Sunday, February 18, 2018

FirstNet Roll Out Time in Rural Areas?

AT&T want's first responders to join their FirstNet network that will someday serve rural responders. In contacting AT&T's FirstNet I found even though AT&T coverage maps show service in the area I cover, FirstNet technical support tell me there is no service, and doesn't sound like there will be for some time. They did offer a $5000 unit with $1600 install cost to provide service now... 

I fear first responders in rural Arizona with it's large rural population many living miles from major highways and roads won't see FirstNet service for years. I know we have areas on Rt66 around Truxton with no coverage. Areas like Chloride have no service and there are two cell towers 4-5 miles away. The antennas point up and down highway 93 not toward Chloride. Driving to Phoenix the other day I found AT&T has no coverage in a large area between Wickenburg and Wikieup. 

Until we see how quickly the build-out of the radio access network (RAN) is completed in rural Arizona FirstNet will be used in major population areas with current AT&T service. 

First responders looking at FirstNet need to see how quickly the RAN mobile hotspots will be put into service. These hotspots can be embedded in command vehicles used by fire chiefs, sheriff and police supervisors to serve as a backhaul providing access to the FirstNet core network over satellite or other types of wireless infrastructure. 

Also who pays for the Radio Access Network (RAN) Mobile Hotspots? AT&T is going to receive $6.5 Billion over the next 5 years. Is AT&T going to provide Mobile Hotspots for first responder agencies in rural Arizona? Most any rural agency will have areas with no current AT&T coverage once you get a few miles from any major highway or road.

Recently Verizon Wireless has said it's starting it's own First Responder Network. In most states Verizon has always had better coverage in sparely populated states than other providers.

Sources.... As part of the 25-year agreement, AT&T will get 20 MHz of prime, clear 700 MHz spectrum and “success-based” reimbursements totaling $6.5 billion over the next five years to support construction of an IP-based, high-speed mobile network that gives priority access to first responders. 

The Radio Access Network (RAN) From 

  1. The RAN portion of the network consists of the radio base station infrastructure that connects to user devices. RAN includes cell towers as well as mobile hotspots embedded in vehicles that backhaul to the core network over satellite or other types of wireless infrastructure.
    Comprehensive RAN planning is required to optimize coverage, capacity and performance for a nationwide network. Initial modeling has shown that tens of thousands of radio base stations are needed to cover at least 99 percent of the population and the national highway system. Population coverage alone won’t suffice for public safety. State by state, FirstNet needs to understand public safety coverage needs.

Wednesday, February 7, 2018

FirstNet the nations First Responder Network is up and running

FirstNet the nations First Responder Network is up and running. Most people including first responders are unaware that FirstNet is here.

