Mitigation Journal

MJ#61: Rochester 9-1-1 Operator Abuses Terrorist List, National Preparedness Month Tip, and Courage to be Safe!

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 12 May 2008 00:30:00 GMT

This week on Mitigation Journal:
Special welcome to Jason, listening to us from Fredrick County, MD!

A Rochester 9-1-1 operator has been accused of searching data bases including the Terrorism Watch List with 277 names. The searches seemed to have been conducted in January of 2006 and again in October or 2007. Officials believe she intended (or maybe already has) passed information along to "others". Knowing if you or others are on the Terrorist Watch List would be a major piece of intel should you want to carry out an attack...here or anywhere. By the way, the (now ex-) 9-1-1 operator claims discrimination because she is Muslim. I'm going to take this seriously.

September is National Preparedness Month! Our Preparedness Tip this week is: Knowing what you childs school emergency plan is vital in cases of emergency or disaster. Do you know what your childs school is going to do in the event of a natural disaster or other crisis? Request a copy of you childs school's emergency plan for these event...keep it and read it.

Courage to be Safe - So Everyone Goes Home: What are you prepared to do to prevent line of duty death? Last week on MJ I told you what a tremendous program this was...easily among the most meaningful presentations I've ever seen. This week I talk to Paul Melfi, the New York State Advocate for Courage to be Safe. Paul is a well known fire instructor and a retired Deputy Chief. Paul puts it on the table concerning firefighting safety...listen to him!
Check out Courage to be Safe - So Everyone Goes Home at www.everyonegoeshome.com

MJ #60: Great Training, Ryan White Law Changes, Rochester EMT Saves Cop, and More!

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 5 May 2008 04:01:00 GMT

This week on Mitigation Journal:
A review of the NFA program Command and Control of Target Hazards and the NYS Office of Fire Prevention and Control "Courage to be Safe" program and the National Fallen Firefighters Foundation.

In the news: Rochester EMT saves City Police Officer, Ryan White Act and the loss of emergency provisions, and Medtronic/Physio-Control gets an injunction from the FDA.

In our preparedness section we'll take a look at Storm Ready program from the National Weather Service...visit www.noaa.gov...and getting ready for National Preparedness Month, September 2008. Mitigation Journal is a supporter of NPM and will be presenting various preparedness tips for professional responders and the public. Visit www.ready.gov

Contact Mitigation Journal:
By phone: 585-672-7844 or by email at mitigationjournal@gmail.com

MJ#59: Fuel cost-add this to your preplans, Even more on the Ricin Guy, Teen suicide with poison gas, and more!

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 28 Apr 2008 04:00:00 GMT

This week on Mitigation Journal The All Hazards Podcast:
Call the Mitigation Journal Voice Mail line: (585) 672-7844
New Email address, too: mitigationjournal@gmail.com

Fuel issues demand attention: Fuel costs are reaching farther than just prices at the pump...consider the possibility that you may not be able to get fuel at all or only on a limited basis. How will this impact the ability of your service? How will this effect your personnel availability to respond or be called back to work when needed?
We also have to consider the average citizen stockpile of fuel, use of unapproved alternate fuels and the related hazards to responders.

We'll find out a bit more about the Ricin Guy...talk about ricin exposure and the signs and symptoms of ricin intoxication.

Last week I talked about the anniversary of the Oklahoma City bombing...I was reminded this week that March 25, 1995 was the anniversary of the Tokyo subway sarin nerve agent attack. Special thanks to MJ listener, Tom for keeping me on my toes.

In a related story, a 14-year old girl commits suicide by creating poison gas...a blood agent, hydrogen sulphide. H2S is a blood agent, similar to Cyanide.

Both these events underscore the need for us to be aware that the Consumer-Level Hazardous Materials Events are deadly...can be intentional or accidental...but deadly.

MJ#58: Ricin Guy...good news, bad news, the impact of false alarms, and Botox: I told you so!

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 21 Apr 2008 09:17:00 GMT

First off, the Ricin guy (the guy who had ricin, weapons in a LosVagas hotel) is out of the hospital...after treatment for ricin exposure...and has been placed under arrest for possession of biological agents. This is the story first reported in Mitigation Journal back in February...The media reported that finding ricin in the hotel was "not an act of terrorism"...The tune has changed just a bit with this guys arrest. This story is the first to two I Told You So's this week.

A Johns Hopkins study is looking at psychological impact changes when the terrorism alert level changes. Good study, just looking in the wrong direction. We should be focused on the Cry Wolf phenomenon and dealing with Optimism Bias.

