NewsGlobalHealth: SUDAN MOTORCYCLE AMBULANCES

SUDAN / MOTORCYCLE AMBULANCES (03:24) South Sudan has a new tool in the fight against maternal mortality: motorbike ambulances complete with sidecar and padded bed. They look different, but in remote parts of a country where - according to the United Nations an expectant mother has a greater chance of dying in childbirth, the pilot project is intended at cutting rates of maternal mortality and offering lifeline for pregnant women in Sudan. UNMIS, UNICEF, UNIFEED



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Farewell To Arms, and Jameson's

San Francisco volunteer ambulance company rescues Misha the wounded Russian.



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EMS, Ambulance, Fire Department, 911 - Customer Service is Part of Your Mission

EMS, the Fire Service, 911 communications centers, what do each of these emergency service specialties have in common? What is the one thing that is routinely overlooked by a majority of agencies? It is of course service.

We are all in the service business

My objective in this article is to make you think, to challenge your comfort levels and to help you develop a system to turn customers into clients. Throughout my 30+ year career as an EMS professional and a consultant I have found that this process takes hard work, dedication and consistent effort but the rewards are great.

Some un-enlightened EMS leaders will not understand and will not grasp the subtle but important difference between customers and clients. In fact, many of our colleagues have yet to embrace the fact that they are even in a service business.

In the beginning the public simply called and we came. Contracts with municipalities and healthcare facilities were simple, if we had them at all. We collected subsidies, stipends or donations from our communities. We did our job and that was enough. It is not nearly enough any more.

Response times, standards of practice, playing a very active role in the community, developing strong relationships with the local governmental agencies, mandatory system reporting, dealing with new privacy and other federal compliance regulations are just the starting point for the expectations placed upon us. And that was pre 9/11. Now the roles and expectations have increased, the readiness levels are even higher and communities look to us, the 'emergency service professionals' to deliver in time of crisis.

For the remainder of this article, I'll be speaking specifically to EMS providers. But the true measure of success of any emergency service agency is when they have cultivated a sense of community awareness so great that people in the community refer to them as 'our' ambulance service rather than 'the' ambulance service. Cultivating this level of awareness is what helps turn customers into clients. How does your community refer to you?

Think about the term client. Who has clients? Lawyers, tax professionals, counselors, consultants, and financial planners just to name a few. They understand the long-term value of developing positive customer relationships. They are seeking referrals and goodwill to increase business. You are seeking to reap the benefits of goodwill and informed support for your mission by the people in the communities you serve

People ask me all the time, "Why do I care? I don't have time for all of this 'nice touchy feely stuff. I've got a service to run." My answer is always the same, "You can educate people one at a time and develop and informed army of supporters. Or, you can try and educate them as a group at crunch time, after something has gone wrong which is a much harder job."

Commitment to a long term program to develop client relationships will insure the operation integrity and long term viability of your service. This holds true for volunteer, municipal, hospital-based or investor owned services.

Think of any service in your area that is either in trouble now or has already failed.

I guarantee you that at least one of the factors to blame is a failure to provider proper levels of service to one or more customer groups.

Before we can discuss turning customers into clients we have to define the difference and then discuss what a good relationship should look like.

Definitions:

cus-tom-er One who buys goods or services; one with whom one must deal

cli-ent One for whom professional services are rendered (Source: American Heritage Dictionary)

These definitions couldn't explain the way many services view the relationships any better. Many look upon anything outside the actual provision of emergency care as something that must be dealt with, and they certainly don't see the need for a relationship 'after the sale' when the patient is out of the ambulance and off the stretcher.

Best practice agencies see the value in providing professional services and in servicing the client 'after the sale'. They know that a satisfied customer can be developed into a client and become a positive voice in support of their agency. Every person who comes into contact with your service starts the relationship as a customer, it is your responsibility to turn them into a client.

A good working 'client' relationship should pass this Four Criteria Test

· There is a constant two way flow of information.

· Both parties see the value in the long term benefits of working together.

· Both parties view the other as a valuable resource.

· Services are tailored to meet/exceed the clients' needs.

Reality Check

Can you name three different client relationships that you have that fit all four of the criteria listed above.

If you can't, don't worry. Very few emergency service leaders can. Read on, we'll develop the foundation for the changes you'll need to make if you want to get there.

Now that you have an idea of what's in my head when I describe the difference, let's talk about the different customer groups that will interact with your service and what you need to do to turn them into clients.

Eight Customer/Client Groups

I have identified for you the eight basic customer/client groups that every emergency service manager must learn to serve:

1) Employees/staff

2) Patients/families

3) Other managers in your organization

4) Community Leaders/Special Needs

5) Healthcare facilities

6) Other responders

7) Government regulators

8) Media organizations (Print/Radio/TV)

There are a variety of sub-groups that may exist in your service are but these are the basic headers for the remainder of our discussion in this article.

A successful EMS leader today must actively work to meet the varied, and often competing, needs and expectations of EACH of the groups listed above. The order outlined above illustrates my personal philosophy of the importance of each. Not that each group is not important in its own right, but given a conflict of time, I would handle an employee's need before handling one brought to me by the media.

Employees / Staff

I firmly believe that the employees/staff are the number one customer group that leadership serves. I WANT to turn the relationship with the employees into a client relationship as quickly as possible.

Reality Check

Does the relationship with your staff meet the four criteria client test?

Very few agencies can honestly answer 'yes' to this question. Most are dealing with bickering, conflict, recruitment or retention troubles and unreasonable demands by employees or their representatives.

As we begin work with agencies in crisis and it is clear that no client relationship exists, the first steps to repair the damage is what we call Hitting the RESET Button.

The RESET process involves conducting a complete review of your organization, questioning everything. This means looking at the mission statement, all of the communication channels that exist with employees and other customers, business processes, hiring and other personnel issues and even some of the things 'that you've always done that way' might need to be changed.

After the review is complete and a course of action is agreed upon and communicated to the staff, the RESET button is pushed and the outdated past practices are blown away giving the organization a fresh start.

Often a series of 'town meetings', employee committees that allow a real voice, or

re-establishing positive relations with union leadership are needed.

A properly trained, informed and involved staff are the best ambassadors any agency can have. Conversely, employees that are treated like so many replaceable parts will turn into ambassadors of poison as they talk about your organization being a lousy place to work.

Your employees are the most important marketing tool in your company and they are directly interacting with each of your other customer groups every day. Are they damaging relationships as quickly as you're building them?

I think consultant Tim Pelton says it best, "If you take care of the troops, they'll take care of the mission."

Patients / families

Obviously this is, in my opinion, the next most important group. After all this IS the reason we're here, to provide care and transportation to the sick and injured.

Whenever we conduct customer service training for field providers, we stress that the family members are customers and often 'patients' also.

Reality Check

You do conduct customer service training for your field providers don't you?

If you don't, let me give you an example illustrating why it's important.

I am still fortunate enough to be able to work in the field as a paramedic. On my last shift, I arrived on the scene of a 40 year old woman presenting with hypoglycemic symptoms. I also met her two young and obviously worried sons, ages 7 and 9. As I was asking her questions and it became apparent that she may need to be transported the sons became very agitated.