Ask 100 emergency responders who've been to a major event what their worst challenge was and every single one of them will surely tell you: communications.
Their lives are getting easier, thanks to a dedicated band of the 700 MHz radio spectrum located just above that of digital TV broadcast channels. Band 14, as it’s called, was reserved for public safety providers by the Spectrum Act of 2012, using the LTE (Long-Term Evolution) technology featured in most 4G-enabled smartphones.
LTE has some valuable properties for emergency needs. It penetrates buildings and walls easily, and it covers large geographic areas with less infrastructure than higher frequencies. It’s also lightning-fast and highly reliable.
Eighteen vendors from around the United States gathered in Brighton, CO, on May 3 under the auspices of FirstNet Colorado to showcase evolving technologies for about 120 participating potential users.
Participants carried functional samples of personnel tracking devices and ruggedized cell phones with them throughout the day, while they kicked the tires of technology that has been in development throughout the United States for the past three years. The tracking devices recorded their attendance and movements, while the cell phones enabled them to communicate with one another, ushering them from room to room in response to a tight schedule.
FirstNet Colorado is coordinating the state’s efforts to prepare for a nationwide high-speed data and cellular voice network for public safety providers using LTE. Here’s how that might work, using technology that has been developed so far:
Imagine you’ve been called to a ski resort where skiers have reported a friend buried in an avalanche. The local ski patrol has called for a drone, and the drone patrols the avalanche area in search of the skier’s cell phone. (A cell phone emits a constant radio-frequency signal until its battery goes dead.) The drone’s operator uses a tablet to map a search area based on aerial photos, using a predetermined search strategy. The drone quickly conducts the search, and provides the rescue team with a GPS location before landing on a nearby ridge to maximize its battery life. From the ridge, it continues to accept and respond to commands while it transmits photos of the searchers’ progress.
Now imagine you’re with a SWAT team on the scene of a live shooting at a multi-story urban warehouse where two police officers have gone silent during a drug bust. Using 3D mapping software, the SWAT team locates both officers in different rooms on the second and third floors. The software enables a responder using a laptop to communicate with small sensors attached to the individual officers’ uniforms. An incident commander can view a 3D line drawing of the warehouse, including the locations of its internal features and showing the locations of the officers. Additional software communicates with more sensors, this time attached to flexible plastic panels (resembling x-ray film) inserted in the officers’ body armor. The film sensors detect and map the officers’ penetrating torso wounds.
Finally, suppose you’re at the scene of a wildland fire in a remote area where there is no phone coverage. A state patrol officer opens the lid of a ruggedized suitcase and sets up a complete communications center. Within 10 minutes, you can communicate voice and data at will with any resources you might need, on scene or not, ranging from the closest trauma center to FEMA. Your field units can communicate with one another using assigned frequencies on their normal LMR (land mobile radio) handy-talkies, or via tough, highly ruggedized LTE-equipped smartphones. In fact, they can also use PTT (push-to-talk) software on their phones to communicate in whichever mode they choose.
Agencies operating on Band 14 will be using LTE devices with five times the transmission power of a commercial cell phone. The system’s design is intended to provide 97% geographic coverage, and offers to address challenges like:
  • Incidents in densely populated ones featuring large crowds using hundreds of personal cell phones simultaneously;
  • Interagency communication needs, including data such as real-time photos and some video; and
  • Mission-critical need-to-know things like emerging weather patterns, flood threats, hydrant locations, hospital availability, routes of ingress and egress, vehicle locations, personnel tracking and overall scope of the incident.
Can LTE cellular technology supersede the need for current radio systems? Experts disagree.
Craig Scherer, a fire systems technical specialist at the Denver Fire Department’s Communications Center, thinks the system would be too vulnerable to interference from public cell phone use. He said latency, the delay between transmitting a signal and receiving a usable answer, would also impair critical communications.
“LTE is fast,” says Ed Mills, FirstNet’s Colorado outreach and education manager, who moderated the conference. “It’s line-of-sight, and it happens at the speed of light. A transmission from the West Coast to the East Coast (of the United States) would happen in a fraction of a second. There’s no need for a signal to bounce off of a satellite.”
Mills said one variable of implementation time is that it depends on how promptly 'FirstNet's network partner' could comply with the system’s growth.
Recent history clearly illustrates the importance and effectiveness of this technology. Sonim, Mutualink, Parallel Wireless, Verizon and numerous other vendors partnered to help local public safety agencies provide Band 14 coverage for the Rose Parade on January 1, 2016, in Pasadena and at Super Bowl 50 on February 7, 2016, in San Francisco. Both of those events involved huge crowds of people (all using personal cell phones constantly), in atmospheres of heightened international security and massive media attention.
Vendors at the event included:
  • John Bohike demonstrated DataSoft’s AID or Automatic Injury Detection system. This plastic panel is inserted in the carrier of a ballistic vest. The small black sender in the lower left corner of the panel is a cellular transmitter. Within seconds of the panel being pierced by a projectile, it can report up to four wounds per panel to a land mobile radio (via Bluetooth), a cellular phone or a military radio. Visit
  • ESChat provides a secure PTT utility and various other incident management software for ruggedized phones like Sonim XP7 Android. (It’s also Mac and iOS-compatible.) ESChat was used on Band 14 to coordinate the 2016 Rose Bowl, and was used interoperably with the Los Angeles County Sheriff’s Department’s P25 land radio system. Visit
  • Sierra Wireless InMotion Solutions exhibited a number of hardware and software offerings, including a mobile communications gateway the size of a book. Mountable in the trunk of a squad car or under the seat of an ambulance, it creates a Wi-Fi “bubble” around a vehicle that connects it to the best available network—LTE Band 14 for public safety, with fallback to commercial LTE networks. Visit
  • TRX Systems provides NEON Personnel Tracker, an indoor 3D personnel locating system that uses pager-sized sensors, Windows-based command software and an Android app to dynamically map the movement of personnel once they enter a structure. Visit
  • Unmanned Aircraft Systems exhibited a 24-inch, $75,000 Canadian unmanned quadcopter as one of a number of potential on-scene aircraft. Its (video and still) cameras, struts, motors, rotors, battery and electronics are all field-replaceable as individual modules. It can stay airborne for 45 minutes, has a functional line-of-sight range of 1 kilometer, and can be digitally controlled from a tablet. This device has been used at a range of up to seven miles. Visit
Thom Dick has been a passionate advocate of sick people and the safety of their field caregivers since 1970. He has written hundreds of articles and three books on those subjects, including the People Care books. You can reach Thom via Facebook, or at

