Wednesday, January 23, 2013

Detect Brain Trauma on Scene

Each year nearly 1.7 million people sustain a traumatic brain injury.  These types of injuries generally occur during falls, sport accidents, vehicular accidents, or another type of jolt to the head.  In patients with head trauma early detection is one of the most critical aspects of the patient's final outcome.

This early detection makes the first responders instrumental in detecting brain injuries so that they can alert hospital staff upon arrival.  Obvious signs that brain injury may have occurred include an obvious wound to the head, bleeding from the nose or ears, change in consciousness, confusion, headache, loss of balance, unequal pupil size, and slurred speech.  However, these symptoms only alert first responders to the presence of brain trauma.  What if it were possible to detect just how serious a brain injury was in the field?

The Infrascanner Model 2000 from Infrascan makes brain injury detection in the field a reality.  The Infrascanner utilizes Near-Infrared technology to screen patients for intracranial bleeding.  In as little as 2-3 minutes, the scanner can detect hematomas greater than 3.5cc in volume up to 2.5cm deep in the brain tissue.  Although these quick scans are not a replacement for CT scans performed at hospitals, they do make it easier to identify high-risk patients ensuring that they are quickly transported to facility that will be able to properly treat their condition.

Infrascanners are light-weight, making them highly portable.  They can be powered utilizing either a rechargable NiMH battery pack or four AA batteries.  The unit turns on and off automatically by either attaching or removing disposable shields.

At this time, MedLogic is the exclusive dealer of Infrascanners in the US.

Friday, January 18, 2013

MCI Triage App

These days it seems like there is an app for everything.....probably because there is an app for just about everything.

Island Software has recently released the app MCI Triage for iPhone.  At only $5.99, this app is a must have for EMS paramedics, ambulance officers, figherfighters, law enforcement officers, and any other emergency services personnel that may need to respond to a mass-casualty incident.

In 1983 the staff at Hoag Hospital and Newport Beach Fire Department in California developed a system in which first responders could assess multiple patients in the field at a mass casualty incident (MCI) and easily pass that information on to the doctors who would need to treat these multiple patients as they arrive at the hospital.  They developed START (Simple Triage and Rapid Treatment).  START revolutionized the speed with which hospital staff could begin treatment of MCI patients, because it eliminated the need to re-triage patients when they arrived at the emergency room.

The MCI Triage app was built upon these same principles.  Utilizing simple prompts (such as breathing, normal respiration, ambulatory), the app will assist you in determining the patient's triage category (alpha, bravo, charlie or delta) and allows you to add identifying information about them including their age, gender and location.  This information can easily be updated, allowing first responders to make changes to a patient's status.

All of the information collected in MCI Triage can easily be shared with incident command, dispatch center for the EMS/Fire/Police, and the receiving medical facility via email.  The incident summary can also be sent via text message to one or multiple contacts.


Monday, January 7, 2013

Safe Realistic Bomb Squad Training

Combat Training Solutions (CTS) is a small business owned by a service-disabled veteran.  They specialize in military training and realistic battlefield effects; however, many of these training tools can also be utilized by police departments as well!  CTS specializes in non-pyrotechnic improvised explosive device (IED) simulators.

What makes these non-pyrotechnic simulators a must have for all bomb squad training?  It's quite simple.  Imagine a live bomb training scenario...that is completely safe.  The non-pyrotechnic simulators from CTS have realistic sounds and visual effects (they are working on a flash for the next generation of simulators).  When the simulator detonates, it "explodes" it emits a loud bang and disperses a non-toxic cloud of powder that very closely resembles what a real exploding bomb looks like.

Previous pyrotechnic training required the use of either dummy-devices or live-devices.  Training with dummy-devices is often not taken seriously, as there is no consequence for inadvertently triggering the device.  Live-devices are not used too often in training due to the inherent risks and dangers that are associated with the accidental detonation of the device.  Safety of officers usually trumps the option of training with live devices.  The non-pyrotechnic simulation devices from CTS give the real feel and consequences of training with a live device without the risks.  The only risk associated with CTS non-pyrotechnic simulation devices is that of hearing loss, as the devices "explode" at around 140 decibels.  However, this can easily be combated by utilizing protective gear such as earplugs.

CTS simulation devices are so safe that they even sell a suicide bomber training simulator vest.  The vest can be detonated without causing any harm to the individual wearing it.  The ability to be this up-close and personal with the training devices allows for those utilizing them to get hands-on experience and to develop muscle memory and improve their reflexes, both of which could save lives in the field.



Check out some of CTS's simulation devices in action in the following video:

Monday, December 17, 2012

School Safety

Following the events at Sandy Hook Elementary School in Newtown, Connecticut, the news is an abundance of stories about the tragedy that ensued the traumatic aftermath it left it behind.  But, if there is one thing this tragic event has done, it has got everyone talking.  The news and social media are abuzz with discussions and debates regarding gun control, access to mental health treatment, and school safety throughout our country.

