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1994 2000 Boston Emergency Medical Services Relief Association Twentieth Annual Awards October 30, 2012 2001 1999 TWENTIETH ANNUAL AWARDS BANQUET October 30, 2012 Dear Friends, Family, Colleagues and Supporters, Welcome to the City of Boston Emergency Medical Services twentieth annual awards ceremony. Tonight we honor men and women, EMTs, Paramedics, brothers and sisters in public safety, and even some ordinary citizens – all of whom, when the need arose, performed extraordinary actions. We would like to offer our warm congratulations and sincere appreciation to all of this year’s award recipients. James Salvia, President Boston EMS is a family of brave and strong men and women, all of whom deserve recognition for jobs well done, acts of bravery, and lifesaving events that happen truly on a daily basis. It would be impossible to recount every story that has touched a heart or saved a life over the past year. So tonight, while we honor these awards recipients, we remind ourselves to keep in our thoughts and prayers our entire Boston EMS family, many of whom cannot be here tonight, as they are responding right now to calls for help throughout the city as we enjoy this special evening. Ann Horner, Vice-President On behalf of the Boston EMS Relief Association Board of Directors, thank you for your presence here tonight – it is a show of appreciation and support for all of our personnel. As you hear the stories of what these award recipients have experienced, we urge you to think about your loved ones in EMS. Think about what your mom does, what your dad sees, or what your son or daughter offers to the world each day. Tonight we are especially grateful for the selfless dedication and sacrifices of all of our members, and also that of their families, who willingly share their loved ones that they may help others. Tonight, we honor our finest EMTs and Paramedics, and we are thankful for the opportunity to reflect on our work, and to share this evening with all of you. With best wishes and sincere thanks for your continued support, Respectfully yours, Kimberly Horne, Secretary The BEMSRA Board of Directors Kerry Joyce, Treasurer “To provide for the welfare of the active and retired uniformed members of the Boston Emergency Medical Services, and their families” 1 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS 2011 Awards Ceremony Photos by Melvin Guante-Joseph 2 Boston EMS TWENTIETH ANNUAL AWARDS BANQUET 2011 Award Recipients Medal of Valor EMTs Joseph Anderson & Richard Chiaravalloti Lifesaving Medal Lt. William Lessard, EMTs Matthew Bertrand & Christopher Mancuso Pozen EMT of the Year EMT Roger Furtado Pozen Paramedic of the Year Paramedic Steven McHugh Chief of Department’s Award EMT Denny Chan Lawlor Award for Collaborative Practice Lt. Brian Pomodoro & BPD Lt. Phillip Terenzi Department Citation Sotiraq Trifoni & Farley Hipsman Fleet Services 40 Years of Service Deputy Supt. Claire Madigan-McNeil 3 Pike Community Service Award Supt. Dianne Cavaleri Telecommunicator of the Year EMT/EMCO Robert Barnes Lashman Humanitarian Award Lt. Paul O’Brien Department Citation Joseph Walsh & Wayne Sanden Materials Management Photos by Stephen Beyer BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION 4 TWENTIETH ANNUAL AWARDS BANQUET 5 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION 6 TWENTIETH ANNUAL AWARDS BANQUET 7 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION 8 TWENTIETH ANNUAL AWARDS BANQUET James Hooley Chief of Department Boston EMS Barbara Ferrer, Ph.D., MPH, M.Ed Executive Director Boston Public Health Commission Sophia Dyer, MD, FACEP Medical Director Boston EMS Boston EMS Mission Statement: Boston EMS, the provider of emergency medical services for the City of Boston, is committed to compassionately delivering excellent pre-hospital care and to protecting the safety and health of the public. 9 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS 2012 Awards MEDAL OF HONOR Awarded to any member of the Service for conspicuous bravery. This individual risked his/her life by knowingly putting him/herself in harm’s way to aid another person. This award is based on extraordinary merit. Edmund Burke On the evening of August 23, 2011, EMT Edmund Burke was listening to his department radio while on his way to work in A-14. He heard a call for a fire on Wadsworth Street in Brighton. Being very near the address given, though not yet on-duty, Ed radioed the dispatcher to report that he was arriving at the scene. When he got out of his car, he was told someone was unconscious inside. EMT Burke entered the house, which had an actively burning third floor, and found an unconscious 10 year-old boy on the second floor. While still inside the burning building, he radioed dispatch with an update of the patient’s condition so Paramedics would be dispatched. A-9 was just arriving as Ed exited the home, carrying the boy. P-16 arrived shortly after to intubate the patient and transport him to MGH where hyperbaric oxygen therapy is available. Putting another’s life before his own, Ed rescued this young boy and demonstrated a selfless act of heroism. For this we award him the Medal of Honor. 10 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS 2012 Awards MEDAL OF VALOR Awarded to any member of the service who distinguishes himself or herself by extraordinary heroism. The act or acts must have been so notable to set the individual apart from his or her comrades. Edmund Hassan While working as Shift Commander on the morning of February 4, 2012, Deputy Superintendent and Paramedic Edmund Hassan responded to a call dispatched for a person stabbed with the assailant still on scene. Because Deputy Hassan was working alone and no one else had arrived at the address, he stopped nearby to await word that police had secured the scene, making it safe for him to continue on to the patient. While parked a short distance away, Ed was approached by a woman who identified herself as the assailant. She stated that she had stabbed her boyfriend and he was now unconscious. Deputy Hassan went with her to the patient’s side and discovered the man to be in cardiac arrest from a single stab wound to the chest. Still alone with the perpetrator, Ed began treating the patient and administering CPR. Additional units arrived and the young man was transported to the hospital. The patient underwent emergency surgery after which he made a complete recovery. If not for Deputy Superintendent Hassan’s medical intervention, this patient would not have survived such grievous injury. For this he is presented with the Medal of Valor. LIFESAVING MEDAL Awarded to members of the Service who are directly responsible for saving a human life through the professional application of life support in an unusual situation and under extreme or adverse conditions. Lynn Marshall & Michael MacNeil On February 4, 2012 A-4 with Lynn Marshall and Michael MacNeil arrived at a call to find Deputy Hassan alone on scene with both a stabbing victim and the assailant. They assisted with patient care, extrication, and transport. With their contributions, this traumatic arrest patient survived his injury. For their role in this patient’s survival, they are presented with the Lifesaving Medal. Lynn Marshall 11 Michael MacNeil BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS 2012 Awards Dr. Michael Pozen EMT OF THE YEAR Awarded to one Department EMT who distinguishes him/herself through the exemplary practice of emergency care, contributions to the advancement of EMS, and demonstrations of commitment. Such attributes carry the legacy of Dr. Michael Pozen whose surviving family sponsors the award named for him. Susan Rook EMT Susan Rook delivers excellent patient care on every call. She is an outstanding clinician who treats every patient with a high degree of professionalism. Sue possesses exceptional interpersonal skills, which she uses to advocate for the care and well-being of her patients. She is not only known for the rapport she establishes with her patients, but also for the friendly relationships she has with colleagues. Sue regularly exhibits the qualities that make her a genuine role model for her peers. For this we present her with the Dr. Michael Pozen EMT of the Year Award. EMT Oath I do solemnly swear; Than I will support the Constitution of the United States; The Constitution and Laws of the Commonwealth of Massachusetts, and the City of Boston; That I will bear true faith and allegiance to the same; I will serve my patients with integrity and compassion, and I will afford respect equally to all. I will faithfully and impartially discharge all of the duties and responsibilities required of a City of Boston Emergency Medical Technician to the best of my abilities. 