Friday, February 2, 2018

Military Grade Cell Phones - You Can't Call if Your Phone is Broken

I have never promoted any products on my blog, but this phone blew me away. I carry my phone in my back pocket and I always worry if I'm working on something alone and should fall I could break my phone and have no way to call for help.

I was researching phones for a new first responder broadband network and ran across the Sonim line of rugged phones. All their phones looked great and I wanted to check one out with out paying $339.00 at AT&T for the XP5. I found a Sonim XP5 on eBay for $10.00 with $5.00 shipping, so I took a chance and bought it. It didn't come with a charging cable so I had to buy the Sonim special charging cable for $24. It's needed because it's waterproof and you can submerse it in water for 30 minutes... I put in a H2o sim card from eBay and it took 10 minutes to setup the phone and get it working online at H2o Wireless.

Sonim XP5
This is the phone I bought for $39.00 with shipping. It looked like new and even still had the protective film you see on new phones on the camera.

The Sonim XP5 is NOT a smartphone it does talk and text send pictures and things fine. It does have some limited Internet access but it's not easy to use, but good to have for emergencies. This phone is great.....

Very Rugged, Sunlight Viewable, 20 hours talk time and 25 day standby time, you can use it with gloves, and it had a dedicated PTT button . If you can't hear your phone this one is really loud, no I mean REALLY LOUD 104 db loud.

According to American Hearing 100 db is as loud as a chainsaw, pneumatic drill, or snowmobile. They warn 2 hours per day is the maximum exposure without protection. So I mean really loud, good thing it has a volume control. For first responders or others in loud environments this phone is made to be heard. 

No touchscreen, limited Internet email access, no Google Apps but has some limited apps, uses a non-standard charging cable.

I loved this phone but my wife want's it because it's simple to use and she can't break it. She hates computers.....

Sonim XP7 
I decided to get the Sonim XP7 Smartphone so I could use Google. The XP7 is an Ultra-Rugged smartphone with a 4" screen you can see in bright sunlight. It has a dedicated PTT button, a very loud speaker 103 db, and a battery to get the mission done. It's also water proof and you can use the touch screen with your wet work gloves.

It has up to 40 hours of talk time and a standby time up to 1000 hours, that's 41 days of standby time.

The Sonim XP7 is $850 new, I paid $180 for an unlocked XP7 that works on any GSM system like AT&T or H2o Wireless.

Sonim XP6
If you like the physical keypad but want the capabilities of a smartphone there's the Sonim XP6. It's a smartphone with a 2.63" touch screen. It has the same rugged features like being waterproof, daylight viewable, long battery life and a PTT button.

If your looking for a rugged cell phone or smart phone these are good choices. Used prices online run from $40 to $180 for any of the Sonim phones. Sonim has a number of rugged phones on the Sonim Devices Page

In any type of emergency from a simple fall to a major traffic accident the ability to advise first responders of the type of emergency location, and what resources are needed all depend on reliable communications. Let's be prepared for ?????