The youngest one asked me, "Have you ever taken care of a di-betic before?" I assured him that I had many times and he looked relieved. Then the older one asked his mom what he should do since there was no one to care for him and his brother if she went to the hospital.

While waiting for the magic juice-and-sugar concoction to work, I assured them that arrangements would be made for someone to stay with them or they could come along with mom in the ambulance. Within 5 minutes, her sugar was normalized and she opted to refuse transport.

The incident reminded me however, that we are watched every step of the way by family, friends and the public. We have to constantly remember that those watching have varied levels of understanding about what we're doing and therefore form opinions about our capabilities, as evidenced by the young son asking me if I knew what I was doing. He perceived that I was asking too many questions and not fixing his mom.

The customer service moral of the story: while one patient may be sick there are emotional patients to care for as well. They are also our customers and meeting their needs builds the relationships and impressions to turn them into clients.

The kids were very happy with the outcome. They both wanted to shake hands as I was leaving and they were all able to enjoy a happy Easter Sunday at home as a family.

Other managers in your organization

You have to begin to look at co-workers as your customers as well. Every leader in your organization has expectations of you that need to be met so that they can do Their jobs properly.

Building internal relationships using a customer service model, forming multi-department project teams to solve business problems will both go along way towards building the elusive team oriented workplace everyone says that they want. If you don't view your co-leaders as important customers, you'll never get there.

Community Leaders / Special Needs

Working with community groups, church leaders, school officials on things like Project Prom or the DARE Program, allow these influential folks to form opinions of you and your agency.

The dialog about their perceptions of the needs in the community is invaluable to you from a service and a planning point of view. Do they think that there are unmet needs in high ethnic community sections? Are they hearing complaints about your service? Do they think you're meeting or exceeding the expectations of the community? Get out there and ask! Talk and then LISTEN!

The opportunity to initiate dialog about the problems you're facing or needs you have identified can be priceless when you need public support at budget or contract time. Educated customers turn into informed clients.

Healthcare facilities

Reality Check

When was the last time you were in any of your local skilled nursing facilities other than on a call or to visit your grandmother?

Facilities can be very fickle about who transports their patients. Even if you're the sole source 911 provider, they can make life difficult if misunderstandings get out of control.

Don't assume that no news is good news. Periodic calls to check on how your crews are performing, perhaps providing a speaker for the next staff meeting or helping them understand your capabilities goes a long way to building the client relationships you want while allowing you to control the market share that you need. Proactive dialogue will also help keep complaints to a minimum.

During my tenure as Manager of an investor-owned ambulance company, I used to send night crews to meet with night shifts. Our people conducted quarterly 'surprise' drills on various shifts to test emergency plan readiness for the facilities. We'd be let in by a supervisor and plant a manikin someplace in the facility and test the response to the discovery and subsequent code drill.

This practice helped the facility, let the people learn to work together, and made our agency more valuable to the facility helping to ward off a stronger competitor.

Other responders

Paul Maniscalco, formerly a Deputy Chief with FDNY*EMS, had one of the best quotes I've ever heard on this subject. "How can you expect a guy to help you out if you don't even know how he likes his coffee?"

Treat your mutual aid and other community responders as customers. What do they need from you? How can you work more efficiently together? When was the last time you cross trained so you have an idea where equipment is located on each other's rigs?

A quick example of meeting a simple need: When you send out street closing or construction updates, make sure you let your mutual aid services know too. They should not find out when they hit the detour signs enroute to a call. If they are going to service your community, they need to be kept in the information loop also.

Governmental agencies and regulators

"I'm from the government. I'm here to help." This can be a true statement if you treat them like a valued customer.

Do you communicate positive and negative issues to your governmental agencies?

I recommend services provide at least quarterly reports to the leaders in the communities they service.

These reports should include, at a minimum, the numbers of responses, transports, fractile or average response times, numbers of presentations or classes completed and especially if you're a volunteer agency, the number of calls handled between 5pm and 6am (when the politicians are home with their families) and the number of volunteer hours of service provided to the community (include calls, drills, classes and any other activities).

You will never be able to get them to move from 'the' ambulance to 'our' ambulance unless you make them see the tangible value you bring to their world.

Media organizations (Print/Radio/TV)

Do you try and run away from a camera or microphone? Or is your standard procedure to move the media back 1,000 yards and then complain that they got lousy shots of your heroic rescue?

The media can be a very valuable tool in your efforts to build your community image.

They need news to cover. You respond to news events. Work together. You both have a job to do, and God knows EMS needs the coverage.

Meet with them, feed them news, know and respect their deadlines and if an issue arises, deal with it immediately. Assign someone who is articulate, professional and looks good on camera as your Public Information Officer (PIO).

Dealing with the media could be an article in itself but in a nutshell, if you look at them as a hungry customer and feed them good solid food, you'll develop a healthy relationship that can be invaluable when a call goes bad.

Reality Check

One of your ambulances just blew an intersection enroute to a call and killed a civilian. Would your local media get to the bottom of the story and report it fairly or enjoy the opportunity to crucify you?

If it's the latter, then you have not been dealing with them as a client. RESET the system, get together over lunch or a cup of coffee together and rekindle the relationship.

The Seven Keys to Success

Over the 30+ years that I have been in the EMS profession, I have had the good fortune to work with a number of agencies all across the country. I have been able to review the best practices of these agencies and have distilled them into a list that I call the Seven Keys to Success.

Agencies that employ these Seven Keys, or are working towards completing the list, are some of the finest and best run agencies in the country.

So, what are these miracle keys that will unlock your future success and help you turn customers into clients?

· Customer Centered Service

· Field Staff Education

· Leadership Development Programs

· Annual technology review and upgrades

· Effective staff recruitment and retention initiatives

· Multiple effective revenue streams

· Constant relationship building with the eight primary client groups

Customer Centered Service

The best organizations base every decision on the impact that it will have on the primary mission, service to their customers. Most organizations design an agency for their own ease of operation and sense of purpose and then take that organizational model to the streets and provide their version of service.

The best organizations look at the end result first, excellent customer centered service. They design or redesign the organization to fit the needs of their clients, even if it means more work for them.

An example of this can be seen in something as simple as staffing patterns.

A volunteer agency was initiating paid daytime staffing for the first time and decided arbitrarily to staff Monday through Friday from 0800-1800, the hours convenient for them.

The community needs dictated that a crew should be on from 0500 when volunteers were not taking calls because the average of two hours per call would impact their ability to get to work on time. By thinking about the needs of their clients, the agency retooled the schedule and began the shifts at 0500. The result: they dropped their morning missed calls to almost nothing, Town Hall got fewer complaints and the mutual aid companies were able to sleep in.

This is a simple but very valid example of putting three client groups first.

Field Staff Education

As discussed earlier, I believe that THE single most important client group that any manager can serve well is their employees. By committing a portion of organizational resources to their education and treating those resources as sacred, the staff members grow in capabilities and the organization ultimately benefits from an educated, thinking work force.

Leadership Development Programs

What would have happened to FDNY on 9/11 at Noon (after the towers had collapsed killing many members of the command structure) if people were not trained to assume command? Who could take your place if you were killed in a car wreck on the way home?

Strong organizations develop strong leaders. Every position should have someone in training prepared to assume command should something happen. Succession planning, mentoring, and leadership development are all components of effective organizations.

