Wednesday, October 5, 2011

Insuring homes in wooded areas increasingly difficult.

Insuring homes in wooded areas increasingly difficult | TheUnion.com

Insuring homes in wooded areas increasingly difficult


Homeowners living on wildfire prone wooded lots in Nevada County are finding it increasingly difficult to find a company to insure their homes, an impending crisis that some local agents predict could put a damper on any real estate comeback.

Large name brand insurance companies are becoming more restrictive, more costly and in extreme cases dropping wildfire coverage altogether in high-risk areas of California — like Nevada County — because it makes good business sense.

“We've re-examined the way we write insurance,” within the last year, said Michael Geeser, a spokesperson for AAA. “This is not just geocentric to Nevada County. This is going on across the country.”

In recent months, some insurance agents have left town after finding it not worth their while to continue trying to write policies in the area.

Rick Russo owner of Russo Insurance Agency Farmers Insurance Group shuttered his Nevada County office of 20 years last December and moved to Roseville where valley stucco homes within 10 minutes of a fire station meant a more reliable customer stream.

“It's easier to write insurance policies in Placer County than it is in Nevada County. … From an insurance company perspective, you have to recognize what the risk is,” Russo said.

Homeowners, including seniors living on a fixed income, are scrambling to replace coverage they lost or pay higher premiums while others are trying to insure a new home.

As few as 10 percent of people seeking homeowner insurance in Nevada County actually find it easily through traditional big name companies like Allstate, Farmers and AAA, said Jeff Dunning, agency owner of the local Allstate insurance branch and a longtime director on the Fire Safe Council of Nevada County.

The remaining 90 percent of homeowners in Nevada County will have to shop around.

Depending where they live, the search can often lead people to a dwindling pool of plans to choose from at double the expense or to the non-admitted market that goes unregulated by the California Department of Insurance.

Areas such as Alta Sierra, Cascade Shores, Banner Mountain, sections of McCourtney Road, the Highway 49 corridor, Chicago Park and Peardale are all examples of neighborhoods where fire insurance has become more difficult to find.

“This is a crisis that's going to be hitting,” as soon as the real estate market and the construction industry pick up, Dunning said, who also served on the county's Fire Plan Committee.

Four years ago, Allstate stopped offering homeowner's insurance in California. Instead, agents broker policies through other companies.

He says the days of calling an agent and writing a policy over the phone are over.

“You can't close escrow on a home unless you have an insurance policy. It's going to be so expensive, it's going to close a deal,” Dunning said.

Bringing the hammer down

In recent decades, urban sprawl has led to population explosions in Wildland Urban Interface areas where people are lured in by the shelter and beauty of the trees.

“People want to be out in nature and that's where all the wildfire danger is,” Dunning said.

As a result, insurance companies have paid dearly in recent years to rebuild high-end communities, in wooded areas like Tahoe and Santa Cruz consumed by wildfire.

Add to that, Calfire's change to statewide wildfire severity mapping and a requirement for 150 feet of clearance around houses and the result is an extremely skittish insurance environment.

“That public information just caused insurance companies to react. … (They) are really bringing the hammer down,” said Joanne Drummond, Executive Director of Fire Safe Council of Nevada County, an organization that gives third party inspections of defensible space that can help a homeowner qualify for insurance.

Besides city limits and areas bordering lakes, much of Nevada County went from bad to worse and is now mapped in orange and red for high to extreme fire danger.

“It's kind of a changing world for our zip code,” Drummond said.

Many insurance agencies use their own color-coded maps and outsource Fire Protection Class Ratings sold to them from independent companies.

Each company is allowed to use a different set of underwriting guidelines. Satellite technology, computer programs and on the ground inspections help insurance companies determine risk factors such as fuel loads, slope, wind patterns and historical fire activity.

Distance from fire hydrants and staffed fire stations and accessibility of fire equipment are also big considerations.

A homeowner who is diligent about clearing around a house isn't guaranteed fire insurance, if he lives on a narrow road a long distance away from a fire station.

Those who can't find an insurance plan through normal channels can turn to last resort alternatives such as a state subsidized and less comprehensive California FAIR plan.