A new (old) way of identifying risk/threat to a location. University of Arizona researchers have come up with a benchmark vulnerability study that looks at three dimensions of risk...social aspects, natural hazards and construction of the city and infrastructure. This is one of the best approaches to threat assessments...but it is not new...Looking at the social, environmental and geographical features of a given location are the basis for the All-Hazards approach.

I Told You So number two: Botox is bad...no kidding. Newsweek reports that new testing on Botox and Myobloc can migrate from the injection site and cause death. Botox is botox and neurotoxin is neurotoxin.

April 19 marks the 13th anniversary of the Murrah Federal Building / Oklahoma City bombing. The deadliest act of domestic terrorism in our history. Lessons learned? You decide.

MJ #57: A review of the STEP (Rochester, NY) EMS Conference

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Sun, 13 Apr 2008 20:14:00 GMT

This edition is all about our local EMS conference...A.K.A the STEP Conference. Now in its fourteenth year, this conference is the single best attended educational program in the Region.

Today I'll be providing a review of some of the sessions, interviews with speakers and vendors...if you couldn't make it this year, you'll get a feeling for what you missed!

There was so much to do this weekend...I spoke with a number of providers at the STEP conference, but ran out of time to get them all on the show. If we talked at the conference, please tune in next week...I'll have your interview up then.

Check out STEP on the WEB at www.stepems.org
Looking for a change in your EMS career? Check out Canandaigua Emergency Squad...Job opening for EMS Sergeant. www.canandaiguaems.org

MJ #56: Top Products from EMS Today 2008

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 31 Mar 2008 13:50:00 GMT

Here it is! My top products list from EMS Today 2008. Categories are Education and Training, Provider Safety, Infection Control, Patient Care, and Disaster Management.

In the Education/Training Category the top pick is Jones and Bartlett Publishers for their new on-line test prep, EMS skill manual, and Firefighter skills text. Contact Larry Newell, Executive VP of Jones and Bartlett Learning lnewell@jbpub.com or the web www.jbpub.com

In the Provider Safety section, Dan White from All-Med/Alliance Medical took the top spot for several provider safety items...from head to toe...the best protection. You can get all of Dan's info at his Paramedic Blog at http://phillydan.spaces.live.com/

In the area of infection control Union Springs Pharmaceuticals, the makers of MyClyns protective spray get the high marks! Special thanks to Jim Elliot and Joel Ivers...find them at www.myclyns.com

My top pick in patient care products was the Ready-Heat blanket by TechTrade. Contact Ted Bart ted@techtradellc.com and www.techtradellc.com

The best product in Disaster Management goes to Reeves and the emergency shelters...you can find them at www.reevesEMS.com or contact Lynn at lpiacentini@reevesemes.com

In the Operation Section I thought the Controlled Access Product Dispenser hit the mark. Visit www.ucapit.com

Don't forget...all my photos and some typed notes will be posted on our Mitigation Journal blog at www.mitigationjournal.blogspot.com

EMS Today - Day 4

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Sat, 29 Mar 2008 00:53:00 GMT

Live from Baltimore, EMS Today 2008 coverage! Today I'll review just a few of the products I've seen.
On my "best" list for today are:
I Am Responding emergency responder tracking software, MyClyns Personal Protective Spray, and the Glide Scope Ranger by Averathon Medical.
More reviews and conference updates in the next update on Mitigation Journal.

Remember to check out the Mitigation Journal Blog for pictures from Baltimore. I'll be posting a written summary and product reviews there, too.

From Baltimore, this is Day 3 of EMS Today 2008

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Fri, 28 Mar 2008 00:55:00 GMT

The EMS Today officially kicks off today! In this session I'll review the opening ceremonies and the EMS Today "Game Show", Is it time to turn off the lights and siren, and Controversies in EMS : Technology in Assessment.

Don't forget to check out the Mitigation Journal Blog for updated photos from the conference and around the area.

EMS Today - Day 2 ALS Core Content

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Thu, 27 Mar 2008 01:20:00 GMT

Here is the update from day two of the National ALS Core Content pre-conference session. My commentary is included.

Please join us for daily updates, reviews and interviews from JEMS EMS Today 2008.

Special Report from EMS Today 2008!

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Wed, 26 Mar 2008 00:32:00 GMT

Welcome to this Special Edition of Mitigation Journal - "live" from the opening of EMS Today in Baltimore!