Honestly now, how ready are you?

Annual technology review and upgrades

Technology just for the sake of having the latest and greatest new toy or gadget is a waste of money. That being said, best practice agencies continuously upgrade technology that makes operational and fiscal sense, adds value to the overall productivity of the organization and most importantly improves the level of service. If a technology investment doesn't meet all three of these criteria, even if you really want it, pass.

Proper staff recruitment and retention

Aligning people, paper and practices or in other words making sure the right person is in the right job with the right tools is the only way to reduce job stress and have the ability to educate and develop the people side of your business.

Multiple effective revenue streams

What is the primary source of your agency's funding? Look for opportunities to tap new sources of revenue, billing, grants, donations, subscriptions, being designated as charity of the year by a community group, receiving memorial bequests and providing training for community businesses are all important to fiscal health of your agency. Capitalism is not a dirty word. It is how you survive in all types of economic weather.

Constant relationship building with the eight primary client groups

I discussed the eight groups earlier. Best practice organizations work constantly to improve relationships with each of these groups. It will be easy with some, hard with others and due to past events nearly impossible with a few. Keep trying. Your long term health depends upon it.

When it comes to customer service remember one simple saying:

You're only as good as THEY think you are!

Bob Holdsworth is the Founder of The Holdsworth Group, LLC a marketing and consulting firm with a particular specialty in the emergency services and healthcare marketplace.

Bob is a veteran paramedic and entrepreneur. He has been in emergency services for more than 30 years with a diverse background that includes:

General Manager, Private Ambulance Company;
EMS Coordinator, Hospital Based ALS Service;
Interim General Manager and Business Development, Private Ambulance Company;
Public Information Officer for multiple agencies;
Founder EMS Consulting practice with national client base;
Founder multi-million dollar EMS billing company;
Author (EMS, Public Risk, state journals and general business markets);
Speaker in both the US and Canada [EMS and Business conferences].

Bob can be reached for comment or for consulting and speaking engagements at http://www.BobHoldsworth.com.

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Fire alarm + Police stop in San Francisco

At 1AM in the night, the San Francisco fire department is dispatched to a fire alarm in a hotel near Market street. A lot of units were responding including as far as i could see the battalions 1, and 2, engines 1, 2, 3, 41, trucks 1, 3, 8, heavy rescue 1 and medic units. There was no fire at all so that all units could return to their stations quickly. While the fire department arrives on scene you can also see a traffic stop made by the San Francisco Police department. The driver actually didn't realise that he had to stop and just kept driving. The clip was made from my hotel room in the 4th floor - by Dirk Steinhardt - www.rescue911.de - San Francisco, California, USA - 09.2010



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AN ANNUAL mother-daughter Bali adventure turned into a nightmare for Eltham's Rhiannon Tracey, who is left wondering if she will ever walk again. The 21-year-old broke her neck and three vertebrae after inadvertently diving into the shallows of a hotel pool two months ago. Rhiannon is confined to a wheel chair and is recovering at the Royal Talbot Rehabilitation Centre in Kew. But despite regaining the use of her arms and right leg - but not in her fingers - doctors cannot guarantee she will walk again. "I just can't believe it," Rhiannon said. "Just last month I was the life of the party and now I am like this." Rhiannon was in the last days of the holiday with her mother Sharon and best friend Rebecca when she misjudged the depth of the pool and smacked her head at the bottom. She recounted the horror of being paralysed and lying face down in the water while those near the pool thought she was joking around. That was the first of two times where she thought she would die that night. "I couldn't move, I thought I was going to drown here in the pool," she said. Later as she lay in the intensive care unit in hospital, Bali's biggest recorded earthquake struck - measuring 7.2 on the Richter scale - sending everyone in the hospital rushing out of the building. The earthquake caused the local surgeon to arrive hours late for the life-saving operation to repair her spinal chord. Her insurance company brought her back to Melbourne in an air ambulance. Rhiannon hoped her ...



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Ambulance, EMS, Fire Department - Paid Vs Volunteer, a Look at Staffing Issues

"We need to recruit more volunteers". "We need to increase the mandatory number of hours to get these shifts covered". "Can someone PLEASE cover Friday night"?

Does this sound like your service? Comments like these linger in the hallways and meeting rooms of agencies all across the country until finally a lone voice from the back asks, "Should we just hire some paid people?" What was considered a question destined to provoke bitter backlash now is becoming reality.

Regardless of the relative success of the 1,000 Points of Light campaign in the early 90's or the resurgence of patriotism after the events of a fateful day in September, 2001, we have to face facts. In a great majority of fire and EMS agencies across this country the well of volunteerism is drying up.

Volunteers have long been the backbone of not-for-profit organizations all across the country. From ambulance services and fire departments to youth sports leagues, community support groups and even national agencies like the American Red Cross, recruiting and retaining motivated volunteers is a topic of paramount importance.

I tell community leaders all across the country that a well-run, business oriented emergency service agency staffed by as many volunteers as possible is the best bargain on the planet. There is a slightly different sense of pride, commitment to giving back to the community and of course, the lower operating costs due to the lack of significant payroll.

That being said, when the response times, coverage of duty hours, increased reliance on the goodwill of mutual aid or the quality of service begins to suffer it's time to assist, supplement or disband the agency.

Now that statement I am sure just outraged some readers. That's ok, someone has to say it. Emergency service agencies are entrusted with a special mission, protecting property and saving lives. When someone needs an ambulance or the Fire Department, regardless of where they are in the country, they don't care whether the responder is short, tall, male, female, paid or volunteer. They only want the customer service mission [taking care of their emergency] to be accomplished in a timely, proficient and professional way. Protecting the sanctity of having a volunteer service is not paramount to fulfilling the trust that the community places in us. If your agency is having issues doing that, fix it.

The growing reality is the demands on double working families, more people working out of town and numerous other things impacting our time, many organizations are beginning to 'fix' their problems by integrating paid staff. The goal is to insure coverage during problem areas in operating schedules, typically during the daytime hours. (6am-6pm).

On the surface, this solution appears to be the magic bullet for what ails the agency. The truth is that if the integration is not done properly there will be an entirely new set of issues created.

Morale problems, additional decreases in volunteer participation, general hard feelings towards the spirit of volunteering, "this is no fun anymore, it's becoming a business"(heard that one lately), a 'them - vs. - us" mind set, as well as a host of other highly emotional issues that can bring an agency to its knees. You don't have to go there. And, if you are already there, you can turn things around.

This article will discuss how to successfully integrate paid personnel into your organization while, if you so choose, retaining as many volunteers as possible.

It will also teach you how to RESET the system if it's already in trouble.

We've identified four main reasons why an organization looks to hire paid staff:

Overall staffing shortages

Due to a lack of participation, attrition, retirement, morale problems or lackluster recruiting campaigns, your agency is simply short of the necessary number of trained personnel.

Increasing response times/service failures

Burnout, morale, physical distance from the building and increasing call volumes all strain the organizations ability to respond. Unmotivated or overburdened personnel move slower when responding to the building. Over time, people relocate or build in new developments and now live farther away from the station.

Adding ALS personnel

There is a shortage of ALS personnel in most areas of the country. Very few ALS personnel volunteer in the ALS capacity. Fewer volunteers will submit to 1,000+ hours of paramedic training. In order to upgrade the level of service, hiring paid ALS staff may be the only way.