Tuesday, January 30, 2018

We Need to Be More Prepared

It's no secret the LMRFD needs more volunteers if they hope to have any coverage in the 144 square mile fire district when LMRFD firefighters are out covering the 2200 square mile area covered by the ambulance Certificate of Need.

Until that happens we need to be prepared to take care of our family, friends, and neighbors for a minimum of three days. The upcoming Emergency Preparedness Presentation at the Dolan Springs Community Council Hall this coming Saturday is a good place to start. INFO BELOW

BUT we need to do more. Everyone should be trained in CPR/AED and first aid. It can cost $25 per person to take a CPR/AED course. I know many people in the Dolan area don't have $100 for the family to take CPR. 

First Aid for Free is a great web page that teaches CPR/AED, first aid, and other classes like how to recognize and treat anaphylactic shock. First Aid for Free Web Page As you and your kids complete the classes you can print certificates for them showing they know what to do, and something cool to hang on their wall.

The last week or so at least twice there were no ambulances available in Kingman and ambulances needed to come from Lake Havasu City. Kingman has numerous EMS resources to respond and stabilize a patient until an ambulance can arrive.   

Recruiting and retaining volunteer firefighters has been a challenge for many departments across the country and in Arizona. The vast majority of firefighters in the United States are volunteers, they comprise 69% of firefighters. Of the total estimated 1,140,750 volunteer and paid firefighters across the country, 786,150 are volunteers who save billions of dollars a year for their department.

An article on FireRescue1 has three ways to recruit and retain volunteer firefighters.

In the past the LMRFD had quite a few volunteers. We need to identify what changes were made that caused the decline in volunteers, and what can be done to bring volunteers back.

These are the three things the FireRescue1 article recommends. My Comments in Italic 

  • A lack of marketing on the part of the department leading to the perception that the local fire and EMS department is staffed full-time. 
  • COMMENT: I have not seen any advertising in local media to recruit LMRFD volunteers.
  • A weakening sense of community among the population in part because the department may not adequately reflect the diversity of people it serves. 
  • COMMENT: We need more local people who represent our community.
  • The ratio of men versus women in the fire service giving a misconception that a department is a “good old boys club.”
  • COMMENT: As long as the LMRFD ambulance and the fire service remain one in the same requiring all volunteers to be firefighters rather than allowing women or people with no interest in becoming firefighters to volunteer as EMR's or EMT's on the ambulance volunteers will be difficult to recruit. 80% or more calls to the LMRFD are medical calls that could be managed by Basic Life Support providers like EMR's and EMT's.
  • A lack of available or convenient entry-level fire and EMS training opportunities.
COMMENT: The LMRFD needs to do in-house training for volunteers. I've been with NACFD since August and I've received 90 hours of fire training, and 32 hours of EMS training to date.

Saturday February 3rd, 2018
11am to 1pm (Free Admission)
Dolan Springs Community Council Hall
15195 N Pierce Ferry Road
Facilitated By:
Emergency Preparedness & Response Coordinator Paul Pitts & Introduction by LMRFD Chief Tony DeMaio   

Friday, January 26, 2018

Drone's can Save Lives for First Responders and the Fire Service

If you've never seen drone video this Stroll Down Main Street Dolan Springs will give you an idea of the quality of video a drone can produce for first responders.

Drones or UAV's can be a life saver for firefighters doing search and rescue or size up at fires so firefighters can access the danger level and how to attack a fire. Safety First...

This is excellent drone video of a 2nd Alarm Commercial Structure Fire in Spokane. You can see in this video how a thermal imaging camera can give firefighters a perspective from above they could never get from the ground.

How A Drone Assisted Fairfield Firefighters Assistant Chief says the drone kept firefighter's safe.

There are so many videos on how first responders can use drones to keep property safe and save lives. Fire departments can apply for waivers from the FAA that make it easier to meet required regulations.

Thursday, January 11, 2018

The Local Dangers We Don't See......

We all view things through our life experiences and training. Recently my fire training has me looking at things from a firefighters view.

As I went through BLEVE or Boiling Liquid Expanding Vapor Explosion training a few weeks ago I realized the danger posed by the numerous accidents and the huge propane tank at US-93 and Pierce Ferry Rd.