Today I'll open with a review of day-one of the National EMS Core Content Refresher Workshop. This is the first time I've attended a pre-conference program like this and I didn't know what I was in for. This first of a two-day session being presented by Paul Werfel, David Gurchiek, and Art Romano just flew by and I had a hard time consolidating my notes to do the podcast.

This review will cover Ethics, Infectious Disease, Pediatric Assessment, Trauma, and geriatric care. I'll follow up in the next posting with day-two topics and a full session summary as well as coverage of the special evening session 'Clinical Controversies: Technology in Assessment'.

We'll also be doing a "whats new" from the exhibit floor and interviews with conference participants.

MJ#55: Welcome New Listeners, EMS Conferences, Fema Rehab Documet, Flu Closes Schools

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Tue, 18 Mar 2008 08:00:00 GMT

Special welcome to new Mitigation Journal listeners Dale, Steve, and Christina! Thanks for joining us.
Do you like what you hear on Mitigation Journal? Why not post a review on iTunes?

Today I'll focus on upcoming EMS conferences; the Rochester STEP Conference here at home and the EMS Today conference in Baltimore. Mitigation Journal will be podcasting updates, session reviews, "live" interviews with manufactures and attendees. Join us on the podcast and blog for daily updates!

Todays commentary is on gas/fuel prices. With fuel approaching $4.00/gal I asking how prepared emergency services are to deal with situations when fuel in limited or not available.

We'll also talk about how seasonal flu has closed schools in Hong Kong and NY. Is closing schools and businesses a solid tactic for dealing with flu or disease outbreak?

FEMA releases the "Rehab" document...the FEMA version of NFPA 1581. Its 174 pages long and I'm in the process of review. You can get a copy at www.usfa.dhs.gov.

And...Storms in Atlanta, crane collapse in NYC make the case for all hazards planning and the Rule of Outcomes.

Check out the Mitigation Journal Blog at www.mitigationjournal.blogspot.com and view all my news items. They are available as a page at http://www.google.com/reader/shared/00031638008421988721 (and there's a feed too)

In Service #28: Respiratory/Ventilation

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Sat, 15 Mar 2008 16:16:00 GMT

This talk covers terms and theory on respiration and ventilation. This will be a multi-part series...I just don't know how many parts...yet.

MJ#54: Focus on Domestic Terrorism

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 10 Mar 2008 04:01:00 GMT

We seem to forget that acts of Domestic Terrorism have existed in our history and continue to do so today. There have been three events that can be considered acts of domestic terrorism in the last few weeks, yet the mainstream media maintains focus that there "no terror motive" or no "link to terror". Eco terrorists burn a housing development in Seattle, Ricin is found in a Las Vagas hotel, and a military recruiting station in Times Square, NYC is the target of an improvised explosive device.

There is much to think about here. Lets not forget our history and remember the lessons from the Unibomber and others.

Links to all the topics can be found on the Mitigation Journal blog www.mitigationjournal.blogspot.com under the Emergency Services News section in the sidebar. To see all my selected news items you can visit http://www.google.com/reader/shared/00031638008421988721 (and there's a feed too)

In Service #27 Pharmacology Part Three

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Thu, 6 Mar 2008 15:06:00 GMT

This is part three of our series on pharmacology...the final lecture in this series. Today we'll review some terms in concert with medication profiles, patient history and exam, as well as consideration for multiple medications. We'll also talk about over-the-counter meds, vitamins, multiple meds and interactions and the roll these issues play in the "whole picture" of EMS Pharm.

In Service #26 Pharmacology Part Two

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Tue, 4 Mar 2008 20:48:00 GMT

This lecture includes the main topics of Pharmacokinetics and Pharmacodynamics.

MJ#53: Voice Mail on the Blog, School Bus Crash, and Flu Vaccine : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 3 Mar 2008 05:01:00 GMT

This is a short episode this week due to illness. You're invited to use the new voice mail service on the blog www.mitigationjournal.blogspot.com to leave me a comment or a message. We'll talk about simple things to keep a school bus crash under control and review why flu vaccine failure is not a sign of pandemic

In Service #25: Pharm Part One

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Fri, 22 Feb 2008 21:07:00 GMT

This is part one of Pharmacology for the paramedic student. In this talk we'll cover a brief review of the CNS and PNS, Neurochemical transmission, nicotinic and muscarinic receptors, general properties of medications and an overview of the routes of medication administration.

Thanks for listening!
Don't forget to check out the Mitigation Journal Blog at www.mitigationjournal.com or www.mitigationjournal.blogspot.com.