Supervision of the service

Paperwork, OSHA, HIPAA, OEMS, billing all require time. Many agencies look towards hiring a paid supervisor/administrator who can handle the operations responsibilities as well represent half of the crew.

Things to consider BEFORE placing the Help Wanted Ad

Fair Labor Standards Act (FLSA) and Loss of Volunteer Staff

This is governmental legislation originally passed in 1938 and amended in 1985 which provides for fair working conditions for all employees. For our purposes, it basically identifies that an employer must pay an hourly wage that is at least minimum wage and it also prohibits us from volunteering for our 'employer'. This means that any volunteer member that makes the transition to a paid position, even for one shift, is lost to the agency as a volunteer for other calls at other times.

This means that if you are not careful, by solving the daytime staffing problem you may create a void in other areas since the personnel would be lost as volunteers when their shift was over.

As Attorney Allison Bloom wrote in an article for the Wisconsin EMT Association, "The effect of the FLSA on volunteer EMS is not to be taken lightly. The penalties alone can put just about any service out of business".

Make sure that your hiring plan takes into account the necessary budget for hourly wages, overtime, if applicable, benefits if you're hiring full time. One of the most common problems with hiring paid staff is under estimating the budget.

Full time vs. per diem vs. leased employees

Before you hire, develop a staffing plan. This sounds like silly advice but sadly the reality is that most organizations have not identified the hours to be staffed, added them up to actually determine how many people they need to hire.

Do you want the continuity of a few full time employees? This means benefits, supervision, the need to be able to cover vacations and sick time, etc.

How about a large group of per diem staff? Greater flexibility need to purchase more uniforms, no need to provide benefits, less continuity and potentially less loyalty to the shift if overtime came along at their full time job.

A new concept: leasing employees. Actually, the concept is not new, business and other healthcare groups have been using temporary help services for years. A company in Connecticut called Vintech ( www.vintechems.com ) has done just that. They have created, to this author's knowledge, the first ever temporary help firm specializing in EMS personnel.

Vintech's founder Vinny Wheeler is quick to point out the value of leasing employees. "You can outsource the headaches. Hiring, firing, handling book-offs, paying workers compensation premiums on the paid staff and having a limited depth of personnel. You simply identify the hours to be staffed, the level of certification you want and write the check, we do the rest".

They also are quick to point out the biggest benefit, which might go unnoticed, is that this type of arrangement does not violate FLSA. Your agency is able to retain your volunteers. If members of your staff work for an agency like Vintech, while on duty, even in your station, they are the agency's employees. Not yours. This means that when these same people are off duty, they can still be your volunteers.

Hiring process

If you choose to hire your own employees, which many organizations do, make sure that you have a reasonably stringent hiring process. Remember you are hiring people and creating jobs, make the job one worth having. Candidates should work for them.

We suggest a five part process:

1) Application with resume

This allows a review of applications. All candidates, even internal candidates, apply for these new positions in the same manner. I would suggest a member in good standing that applies be granted a 5 point bonus to their score as a gesture of goodwill.

Anyone meeting the written minimum education and certification standards on paper makes it to the next phase.

2) Written EMT or Paramedic exam

A basic knowledge exam consisting of perhaps 50 questions. Ask your EMS Coordinator or Regional Training person for help or purchase a test bank and construct a test of your own. Identify the minimum passing grade in the written invitation letter. We suggest 80% as the passing mark. Those that pass make it to the next phase.

3 & 4) Oral Interview and Practical skills station

Conduct a 20-minute interview with a list of pre-written questions. Use the same list for every candidate. Ask scenario based questions that require longer answers.

Halfway through the interview stop, escort the candidate into another room and present them with a medical or trauma practical station. Score them with a standard evaluation sheet. At the conclusion of the practical evolution, escort them back and finish the oral interview.

5) Documentation

At the conclusion of the interview hand them a blank run report and ask them to document the care they gave in the practical station.

Rationale for this system:

· The application process weeds out initially unqualified candidates based on certifications and length of service.

· The test weeds people with weaker book knowledge.

· The oral/practical test their ability to communicate, evaluates their treatment skills and also their ability to switch gears.

· The documentation process done this way tests their ability to remember and accurately chart events under stress. When was the last time a run report was done immediately after a call?

I have used this system for years and when the scoring is done, the best, well-rounded candidates have always risen to the top.

Bob Holdsworth is the Founder of The Holdsworth Group, LLC a marketing and consulting firm with a particular specialty in the emergency services and healthcare marketplace.

Bob is a veteran paramedic and entrepreneur. He has been in emergency services for more than 30 years with a diverse background that includes:

General Manager, Private Ambulance Company;
EMS Coordinator, Hospital Based Regional ALS Service;
Interim General Manager and Business Development, Private Ambulance Company;
Public Information Officer for multiple agencies;
Founder EMS Consulting practice with national client base;
Founder multi-million dollar EMS billing company;
Author (EMS, Public Risk, state journals and general business markets);
Speaker in both the US and Canada [EMS and Business conferences]

He can be reached for comment, consulting and speaking engagements at http://www.BobHoldsworth.com

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Will Your Insurance Company Pay Your Hospital Bills?

It is a known fact that most insurance companies, especially the larger ones, love to deny claims and look for any and all reasons to not pay your claims or your hospital and other medical claims. You should be aware of this and you should take certain steps to protect yourself .

For example, a family member goes to the emergency room for a serious emergency. The last thing that you are thinking of is to go to a pay phone and hold on while you listen to recordings from your insurance company and hope that a human being answers the phone. For most emergency rooms encounters, you or the patient can be in the emergency room hours and even sometimes days before you all calm down and relax if the patient is stable.

To stop themselves from paying your claim, most insurance companies have enacted these strict "pre-certification " rules, and rules that you must call them within a certain period of time or your claims might not be paid. Your doctors and hospital bills might not be paid and then you might have to pay it all yourself. This seems highly unfair, especially after you have been paying into these insurance companies for years and years with out of your paycheck deductions. You should be able to use this insurance that you are have already paid for, correct? But the insurance companies, especially Blue Cross and Blue Shield and United Health Care and the other major insurance companies insist that you pre-certify and On time or be denied.

You, as a patient or family member or consumer , need to protect yourself against these unfair denials. How do you do this? There are steps to take and other steps that the insurance company will not tell you about. You can protect your interests. So read my other articles and you will have the answers to your question.

The next article that I write will detail the steps that you need to take to protect you and your family from unscrupulous insurance company demands and against their denials for payments.