It's a plan that can carry a $4,000 surcharge each year for annual brush removal and is riddled with other drawbacks.

“If it's the only game in town, you're happy to pay for it,” said Doug Becker of Farmer's Insurance in Grass Valley.

Laura Brown is a freelance writer who lives in Grass Valley. Contact her at (530) 401-4877 or laurabrown323@comcast.net.



911 Transition from San Benito County to Santa Cruz County Begin - Central Coast News KION/KCBA

911 Transition from San Benito County to Santa Cruz County Begin - Central Coast News KION/KCBA

Posted: Oct 03, 2011 7:44 AM PDT Updated: Oct 03, 2011 7:44 AM PDT

SANTA CRUZ COUNTY, Calif. -- Starting Monday morning, emergency calls for fire or ambulance services in San Benito County will be processed and dispatched from the Santa Cruz Regional 911 Center.

Officials are in the midst of transitioning 911 capabilities and responsibilities from San Benito County to Santa Cruz County as part of a merger agreement approved by Hollister and San Benito County earlier this year. Officials estimate it will save Hollister and San Benito County roughly $350,000 a year.

Scotty Douglas, general manager of the Santa Cruz Regional 911 Center, said Hollister Police and San Benito County Sheriff's Office emergency calls will still be handled in San Benito County temporarily.

Dispatchers will be working in both counties until all the 911 capabilities are in place in Santa Cruz County. Once everybody is under the same roof, the Santa Cruz 911 Center will gain seven employees from the San Benito County Communications Center.

The Santa Cruz Regional 911 Center recently slashed six unfunded positions due to budget cuts, and Douglas said both counties benefit from the combination of resources. He said the increased workload is comparable to answering calls for the Watsonville Police Department.

Douglas said the manpower and technology will ensure that there is no delay in service. He said people likely won't even notice a change, but added that if they did, it would be an improvement.

Spinal immobilization: Tipping the sacred cow once again





EMS in Focus
by Dean Meenach


Spinal immobilization: Tipping the sacred cow once again

By Dean Meenach

How Emergency Management Is Changing (For the Better)

How Emergency Management Is Changing (For the Better)

NWS Central Region Service Assessment - Joplin, MO, Tornado - 2011

www.nws.noaa.gov/os/assessments/pdfs/Joplin_tornado.pdf


Wednesday, September 14, 2011

Top Ten Most Commonly Misinterpreted EMS Abbreviations

Top Ten Most Commonly Misinterpreted EMS Abbreviations



The Ambulance Driver's Perspective
by Kelly Grayson

The first lesson I always teach in EMS documentation is that there is no such thing as a universally recognized abbreviation

By Kelly Grayson


While abbreviations and acronyms are a boon to poor spellers and slow writers, invariably one of your cases will get called to court, and some personal injury lawyer will gleefully ask you what ETOH stands for, and how it is spelled. And when you stumble, he'll try to draw nasty parallels between your subpar spelling skills and your patient care.

And for twelve people who are too naive to know how to get out of jury duty, it might even sound plausible.

So, I urge my students and younger partners to adopt the law enforcement officer's approach to documentation; abbreviate nothing, and make sure everything is spelled correctly. Everything the cop writes is, by definition, probably going to wind up in court one day. They have long experience in countering those sneaky lawyer tricks.

Besides, many of the acronyms and abbreviations we use in EMS are unique to our profession. To a cop, CID means "Criminal Investigation Division," whereas an EMT would say it means "Cervical Immobilization Device." A social worker may not understand why you called your dyspneic patient an SOB.

Heck, abbreviations aren't even universally recognized between members of the same crew. I've watched enough of my partners over the years to know what they really mean when they abbreviate something, and with that in mind, I've compiled a list of the Top Ten Most Commonly Misinterpreted EMS Abbreviations:



"WNL." Sure, everybody knows that is supposed to mean "Within Normal Limits." But if you've worked with the same kind of people I have, it means "We Never Looked."


"EMT." The US Department of Transportation says EMT means "Emergency Medical Technician," but anyone who has ever worked for a transfer service knows that EMT really stands for "Eggcrate Mattress Technician," or "Every Menial Task."