If there was a fire threatening that huge propane tank the evacuation area is suggested to be one mile in all directions. If you think something like this can't happen here, it can, and it has.

It was almost 45 years ago on July 5, 1973 that a propane tank car being off-loaded in Kingman, AZ, caught fire, resulting in a BLEVE or boiling liquid expanding vapor explosion. On that day 11 Kingman firefighters and one civilian were killed. This was the worst firefighter tragedy in Arizona until 2013 when 19 Granite Mountain Hotshots firefighters were killed in the Yarnell Hill Fire.

In case something like this happens local people need to know how to react. Evacuate do not become a spectator and causality, run....

The propane tank in this example is like people have at home, it's nothing like the huge propane tank at US-93 and Pierce Ferry Rd.

EVERYONE needs to see this video for your safety and that of friends and family Example of a BLEVE  The really scary part of the video is at the beginning of the video, and again eight minute and 30 seconds in, it's a propane tank like everyone has at home.... and it's devastating...

Another video Only known video of the 1973 Kingman BLEVE

Be Safe.....

Wednesday, January 3, 2018

Better Survivability in Heart Attacks in the LMRFD

The fire chief has applied for a grant for a mechanical CPR unit. This will improve the survivability for patients in cardiac arrest. It will allows a two man ambulance crew to run a effective cardiac call by allowing the paramedic to monitor the patient and push medications as the CPR unit does CPR at the correct depth and rate without getting tired like an EMT.

We need more people trained in CPR and AED use and have any business with an AED well marked on the building.

Friday, December 8, 2017

Seems Director Kiffer Wants to be Fire Chief Too

The job of the LMRFD Board of Directors is to oversee the finances of the fire district and hire a chief to run day to day operations. The Board of Directors has no power to interfere with day to day operations and this type of interference can cause the Arizona Attorney General to become involved.

Director Kiffer wants to run the day to day operations and it's not her job. What's her problem with someone working from home as long as they get the work done? Half the businesses today have people working from home. With call forwarding and computers there's little someone can't do from home.

Excerpt from November 20th LMRFD Board Meeting,,,, Sorry I had to take a screen shot as apposed to copying the entire document because they have the page locked to prevent people from easy access to public information.

I find it funny when friends of Director Kiffer complain to her about problems with the fire district she takes them to the chief rather than tell them to take their complaint to the chief's office. When I complain the chief isn't returning my calls Director Kiffer tells me if I have a complaint it needs to go to the chief's office...

I found it funny with all the problems Director Kiffer has with the fire chief, somehow the problem I see with the fire district was her reason I shouldn't be on the fire board.

Excerpt from November 20th LMRFD Board Meeting

It seems the chief knows what his job is, too bad Director Kiffer doesn't know hers.

I was also disappointed that Director Kiffer wants to put a credit card machine on the ambulance. I guess she wants paramedics to ask for your Visa card before they transport. Not only is this against the law, it shows a disregard for the lives of the people she is supposed to be protecting. 

Thursday, December 7, 2017

LMRFD Board Member Kiffer People Don't Complain to the Chief "because they feel your unavailable, they feel that you're rude to them"

At the November 20th  board meeting of the LMRFD they needed to appoint a new board member because someone had quit. when I was being considered for the vacant position Director Kiffer asked if I had problems with the LMRFD. My answer was yes that when paramedics put very sick patients in private vehicles it could cost the district millions.

Needless to say who runs the LMRFD board, but I wasn't chosen for the board. Director Kiffer nominated someone else and everyone fell in line...

Kiffer then made a motion to choose someone else for the empty LMRFD board vacancy because I see problems in the LMRFD.

I filed a complaint against the fire chief when I should have complained to him. Yet when people complain directly to Director Kiffer about the fire chief she takes the complaint directly to the chief rather than tell them what I was told, that complaints should go to the fire chief's office.

Later in executive session when Director Kiffer was asked by the chief "why aren't these complains coming to my office" Kiffer said "because they feel your unavailable, they feel that you're rude to them, they feel you're not hearing them, these are the things people are telling me"

Funny, that's what I had told the board earlier in the same board meeting. That I had left several calls for the chief when he took over and never received a return call. I had spent days filling out a volunteer application for the LMRFD and never even received a thanks, but no thanks call.