12 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS 2012 Awards Dr. Michael Pozen PARAMEDIC OF THE YEAR Awarded to one Department Paramedic who distinguishes him or herself through the exemplary practice of emergency care, contributions to the advancement of EMS, and demonstrations of commitment. Such attributes carry the legacy of Dr. Michael Pozen whose surviving family sponsors the award named for him. Michael Yaffe Over the last twenty-two years, Mike has presented himself with all of the positive qualities and attributes that the public has come to expect from Boston EMS. Furthermore, Mike encompasses the class, knowledge, diligence, experience and wisdom of an experienced Boston EMS Paramedic. Mike’s professionalism, demeanor, and character provide him with the ability to carry on the tradition of uncompromised excellence in patient care that has been the defining hallmark for Boston EMS since its inception. Mike’s work ethic, compassion, skill and persistent conscientiousness make him a veteran paramedic that other paramedics emulate. For this we present him with the Dr. Michael Pozen Paramedic of the Year Award. 13 Photo by Stuart Cahill BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS 2012 Awards TELECOMMUNICATOR OF THE YEAR Awarded to a member of Dispatch Operations who distinguishes him/herself through exemplary performance as a Telecommunicator. Sara Curry Sara is known for her compassion and skills when taking care of patients in the field. She has brought those skills to Dispatch Operations over the past two years. Sara’s expert handling of distressed callers and excellent pre-arrival instructions have led to many lives being saved. This past year, she assisted a 12-year-old girl in the roadside delivery of her mother’s baby and was recognized nationally by the “9-1-1 for Kids” organization. Sara handles both CMED and dispatching with equal expertise. She manages multiple ambulance-to-hospital connections as well as the deployment of BEMS ambulances like a veteran dispatcher. Her pleasant personality and willingness to go the extra mile are well known in Dispatch Operations. Sara exemplifies the spirit of “Patient Centered Dispatch.” For this we present her with the Telecommunicator of the Year Award. 14 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS 2012 Awards MERITORIOUS SERVICE MEDAL Awarded to any member of the Service for repeated acts of intelligent and valuable service; demonstration of unusual faithfulness or acts which demonstrate highly credible integrity and loyalty to the Service. Peter Holland Pete is a 29-year veteran of Boston EMS. Always a model employee, he has also been a positive influence on all the EMTs and Paramedics in the Department. Never one to complain, Peter has an unassuming personality that often causes his good work to be overlooked. As a field EMT, he seemed to have an endless supply of compassion and empathy for his patients. As an instructor, he has an incredible wealth of medical knowledge and its practical applications, which he shares frequently with a humorous slant that keeps his students’ attention. It is people like Peter who have made Boston EMS the superior service that it is today. With gratitude for all he has given of himself over so many years, Peter Holland is presented with the Meritorious Service Medal. CHIEF OF DEPARTMENT’S AWARD Awarded at the discretion of the EMS Chief to any Department member who shows outstanding dedication or who distinguishes him or herself through extraordinary actions or services. Brian Lomond For 24 years Brian Lomond has served as an EMT in Field Operations. Brian displays his skilled care and compassion to his patients, their families, and the public on a daily basis. Brian is widely respected in the Hyde Park area where he has primarily worked for the past several years. His calm, confident, and reassuring manner during difficult and stressful situations is well known among his colleagues and is appreciated by those in EMS and other public safety agencies. For many years Brian has also been active in the BEMS Honor Guard where he has always taken his membership duties as seriously as his EMT responsibilities. For this, he is presented the Chief of Department’s Award. 15 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS 2012 Awards Edward J. Pike COMMUNITY SERVICE AWARD Awarded to any Department member who has demonstrated a commitment to community service. This award is specifically intended for a Department member who, through his or her own initiative, enhances the image of Boston Emergency Medical Services in the community. Elizabeth Rimas Beth has been a trainer for the Autism Law Enforcement Education Coalition (ALEC) for the past seven years. As an EMT and mother of an autistic child, she is a fierce advocate for autism education of first responders and caregivers. Her instruction of emergency personnel throughout New England teaches them to more effectively approach, treat, and transport persons in the autism spectrum. For this, Beth is presented with the Edward Pike Community Service Award. David Lashman HUMANITARIAN AWARD Awarded to any Department member who best exemplifies the warm, humanitarian and compassionate manner that David Lashman provided to each and every patient, every day. The Lashman family, in memory of David, sponsors this award. Thomas Tynes Tom, a 23-year veteran of Boston EMS, is known for “going the extra mile” for patients. He looks beyond the immediate emergency by helping them reach out to other agencies or city programs to obtain additional health services or even improve their living circumstances. Tom’s care and concern for our patients’ long term support makes him an appropriate recipient of the David Lashman Humanitarian Award. 16 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS 2012 Awards Stephen M. Lawlor AWARD FOR COLLABORATIVE PRACTICE Established in Steve’s memory by his wife Pat, this is awarded annually to two recipients: one, a member of Boston EMS, who in turn chooses the second recipient from outside of the Department, who has worked with us toward a common goal. It is a fitting memorial to Steve, who worked diligently to make Boston a safer place, as he worked shoulder to shoulder with members of the greater community. Thomas Alfieri Tom has been an EMT in Field Operations for more than 23 years. For most of those years, he has worked in East Boston where he is widely respected for his expertise and inherent compassion. Tom has always shown an eagerness to foster connections with our service partners in both public agencies and private organizations. He has created working relationships and personal friendships with colleagues in private ambulance companies, police and fire departments, hospitals, and health centers. The fact that Tom has made these connections while working in the field instead of through meetings in an administrative assignment makes his accomplishments all the more extraordinary. In addition to his relationships