"NKDA." Normally, most healthcare professionals take that to mean "No Known Drug Allergies." But after comparing my patient's history to the reports I sometimes get from first responders, I think it actually means, "Not Known, Didn't Ask."


"IABP." Sure, you critical care medics who have strapped one of the these little babies to the floor of your rig may know it means "Intra-Aortic Balloon Pump," but all it takes is a look at the vital signs on some of the patients it's attached to, and you realize it means, "I Am Barely Perfusing."


"ECMO." While the ICU nurse may tell you that it means "Extra-Corporeal Membrane Oxygenation," given the long-term prognosis of some of these patients, it more likely means "Extra Cash-Making Opportunity," or perhaps, "Even Corpses May Oxygenate."


"EMS." Sure, we know that it means "Emergency Medical Services," but anyone who has ever worked an event standby knows that it means "Earn Money Sleeping."


"LOL2." No, it's not some new form of text-speak. It's LOL Squared, meaning "Little Old Lady, Lying On Linoleum."


"IDDM." Taber's Medical Dictionary defines it as "Insulin Dependent Diabetes Mellitus," but judging from some of my hypoglycemic frequent flyers, it means "I Don't Do Meals."


"BLS and ALS." Sure, they're supposed to mean "Basic Life Support" and "Advanced Life Support," but judging from the way some of my colleagues treat their EMT-B partners, they mean "Basic Lifting Service" and "Ain't Lifting Sh*t."


"DCAP-BTLS." EMT textbooks since 1994 have used that mnemonic to teach students what to look for in a secondary survey; "Deformities, Crepitus/Contusions, Abrasions, Punctures/Penetrations, Burns, Tenderness, Lacerations and Swelling…" But any medic who has ever served as a skill station examiner can tell you that many of the exam candidates "Didn't Comprehend Any Part of Basic Trauma Life Support."


Friday, September 9, 2011

FirstResponder.gov

FirstResponder.gov




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GrantsOperational Field Assessments

EMS Students Use Simulation Learning for Lung Sounds - Training - @ JEMS.com

EMS Students Use Simulation Learning for Lung Sounds - Training - @ JEMS.com

The lost art of using a stethoscope


From the August 2011 Issue | Monday, August 1, 2011

A few years ago, I was looking through the Department of Transportation curriculum and standards for EMTs and paramedics. I noticed more time was “recommended” for teaching marine animal envenomation than the time spent in the correct use of a stethoscope. Why is that?

Free Online CEUs for Paramedics & EMTs | Bound Tree University

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A100 – 12 Lead EKG Interpretation
This course discusses cardiac anatomy as it relates to the cardiogram. Goals of the course include: to develop an initial understanding of “Axis,” understand how to interpret hypertrophy, recognize Bundle Branch Blocks, understand how to interpret EKGs for signs of myocardial infarction, and understand the “grouped leads” concept.
A220 – Pediatric Patient: Part 1
This is Part 1 of a two part series on the Pediatric Patient. The course will review pediatric patient traits, explore relevant anatomy and physiology, and discuss causes of pediatric injury and death.
A221 – Pediatric Patient: Part 2
This is Part 2 of a two part series on the Pediatric Patient. The course will discuss pediatric patient assessment techniques, explore principles for immobilizing pediatric patients, and explain issues in pediatric patient transport.
A255 – Airway Management
This course describes airway structures and function, identifies important differences in pediatric airway anatomy, explores basic airway management techniques, and describes delivery of ventilations and supplemental oxygen.
A268 – Diabetic Emergencies: Part 1
This is Part 1 of a two part series on Diabetic Emergencies. The course will discuss the relationship of insulin, glucagon and glucose, examine the pathophysiology of diabetes mellitus, and discuss types of diabetic emergencies.
A269 – Diabetic Emergencies: Part 2
This is Part 2 of a two part series on Diabetic Emergencies. The course will review assessment findings from Part 1 and introduce treatment options.
A281 – Pharmacology and Drug Administration
This course on pharmacology will review basic pharmacodynamics and pharmacokinetics, explore essentials of drug administration, and discuss the indications and uses of specific medications.
Courses Approved for Basic Life Support (BLS) Providers
B204 – Unusual Resuscitation
This course discusses unusual resuscitation situations in environmental emergencies. It will explain the underlying pathophysiology that complicates respiratory and cardiac resuscitation from an environmental emergency, describe treatment for respiratory and cardiac arrest resulting from an environmental emergency, and identify reasons not to begin CPR.
B239 – Emergency Childbirth
This course will review the relevant anatomy, physiology and care for an emergency childbirth. It will discuss assessment for the obstetric patient with an impending delivery, explain assessment and care of the newborn infant, and review care for the mother immediately following the delivery of a newborn.
B405 – NiPPV (Non-Invasive Positive Pressure Ventilation: Pre-hospital Use of CPAP and BiPAP)
This course discusses the pre-hospital use of CPAP and BiPAP. It will describe non-invasive positive pressure ventilations (NiPPV) and physiology, identify indications, contraindications and benefits of NiPPV, explain steps to applying NiPPV and adjusting settings, and discuss adjunctive therapies and ongoing monitoring.

