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Free Zhanshi Paramedic Exclusive

We have had several questions after we issued a press release on Tuesday. One of the biggest questions is what has caused this issue and we want to be transparent on our current situation. As Chairman Smithey pointed out in his letter, a sudden change of opinion by Wilkes County EMS System Medical Direction has been the culprit of the issues. When we were first notified of our non compliance with NCOEMS call reporting, we immediatley reached out to our software manufacturer and got the ball rolling to fix the issue. This was found to be a software miscommunication between our vendor and NCOEMS, where the reports were being sent but not received successfully. This was corrected quickly and EMS officials and Wilkes County were immediately notified of the same. This time frame was within 10 days of discovering the system disconnect. When we met with those officials in October of 2024 to review the already corrected situation, we were then told that due to a sudden and new interpretation of the ambulance franchise ordinance requirements, we could not function at the ALS level until a new franchise was created with different wording. Medical direction stated that the wording of the franchise ordinance was their sole stipulation that was preventing us from being able to function at ALS level. We are not able to meet the requirements of the new interpretation because we are not able to guarantee a paramedic response 24/7 as we do not have sufficient funding to hire a full time paramedic to be staffed at the rescue squad 24/7. All paramedics on Wilkes Rescue Squad are volunteer and when needed, they drop what they are doing and respond to ensure the citizens of Wilkes County are not without an ambulance available when Wilkes EMS is not able to provide one for their emergency. In order to transport patients in the Wilkes County 911 system, an agency must be in possession of an ambulance franchise ordinance agreement. The original EMS franchise was set in place in 2002. We were awarded a franchise then in conjunction with Wilkes County EMS. Since then, it has been renewed in 2016 and 2021 with no issue. We have been providing the service for 22 years, with no changes to our operational protocol and this has never been an issue until now. When medical direction informed us of their new interpretation, we asked the county in the October meeting to make a simple amendment to the franchise ordinance to allow us to respond immediately at the highest level provider available when no other ambulance is available to respond. This means that if we have a paramedic avalible, they would respond at paramedic level, and if we have an Advanced-EMT avalible, they would respond at the AEMT level. If we have an EMT avalible, then they would respond at the EMT level. Wilkes Rescue Squad only responds to 911 calls with an ambulance if ALL Wilkes EMS units are tied up or unavailable, quite obviously including all on duty paramedics. In these moments there is no guarantee that a paramedic will be avalible from ANY agency in or surrounding Wilkes County. We feel it’s better to get even an EMT level ambulance immediatley to transport you or your family member to the hospital and be there to provide lifesaving interventions, than to have to wait for a paramedic unit for an extended time, possibly resulting in death or preventable injury to you or your family. This solution we proposed is a standard operation in emergency prehospital medicine and is followed in many areas across our state and country. At the same time as we were informed by medical direction about their new interpretation of the franchise ordinance, Wilkes EMS was also in violation of this ordanance as they are now interpreting it. The commissioners recently made an amendment to Wilkes EMS’s franchise ordnance to bring Wilkes EMS back into compliance. Wilkes Rescue Squad, even though we have been waiting since October 2024, we have still not been provided any new franchise ordinance draft to review and sign. This franchise ordinance is the only reason we have been found in violation of our county contract. As stated in the previous letter, we have attempted to have conversation with and negotiate a new franchise ordinance agreement and county contract, yet have had no communication back from the county until the violation notice. And then have been denied being allowed to speak to the county commissioners since. Please, see the below photos for the Ambulance Franchise renewal information.