MJ#52: Don't forget about Mother Nature, Rochester MCI

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Wed, 13 Feb 2008 15:36:00 GMT

Today is a good time to remind all of us that we have to be prepared for anything...the all-hazards approach. In this edition I'll speak with Sue Margis, EMT-I and paramedic student about her role in a recent MCI in Rochester.

In Service Training #24: Review of Systems/Osmosis/Fluid Movement

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Tue, 5 Feb 2008 21:57:00 GMT

This is an introductory lesson on the basics of anatomy, physiology and the homeostatic environment. We'll talk about the internal and external environment, various forms of feedback, and membrane transport.
This talk will be helpful for the EMT/Paramedic student or anyone who would like a brief review of the material.

Overview of Cells MP3 format

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Tue, 5 Feb 2008 16:05:00 GMT

This is an overview of Cells for the EMT Paramedic student in standard MP3 format...audio only.

Introduction and Overview of Cells M4a Format

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Tue, 5 Feb 2008 15:57:00 GMT

This is an overview of cells for the EMT Paramedic Student. It is also my first crack at putting slides into the podcast...AKA mixing audio and visual. Only those of you with an iPOD will be able to view this file.
NOTE: I will be posting the same audio content in standard MP3 format that can be used by any player. Please download the file that best suits your player and needs.

MJ#51: Highrise Fires, Construction Features and more on Seatbelts use in Emergency Service : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 4 Feb 2008 15:56:00 GMT

This week I'll review the Monte Carlo casino fire and the implications of exterior building features in relation to fire-related deaths and FF disorientation. We'll also talk about the National Seatbelt Pledge, surge capacity and MCI implications of "routine" events, and more!

A special thanks to Jones and Bartlett Publishing (http://www.jbpub.com/ems/) for paramedic training materials and to Dan White of Alliance Medical (http://www.allmed.net/) for the RAPTAG Triage System.

Check out the National Seatbelt Pledge at www.trainingdivision.com

Welcome New Mitigation Journal Listeners! Erk in Sydney, Matt from Florida, and Dick from Rochester! Thanks for joining us. A special thanks to Eric and Ted for all the input recently.

Welcome and best wishes to the MCC Paramedic Class of 2009!

IST#23: Medical Legal and Ethics Talk : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Tue, 29 Jan 2008 15:11:00 GMT

In this session I'll cover the higlights of the Medical Legal and Ethic curriculum. It is not the favorite material to listen to for many, but it is vital to anyone in emergency service. (It's not easy to talk about either!)

MJ#50:Firefighter Survival Series Part 2, EMS as Intel Sensors, Ready or Not 2007 : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 21 Jan 2008 05:01:00 GMT

This week we'll talk about the use of EMS as intel sensors for terrorist activity and in part 2 of our firefighter survival series we'll outline the Disorientation Sequence. Also, Ready or Not 2007 will higlight major threats of 2007 as well as a clue as to what all-hazards preparendess looks like.

Special Edition: Who ya Gonna Call? Amature Radio! : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 21 Jan 2008 01:16:00 GMT

Today we hear from Gary Perkins, a noted communications expert on the role of amature radio communication operation support during disaster situations. I learned a ton speaking with Gary and came away with a better understanding of HAM radios role in disaster communication.

MJ#49:Firefighter Survival Series, News and Comment, FD Roll in 911 EMS : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 14 Jan 2008 05:01:00 GMT

My Predictions for 2008! Today I'll introduce a new series on firefighter survival, part two will air next week (FF disorientation), we'll talk about several interesting news topics and review the White Paper "Prehospital 911 EMS: the role of the US Fire Service in Delivery and Coordination.

Please visit the Mitigation Journal blog, too. www.mitigationjournal.blogspot.com

Send me an email! rick@mitigationjournal.com

Chief Medical Officer designation for EMS pros

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Wed, 9 Jan 2008 19:04:00 GMT

The Center for Public Safety Excellence (CPSE)âthe organization formally known as the Commission on Fire Accreditation International, Incâhas established a national recognition standard for personnel who have built a professional career in emergency medical services. The designation of Chief Medical Officer, or CMO, is similar in construct to the long-established Chief Fire Officer (CFO). Unlike the CFO title, the Chief Medical Officer designation is open to a diverse group of EMS service leaders; private EMS, hospital-based, fire service EMS, and commercial EMS are all eligible to gain this designation as are medical professionals other than EMTâs and Paramedics.