Melinda Thomas is presently touring the United States of America in search for information, true stories, inside data on what is happening around the world inside of nursing homes and physical rehabilitation and care centers. The material that she has come across, both through personal inspection, investigation, research and organization, is remarkable in length, content and tear-jerking memories. She hopes that you share your ideas with her as soon as possible. While her subject topics vary from radical consumerism, computers, teamwork and others, she hunts for the truth and the truth is forthcoming.While her subject topics vary from radical consumerism, computers, teamwork and others, she hunts for the truth and the truth is forthcoming. Meanwhile read all the articles and connect with her through her agent at onenewbeginning@yahoo.com

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Laurel Fire Roll Over Part 1

Laurel Fire Engine 103 responding to a roll over



http://www.youtube.com/watch?v=tCTzczJgCV4&hl=en

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All Saints Season 12 Episode 6 - Facing The Music (part 4)

The MRU are called out to a car crash where a couple are badly injured. When one of them passes away Mike pulls rank and refuses to tell the only surviver that their partner has passed away. Will Jo & Steve disobey orders? Will the remaining survivor be ok? A young couple come into the ED after the man Liam complains of stomach cramps and nausea. When all attempts to make him feel better fail, Adam turns to his girlfriend. When she said he took part in an experimental drug trial things get much worse when the battle becomes one to getting info from the drug company. Will he be ok? Will the drug company spit up the information that they need? And Frank goes to a classical music concert of a lady called Analise Lang. When she collapses, Frank has an ambulance called and she's taken to All saints. Will she be ok? Can Frank find out what's wrong?



http://www.youtube.com/watch?v=qe7oGByXArM&hl=en

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08.30.09 - Third Alarm - 3rd & New Streets, Bethlehem, PA

Around 0330 hours a Bethlehem Township ambulance spotted flames on the upper floors of what was the former 3rd Street Chicken & Ribs at 3rd and New Streets. The box was then transmitted for a building fire at that intersection. Engines 1, 3 and Ladder 1 arrived to find heavy smoke pushing from the upper floors of the 3-story brick structure. The upper floors we were told are vacant and the first floor is occupied by Southside Burgers. The fire was deep-seated on the second floor and spread quickly. It extended into the cockloft and spread horizontally to exposure 4 - a three-story multi-family-dwelling (O/M/D). The exposure on side 3 was threatened, only to be separated by a 3 foot alley. Tower Ladder 2 positioned on the #2 side (New Street) kept the fire from extended into those buildings. Ladder 1 positioned on the #1 - 2 corner of the building giving it access to both sides of the building. The fire burned out-of-control for more than 4 hours. Crews worked throughout the day extinquishing hot spots and overhauling. This video shows a time frame of about 3 1/2 hours of activity. A part two is expected. Stay tuned.... The fire is located just blocks north of Lehigh University and just west of the new Sands Casino in southside Bethlehem City.



http://www.youtube.com/watch?v=hYGgnNzzTnw&hl=en

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WOODLYN FIRE RESCUE THE LIGHTER SIDE

GOOD/FUNNY TIMES AT THE WOODLYN FIRE COMPANY RIDLEY TWP DELAWRE COUNTY PA song is whats my age again by blink 182



http://www.youtube.com/watch?v=or4_4pfibrM&hl=en

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Air Ambulances and What They Do For People

There are many medical emergencies, where time is of the essence. At times like these seconds can make a difference. There are several strategies that the medical profession uses to cope with these life-threatening situations. One of those strategies involves an air ambulance. Initially air ambulances were only used to transport patients who are in rapid need of assistance to a waiting emergency team at a distant hospital.

While it may seem expensive to use an air ambulance, there are simply some areas that can't be reached by road. It's not always a question of speed, sometimes it's a simple question of accessibility. Air ambulances have the same technology that you'll find on regular ambulances. Stretchers, ventilators, defibrillators, and a host of other modern medical equipment.

As with many advances in our culture, it seems unfortunate to say, but the first air ambulances were used were used by the military. Way back as early as the Korean War, air ambulances were in use by the United States military. It made perfect sense for transporting wounded troops across hostile and inaccessible areas.

It's not just a technological equipment on air ambulance that makes it special, but the crew as well. Take pilots for instance. Pilots flying in non emergency aircraft, must pass a less strict and demanding series of testing. The rest of the crew is often made up of paramedics, technicians and in certain situations nurses and even doctors.For the more severe emergencies in, even more specialist crew may be involved in the rescue and life-saving activities. It's not unusual for surgical specialists and even anesthetists to be included in the flight crew of an air ambulance.

there are a multitude of organizations currently, it specialized in air ambulances. When someone for military purposes. Some of for government purposes. Some of them are charter type air ambulances. Some organizations support public funded for air ambulance services.

While you may hope, that you never need to ride in an air ambulance, it's certainly reassuring to know that they exist in real life, and not just in the movies. For someone looking for an adventurous and rewarding career, ambulances service could certainly provide that. There's something to be said for being able to rescue someone from a near impossible situation in remote locations and make a difference in their life.

If you enjoyed this article on air ambulances, don't miss out on the latest news on air ambulances as it happens.

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Antonio Fernandez

Antonio (Tony) Fernandez, 77, of Danbury,Ct., died on April 19, 2010 of complications of Parkinson's Disease. He was born on November 2, 1932 in Hastingson-Hudson to the late Domingos and Eugenia Fernandez. He was predeceased by a brother, Dominick, and a sister, Mabelina. He is survived by his loving wife, Janet, his daughters Karen (Joe) Christiano, Susan (Tony) Palermo, Laurie Gray and Kim (John) Marchese. He has eight grandchildren and six great grandchildren. He is also survived by a sister, Emily (Salvatore) Marziale and a brother, Alfred Fernandes and several nieces and nephews. Tony graduated from Hastings High School and he served in the US Army during the Korean War. For many years, he was an active member and a past Captain of the Uniontown Hose Company No. 2 of the Hastings Fire Department and the Hastings Volunteer Ambulance Corp. He was a former member of the Tower Ridge Yacht Club. He retired from Schipp Construction Company in Mahopac in 1996. Tony loved boating, fishing and skiing and enjoyed those sports whenever he could. He also enjoyed making and flying remote controlled model airplanes. Friends and family may call on Wednesday, April 21 from 2-4PM and 7-9PM at the Hastings Funeral Home, 15 Spring Street, Hastings-on-Hudson, NY. A private Burial will be held at Rose Hills Memorial Park in Putnam Valley, NY. In lieu of flowers, donations may be made to the National Parkinson's Foundation, Gift Processing Center, PO Box 5018, Hagerstown, MD, 21741. To ...



http://www.youtube.com/watch?v=ADT_oaF9KK0&hl=en

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Public Relations for Ambulance Companies

Ambulance Companies need Public Relations so that folks will remember this and get the heck out of the way when they see the lights and hear those sirens. And yet Ambulance Companies often do not go out of their way to do proper public relations in their communities.

Often we see first responders as State Fairs, Events and community involvement days, but really it is going to take more than this to insure that ambulances are respected on the road and those in the ambulance are looked at as authority figures in chaotic crisis. Businesses which are under contract with government agencies to help the common good need to be aware of public relations and this is why it is so important for ambulance companies to consider this.

It makes sense for an ambulance company to start a public relations program which will include sending first responders staff and ambulances to Boy Scout meetings, schools and other community events. Often ambulance companies will use a grid defense pattern to reduce the travel time in traffic in case of an emergency.

When these first responders and ambulance technicians are in parking lots they should do what many community-policing officers do and that is to talk to the citizens around the area and explain how the ambulance works and all the various important components that go into their job. By doing this they will earn the trust of the community and this will make their job a lot easier in the future. Please consider this in 2006.

"Lance Winslow" - Online Think Tank forum board. If you have innovative thoughts and unique perspectives, come think with Lance; www.WorldThinkTank.net/. Lance is an online writer in retirement.