So on this one point I agree with Director Kiffer, that the chief is unavailable and rude. He should at least return calls from people and if someone goes to all the trouble to fill out a volunteer application, have the courtesy to say thank you. My complaint was about the chief, so I had little faith the complaint would have been taken seriously.

From November 20th 2017 LMRFD Board Meeting minutes.....

Tuesday, November 21, 2017

UPDATE Two Rollovers One Fatal One Not

UPDATE: This is the call that board member Charlotte was referring to at the November 20th board meeting when she asked me if complaints should be directed to the chief. I saw no point in reporting a bad decision by the fire chief to the fire chief...

December 22nd was a cold day with fog and rain in the Dolan Springs area. As usual I was listening to scanner traffic on DPS, MCSO and fire dispatch channels.

A little after 9:00 AM DPS put out two rollover accidents about four miles apart on Highway 93 North of Rosie’s.

Several DPS units a Mohave County sheriff’s deputy and the Lake Mohave Ranchos ambulance were dispatched to the first accident, an SUV at mile post 22. DPS dispatch advised responding units that the driver at mile post 22 was hanging out the window of an SUV.

The MCSO deputy was the closest unit and was first on scene at both accidents. The deputy checked the second accident first as it was closest to Dolan Springs at mile post 24. Checking for injuries the deputy advised dispatch that the driver had self extricated and was walking around the vehicle.

The deputy then proceeded to the first accident at mile post 22 about four miles away. Upon arriving at the accident, he advised dispatch that the driver was pinned in the vehicle in critical condition and he needed EMS.

It was a foggy day and they had a hard time finding a medical helicopter willing to fly. When the helicopter did arrive they couldn't land. Law enforcement at mile post 22 kept saying the driver was pinned in the vehicle and in critical condition and kept asking for EMS.

At some point the LMRFD chief asked the ambulance to call him by cell phone. What he didn't want to say over the radio, we’ll never know.

When the LMRFD ambulance arrived at the accident at mile post 24, the one where the driver was walking around, fire dispatch said no, and wanted them to respond to the other accident.
The ambulance R415 said this “negative alarm Per-chief 401 we were advised to stop at the accident at mp24 we’ll be out investigating”.  Basically telling dispatch no, and hanging up on them. Law enforcement continued to ask for EMS that never arrived.

I literally listened to patient at mile post 22 die over the radio as reports from law enforcement got worse and worse until around 10:00 AM DPS advised troopers it was now a fatality accident.

Nobody has the right to triage a patient from 40 miles away and decide who lives and who dies. EMS should always use first hand reports from those on the scene and respond to most critical patient first, especially when it’s known that the other patient is walking around.

We all know about the Golden Hour and in this case it was wasted on a stable patient rather than the critical patient who needed paramedics.

To me the fact that the driver was breathing on his own and lived for almost an hour tells me he didn’t have a spinal injury that caused paralysis and would cause his breathing to stop. The fact that he lived for around an hour laying on the cold wet ground, tells me internal bleeding wasn't bad enough to cause him to bleed out rapidly.

None of this information can tell us if the driver would have survived the accident. What it does tell us is that LMRFD paramedics should have responded to the most critical patient and done everything possible to give him a chance to survive.

NOTE: The accident at MP 22 ended up being at MP 20.5

If it was your family member pinned in a vehicle in critical condition what do you think was the right thing to do? 

There's what may meet the requirements of the LMRFD's CON Certificate of Need and then there's what's the right thing to do.

CON says ambulance must respond to 50% of calls in 20 minutes, 70% of calls in 30 minutes, 85% of calls in 45 minutes, and 98% of calls in 60 minutes.

The patient at MP 22 was an 18 year old kid who had just graduated high school and was in Vegas looking into a job and visiting his sister.

It was raining on December 22nd, it was cold and only 40 degrees. Someone can die from hypothermia in 1-2 hours at 40 degrees. He could have been suffering from hypothermia. My paramedic training was that any patient with hypothermia is not dead until they are warm and dead. 