Unfortunately, there is very little on the CPSE website. But, you can find what they have to offer at http://publicsafetyexcellence.org/

MJ#48: Manatee EMS Stays Safe, EMS Delivery, Safety Officers, Hospital AEDs? : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 7 Jan 2008 00:20:00 GMT

Don't forget the check out the Mitigation Journal Blog! Find it at www.mitigationjournal.blogspot.com and our website at www.mitigationjournal.com.

A special welcome to new listener Kelly F, and thanks to Daniel and Eric for input to todays program.

Need PHTLS? Contact Daniel Taylor. dtaylor1@oswego.edu

Manatee EMS played their positions and stayed safe!http://www.heraldtribune.com/article/20071231/NEWS/712310408/-1/newssitemapSee related posts from www.mitigationjournal.blogspot.com on scene safey See âPlay Your Position, Please!â in Mitigation Journal, May 19, 2006
http://mitigationjournal.blogspot.com/2006/05/play-your-position-please.html and âThese providers saved livesâat risk of their ownâ in Mitigation Journal December 27, 2006 http://mitigationjournal.blogspot.com/2006/12/these-providers-saved-livesat-risk-of.html

EMS Delivery Structure&what should it look like?What shape should the delivery of EMS take? Third service? Private? Fire Department based? Should fire departments (who have NOT done EMS transport in the past) be able to "consolidate" or take-over EMS transport services in order to bolster failing tax-based budgets? This article (EMS flails against being gobbled up by Collier fire districts) has an interesting spin on the issue. The comments of the EMS medical director are nothing less than intriguing. Check out the article with special attention to the quotes from the medical director regarding a fire department take over of EMS. Find the article here:
http://www.naplesnews.com/news/2007/dec/30/ems-flails-against-being-gobbled-collier-fire-dist/

The next Medic Cast Live 1/8/08 10PM ET&Topic: Predications for 2008. See you there! www.mediccast.com

Safety Officers and expanded roles: Incident Safety Officers are more then safety or equipment Nazis. http://mitigationjournal.blogspot.com/2008/01/incident-safety-officers-crucial-to.html

Do we need AED's and a public access program in our hospitals?

MJ#47: MJ first year! Entry Level or Mediocre revisited, Resolve to be Ready in '08 and More! : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 31 Dec 2007 05:01:00 GMT

The first year of Mitigation Journal is behind us...can you believe it? In this edition I'll cover the next generation of Mediocre v. Entry-Level and how to correct the problems in management and leadership we face.

MJ#46: Notes from an Elevator Rescue, an interview with Steve Waters : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Wed, 26 Dec 2007 20:20:00 GMT

On November 29, 2007, EMS and fire agencies from the 3rd Battalion of Monroe County, NY responded to one of the most challenging rescue situations one can imagine. This situation has it all...multiple victims entrapped in an elevator shaft, extreme cold, confined space, and technical rescue.

Five EMS agencies, Five Fire/Rscue agencies, Air-Medical and on-scene medical command came together under a unified command structure to effect a most amazing rescue.

I recently had the pleasure of traveling to the opposite side of my county to speak with Mr. Steve Waters about this elevator rescue. Steve is an emergency medical technician with several years of experience (decades, actually). He is the President of Perinton Volunteer Ambulance (http://www.pvac.org/) and was among the Command Staff during this event.

While you're listening, keep the Rule of Outcomes in mind...we don't have to wait for a large disaster or terrist attack to use the planning and skills we've been training on!

MJ#45: Snowstorm preditiction, Focus on Police OT, Ad 14 and More! : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 17 Dec 2007 05:01:00 GMT

Ready for a snowstorm? We've been dealing with a moderate winter storm that was predicted for sevral days...most didn't get ready. Rochester Police Over-Time being looked at for the Zero Tolerance; a lesson for everyone and Adenovirus 14 along with Respiratory Etiquette and MLREMS refusal policy

MJ#44: Omaha Mall Shootings, Infection Plans, Take the "E" out of EMS : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 10 Dec 2007 02:07:00 GMT

This week I cover the Omaha Mall Shootings and what we should do...all the time.

Why are we still hung up on cardiac arrest? Its time to take the "E" out of EMS and justify our service in other ways.

Infection control and planning: don't worry about the numbers...write a good plan and take care of your people!

Resolve to be Ready in 2008: a continuation of Ready.gov includes everything needed.