Addword

Air Ambulance Service - Will Your Insurance Pay For It?

In many cases, yes they will.

When dealing with any specialty service, such as an air ambulance service and an insurance company's coverage policy, it is a good idea to gather some information.

A beginning step would be to discuss the medical necessity of your traveling to another medical facility with your current doctor. Your insurance company will require the doctor's input and written determination that it is a medical necessity not only for you to travel, but also that you should travel by air.

A medical necessity might mean that your situation is life threatening and the best facility for you to be at is hundreds of miles away. Perhaps it just that your doctor has determined that your current medical facility can not adequately treat the severity of your situation. In any case, it is your doctor who will determine the medical necessity of your case.

Another step is to see if your insurance policy has an air ambulance benefit, what it covers, what it limits and what criteria must be met if the service is to be covered. If you do find you have air ambulance coverage, dig a little deeper and find out what the benefit limit is and if there is a lifetime, maximum benefit.

Before you select an air ambulance service make sure that the provider will coordinate with your insurance company. Do not count on a company that encourages you to travel first and then deal with claim forms. Insist that the air ambulance company receives authorization from your insurance company first, or you might end up with transportation costs you had not counted on.

For more great information on air ambulance service, see American Jets Inc, the worldwide leader in air ambulance transportation.

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The Silent Treatment Works Every Time

It annoys me when people are not paying attention when I speak. Noisy people in the crowd undermine the speaker's presence and nullify the speaker's message. That type of behavior is totally unacceptable and as a speaker you have to nip it in the bud immediately.

My favorite way to quiet a crowd and get the attention I deserve is to use the silent treatment. That may sound strange coming from a speaker but it works all the time.

Here is what I do when I'm sharing my knowledge and people can't be quiet:

1. Stop talking.


2. Stand in the absolute center of the room.


3. Patiently wait for the talking to subside.


4. Scan the crowd and let everyone know that the presentation has paused.


5. I ask (in a slightly sarcastic tone) the talkers if it is okay for me to continue where I left off. If I'm using name plates in a seminar I'll call them out by name.

Shock waves always follow. The people who were trying to listen smile from ear to ear. The people who were causing the distraction are completely embarrassed. The majority of presenters are too timid to demand their respect. If you demand your respect, you will be given your respect.

Now that I've explained the silent treatment lets look at why it is such an effective tool.

Returns Focus to the Proper Owner

A few weeks ago I went to a comedy show. Three comedians presented that night. The first and third comedians were seasoned veterans. Sandwiched between them was an up and coming comedian who was very short on stage presence.

The first comedian was hilarious. He spoke like a true veteran. His style was energetic and charismatic. He walked off the stage to a well deserved standing ovation.

Next up was comedian #2. You could feel the nervous energy radiating from her microphone. She spoke in a sheepish tone. 5 random conversations were born within the first 2 minutes. In the beginning the side conversations were barely noticeable. About halfway through her session she could barely be heard. 5 distracting conversations had turned into 10. Only 10 of the 100 people in attendance were paying attention. You could see her shrinking on the stage. When she realized she could no longer control the crowd she abruptly ended her set and stormed off in frustration.

Comedian #3 took the stage in the mist of the distracting conversations. 30 seconds into her set she stopped talking and looked around the audience. The side conversations intensified. She remained silent. The side conversations intensified yet again. She remained silent. After 45 seconds of silence she brought the microphone back to her face and said "I'll start telling jokes again when the group in front of me decides to be quiet. You paid to hear me tell jokes. I'm going to get paid whether you listen or not". The crowd in front her stopped talking and laughing. They were embarrassed and upset but her point was made. She had no more problems that night.

Establishes Authority

Humans are conditioned to respect figures of authority. If you're speeding and you see a cop you slam on your brakes. When you hear the sirens from an ambulance you immediately veer to the side of the road. When your manager makes an unannounced trip into your workspace you quickly close any items that aren't related to work.

You slam on your brakes because you don't want the monetary punishment of a speeding ticket. You move your vehicle away from an ambulance because you don't want to cause the loss of a life. You close windows on your computer because you don't want jeopardize your source of income. These are natural responses to traditional authoritative figures.

As a speaker/presenter you can operate with the same level of authority as the police, an ambulance, or someone's boss. Your presentation loses effectiveness exponentially with every distraction. By demanding silence you are establishing your authority and validating the worth of your presentation.

You are presenting for a reason, act like it.

Conclusion

When it comes to gaining attention during a presentation/speech nothing works like the silent treatment. People expect the speaker to speak. If you aren't talking they know something is wrong. Usually that something is unnecessary crowd noise. Use the silent treatment as described in this article to make sure you have are the center of attention and establish your authority.

Marcus Antuan Smith is a creative force in the public speaking world who strives to meet the needs of each and every client. His experience as the Toastmasters President at a fortune 15 company will prove invaluable to you.

Go to his website, http://www.marcusasmith.com for more information.

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Tips on Rental Car Insurance

Rental car insurance is a gamble. You may get away without it, but the odds are not in your favor unless you have some form of additional insurance. Your regular car insurance policy probably covers any vehicle you are driving, but the gaps in your personal coverage may spoil your trip and cost you a lot of money.

DON'T WAIT until you're at the car rental counter! Make a couple of phone calls to your insurance company and the major credit card company you'll be using for rental. Ask what is covered and what isn't. My guess is the list of rental car insurance questions is longer than you think. Don't feel alone in your confusion. Most people wouldn't even think to ask about some of the possible gaps in coverage.

Here are some coverage items you need to ask questions about:

1) Am I covered if I have an accident that results in the "loss of use" of the vehicle to the rental car company, while the car is being repaired?

2) Am I covered for theft or vandalism to the car or my property?

3) How much coverage do I have on my current automobile, in terms of comprehensive and collision. If you've dropped either to save money, your rental car insurance is not going to have either coverage.

4) Who pays for administrative fees, towing fees, diminished value of the rental car due to an accident, medical and ambulance fees or damages to private property.

5) Am I covered if this is a business trip, rather than a recreational trip?

Fortunately, most of these questions are easy to answer. Between your credit card company, auto insurance firm and your homeowners insurance policy, most of these areas are probably covered. If you still have some doubts about an accident, ask the rental car company about a loss damage waiver (LDW).

An LDW is technically not a rental car insurance product. It may cost you a few bucks a day, but it will protect you if the rental car is damaged or stolen.

After you've done some planning, you may find that no additional insurance is necessary. Between your credit card firm and your regular auto insurance policy, you may have all the bases covered and you can just have some fun on your vacation. When in doubt though, ask your regular insurance company for a temporary insurance rider. It's a lot cheaper than shelling out the big bucks if you do have an accident.

My name is Steve Benedict and I help people save money on auto insurance. I want you to benefit from the mistakes I've watched others make, and learn insider secrets that it took years to perfect. Whether you're "just curious or really serious", visit my website right now, while you're thinking about it: http://www.carinsurance-journal.com/

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Snoring - Home Remedies Try Them Tonight!

Are you fed up with your partner snoring each evening? Whatever the case, you cannot throw your partner away. Getting a relaxing perfect sleep can't be that hard in today's technological advance world. Many aids are in many websites and books. I will tell you some little home remedies for snoring for you and your partner. If you have enough patients, you can see the cause and effects with some certain tools that will decline your partners snoring habits. Which long term results you be very satisfied with.