We have had several questions after we issued a press release on Tuesday. One of the biggest questions is what has caused this issue and we want to be transparent on our current situation. As Chairman Smithey pointed out in his letter, a sudden change of opinion by Wilkes County EMS System Medical Direction has been the culprit of the issues. When we were first notified of our non compliance with NCOEMS call reporting, we immediatley reached out to our software manufacturer and got the ball rolling to fix the issue. This was found to be a software miscommunication between our vendor and NCOEMS, where the reports were being sent but not received successfully. This was corrected quickly and EMS officials and Wilkes County were immediately notified of the same. This time frame was within 10 days of discovering the system disconnect. When we met with those officials in October of 2024 to review the already corrected situation, we were then told that due to a sudden and new interpretation of the ambulance franchise ordinance requirements, we could not function at the ALS level until a new franchise was created with different wording. Medical direction stated that the wording of the franchise ordinance was their sole stipulation that was preventing us from being able to function at ALS level. We are not able to meet the requirements of the new interpretation because we are not able to guarantee a paramedic response 24/7 as we do not have sufficient funding to hire a full time paramedic to be staffed at the rescue squad 24/7. All paramedics on Wilkes Rescue Squad are volunteer and when needed, they drop what they are doing and respond to ensure the citizens of Wilkes County are not without an ambulance available when Wilkes EMS is not able to provide one for their emergency. In order to transport patients in the Wilkes County 911 system, an agency must be in possession of an ambulance franchise ordinance agreement. The original EMS franchise was set in place in 2002. We were awarded a franchise then in conjunction with Wilkes County EMS. Since then, it has been renewed in 2016 and 2021 with no issue. We have been providing the service for 22 years, with no changes to our operational protocol and this has never been an issue until now. When medical direction informed us of their new interpretation, we asked the county in the October meeting to make a simple amendment to the franchise ordinance to allow us to respond immediately at the highest level provider available when no other ambulance is available to respond. This means that if we have a paramedic avalible, they would respond at paramedic level, and if we have an Advanced-EMT avalible, they would respond at the AEMT level. If we have an EMT avalible, then they would respond at the EMT level. Wilkes Rescue Squad only responds to 911 calls with an ambulance if ALL Wilkes EMS units are tied up or unavailable, quite obviously including all on duty paramedics. In these moments there is no guarantee that a paramedic will be avalible from ANY agency in or surrounding Wilkes County. We feel it’s better to get even an EMT level ambulance immediatley to transport you or your family member to the hospital and be there to provide lifesaving interventions, than to have to wait for a paramedic unit for an extended time, possibly resulting in death or preventable injury to you or your family. This solution we proposed is a standard operation in emergency prehospital medicine and is followed in many areas across our state and country. At the same time as we were informed by medical direction about their new interpretation of the franchise ordinance, Wilkes EMS was also in violation of this ordanance as they are now interpreting it. The commissioners recently made an amendment to Wilkes EMS’s franchise ordnance to bring Wilkes EMS back into compliance. Wilkes Rescue Squad, even though we have been waiting since October 2024, we have still not been provided any new franchise ordinance draft to review and sign. This franchise ordinance is the only reason we have been found in violation of our county contract. As stated in the previous letter, we have attempted to have conversation with and negotiate a new franchise ordinance agreement and county contract, yet have had no communication back from the county until the violation notice. And then have been denied being allowed to speak to the county commissioners since. Please, see the below photos for the Ambulance Franchise renewal information.

When someone’s life is on the line, they need a hero. Can you be that hero?

Wildfires can be devastating, but you can help make a difference. Join the American Red Cross and our partners for a special event focused on wildfire preparedness and safety. No prior experience is necessary; we’ll provide all the training and materials you’ll need. During this event, we will visit homes to provide lifesaving information on evacuation, local alerts, and steps to create defensible space around properties. Your participation can help save lives and protect communities. Register to volunteer on May 17th here: https://volunteerconnection.redcross.org/?nd=public_shift_listing&view_id=2&zip_code=98802&registration_id=20767199 We are also providing a virtual training before the event on April 16th from 9am to 1030am. To register for this class, or for more information, CLICK HERE: https://volunteerconnection.redcross.org/?redirect=2&nd=vms_registration_event_detail&registration_id=20791023

🔥 “Fearless, Fierce & Unstoppable!” 🚒

When someone’s life is on the line, they need a hero. Can you be that hero?