Visit our website at www.mitigationjournal.com and check us out on iTunes! Keep your emails comming: rick@mitigationjournal.com

Visit Monroe Ambulance of Rochester, NY at www.monroeambulance.com

Visit the Monroe Community College Paramedic Program at www.mccparamedic.com

In-Service#22: Respiratory Emergency for EMT-I Part One : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Sun, 9 Dec 2007 23:08:00 GMT

This recorded live lecture is designed for EMT and EMT-I students. This lecture is based on NYS EMT Intermediate curriculum and is inteneded to supplement classroom activity. It is not the intent of this podcast to be a substitue for class instruction. Every effort has been made to ensure quality and accuracy of the material, however, discrepancies may occur and the listener should utilize critical thinking while listening. Completing this lecture does not imply certification or authority to provide emergency medical care.

In-Service#21:Special Topic Interview on Childhood Obesity, Impact on the Furture : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Sun, 9 Dec 2007 18:40:00 GMT

With the talk about possible pandemics, we should take a look at other diseases that may impact our society and emergency service in the future. Today I'm speaking with Dr. Nasin on the topic of childhood obesity.

We'll look at trends of obesity in kids as well as a snapshot of what diseases we may face that are not thought of as childhood problems.

In-Service#20: Intro to Cardiac Emrgencies, Anatomy and Physiology : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Fri, 7 Dec 2007 03:44:00 GMT

This is part one of my cardiac emergencies lecture. It's based on the EMT-I program has value for the basic EMT and Paramedic. Topics covered include: Risk factors, A&P, and electrical properties. We'll follow up with part two on electrolytes, conduction, and common cardiac problems.

Enjoy!

Contact me: rick@mitigationjournal.com

MJ#43:Where has MJ Been? What is going on in Rochester? : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 3 Dec 2007 05:01:00 GMT

After a short break in the action, Mitigation Journal is back. This week I'll talk about several local issues including the City 911 ambulance contract, a dramatic elevator rescue and much more!

Check out this great article by David Becker as published on-line at JEMS.com If your an EMS provider looking at the future, you'll want to read this!http://www.jems.com/news_and_articles/columns/Becker/Prehospital_Red_Alert.html

Check out the Mitigation Journal blog posting on a simmilar topic: http://mitigationjournal.blogspot.com/2006/06/attack-of-killer-airway.html

Fire/Rescue from the East side of Rochester respond to a commercial elevator rescue with people trapped. Read it here: http://www.democratandchronicle.com/apps/pbcs.dll/article?AID=2007711300377

Another must-hear from the MedicCast podcast! Checkout Episode number 93 here: http://www.mediccast.com/blog/category/podcasts/

Mitigation Journal is supported by:

Monroe Ambulance: the only locally owned and operated ambulance service in Rochester, NY. www.monroeambulance.com

The Monroe Community College Paramedic Program: www.mccparamedic.com

MJ: Special Edition: To Tape or Not To Tape: the use of fireground recordings : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Sun, 4 Nov 2007 22:01:00 GMT

Should recoedings of fireground activities including Line of Duty Deaths be available on websites? What is the moral, ethical, and legal implications of these recordings being available?

To help sort this one out, I turned to Dan McGuire, FAAETS, CATSM of CISM Perspectives in Rochester. You can find CISM Perspectives at http://www.cismperspectives.com/index.html

I'd like to hear what you have to say on this topic, so feel free to chime in via email, rick@mitigationjournal.com

MJ#42: Wildfire:Natural or Man-Made Crisis? MRSA/ORSA, OTC kids cold meds, and Faking it with FEMA : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 29 Oct 2007 04:01:00 GMT

FEMA fakes a news conference! Can you believe it! Today I'll talk about prevention of MRSA/ORSA and PPE as well as the California wildfires. Stand-by for more OD's in kids...childrens OTC cold meds are off the shelf...will parents use cold meds desinged for adults?

Test of some new equipment

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Sun, 28 Oct 2007 16:39:00 GMT

This is only a test episode...

Vital Signs Update#2: Direct from Syracuse, NY : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 22 Oct 2007 00:50:00 GMT

Interviews with Vital Signs attendees and sales reps: had a great talk with Matt from Jones and Bartlett publishing, John from St. Vincents Hospital, Mark from Masimo, Wendy and Dave from MedEX Billing (long-time friends of mine) and some cool ICS material from Disaster Management Systems.

I'll be posting all the links mentioned in todays podcast in an entry in the BLOG and on the website...it'll take me a day or two to get that done.

Thanks again to the NYS BEMS staff who made this conference so great and to everyone who took the time to talk with me for Mitigation Journal!