The EMS Board looked into this and said LMRFD did respond to both calls. Thats is True 

The LMRFD ambulance was dispatched at 09:11 hrs and arrived at the accident where the driver was walking around at 09:37 hrs. Other EMS did not arrive for 20 minutes after they had transported the stable patient.

In the report the medical director said it was reasonable to respond to the first patients they encounter. MY PROBLEM is that the LMRFD ambulance was dispatched to the critical patient at MP 22 not the MP 24 accident. Yet at the chiefs direction the ambulance stopped at a stable patient 4 miles short and picked up a stable patient.

Engine 431 from Meadview was dispatched for extrication at 09:11 hrs but didn't arrive at the critical patient until 10:35 hrs He was already dead.

Monday, November 20, 2017

Questions I Would Have Asked if Appointed to the Fire Board

If I had been appointed to the fire board I would have first asked why they didn't have a Facebook page to keep citizens informed on what's going on like most fire districts today. The LMRFD web page makes it difficult to read things like the board minutes and public notices.

Then I would have asked why the Fire Chief drives a fire truck home to Golden Valley? Why is he putting between 2200 and 3500 miles on an expensive Type 6 Brush truck that will need replaced soon.  (7 trips 4 days & 3 calls or 11 trips 4 days & 7 calls)

At 6 MPG if he drives 2200 miles thats 366 gallons of diesel at $3.32 a gallon thats $1200 a month.
At 6 MPG if he drives 3500 miles thats 583 gallons of diesel at $3.32 a gallon thats almost $2000 a month.

At 3500 miles a month he putting 42,000 miles a year on a vehicle that normally would run a couple calls a month maybe 200 miles or 2400 miles a year. At that rate the chief is putting 17 years on the truck ever year.. And a Type 6 Brush Truck is not cheap to replace. It's a very expensive piece of equipment with new Type 6 Brush Truck's running between between $80,000 to $100,000.

I would have asked why we didn't have volunteers running a BLS ambulance as a second out. That we ambulance revenue is down because we lose about $2500 in ambulance revenue every time we have to call River Medical because the LMRFD ambulance is on a call.

I would have asked why paramedic's call a helicopter for patients that KRMC can handle? The LMRFD loses over $500 in millage, and if a helicopter isn't called until the ambulance is loading the patient, many times it's a 30 minute flight time to Dolan. Thats 30 minutes to get to Dolan, load time, and 30 minutes back, or over an hour to get the patient to the hospital. It's 37 miles from my house on 9th and the ER doors at KRMC, about 30 minutes lights and siren.

So the LMRFD looses $500 and KRMC looses thousands of dollars in treatment billing, and the patient get's a bill for $25,000..... Everybody looses.... LMRFD, KRMC, and especially the patient who we hope made the hour trip to Vegas, gets there in over an hour rather than 30 minutes, and get's billed ten times as much as the ambulance ride they also get billed for.

Thursday, November 9, 2017

Good Samaritans Laws in Arizona

Good Samaritans are those who run toward someone who needs help, and helps before professional help arrives. 

I always tell people law is like a game, who ever knows the rules best wins. There are a lot of rules in law and they change often, so know the law..... 

There are two life saving medications a layperson can give in an emergency. With long response times both can truly save a life. 

If you know someone who has allergies to nuts, seafood, or bee stings PLEASE take the Anaphylaxis course below and learn the sign and symptoms of anaphylactic shock. Arizona ARS 36-2226 allows someone to give the life saving drug Epinephrine in an emergency. 

First Aid for Free online Anaphylaxis Awareness Course

First Aid for Free Everybody Needs to Take This Trainin

Epinephrine for Severe Allergic Reaction 
36-2226 Emergency administration of epinephrine by Good Samaritans; exemption from civil liability
A. Notwithstanding any other law, a person may administer epinephrine to another person who is suffering from a severe allergic reaction if the person acts in good faith and without compensation for the act of administering the epinephrine and a health professional who is qualified to administer epinephrine is not immediately available.

B. A person who administers epinephrine pursuant to subsection A is not subject to civil liability for any injury that results from that act unless the person acts with gross negligence, wilful misconduct or intentional wrongdoing.