outside the Department, Tom has always provided support and encouragement to his co-workers within the Department. These qualities, which so closely resemble those of Steve Lawlor, make him the perfect recipient of this award. Kenneth Grace For thirty years Attorney Ken Grace has been one of Boston EMS’s greatest assets. He has repeatedly demonstrated, and continues to demonstrate, his ability to enhance benefits for the bargaining unit members of Boston EMS. Thanks to his expertise, each member has the opportunity for a fulfilling career in the pre-hospital arena. He is a soft spoken, true gentleman whose attention to detail is only exceeded by his understanding, patience, wisdom, and experience. Ken is widely respected as both a family man and attorney. In addition to serving the collective as a whole, Ken is often called upon to represent and mitigate on behalf of individual members. His compassion and sensitivity are readily felt by those he assists. These attributes closely resemble those of Steve Lawlor which makes Attorney Ken Grace the perfect recipient of this award. Steve was a 27-year veteran of Boston EMS who died in October 2005 after a long battle with cancer. He was well-respected for his calm, confident style of leadership as he rose through the ranks to Deputy Superintendent and Commander of Special Operations. Steve was involved in well-known events, such as Boston’s First Night, July 4th Celebration, and the Boston Marathon. He also worked with many public and private organizations and businesses to make Boston a safe place for all to enjoy. Steve was a staunch supporter of public/private sector partnerships long before they became popular. The Stephen M. Lawlor Foundation was formed to continue these collaborative relationships. The activities of the Foundation include the annual Lawlor Award for Collaborative Practice and assisting BEMS members facing financial hardship through the Boston EMS Relief Association. 17 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS 2012 Awards Lieutenant George Carter MEMORIAL LEADERSHIP AWARD Awarded to a member of the Boston EMS Relief Association, who, through the years, consistently demonstrates good judgment and supervisory skill, displays compassion to patients, co-workers and others, and understands what needs to be done and does it, often with a sense of humor. The recipient has the courage to consistently stand for his or her convictions and serves as a mentor to anyone who seeks one. His or her advice and counsel are sought out by other members of the Department and are freely given without thought of recompense. The recipient, in general, best exemplifies the character and qualities of Lieutenant George Carter. Michael Hurley The members of the Boston EMS Relief Association have voted Lt. Michael Hurley recipient of this year’s George Carter Award. Mike, a 23-year veteran of Boston EMS, has a calm, reassuring demeanor that makes him widely respected within the Department. He possesses natural leadership abilities and a vast working knowledge of EMS. Always professional, Mike leads with humor and a good-natured self-assurance that sets an outstanding example for his peers. Boston EMS PRIDE & PROFESSIONALISM AWARD Sponsored by East Coast Training Academy, this award is presented to a Boston EMS member who conducts him/herself as a consummate professional at all times. A model employee, this individual is a patient care advocate and a highly respected colleague. S/He is caring, competent and dedicated. Brian Drohan Since arriving at Boston EMS, Brian has defined both pride and professionalism. In appearance and comportment, he carries himself with a subtle dignity that shows others his work as an EMT is important to him. Brian is known for his calm confidence and ability to bring control to chaos. He always treats his patients with respect and kindness. It is these qualities that make Brian the perfect recipient of the Pride and Professionalism award. 18 George Carter worked for BEMS from 1/23/73 until his death on 7/18/2000. He was promoted to Senior EMT on 2/10/88. TWENTIETH ANNUAL AWARDS BANQUET Boston EMS 2012 Awards Dr. Erwin Hirsch AWARD FOR EXCELLENCE IN PRE-HOSPITAL TRAUMA CARE Established in memory of the Boston Medical Center trauma surgeon, who mentored our EMTs and Paramedics in the importance of emergency medicine, this honor is awarded to a team of EMTs and/or Paramedics who have distinguished themselves through the delivery of exemplary pre-hospital trauma care resulting in the survival of the patient. Sara Curry, Katherine Dwyer, Paul Giannetti, Felicia Mohammed, Anne Norton, Ilya Toumilovich On 03/24/12 at 8:50 p.m., while working in BEMS Dispatch Operations, EMT Ilya Toumilovich answered 9-11 to find a frantic caller on the phone. Ilya took control of the call in order to obtain the location and nature of the emergency from the anxious person, all while entering the information into the CAD (Computer Aided Dispatch) system. At 8:51, BEMS Dispatcher Sara Curry sent A-12 and P-3 to the address on the corner of Bowdoin Street and Washington Street in Dorchester. At 8:53, A-12 with EMTs Felicia Mohammed and Paul Gianetti arrived to find a 50-year-old male with a life-threatening slash wound to his neck that resulted in an arterial bleed. The patient was lying on the sidewalk holding a T-shirt to his neck with a profuse amount of blood on the ground around him. Upon examination they discovered that the knife wound began near his left ear and continued across his neck to his throat, slicing his carotid artery. The EMTs quickly put the patient onto a backboard and moved him into the ambulance. As EMT Mohammed applied direct pressure to slow the bleeding, EMT Gianetti inserted ChitoGauze into the wound. At 8:57, P-3 arrived with Paramedics Anne Norton and Kate Dwyer. Paramedic Norton took over direct pressure and applied a second ChitoGauze. By 8:59, the EMTs had jumped out to drive the ambulance and were on the way to BMC. Paramedic Dwyer obtained I.V. access and Paramedic Norton radioed the hospital with a patient report, advising that they would need to bypass Emergency and head directly to the Operating Room. The units arrived at the hospital at 9:04 pm, taking the patient directly to the Operating Room where he received four units of blood and emergency surgery, eventually making a full recovery. It took fourteen minutes from the time the 9-1-1 call came in for the patient to arrive at a trauma center and receive life-saving treatment. For their excellence in pre-hospital trauma care, these EMTs and Paramedics are receiving the award named for our mentor, Dr. Erwin Hirsch. Ilya Toumilovich Sara Curry Felicia Mohammed Anne Norton Katherine Dwyer Dr. Erwin Hirsch was Chief of Trauma Surgery at Boston City Hospital / Boston Medical Center for 35 years. Under his guidance it became a Level One trauma center. He died May 23, 2008 after a boating accident. 