A tennis ball can really help a person stop snoring. It sounds funny but a simple tennis ball can curve your partners snoring habits literally almost 80%. You almost on the right path to a sound sleep after I will tell you how to do this.

Mostly sleeping positions are to blame for the snoring. If you change the position of your sleeping partner, you can change that bear sound once and for all. You can also use other positions to try obtaining better sleeping and snoring habits. If he / she snore at least partly of the night you can position them to sleep on their backs, or you can use the idea of a tennis ball on your partner in the recovery position during their sleep. It's easy, you need a tennis ball (if you ask me, why not a cricket ball, I have no problem with this idea) and the night before you sleep with your partner, if he / she is back, the ball is him a nuisance for the person, and he moves into the recovery position. It takes a few days to get used to sleep in their individual parts, and after the ball may be removed. These techniques of snoring may not apply to the whole world, but it can be tested.

Another interesting resource for you is to investigate the snoring habits of the population. It found that people tend to snore less with snoring pillows. Cushion a shock in the neck and actively strengthen the muscle for a good sleep during the night. Therefore, you can discard the pillows and you lie down with your neck flat. This is rather to ensure that the air paths will be free and you can breathe easy. Of course, for a few days a little discomfort, he/she will be restless in bed in a few days feeling the discomfort, without sleeping pillows. God has given our bodies, in any case or form so any of these techniques can beat bad snoring habits.

You can always try different positions of the head. By raising your head with pillows while you sleep during the night can significantly curve snoring too. You can raise not only the head while you sleep but your feet too. Maybe also you can adjust to a better pillow. Try out different pillows hard, soft or with feathers. They are all super cheap because of synthetics materials used you can also put your bed in a higher position. You can put two or three stones at the head of the bed to raise it up. This may get you a more pleasant sleep so please try all of these explained remedies before going out to a costly specialist or a sleep clinic.

Also there are such things as oxygen machines you can breathe in a couple of times before you go to sleep. It is also a good practice for people with respiratory problems, allergies and cold symptoms. This machine can be space for the passages of the nose freely, congestion and a perfect free air. Sleeping with an open mind about snoring is the best. You can also try refreshing ocean waves to block out the sound.

Air Ambulance Stat Air International Provides Air Ambulance, Med-evac's, and air medical worldwide 24/7 travel Assistance & Medical Escorts on private and commercial flights.

An air ambulance company that will focus on all the logistics of medical evacuation bedside to bedside, our dispatchers are readily available to assist you for critical care, BLS and medical escort needs.

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Air Ambulances and a Guide to Them If You Need Them

Accidents can happen anytime, and medical assistance should not be delayed. A patient has the right to have the fastest medical assistance and utmost care from medical staff and family members. But what would you do in cases where you need to have them transported in the fastest way possible?

Air ambulances are aircrafts that are used to transport emergency patients to hospitals. They are capable of reaching the scene location far more easy than a traditional ambulance. An air ambulance can quickly transport patients from locations of long distance or in difficult terrains.

Long distance transportation - An air ambulance is an excellent choice in transporting patients that require long distance travel. As they are fast and there is absolutely no traffic to cause delay, the chances of the patient receiving the required assistance in due time are far greater.

Immediate assistance - Accidents or health issues, that need immediate attention and a professional hand, can be expertly performed by the medical staff of an air ambulance. This way, a quicker response to incidents will prevent more injury and pain to the patient.

Remote injuries - One of the common reasons that these air ambulances need to attend to, arise where people suffer serious harm in remote areas that simply cannot be reached by road. This could involve cardiac arrest in the mountains whilst hiking, falling from a cliff, or poisoning.

Standard air ambulances:

Aircraft and crew - Piloting an air ambulance is far more delicate than the ordinary flying of a passenger jet. The pilots will have proper knowledge and experience on how to deal with such situations, and in some cases, they are as medically trained as the crew.

Medical control - The ambulances will also be in direct contact with a medical control centre or hospital. They can update the medical destination with the status of the patient and this also provides them with the much needed support when there is a medical emergency.

Medical staff - In this specialised field, staff are trained continuously to allow them to cope with a variety of unusual medical scenarios. They need specialised life saving knowledge and this sets them apart in the medical industry.

Equipment and interiors - The interior of the ambulance is like a mini hospital with wings. Everything that is needed is stored within and is designed to provide the utmost comfort and safety to the patient.

One of the benefits of an air ambulance is the ability to change equipment with reference to the individual patients needs. If you are the one that ever requires assistance, there will also be room available within, to transport other people that may have also been in danger when the incident occurred.

The time frame in booking an air ambulance depends on your emergency. The emergency will be analysed by the trained professionals and if you need immediate attention, they will do everything in their power to get to you as soon as possible. It is important that they also analyse the terrain, as they would be of no use to you if the ambulance met with an accident whilst trying to get to you. This analysis does take time, although medical staff are well trained to think about different situations, and act accordingly, with lightening speed.

Are you thinking you might be in need of Air Ambulances in the near future because of your location? St Christopher's Assistance will be able to help. For more information on the company please visit the website at http://www.stchristophersassistance.com/

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Ambulance Cabrini Medical Center

by Dirk Steinhardt - www.rescue911.de - New York City, New York, USA - January 2007



http://www.youtube.com/watch?v=GW9VVpsOs0E&hl=en

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Ambulance St. Vincent's Midtown Hospital

responding in Manhattan - by Dirk Steinhardt - www.rescue911.de - New York City, New York, USA - 09.2006



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11th Battalion responding in Harlem - by Dirk Steinhardt - www.rescue911.de - New York City, New York, USA - 01.2007



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TV Commercial by Director Matthijs van Heijningen



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The Beginning of the 2009 Schuylkill County Fire Convention Parade

The start of the annual Schuylkill County Parade. This is hosted by the Tamaqua Fire Department.



http://www.youtube.com/watch?v=OOQ95nCnIq4&hl=en

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Immigrant Insurance - A Great Beginning to the American Dream

When an immigrant to the U.S. first encounters life as an American, he/she should be well placed to handle all the changes in life that being an immigrant brings with it. To help matters in the health department, immigrant health insurance is a must.

To enjoy life as an American, it is essential to ensure that health costs don't spiral out of control. These insurance can help in this regard. What's more, some plans, called guarantee issue plans, are designed in such a way that they accept all applicants.

Unplanned medical expenses are generally covered by immigrant insurance. That includes emergency evacuation and accidental death and dismemberment, apart from the medical costs related to inpatient and outpatient care, diagnostic tests, prescription drugs, surgery, and ambulance services.

Physiotherapy, chemotherapy, and radiation therapy are also covered by some insurance plans for immigrants. Dental care is included if the damage is to the natural teeth, and mental disorders, drug and narcotic abuse and maternity are all covered if conditions are satisfied. What is not covered? Routine medical care, optical care, previously existing conditions, and cosmetic surgery are generally excluded.

These plans can offer fixed benefits or comprehensive benefits. Fixed benefit plans, or scheduled benefit plans, feature a limit for each medical service, and are less expensive. Comprehensive benefit plans, however, cover the plan holder for up to the policy maximum for any medical service, unless otherwise specified.