In times of crisis, trust our Rapid Response teams to provide immediate assistance at the emergency scene. With 24/7 availability and swift deployment, we ensure protection and security for our clients when they need it most. Contact us today for more info! Email: info@presecure.co.zm Call/Whatsapp: +260 763 882 193

In times of crisis, trust our Rapid Response teams to provide immediate assistance at the emergency scene. With 24/7 availability and swift deployment, we ensure protection and security for our clients when they need it most. Contact us today for more info! Email: info@presecure.co.zm Call/Whatsapp: +260 763 882 193

First Responder

We are seeking motivated individuals to join our Emergency Response Team! In this role, you will work collaboratively with fellow team members to provide rapid and effective response to a wide range of emergencies, including Industrial Firefighting, Rescue, Medical, HAZMAT, Natural Disaster and others. You will play a vital role in ensuring that our customers and communities receive the needed help when it matters most!

First Responder

🚨 "In the face of disaster, EMS providers are the backbone of community resilience." 🚨 In her latest article, Chasidy Kearns, MA, EMT-P, shares the harrowing experiences and complexities of managing disaster shelters. From logistical challenges to the emotional toll, our EMS heroes stand strong, ensuring safety and care for all. Read more about the incredible efforts of our first responders in times of crisis. 🌪️💪 https://ow.ly/Poni50UCCZF

🚨 "In the face of disaster, EMS providers are the backbone of community resilience." 🚨 In her latest article, Chasidy Kearns, MA, EMT-P, shares the harrowing experiences and complexities of managing disaster shelters. From logistical challenges to the emotional toll, our EMS heroes stand strong, ensuring safety and care for all. Read more about the incredible efforts of our first responders in times of crisis. 🌪️💪 https://ow.ly/Poni50UCCZF

Once the vibrant heart of her family, Mdm Shi Qiuxia now lies in a hospital bed after enduring multiple high-risk surgeries and over 20 days in intensive care. Seeing her so fragile after years of boundless energy has left her family grappling with an indescribable pain.

With the possibility of severe weather in the forecast, keep our number handy. Our crew will be standing by, prepared to respond to any emergency needs that may arise for you or those around you. Give us a call at 678-232-4143.

Happy New Year from your Local 642 firefighters! As we close out 2024, we want to thank our incredible community for your unwavering support. Whether it was attending or supporting events, lending a hand, or voting to pass Fargo's Ballot Measure 3, you’ve made a lasting impact on our ability to serve and protect you. Your trust in us drives our commitment to keeping our community safer every single day. Here’s to a 2025 filled with continued partnership, progress, and increased safety for all. Thank you and Happy New Year! Sincerely, All the members of Fargo Firefighters Local 642 (Be sure to like, share and follow our page to stay up to date of Local 642 happenings)

#kolkata #emergencyresponse #health #parentingtips #epilepsy #neurology A 2 year old child was admitted to Peerless Hospital under the care of Dr. Saheli Dasupta, head of PICU, in critical condition after experiencing Super Refractory Status Epilepticus (SRSE), a severe form of prolonged seizure activity that did not respond to initial or second-line treatments. The episode occurred while the child was playing at home, and his condition rapidly deteriorated, requiring immediate medical intervention. On arrival at the hospital, the child was in a critical state, necessitating intubation and mechanical ventilation to secure the airway and support breathing. Given the persistence and severity of the seizures, the child was placed on a combination of six anticonvulsant medications, reflecting the complexity of the condition and the resistance to standard treatments. Throughout the 10-day stay, the multidisciplinary team and experts in pediatric critical care, worked tirelessly to stabilize the child. After intensive management and gradual improvement, the child was successfully weaned off mechanical ventilation. With his condition stabilized and seizures under control, the child was discharged and now he is back to his normal life.

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