19 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS 2012 Awards Boston EMS COLLABORATIVE EDUCATOR AWARD Awarded to an individual or group of individuals who have generously committed their time and expertise to the education of pre-hospital care providers. Sgt. Gary Eblan, Registrar, Boston Police Department Academy With the assistance of Officers Leroy Streat and Ed Qwok, Sgt. Eblan has been an enthusiastic contributor to the continuing education of the EMTs and Paramedics of Boston EMS. These officers have been instrumental in training and preparing BEMS personnel for situations where medical care and law enforcement intersect, including circumstances with the potential to put medical providers in harm’s way. In addition to the valuable training provided, they’ve made themselves available for multiple sessions of varying dates and times to allow as many EMTs and Paramedics as possible to learn from their expertise. Dr. Phillip McGovern, Jr. SILVER SPOON AWARD Established in his memory by the McGovern family, this award is presented to any uniformed personnel who successfully deliver babies in the field. These honorees assisted at unusual or complicated deliveries. Miguel Diaz, Michele Chu, Jaclyn Greenwood & Glenn Harding On 10/10/2011, A-91 & P-3 were dispatched for a woman in labor in a car traveling on I-93. When the contractions were one minute apart, the driver had exited the expressway and pulled to the side of the road. A-91, with EMT FTO Miguel Diaz and EMT Recruit Michelle Chu arrived first and found a pregnant woman standing outside the car. She told them, “I want to push.” They immediately placed her on the stretcher and moved her into the ambulance. P-3 then arrived with Paramedics Glenn Harding & Jaclyn Greenwood. While Harding reassured the mother and Diaz did the same with the father, Greenwood prepared to deliver the baby. As childbirth began, Greenwood noticed the umbilical cord wrapped around the infant’s neck. She gently removed the cord and proceeded to suction the baby’s airway. After the baby was assessed, Diaz asked if the father wanted to cut the umbilical cord, which he did. Diaz then gave the scissors to the father as a keepsake. Miguel Diaz Jaclyn Greenwood 20 Glenn Harding TWENTIETH ANNUAL AWARDS BANQUET Boston EMS 2012 Awards MILITARY COMBAT RIBBON James Miller James has been an EMT with BEMS since 1/7/08. He is also a Staff Sargent with the Army National Guard. He was deployed to Iraq from June 2004 to January 2006 and Afghanistan from August 2010 to August 2011. DEPARTMENT CITATION Awarded to any Department member who distinguishes him or herself through intelligent, extraordinary action either on or off duty. James Domaldo On April 10, 2012, Jim was off-duty, traveling on Route 95 North, when he came across a motorcycle accident without any emergency services on scene. Jim stopped to render aid to the gravely injured motorcyclist who turned out to be a Norfolk County Sheriff’s Deputy. For this, Jim is awarded a Department Citation. UNIT CITATION Awarded to any group of Department members, who, while working as a unit, distinguish themselves through intelligent, extraordinary action in the line of duty. Fleet Services Brian McMahon, Neil Blackington, Farley Hipsman, and Sotriaq “Rashi” Trifoni The Fleet Services division has been understaffed for an extended time. In spite of their lack of personnel, they’ve worked above and beyond the call of duty. In addition to repair work, they have expanded on the preventative maintenance program to keep our trucks running and in service. Without their dedication, the EMTs and Paramedics of Boston EMS would be unable to respond to and transport our patients. Brian McMahon Neil Blackington Farley Hipsman 21 Sotriaq “Rashi” Trifoni BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS 2012 Awards UNIT CITATION Awarded to any group of Department members, who, while working as a unit, distinguish themselves through intelligent, extraordinary action in the line of duty. David Cioffi, David Clinard, John Gill, John Horne, William Lewis, Edward McCarthy, Gary Saffer, Robert Stearns, and Jason Yutkins On August 21, 2011, A-14 arrived at an MVA on Storrow Drive to find a car that had crashed into a tree and was on fire with two people trapped inside. While waiting for the fire department to run hose lines, the EMTs and State Police used multiple hand extinguishers to control the fire. With the fire under control, but still actively burning, the EMS crews worked in tandem with Boston Fire crews to extricate the seriously injured patients. Without concern for their own safety, these crews worked together to provide the best possible care to these patients under unusually dangerous and stressful conditions. Francis Sheeran, Michael Gallagher, Sean Murphy, Robert Perez, John Casey On February 18, 2012, Lieutenant Frank Sheeran responded to a call in Neponset Circle for a reported stabbing. When he arrived, as the first unit on scene, he found two patients with life threatening stab wounds. One patient had lost a tremendous amount of blood from a femoral arterial bleed. Frank was quick to determine the severity of the injury and applied a tourniquet to control the bleeding. When P-1 and A-18 arrived, they assisted in applying a second tourniquet. During transport the patient had no blood pressure and became unconscious. P-1 radioed an advance report to the hospital enabling them to skip the emergency room and head directly to the operating room. The surgery was successful and the patient made a full recovery. 22 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS 2012 Awards BOSTON EMS SPECIAL CITATION Awarded to any person, including a civilian or member of another Department or service, who distinguishes him or herself through intelligent, extraordinary actions that result in improving Emergency Medical Services, whether during a specific incident or through continuous contribution. Elija Allen, Boston EMS Materials Management On 3/26/12, Elija’s dad had a heart attack that caused sudden cardiac arrest. Elija recognized the severity of the situation, called 9-1-1, and started CPR on his father. When BEMS arrived, the patient was defibrillated and received ALS care. By the time they arrived at the hospital, Mr. Allen had a pulse and was opening his eyes. As everyone in emergency medicine knows, caring for friends or family members can significantly increase the stress of an already demanding situation. Under unimaginable strain, Elija took control and provided life-saving care to his father. Lieutenant James Leary, Boston Police Department On 6/11/11, Police and EMS were dispatched to a call for a man preparing to jump from the 11th floor ledge of a building on Beacon Street. Upon arrival, Lt. Leary, a trained police negotiator, began attempting to talk the patient off the roof. Due to the statements the patient was making, Lt. Leary determined that the man was in immediate danger of following through on his threat to jump. When the patient turned to talk to the EMS supervisor, Lt. Leary reached through the parapet and grabbed the patient’s arm. The EMS Supervisor and other emergency personnel joined Lt. Leary to pull the patient to safety. The responding personnel on scene all agreed that this patient was moments from attempting to end his life and that Lt. Leary’s instinct and quick action prevented him from doing so that morning. Robert McHale, Richard Bennett, Peter McNeff, Leonard Hynes, William Howell, Jack Bears On 12/27/11, as part of the Medical Emergency Response Team at the South Postal Annex, these men responded to a report of an unresponsive co-worker. They found a male colleague on the floor unconscious and without a pulse. They started CPR, applied the AED, and delivered two shocks. When BEMS arrived, a third shock was given with return of pulses. The patient was transported to TMC and survived to hospital discharge. (see page 27) Robert McHale, Richard Bennett, Peter McNeff, Leonard Hynes, William Howell, Jack Bears USPS South Postal Annex, Medical Emergency Response Team A True American Neighborhood Sports Pub, Bar, & Restaurant 617-522-9263 • Centre Street • Jamaica Plain 23 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS SERVICE RIBBONS 30 Years of Service Michael Bosse 443, 140, 17 02/24/1982 Phillip McGovern 441, 67, 28 02/24/1982 Michael Vojak 439 02/24/1982 John Bilotas 444, 141 04/14/1982 25 Years of Service Edmund Hassan 509, 162, 8 7/5/1987 Graham Williams 536, 170 7/8/1987 Daniel Morrissey 539, 71 11/29/1987 10/14/1987 4/9/86 20 Years of Service Michele Canavan 638 8/25/1992 Edward McCarthy 642 1/8/1992 Photos by Melvin Guante-Joseph 24 1/8/1992 Robert Haley 411 09/20/1982 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS RETIREES John Doyle 136, 10 Hired: 12/7/1977 Retired: 4/30/2012 34+ Years of Service Christopher Stratton 424, 55 Hired: 10/25/1978 