The typical duration of an immigrant health insurance plan is around a month to a year, with plans available for up to five years. In most plans, you can choose the deductible you want. Renewal procedures and rules may be different for each plan.

Insurance companies come in many shades, and chances of prompt claim settlement depend on how the insurance company is rated. A.M Best Company's ratings will help in this regard. It is best to be knowledgeable about a company's status to avoid disappointment later.

Whether immigrant health insurance is purchased prior to departure or after arrival in the United States, it is essential that the coverage fits the needs of the plan holder. It is imperative to maintain insurance, and strike that off the to-do list!

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1- Societas Raffaello Sanzio Divina Commedia Inferno meeting with Chiara Guidi sub english

On the 5th of February 2009 Alfredo Tassi died on the stage of the Theater Auditorium- Gran Theatre in Dijon, he was a 27 years old from Offida AP.He was working as stagehand for the theater company Societas Raffaello Sanzio from Cesena and he died while setting up the play Inferno, trying a complex stage machine that was part of the show. Alfredo died before the ambulance could get there.The autopsy revealed internal injuries to the liver and to one kidney that caused the death, while the company, at the beggining momento aveva parlato di un infarto. said it was caused by heart attack. The enquiry started by the french court about the event, is still in progress. During the Alfredos funeral in Offida, the 8th of February 2009, a rappresentative of the Societas read out a letter that offended the feelings of some of the people, friends and pals of Alfredo The letter seemed to reduce the death of Alfredo to the tragic consequence of a game and without considering it a proper accicent on the work place On the 12th of March 2009 in the FNAC in Genova, Chiara Guidi, member of Raffaello Sanzio together with musician Scott Gibbons, held a conference to introduce the show that was about to be played during those days in Theater of Tosse in Genova, The Cryonic Chants. At the end of the conference few questions were asked to Chiara Guidi about what happened in Dijon and about the behaviour of the company after the accident. The aim was to raise the issue of the safety on the work ...



http://www.youtube.com/watch?v=msq8BLOMrUw&hl=en

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NYC - Emergency Ambulance Service Vehicle (at night)

My POV for Volunteer EMS response in NYC. It seems like a lot at night, but anything short of this in the daytime makes it close to impossible to move traffic. In the front: 2 Whelen Dual Talons R/W, a Hotshot II beacon, Whelen Headlight Flasher, and 2 of 4 strobes from a Sho-Me pack I think. In the back: 2 Federal Signal Signalmasters R/W (old school), and the other 2 strobe tubes. Controller: Federal Signal smartsiren SS2000. ---------------------------------------- And yes, I'm allowed to run red lights and a siren: my Ambulance Company authorizes its members' to use their cars as Emergency Ambulance Service Vehicles, www.health.state.ny.us



http://www.youtube.com/watch?v=XVZiWNl20Ug&hl=en

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Car Organizer - Important Information Every Driver Should Have

In recent decades, our cars have become extensions of ourselves. From going to the corner store to traveling cross-country, we need our cars. Unfortunately, the chances of something going wrong are higher than ever, and being prepared is vitally important. Keep this handy list in your glove compartment, and make sure that all information is up-to-date. Instruct all drivers that use your car where the list is, and how they should use the information on it.

YOUR CONTACT INFORMATION

Name:

Address: (Street, State/Province, Zip)

Home Phone:

Cell Phone:

Office Phone:

Pager:

EMERGENCY INFORMATION

Notify First:

Relationship:

Phone:

Other Phone:

Other Phone:

Notify Second:

Relationship:

Phone:

Other Phone:

Other Phone:

IMPORTANT CONTACT INFORMATION

Roadside Assistance:

Contact:

Member Number:

Phone:

Insurance Company:

Contact:

Phone:

Leasing Company:

Contact:

Phone:

Loan Company:

Contact:

Phone:

Garage:

Mechanic:

Phone:

VEHICLE INFORMATION

Make:

Model:

Year:

Color:

VIN:

License Plate:

Reg. Number:

Date Purchased:

Dealer:

IN CASE OF ACCIDENT

If you can, take pictures of the accident, The more details you have, the better. Try to draw a diagram of the accident, where street lights are located, stop signs, cars implicated, etc. Don't be afraid to ask questions to both the emergency personnel as well as the people involved in the accident.
Also, don't forget to ask for a copy of the police report.

DRIVER'S INFORMATION

Fill out for each car involved in accident, you can get most of this information from the driver's license and registration papers. Encourage him/her to take your information down as well.

Name:

Address: (Street, State/Province, Zip)

Phone:

Cell:

Pager:

License Number:

License Plate Number:

Insurance Company:

Policy Number:

Registered Owner Of Car:

Car Make / Model / Year / Color:

PASSENGER WITNESS INFORMATION

Fill out for each passenger, both yours as well as the other car(s) involved.

Name:

Address: (Street, State/Province, Zip)

Phone:

Cell:

Pager:

EMERGENCY PERSONNEL

Fill out for personnel that assisted you, in case you may have any questions later on or need to go to court or fill out special documentation.

Name:

Occupation: (ex. Police Officer, Ambulance Technician, etc.)

EXTRA INFORMATION

Date:

Time:

Location:

Weather Conditions:

By Marijana Kuljis - Professional Organizer

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Alternative Prostate Cancer Treatment - Know More About Them

Many men who are suffering from prostate are nowadays opting for alternative prostate cancer treatment, which is known as Complementary and Alternative Medicines (CAM) Treatments. This alternative prostate cancer treatment includes the holistic alternative medicines, herbal concentrates, naturopathy, yoga, meditations, many varieties of exercises and massages. The treatment will be supplementing the regular treatment under a prostate expert or will be taken alone under the umbrella of conventional treatments.

Many men go for the alternative due to variety of reasons including cost effectiveness, expectation of wonders from these medicines and also since these are assumed to be free of any side effects. If you watch carefully, you can see that the conventional medical treatments claims are reasonable while the claims alternative are based on hypes. The alternative attract patients through a psychological approach.

Many people are conventionally using the dietary supplements and herbs as part of the alternative treatment. Especially saw palmetto and garlic have been in use as an alternative medicines. The claims of effectiveness of saw palmetto are very prominent and popular in Europe and now it has making momentum in U. S. as well.

Supplements containing Vitamins C, D and E, Selenium and antioxidants are being in use as alternatives too. It is believed that these alternatives will improve the immune system and hence delay the progress of the prostrate cancer.

There are many people who devote time on Yoga and Tai Chi, which help them to get relief from stress and provide the required relaxation. They could control their ill feelings and get a rejuvenating effect. These can control the hormonal effects which are negative to the body system.

Individuals with prostrate cancer should discuss with the doctor about the alternative prostate cancer treatment they plan to undertake. If you are already undertaking the alternative treatments, you should tell to your doctor all details of the practices. You should be truthful to the doctor and should not hide any of the information from him.

There can be some reactions, risks and side effects for these kinds of alternative treatments. If you undergo these without doctors advice, you may be inviting unnecessary complications.

An alternative can be more promising and may be more convenient, but undertake this under the proper guidance and advice of your doctor. These prostrate experts will be more experienced to analyze your case and determine whether you require alternative treatment or not. Do not risk your health by undertaking it according to your will and wishes, get good support from your doctor for a better results.

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