Leaving political agendas aside, if there is ever a time to institute change, that time would be now.  Short of protesting and writing letters to our congressmen, there isn't much that we can do to bring about federal change in regards to gun control and health care.  However, as parents, teachers, and first responders, we have the ability to ensure that the places we work and send our children to are safe.  To do this, parents and first responders need to work hand-in-hand with the administrators of the schools in their districts.  Schools across the country are asking for additional police presence on their campuses.  Lets go a step further, and make sure they are receiving the training that they need as well.

Take for example this interesting fact.  Schools throughout the nation practice two to four mandatory fire drills per school year.  This is done as a training and precautionary measure to ensure that children will be safe in the event there is a school fire.  However, not a single child has died in a school fire for over half a century!

Now look at deaths from school/campus shootings.  In the last twenty years they have claimed the lives of a couple hundred children and faculty.  This was the third school shooting in 2012 alone.  However, safety drills for incidents like school shootings are not mandatory nationwide (my own child informed me she hasn't done a safety drill in almost two years).  Yes, they are inherently different dangers.  A fire involves removing yourself from the school, while a school shooting involves securing yourself in a safe location.  Although we might not be able to expect statistics that will rival the zero-death-toll of school fires, shouldn't we be giving our students and teachers the training and adequate tools to limit these numbers as low as possible?

Police departments across the country have scaled back their manpower due to budget cuts, but this is an area where every department should be able to spare a few man hours to have a meeting with school administrators to set up a plan.  What should that plan entail?

  • Monitor School Access - Most schools have implemented buzzers that are required to allow persons into the building after the school day begins.  In the case of Sandy Hook this did not keep the shooter out; however, it did significantly slow his entry and alerted a great deal of staff to his presence.  An alert that removed several children from the path of the shooter.  
  • Monitoring of At-Risk Kids - School shooters tend to fit the same psychological profile.  Schools should be aware of kids that meet these behaviors, and efforts should be made to ensure their social and psychological health is progressing along a positive route.  Some schools have implemented organizations and newsletters to join together kids that feel as though they are outcasts from their peers.
  • Student Training - School shooters most often go through an extensive planning phase and will often hint at (or outright announce) their upcoming intentions.  With kids so frivolously posting information on social media, everyone needs to be aware of the lives they could save just by speaking up about something they read online or overheard in the hall.  It might be nothing, but better to be safe than sorry.  Just yesterday police in Tennessee arrested a teen who had expressed on Facebook that he wanted to "go on a rampage like Sandy Hook".  Upon receiving a search warrant, police found multiple guns in his possession.  
  • Unadilla Valley Central School Mock Shooter Drill
  • Have Drills - It's not enough to tell students and teachers what to do when an incident like this occurs.  They should have drills and practice.  This gives the opportunity to learn what works, what doesn't work, and what could be done better.  For the most efficient learning results, these drills should involve students, teachers, faculty, and first responders.
It might be a bit much for the budgets of some departments and isn't quite age appropriate for the elementary grades, but every department and school should check out Tahoma Junior High School in Ravensdale, Washington.  They go all out with their mock school shooting drill, to the point that they have a shooter (or shooters), the drama club as wounded students, and a live police/SWAT response.  From these drills they have learned how to provide a safe environment for the students and how to respond to the event with as little loss as possible.



Friday, October 26, 2012

Nixle: Community Alert Systems

Unless you've spent the last few days isolated from society without internet and news coverage, there's a good chance that you've probably heard something about Hurricane Sandy.

Hurricane Sandy is currently a Category 2 hurricane.  As of this morning, the hurricane is affecting the Florida coastline.  Although there are various projected paths and a bit of uncertainty as to where Hurricane Sandy will be making her debut on land, at this point in time the hurricane is predicted to severely affect almost all of the East coast!

A weather event such as Hurricane Sandy will most likely bring a great deal of rain, thunder and lightning, and extremely high winds (upwards of 100+ mph).

Depending on the location of your department and the severity of the storm, there is a pretty good likelihood that your department might be greatly affected by this storm.

Although it is too late to really institute any new technology for your department at this point in time, every department should look into Nixle for future major weather issues (and major events in general).  Civilian communications are critical to an effective emergency response, and over 85% of civilians can be instantly reached on their mobile phone by text message. In crisis situations, timely information saves lives, and there is no more effective channel to quickly reach large populations than mobile text messaging.

Nixle allows police departments, fire departments and various other city agencies to use them as a publishing system to send alerts via text message and email to the residents of your community.  This information can go out to the community as a whole or it can be targeted toward specific locations within the community, such as alerting residents in a certain section of town that it is recommended they evacuate due to flood waters.

As if the service offered by Nixle wasn't great enough, this program is FREE to public service agencies.  To enroll, you simple need to register your agency on their website.