36-2267 Administration of opioid antagonist; exemption from civil liability; definition
A. A person may administer an opioid antagonist that is prescribed or dispensed pursuant to section 32-1979 or 36-2266 in accordance with the protocol specified by the physician, nurse practitioner, pharmacist or other health professional to a person who is experiencing an opioid-related overdose.
B. A person who in good faith and without compensation administers an opioid antagonist to a person who is experiencing an opioid-related overdose is not liable for any civil or other damages as the result of any act or omission by the person rendering the care or as the result of any act or failure to act to arrange for further medical treatment or care for the person experiencing the overdose, unless the person while rendering the care acts with gross negligence, wilful misconduct or intentional wrongdoing.

C. For the purposes of this section, "person" includes an employee of a school district or charter school who is acting in the person's official capacity.

General Good Samaritan Protection
32-1471. Health care provider and any other person; emergency aid; nonliability
Any health care provider licensed or certified to practice as such in this state or elsewhere, or a licensed ambulance attendant, driver or pilot as defined in section 41-1831, or any other person who renders emergency care at a public gathering or at the scene of an emergency occurrence gratuitously and in good faith shall not be liable for any civil or other damages as the result of any act or omission by such person rendering the emergency care, or as the result of any act or failure to act to provide or arrange for further medical treatment or care for the injured persons, unless such person, while rendering such emergency care, is guilty of gross negligence.

Wednesday, November 8, 2017

Tuesday, November 7, 2017

Customer Service Survey - If You Don't Ask, How Do You Know?

The LMRFD ambulance revenue is down from previous years and the board is wondering why. 

Why not do a customer service survey like KRMC and many other health care providers who want to know where they do well and where they could do better..

At the September LMRFD board meeting the minutes say there was 17 EMS calls and 10 patient refusals in August..

At the October LMRFD board meeting the minutes say there was 29 transports and 17 patient refusals in September..

Over half the EMS calls were refusals, over half? It doesn't say if any went by private owned vehicle (POV), if so how many and how much revenue was lost by the LMRFD? 

With their history of offering to put patients in someones car so they can drive them to KRMC rather than be transported by ambulance, if eight went by private owned vehicle the LMRFD lost around $20,000.

If We Don't Ask, How Do We Know? 
The only way to know what works and where problems exist is to ask the customers.....

Monday, October 30, 2017

For someone to belittle those of us who volunteer to help others should tell you something about that person

A LMRFD firefighter brought up the fact I complain that the majority of the LMRFD firefighters live in other towns, and only one LMRFD firefighter lives in the fire district. That's TRUE....

I complain about not having firefighters living here because like the major rain storm we had about a year ago that closed Pierce Ferry Road, firefighters from Meadview were unable to make it to a call near Dolan Springs we are left unprotected and alone.

If a major disaster closed US-93 we would be left with the two firefighters on duty to cover the 144 square mile fire district as well as the 2200 square miles the ambulance covers.

The term "volunteer" contrasts with career firefighters who are fully compensated for their services. In fact the majority of fire departments in the United States are volunteer. Of the total 29,727 fire departments in the country, 19,762 are all volunteer; 5,421 are mostly volunteer; 1,893 are mostly career; and 2,651 are all career

LMRFD firefighters paramedics are paid around $700.00 per shift.(plus the cost of benefits).. I donate my time to help the town of Chloride. So I'm sorry, I suppose the LMRFD firefighter who complained that I volunteer for Chloride would also like me to stop volunteering for the Red Cross. I guess he thinks all of us who GIVE out time and energy should just stop helping our neighbors. 

I'm SORRY but helping neighbors helping neighbors is what makes living in a small town all about, and what makes America great.

I guess he thinks all the volunteer firefighters and Red Cross volunteers who selflessly leave their homes and families at personal risk to help others in neighboring communities and states should just stop. Sorry but it's what I've always done and will continue to do. 

For someone who comes to our community for profit to belittle anyone who volunteers hours of their time and energy to obtain the required training to help others should tell you something about that person.... 

How Many People Are Interested in the LMRFD's Problems and Potential Liability

Apparently 2,602 People this month alone.... almost 15,000 in the last two years