Mitigation Journal : Special Edition: Update from the NYS EMS Conference

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Sun, 21 Oct 2007 03:41:00 GMT

Here is the update and interviews from the New York State Vital Signs EMS Conference. I'll have more conference reviews and interviews posted Sunday. Don't forget to check out the weekly edition on Monday...we'll be talking about ORSA/MRSA and other bugs!

MJ#41: Should I Stay or Should I Go? Evacuate vs. Shelter In Place and Making Critical Decisions: Leading an ACLS team : Mitigation Journal: The All Hazard

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Sun, 14 Oct 2007 23:53:00 GMT

Should I Stay or Should I Go? Points to consider when deciding to Shelter in place or Evacuate&considerations for individuals, families, and businesses&including health care facilities.

Making Critical Decisions in patient care; when to start CPR and how to lead an ACLS team!

Visit the Mitigation Journal Website...Download papers and training material...and Sign the Guest Book!

www.mitigationjournal.com

Check out Mitigation Journal on iTunes...write a review of the show!

Check out the NYS Bureau of EMS Vital Signs Conference http://www.vitalsignsconference.com/

Mitigation Journal is supported by:

Monroe Ambulance: the only locally owned and operated ambulance service in Rochester, New York www.monroeambulance.com

The Monroe Community College Paramedic Program www.mccparamedic.com

Please support all your emergency service bloggers and podcasters! The MedicCast: www.medicast.com Medic Scribe blog: http://www.medicscribe.blogspot.com/EMS Haiku: http://emshaiku.blog-city.com/

MJ#40: Good Training on a Tabletop, Getting Dirty with TOPOFF 4, Preparedness in the Public Eyes-Do we Assume too much? Readiness Rediefined : Mitigation J

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 8 Oct 2007 04:01:00 GMT

Looking for a way to train on a budget? Try a tabletop exersise! TOPOFF 4 Gets Dirty! Full Scale Exercise to look at response to a dirty bomb attack, and a look at Redefining Readyness...Do we assume too much? Preparedness from the publics-eye-view

In-Service #19: ACLS Review Part 1: BLS primary/ACLS Secondary Servey and Team Dynamics : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Sat, 6 Oct 2007 00:17:00 GMT

Better late than never! Here it is; the start of our ACLS review series! In Part 1 we review the BLS primary and ACLS secondary survey and Team Dynamics. Next week in Part 2 we'll cover respiratory arrest, VF with CPR/AED, VF and PEA...all from the AHA ACLS Professional text.

Welcome to our new sponsor:

Integrated Safety and Response Solutions! ISRS offers comprehensive training and preparedness services for traditional and non-traditional responders and agencies. Visit www.integratedsrs.com

Check out our other sponsors:

Monroe Ambulance at www.monroeambulance.com

Monroe Community College Paramedic Program at www.mccparamedic.com

Please support all your emergency service bloggers and podcasters!

MJ #39: A close look at E. coli with Renal Failure and DIC along with some BSI tips : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 1 Oct 2007 00:18:00 GMT

I started out wnating to get a lot of stuff into this edition; the E.coli story and follow-up, infection control issues, as well as terrific information from NY Academy of Medicine on the public view of planning and sheltering in place. I simply ran out of time! We'll get the remainder next week...think of it as part 2!

MJ#38:Fake bomb is real stupid, NJ bomb threat, NRP to retire, Listener Email and More! : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 24 Sep 2007 04:01:00 GMT

Two great emails this week with questions on leadership and planning!

This week we'll talk about the National Response Framework as the National response Plan gets ready to retire, IOM report on PPE for healthcare in pandemic situations, and National Preparedness Month focus on Special Needs Populations.

Welcome to our new sponsor:

Integrated Safety and Response Solutions! ISRS offers comprehensive training and preparedness services for traditional and non-traditional responders and agencies. Visit www.integratedsrs.com

Check out our other sponsors:

Monroe Ambulance at www.monroeambulance.com

Monroe Community College Paramedic Program at www.mccparamedic.com

Please support all your emergency service bloggers and podcasters!

In-Service Training #18: Introduction to Gynecologic Emergencies : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Thu, 20 Sep 2007 04:01:00 GMT

Tonight we'll cover a brief introduction to GYN emergencies. This session is shorter than the normal In-Service session in order to give the student better manage the content. We'll cover normal physiology, PID, ovarian cyst, ectopic pregnancy and other causes of vaginal bleeding.

MJ#37:Planning Buy-in, Katriana Cottatge, School Attacks, the DISASTER Paradigm : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 17 Sep 2007 04:01:00 GMT

Why is it so hard getting buy-in for pandemic planning effors? Another listener writes in with problems getting "top bosses" to buy-into planning for pademic events.