Retired: 2/29/2012 33+ Years of Service Kevin O’Connor 33, 21 Hired: 5/28/1980 Retired: 5/31/2012 32 Years of Service Michael Vojak 439 Hired: 2/24/1982 Retired: 6/5/2012 30+ Years of Service 2011 Retirees George Murphy 31, 20 Hired: 8/30/1978 Retired: 1/31/2011 32+ Years of Service David McClelland 431 Hired: 9/5/1979 Retired: 8/31/2011 30 Years of Service 25 Photos by Melvin Guante-Joseph BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS Cardiac Arrest Data 2011 Cardiac Arrests PRE-HOSPITAL SAVES 1.) Jan 1* A13 P5 E. Koslowsky & N. Williams S. Efstathiou & D. Efstathiou 21.) Jun 24 2.) Jan 5* A13 P2 L. Alexander & A. Amuzzini J. Allen & M. Giunta 3.) Jan 5* A10 P1 K. Hunter & S. Ryans W. DeYoung & R. Locke 22.) Jul 3* EMCO G. Rodriguez A5 T. Acevedo & T. Miles P5 S. Cintolo & K. Joyce A17 P5 L. Lague & J. Yutkins J. Amaral & T. Finn 5.) Jan 28* A10 P16 J. Dance & J. Mellen T. Aquavella & S. McHugh 6.) Jan 31* A16 P16 R. Furtado & G. McDonough T. Aquavella & K. Schmidt 7.) Feb 11 A13 P5 L. Alexander & A. Monteiro D. Efstathiou & L. Shubitowski 8.) Mar 2* A16 P2 B. Carlson & R. Hickey R. Aiello & Z. Wiley 4.) Jan 14* 9.) Mar 4* EMCO N. Santiago A6 I. Cochran & D. Jerzylo P1 W. DeYoung & S. Efstathiou 10.) Mar 10* A13 P5 B. Drohan & A. Quarles J. Amaral & T. Finn 11.) Mar 11* A18 P5 E. Cournoyer & T. Perez S. Cintolo & R. LeBlanc 12.) Apr 1* L. Alexander & A. Monteiro D. Efstathiou & G. Harding A13 P5 13.) Apr 11* A10 P1 K. Horne & R. Stearns R. Covino & M. Zemina 14.) Apr 15* EMCO A9 P16 SC R. Cordero F. Abbatangelo & A. Shea J. Greenwood & L. Lee M. Bosse 15.) Apr 17* 16.) May 9* A1 E. McAlister & K. Oubijjane A16 M. Furlotte-Bois & E. Hazelton P16 J. Allen & J. Greenwood 17.) May 10* A18 P2 K. Cronin & D. Hickey J. Attias & Z. Wiley 18.) May 13 S. Hennegan & K. Zion T. Hanson, R. Locke, & L. Marshall A1 P1 19.) May 14* A18 P5 23.) Jul 28* 24.) Aug 6* 25.) Aug 6* 26.) Aug 7* 27.) Aug 10 A8 P1 J. McCabe & M. Yaffe T. Binnall & D. Olesen C. Allen & L. Desir R. Locke & P. Sullivan A16 M. Bryer & M. Guante-Joseph P1 D. Cioffi & J. Horne A4 P1 T. Hooley & J. McCabe W. DeYoung & J. Weaver EMCO J. Jean-Louis A13 B. Drohan, A. Quarles, & C. Genaro P16 R. Souza & M. Yaffe P5 J. Lord, A. Quarles, & J. Murphy D. Efstathiou & M. Moran A2 P2 M. Devlin & M. Ring W. Lewis & G. Saffer 29.) Aug 21* A10 P5 S. Rook & S. Ryans J. Amaral & M. Carty 28.) Aug 15* 30.) Aug 22* A18 A5 T. Acevedo & J. McCormick P5 R. O’Connell & J. Pearsull 31.) Aug 30* A17 P3 J. Doyle & L. Lague K. Dwyer & M. Gabriele 32.) Sep 16 EMCO K. Cox A16 M. Furlotte-Bois & R. Hickey P16 T. Aquavella & L. Lee 33.) Sep 18 A19 34.) Sep 19 A1 P1 A. Beckett & E. Cook J. Horne & D. Williams 35.) Sep 19* A8 P1 J. Dance & W. Dunbar R. Locke & P. Sullivan 36.) Oct 1* A6 C. Mancuso & T. Williams W. Lewis & G. Saffer L. Amichetti & B. Lomond W. DeYoung & K. Joyce 20.) Jun 2* EMCO J. McHugh A5 L. Christanski & K. Foley P5 J. Amaral & J. Greenwood A4 P2 A. Horner & C. Thompson P3 G. Harding & R. Souza P2 37.) Oct 4* A16 P16 B. Carlson & R. Hickey L. Lee & D. Mitchell 38.) Oct 7* A6 P1 B. Cheney & A. Levine R. Locke & S. Murphy By Deb Acres, Claire Madigan‐McNeil, & Kay Schmidt 26 39.) Oct 8* A92 P1 J. Georges, E. Barros, & T. Link M. Sullivan & M. Zemina 40.) Oct 12 A16 P1 B. Carlson & R. Hickey J. Allen & J. Weaver 41.) Oct 26 A7 P1 J. Class & M. Murphy R. Locke & P. Sullivan 42.) Oct 28* A8 P1 C. Biggins & S. Solletti J. Weaver & M. Zemina 43.) Nov 5* A14 P16 J. Anderson & R. Wilson S. McHugh & K. Schmidt 44.) Nov 11 A2 P2 J. Lord & T. Perreault T. Binnall & M. Giunta 45.) Nov 11* EMCO J. Montes A1 J. Lopez & A. Zeller P1 D. Olesen & J. Weaver 46.) Nov 21 A9 P2 D. Gibbons & M. Regan J. Bilotas & T. Binnall 47.) Nov 28* EMCO R. Barnes A6 T. Stewart & T. Williams P1 D. Cioffi & M. Sullivan 48.) Nov 29 EMCO M. Mynahan A5 J. Smith & J. Walton P5 S. Cintolo & R. O’Connell 49.) Dec 2 A13 P5 A. Campbell & P. Villarreal M. Moran & R. Souza 50.) Dec 3* A11 P3 M. Diaz & S. Rivas J. Ahern & M. Gabriele 51.) Dec 6* EMCO K. Higgins A9 M. Regan & M. Whitman P16 T. Aquavella & S. McHugh 52.) Dec 13* EMCO D. Taylor A16 R. Furtado & B. Parham P2 R. LeBlanc & W. Lewis 53.) Dec 18* A7 P1 P. Ashe & R. Lord R. Locke & D. Olesen 54.) Dec 20* EMCO A. Panagopoulos A3 B. Lashley & J. Lucchetti P5 M. Gallagher & R. LeBlanc 55.) Dec 20 EMCO J. Jean-Louis A1 S. Hennegan & K. Zion P1 S. Efstathiou & R. Locke 56.) Dec 25 57.) Dec 27 * A13 P5 B. Drohan & N. Williams K. Joyce & M. Moran A1 P1 A. Beckett & M. Steeves D. Mitchell & S. Murphy *Category 1 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS Cardiac Arrest Data 2011 Cardiac Arrests BY THE NUMBERS In 2011, Boston EMS responded to 921 Cardiopulmonary Arrests. Of those, 454 were non-viable and did not receive CPR. The 467 arrests that received CPR were divided into three etiologies: Medical-109, Trauma-39, and Cardiac-319. Of the 319 arrests of cardiac etiology, 134 received CPR and advanced care that was eventually terminated in the field. The other 185 received CPR and advanced care and were transported to a hospital. Of the 185 arrests of cardiac etiology that were transported to hospitals, 57 survived to hospital discharge (saves). Of the 57 saves, 75% (43 of 57) were category 1 (good cerebral performance). These patients were not deprived of oxygen long enough for brain damage to occur. 2011 Cardiac Arrests SUCCESS STORIES Case #4 On 01/14/11, A17 EMTs Lindsay Lague & Jason Yutkins and P5 Paramedics Joseph Amaral & Thomas Finn were dispatched to a home in Roslindale. A 46 y/o female with a history of substance abuse was apneic and pulseless. A17 started CPR, applied the AED, shocked twice, and had return of pulses. When P5 arrived, the patient was still unconscious but had a pulse and blood pressure. Her treatment included EKG, IV, intubation, medications, and therapeutic hypothermia. The patient was transported to BWH, and later discharged category 1. Case #11 On 03/11/11, A18 EMTs Estelle Cournoyer & Tania Perez and P5 Paramedics Sharon Cintolo & Ryan LeBlanc were dispatched to a home in Hyde Park. A 54 y/o woman’s family had witnessed her collapse at home. A18 found the patient apneic & pulseless and started CPR, applied the AED, and shocked twice. P5 arrived and intubated the patient, shocked a third time with return of pulses. Further treatment included medications and therapeutic hypothermia. Patient was transported to BWH and later discharged category 1. Case #37 On 10/04/11, A16 EMTs Brian Carlson & Ryan Hickey and P16 Paramedics Laura Lee & Dennis Mitchell were dispatched to a private club on Commonwealth Avenue in the Back Bay. An 83 y/o male had collapsed after playing racquetball. Staff & bystanders started CPR, applied an onsite AED and shocked twice. When A16 arrived, the patient was unconscious but had pulses and respirations. P16 arrived and started an IV, administered medications, then extricated. Inside the ambulance more medications were given, the patient was intubated, and therapeutic hypothermia initiated. Patient transported to MGH and later discharged category 1. Case #43 On 11/05/11, A14 EMTs Joseph Anderson & Robert Wilson and P16 Paramedics Steven McHugh & Kay Schmidt were dispatched to Washington Street in Brighton. A 63 y/o female had overdosed at home and was pulseless with agonal respirations. A14 started treatment with CPR. When P16 arrived further treatment included IO, medications, and intubation after which the patient’s pulses returned. She then received therapeutic hypothermia and was transported to St. Elizabeth’s, later discharged category 1. Case # 45 On 11/11/11, A1 EMTs Jessica Lopez & Andrew Zeller and P1 Paramedics Jay Weaver & Dan Olsen were dispatched to Devonshire Street, Downtown. A 48 y/o male had collapsed while exercising at a gym. With telephone instructions from EMCO John Montes, gym staff started CPR, applied an AED, and shocked once. When A1 arrived, CPR