Epilepsy Foundation Training for First Responders

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The EMS training, about 60 minutes in length, describes a variety of seizures associated with epilepsy, seizures with other potential causes, appropriate EMS response on scene, and issues to be considered when determining whether or not further medical care is warranted.
The Law Enforcement training, about 45 minutes in length, aims to train law enforcement on seizure recognition, correct response to seizures, and awareness of the unique needs of people with epilepsy who might be taken into police custody.
These products were developed with support from the Centers for Disease Control and Prevention under cooperative agreement number 5U58DP000606 – 05.

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A Guide to Seizure Management for Emergency Medical Responders
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Epilepsy Training for Law Enforcement

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Wednesday, April 6, 2011

Video: Canadian air ambulance shreds phone line

Video: Canadian air ambulance shreds phone line

Tail rotor shreds phone line; patient taken to hospital by ground ambulance

By EMS1 Staff
PITT MEADOWS, Canada — An air ambulance clipped a telephone line and was forced to make an emergency landing in a nearby field after its tail roter shredded the line.
A spectator at the scene captured the footage on camera and posted it to YouTube.
The air ambulance was picking up a patient who had fallen into a water-filled ditch while pruning trees. He was taken to hospital in a ground ambulance instead, according to Waypoint AirMed and Rescue Magazine.

Ind. ambulance, fire truck collide; 4 responders injured

Ind. ambulance, fire truck collide; 4 responders injured


The fire truck ended up on two wheels resting against a light pole

By Fox7
VINCENNES, Ind. — Four people are injured after a crash in Vincennes. Authorities say just before 2:30 P.M. Sunday, Vincennes Fire Department got a call about a structure fire with entrapment at an apartment in the 300 block of Broadway.
Officials say on the way to the scene, a Knox County ambulance and Vincennes firetruck collided at the intersection of 6th Street and Hart.
They say the fire truck ended up on two wheels resting against a light pole. Two EMS workers and two firefighters were transported to Good Samaritan Hospital with what appeared to be non life threatening injuries.
Indiana State Police were called out to reconstruct the scene.
At the scene of the fire, authorities say an 80-year-old man suffered burns and was taken to Wishard Hospital in Indianapolis. FOX 7 has a crew on the scene and will update you online and on FOX 7 News at 9:00.
Republished with permission from Fox7

2 Ark. medics who declared live woman dead will not appeal suspensions



Both medics are serving 34-day suspensions

The Associated Press
LITTLE ROCK, Ark. — Two medics who mistakenly declared a woman dead who was alive will not appeal the suspension of their licenses, according to The Associated Press.
Little Rock paramedics Brandi Johnson and Pat Bajorek are serving 34-day suspensions given to them by the state Health Department, according to reports.
Both Johnson and Bajorek declared Pamela Harper dead while leading two separate ambulance crews when she was found in the yard of a Little Rock home.
However, a detective noticed she was breathing, which was later confirmed by the coroner. She was taken to a hospital but later died.
An autopsy found the cause of her death to be due to a drug and alcohol overdose. Allegedly, earlier care would not have saved her, according to the article.