Lowes Home Improvement introduces the Katrina Cottage...you won't believe this! Move over FEMA mobile home...here comes the Katrina Cottage!

Link from the Glen Beck website on school attacks: http://www.glennbeck.com/news/09142007b.shtml and my commentary on school safety. Interesting stuff.

How about a Basic Disater Life Support Update: In this edition we'll cover an overview of the Disaster Paradigm

If you missed the MedicCast Live episode last week, be sure to visit Mediccast.com and check out this talk on triage situations. This was one of the most interesting sessions yet!

Welcome to our new sponsor: Integrated Safety and Response Solutions! ISRS offers comprehensive training and preparedness services for traditional and non-traditional responders and agencies. Visit www.integratedsrs.com

Check out our other sponsors:

Monroe Ambulance at www.monroeambulance.com and the Monroe Community College Paramedic Program at www.mccparamedic.com

Please support all your emergency service bloggers and podcasters!

In_Service Training #17:Peds Respiratory and Medical emergencies : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Thu, 13 Sep 2007 02:08:00 GMT

In this follow-up talk, we'll look at pediatric respiratory emergencies; upper and lower airway problems, respiratory distress, failure and arrest, as well as medical conditions including: shock states, asthma, croup, epiglottitis, and more!

Visit the Mitigation Journal Website and checkout the Mitigation Journal web log: www.mitigationjournal.com, and don't forget to sign the guest book!

Check out our sponsors:

Monroe Ambulance at www.monroeambulance.com and the Monroe Community College Paramedic Program at www.mccparamedic.com

Please support all your emergency service bloggers and podcasters!

Mitigation Journal WebSite is Up!

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Thu, 6 Sep 2007 19:29:00 GMT

After a long wait, the Mitigation Journal website is up and running! From the Mitigation Journal main page you can access the All-Hazards Podcast and the MJ Blog...we have a guestbook and email links (new email: rick@mitigationjournal.com) as well. There is much more to come! Look for printer-ready articles and training information, lesson plans and powerpoints shortly.

Check out Mitigation Journal at http://www.mitigationjournal.com/

In_Service Training #16: An Introduction to Pediatric Assessment and Anatomy : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Thu, 6 Sep 2007 18:54:00 GMT

In this first part of a series, we'll talk about special and no-so special needs of pediatric patients along with an intorduction to pediatric assessment, development and the Pediatric Assessment Triangle.

MJ#36:The H's&N's of Type a flu, Flu shot reminders, National Preparedness Month, News and Comment

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 3 Sep 2007 04:01:00 GMT

Lessons learned from the Pandemic Planning and Preparedness program (PIPP) at the Center for Domestic Preparedness: This week we define the Hâs and Nâs of Type A influenza.

Need flu shot reminder? Check out www.findaflushot.com

September is National Preparedness Month! This week weâll focus on Back to School preparedness. Check out www.ready.gov and click on the âready Kidsâ icon for training and educational tools for parents and teachers.

Please visit my sponsors!

Monroe Ambulance www.monroeambulance.com

The Monroe Community College Paramedic Program www.mccparamedic.com

Please support all your emergency service bloggers and podcasters!

New Show in progress!

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Tue, 28 Aug 2007 15:26:00 GMT

LibSyn has had a few server issues over the weekend and due to those problems I have not been able to load this weeks show. I've been told that I should be able to publish by later today.

Please stand by...Mitigation Journal will be posted soon.

Rick

MJ#35: Rule of Outcomes defined, CDP Pandemic class, Bail-out ropes in NY and More! : Mitigation Journal: The All Hazards Podcast

rrussotti@frontiernet.net (Rick Russotti, CI/C, EMTP) — Mon, 20 Aug 2007 02:55:00 GMT

In this edition:

A brief review of the Pandemic Influenza Planning program at the Center for Domestic Preparedness...

The Rule of Outcomes defined...

A new Swine flu in China?

New law in NY calls for safety ropes for firefighters.

Please support all your emergency service bloggers and podcasters

The MedicCast: www.medicast.com

Medic Scribe blog: http://www.medicscribe.blogspot.com/

EMS Haiku: http://emshaiku.blog-city.com/

Mitigation Journal is supported by:

Monroe Ambulance: the only locally owned and operated ambulance service in Rochester, New York www.monroeambulance.com

The Monroe Community College Paramedic Program www.mccparamedic.com