was continued and the patient was shocked a second time. P1 then arrived and delivered a third shock which resulted in the return of pulses. Though the patient remained unresponsive, he had a pulse and blood pressure with agonal respirations. He received an IV, was intubated, transported to MGH and later discharged category 1. Case # 52 On 12/13/11, A16 EMTs Roger Furtado & Benjamin Parham and P2 Paramedics William Lewis & Ryan LeBlanc were dispatched to a home in Roxbury where a 19 y/o female with a history of cardiomyopathy had collapsed. EMCO Danyelle Taylor provided CPR instructions to the family over the phone. Finding the patient pulseless with agonal respirations, A16 performed CPR. P2 arrived and shocked twice with the return of pulses. The patient was intubated, received an IV, medications, and therapeutic hypothermia. She was transported to BWH and later discharged category 1. Case # 57 On 12/27/11, A1 EMTs Andre Beckett & Marc Steeves and P1 Paramedics Sean Murphy & Dennis Mitchell were dispatched to the South Postal Annex on Dorchester Avenue, Downtown. A 65 y/o male employee had collapsed. Co-workers started CPR, retrieved and applied their AED, and shocked twice. When A1 & P1 arrived, CPR was continued and the patient was shocked a third time which resulted in the return of pulses. Further treatment included IV, intubation and medications. He was transported to TMC and later discharged category 1. The co-workers that started CPR were issued a Special Citation from Boston EMS, see page 23. 27 By Deb Acres, Claire Madigan‐McNeil, & Kay Schmidt BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION 28 TWENTIETH ANNUAL AWARDS BANQUET 29 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS Our History BEMS First Awards Ceremony - 1992 30 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS Our History BEMS First Awards Ceremony - 1992 First Row L to R: Peter Brown, Angelo Hernandez, Richard Covino, Rafael Hernandez, Carlos Grau Second Row: Mayor Ray Flynn, David Walles, Mrs. Neal Braverman, Debra O’Neill, Mary MacTaggart, Deborah Acres, Bradley Anderson, Kay Schmidt, Judith Kurland, DH&H Commissioner, Stephen Antonino, Kathleen McGovern. Third Row: David Ladd, Richard Serino, David Troup, Willis Saunders, Deputy Supt., BPD, Stephen Lawlor, Kevin Shea, John Healey, William Lessard, Stephen Hillson, Bryant Boddie, Michael Reardon, Christopher Stratton, Stephen Wallace, Brian Pomodoro, Dianne Cavaleri, Mickey Roach, BPD Commissioner. Recipients not pictured: Neal Braverman, Bruce Dyer, Thomas Hartman, and Paul Savage. 31 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS Our History First Ambulance Station in Boston 1899 From Statistics Department Special Publication No. 9 Receipts and Expenditures of Ordinary Revenue 1898-1902 (Published by Boston Municipal Printing Office) “In 1899 the Trustees of the Boston City Hospital requested that a portion of the land purchased by the City of Boston from the Boston Transit Commission be transferred to their care for the purpose of the erection thereon of a relief and ambulance station.” “The erection of a building was begun in 1900 and completed and opened to the public on February 20, 1902. The building is a three-story brick structure with a one-story ell over the subway on the easterly side; the structure is built of brick with sandstone trimmings.” 1900 From the Boston Evening Transcript October 4, 1900 Trustees Award Contracts for a Building to be Erected in Haymarket Square “Awards were made yesterday at a meeting of the Board of Trustees of the City Hospital for the down-town relief station. Which is to be built in Haymarket Square on the site of the old Boston & Maine railroad station. The general contract was awarded to H.P. Cummings & Co. of Boston; the contract for heating to Huey Brothers, and that for the electric equipment to the Boston Electric Company For some time the plan of establishing such a branch of the hospital has been under the consideration of the trustees. There has never been any appropriation for it, however, and the trustees were unable to take definite action until the money was given to the hospital. They have been permitted by the executors of the will of Thomas T. Wyman to utilize $100,000 for the building of a relief and ambulance station, the plans for which have been drawn by Kendall, Taylor & Stevens.” 1902 From the Boston Evening Transcript February 20, 1902 Relief Station Opens - Police Ambulance Brings First Patient to Haymarket Square Hospital Surgeons, nurses, and other members of the staff were on hand early at the City Hospital relief station in Haymarket square. Horses were hitched to the ambulances, ready for duty, and the automobile ambulance made its appearance for experimental trips. A new flag was hauled to the top of the staff, and at nine o’clock the doors were thrown open to the public with officers and watchmen on guard to give directions to visitors seeking medical or surgical help. It was only 8:40 however, when an ambulance from the Hanover Street police station rushed up to the hospital doors with a patient—the first to be treated in the new institution. It was John Leahy, forty-three years old, of 7 Cook Street, Charlestown. While he was at work this morning in a store on North Street, a barrel filled with beer fell on him and injured his back. At the Relief Station he received temporary treatment, after which one of the hospital ambulances hurried him off to the City Hospital. In this instance the patient was under the care of physicians and in most favorable circumstances much sooner after his accident than if there had been no relief station in Haymarket square. His injuries are not of alarming seriousness, but they will incapacitate him for work for a considerable length of time, and may confine him to bed a fortnight. That was the reason for transferring him to the City Hospital where there is ample room for keeping him as long as necessary. Several other people who needed medical or surgical help called soon after. Taking into consideration that it was not generally known among people in the district that the new hospital would be opened, the first day’s work might be looked upon as plentiful and important. Practically everything was ready for the day. Dr. John Bottomley, surgeon in charge, said that the aim of the institution will be to give a prompt, courteous and efficient service to the public. If a patient desires to be conveyed to the Massachusetts General, the Emergency Hospital or to his home his wishes will be respected and the hospital ambulance will be as much as his disposal as if he were to be taken to the City Hospital. The relief station will give medical and surgical aid to the citizens of Boston or to strangers who may be injured or suddenly taken ill while in the city. It will send ambulances in answer to calls for transporting of persons who have been injured to the station and to Boston City Hospital. It is not intended to be a hospital for the continuous treatment of any class of patients except those persons who are so seriously injured that their life would be endangered by transportation; nor is it intended that it shall be a dispensary for the continuous treatment of chronic cases. It has three telephone connections with the outside world, but two of those are receiving lines only, and when any of them are busy it means that someone from the outside has called up the hospital. The receiving calls are 733 and 734 Haymarket; the other call which can be used in the hospital for sending out messages is number 753 Haymarket. In addition to these lines, it has direct communication with the City Hospital, so as to summons aid without waiting for any “central” to make connections. The interior telephone system is most complete. It connects nearly all the rooms on all the floors, and besides that there is a system of gongs striking simultaneously on all floors. Thus the employees may constantly be in touch with each other and with the City Hospital. And the public has two lines free from inside interference and one which it uses in common with the hospital staff. 