

LifeChoice Donor Services and Aetna Ambulance are partnersWe recently had an organ donor at Baystate Medical Center in Springfield, MA. The lung team was going to fly into a Massachusetts airport, so we had to book with an MA ambulance. At the last minute they changed their destination to Bradley, they were on the ground before we knew it! Aetna came through – as always, and quickly had an ambulance meet the team and bring them to BMC. In the world of organ donation timing is everything. Thanks for all the hard work!

-Tania A. Houle, MBA, CPTC

In-House Clinical Donation Coordinator

LifeChoice Donor Services