32 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS Our History First Ambulance Station in Boston The Haymarket Square Relief Hospital was an emergency center designed to quickly treat those injured in industrial accidents. It contained Boston’s first ambulance station. Haymarket Square, The Boston City Hospital Relief Station and North Station, Boston, MA 33 Contributed by John Cotter BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS Our History The Origins of the City of Boston Ambulance Service 1861—1900 On the morning of June 13, 1861, the members of the Boston City Council gathered at the Old City Hall on School Street for a hearing on the subject of health care. A devastating cholera epidemic had left the Massachusetts General Hospital hopelessly overcrowded, and a special committee appointed by the City Council had already concluded that a municipal hospital was badly needed. One question had yet to be resolved, however. Boston’s population was booming, and land was quickly becoming a scarce commodity. Where, the residents of the city wanted to know, would this new hospital be located. The City Council’s choices were limited. In fact, the hospital would have to be located in one of two areas - either on Fort Hill, in downtown Boston; or in the South End. Several years earlier, a wealthy landlord by the name of Elisha Goodnow had become the first patient to undergo surgery at the Massachusetts General. Grateful for the care he’d been given, Goodnow had left to the city seven apartment buildings on Cross Street in the North End. Under provisions of Goodnow’s will, these buildings would be sold, and the proceeds would be used to create a hospital that would cater to the needs of the “less fortunate classes.” For some reason, Goodnow had been quite specific about where he wanted this hospital to be located, however. The hospital would have to be built either on Fort Hill or in the South End; otherwise, the city wouldn’t be allowed to inherit Goodnow’s property. At first, the City Council wanted to build the hospital on Fort Hill. But when plans for the new facility were announced, a group of wealthy Fort Hill residents, fearful that the hospital would attract “paupers” and other unsavory characters, staged a loud and angry protest. The Council quickly reversed its decision, and a site for the new hospital was purchased in the South End. Unfortunately, this plan had one minor flaw: nobody lived in the South End. In 1861, the South End was nothing more than a barren landfill, and the nearest home was several miles away. How were patients supposed to get to this new facility, a number of citizens asked, when it was located so far away. The Council studied the problem carefully, and came up with the following solution: “This inconvenience will be obviated in some measure by distributing about the city ambulance wagons, contrived for the purpose of carrying to the hospital, without jar or exposure, patients unable to endure the motion of ordinary vehicles. Upon their arrival they can be raised without exertion by lift to the wards.” Remarkably, when the Boston City Hospital opened its doors three years later, the ambulance service still did not exist. In fact, it wasn’t until 1892 - twenty-eight years after the hospital was established - that the City Hospital Ambulance Service transported its first patient. Originally, the Ambulance Service consisted of eleven horses and two ambulance carriages. The stables were located on Albany Street, in an old wooden building that had once served as a smallpox hospital. Twelve men lived at the facility, and worked as “horsekeepers, chore men, and porters.” In general, the patients who were transported by the city ambulance received no medical care until they reached the hospital, because the men who operated the carriages were given no medical training. Surgical cases were the exception to this rule. Occasionally, a surgeon would be dispatched along with the ambulance so that an injured extremity could be amputated at the scene. Fires were extremely common during this period, and because the mortality rate for fire-related injuries was so high, an ambulance was always dispatched whenever a second alarm was sounded. By the turn of the century, a simple communications system had been installed at the City Hospital’s front gate. Whenever an ambulance bearing an injured patient approached the hospital, a gatekeeper would phone the Administrator’s Office, and the surgical division of the hospital would be notified that a patient was about to arrive. Stretchers would be brought to the front door, and a “surgical house officer would be summoned without delay for immediate attendance.” The first ambulance satellite was established in 1900 at the Boston City Hospital Relief Station in Haymarket Square. This facility, which was little more than a three-story, freestanding emergency room had been created in response to a large number of industrial accidents in the area of North Station. A large door on the Canal Street side of the building allowed ambulance carriages to drive directly into the facility. Stables were located on the ground floor, and sleeping quarters were provided for the ambulance crews, who essentially lived at the facility. The City Council considered this arrangement to be a success, and in the coming years, a number of additional “ambulance stations” were constructed throughout Boston. After the turn of the century, horse-drawn ambulance were gradually replaced by mechanized ones. Police Department ambulances eventually took over much of the city’s emergency work, but the City Hospital Ambulance Service would remain a fixture in Boston well into the Twentieth century. Jay Weaver Boston EMS 34 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS Our Organization Today BEMS Overview Boston Emergency Medical Services (BEMS) is a nationally recognized leader in the field of pre-hospital emergency medicine. In 2011 alone, BEMS ambulances responded to 108,343 calls for help, making it one of the busiest EMS systems in the nation. This City of less than 46 square miles has more than 617,000 residents and an estimated daytime population of 1 million, all of whom rely on 24 ambulances to respond to their medical emergencies. Boston EMS applies the latest advances in medicine and technology to provide Boston residents and visitors with superior prehospital medical care. While the primary mission of BEMS is responding to 9-1-1 calls, BEMS also plays an important role in the City’s emergency preparedness efforts. BEMS combines public health with public safety and works closely with public and private organizations and businesses in planning and preparing for disasters and multiple casualty incidents. Under the guidance of the Medical Director, the 226 Basic EMTs and 58 Paramedics staff the divisions of Field Operations, Dispatch Operations, Special Operations, and Research, Training, & Quality Improvement. 35 Photos by Kay Schmidt & Robert Stearns BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS Our Organization Today Field Operations BEMS utilizes a two-tier response model of Basic Life Support (BLS) and Advanced Life Support (ALS). BLS ambulances are staffed by two EMTs responsible for treating and transporting patients to hospitals. ALS ambulances are staffed by two Paramedics with advanced training and the ability to deliver complex medical treatment in the field. The department staffs 19 BLS and 5 ALS ambulances (during peak hours) that respond to more than 350 incidents per day. In 2011, the 108,343 calls for help resulted in 78,629 transports. This heavy call volume makes the EMTs and Paramedics of Boston EMS proficient in the evaluation and management of all types of illness and injury. In addition to treating people with traumatic injuries, such as those sustained during a motor vehicle crash, violent act, or industrial accident, Boston EMS EMTs and Paramedics routinely assess and manage patients at home or work who are experiencing medical illness, such as stroke, heart attack, asthma, seizures, or overdose. Photos by William Lessard & Elizabeth Rimas 36 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS Our Organization Today Dispatch Operations Boston EMS Dispatch Operations Division is the first contact that 9-1-1 callers have during a medical emergency. The men and women of the “turret” are uniformed Boston EMS EMTs with more than 4 months of additional training to function in the roles of call-taker, dispatcher, and CMED operator. Though the service they provide is often underappreciated and “behind the scenes,” their function is a vital part of patient care. Every caller receives pre-arrival instructions in order to begin treatment before the arrival of an ambulance. This can be as simple as suggesting to place a clean, dry cloth over a laceration or as detailed as giving CPR instructions to untrained callers. These directions form a bridge between the illness or injury and handson care supplied by field units. Through CMED (Central Emergency Medical Direction) and BAMA (Boston Area Ambulance Mutual Aid), BEMS Telecommunicators also provide regional response coordination and disaster management to outside agencies and ambulance services. Over the past year, the communications systems have been upgraded and protocols improved, all with the vision of delivering “Patient Centered Dispatch.” 37 Photos by Bruce Proulx BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS Our Organization Today Special Operations The Special Operations Division prepares for and responds to major incidents, including scheduled special events and unplanned disasters. Every year Boston hosts several major events that bring millions of people into the city. The Boston Marathon, July 4th celebration on the Esplanade, and First Night celebration all require significant emergency medical support. Boston EMS treats these events as “controlled” Mass Casualty Incidents and uses them to practice and improve disaster response. In addition to these major events, there are hundreds of festivals, parades, road races, and other gatherings that require EMS support. Last year alone, Boston EMS Special Operations Division personnel provided logistical support to more than 500 events. In order to quickly respond to and treat patients during special events and major emergencies, Boston EMS utilizes resources beyond traditional ambulance units. EMS bike teams and all-terrain vehicles (“Gators”) provide the ability to maneuver through congested areas. At large events, fixed medical stations are used to treat ill and injured patients directly on-site. Boston EMS EMTs and Paramedics are also assigned to the Boston Police Harbor Unit during boating season and for special events, such as Tall Ships or the July 4th celebration. These resources help Boston EMS reach patients quickly and deliver initial care more rapidly that would be possible with only ambulances. Photos by Deborah Acres, Denny Chan, & Rafael Hernandez 38 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS Our Organization Today Research, Training, & Quality Improvement RTQI is responsible for the training and development of all Boston EMS EMTs and Paramedics. The Department provides its personnel with regularly scheduled Continuing Education classes and Refresher courses. Ongoing in-service training and updates from RTQI training staff, command staff, BEMS physicians, and guest lecturers allow BEMS members to stay current on clinical and operational issues. All new EMTs and Paramedics are required to complete intensive training through Boston EMS’s accredited Training Academy. Boston EMS also provides CPR and AED training to schools, Boston Police & Fire, and other agencies and community programs. In 2011, RTQI educators, along with a staff of Field Training Officers, trained and evaluated 24 EMTs who entered the Recruit Academy in March, which resulted in August’s successful graduation of 18 newly badged department members. Additionally, Community EMT Courses, taught by Captains Scarna and Holland with several BEMS EMT assistants, lead to 35 high school students becoming State Certified EMTs. And, in collaboration with Northeastern University and a Skillworks Grant, Boston EMS recently completed a second class of paramedic students. The DelValle Institute for Emergency preparedness is a section of the BEMS RTQI. It provides all-hazards training to emergency response personnel and administrative training to commanders and managers of all levels. The DelValle Institute travels throughout eastern Massachusetts delivering classroom instruction, practical training, and, through the newly opened Learning Center, on-line training as well. 39 Photos by Paul Hughes & Brian Pomodoro BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS Our Future Proposed BEMS HQ Facade In 2011, Boston EMS payroll and administrative staff moved into the Miranda Creamer building. For the first time, all Boston EMS offices, classrooms, administrative, and training staff are located in one building. Above is an artist’s rendering of the proposed facade for the main entrance of BEMS HQ at 785 Albany Street. 2011 Recruit Class Row 1 left to right: Jessica Lopez (1041), Michelle Chu (1047), Asia Campbell (1046), Candice Harper (1044). Row 2 left to right: Michael Giunta, Jr. (1042), Juan Rivas (1052), Elizabeth Rimas (739), Charles Genaro (1050), Daniel McCaughin (1049), James Murphy (1043), Evaldo Barros (1056). Row 3 left to right: Mark Keith (1051), James Anderson (1055), Trevor Link (1048), Christopher Taylor (1053), Robert Grueter (1045), John Walton (832), John Casey (1054). 40 TWENTIETH ANNUAL AWARDS BANQUET Boston EMS Events Dedication of BEMS Station 4 at Tufts Medical Center on July 15, 2010. Christmas party & raffle, December 16, 2011 Boston Marathon, April 16, 2012 BEMS Honor Guard at Fenway Park during EMS Week, May 25, 2012 41 Photos by Deborah Acres, Stephen Beyer, Michael MacNeil, & Kay Schmidt BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS Support Staff Fleet Maintenance Administrative Assistants Budget, Finance, & Payroll Materials Management Management Information Systems Communications Engineering DelValle Institute for Emergency Preparedness Photos by Ken McCarron 42 Boston EMS 43 TWENTIETH ANNUAL AWARDS BANQUET BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION 44 TWENTIETH ANNUAL AWARDS BANQUET 45 Photos by William Lessard, Elizabeth Rimas, & Susan Rook BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION Boston EMS Paramedics 101 George Clark 151 Walter Kennedy 102 Manny Dart* 152 103 Cheryl Frazier* 153 Paul McGillivary 104 Maggie Harling 154 Bradley Anderson 105 Timothy Holland 155 Joseph Amaral 106 Tom Kenney 156 Harry Mathews 107 David Ladd 157 John Gill 108 Ken Leary 158 David Walles 109 Jon Levine 159 Gary Saffer 110 Mary Magee 160 unassigned 111 Bernard Newman 161 Kevin Crane 112 Nicholas O’Neil 162 Edmund Hassan 113 Stephen O’Rourke 163 William Lewis 114 Kevin Shea 164 Kay Schmidt 115 Mark Tremblay 165 Roger Aiello 116 Richard Serino 166 Thomas Aquavella 117 Paul Ahearn 167 Bruce Dyer 118 Sharon Collins 168 Paul Hughes 119 Robert Freitas 169 Joseph O’Hare 120 James Hooley 170 Graham Williams 121 Lawrence MacDougall 171 Thomas Binnall 122 Thomas Maciejko 172 Eric Goedecke 123 William Miraglia 173 Unassigned 124 Kevin Prendergast 174 John Ahern 125 Thomas Scott* 175 Adam Corneille 126 Alberto Torres 176 Richard Graham 127 Carl Weinstein 177 Dennis Perkins 128 Daniel White 178 Maureen Quirk 129 Anthony Zarrillo 179 Sean Stentiford 130 Stephen Antonino 180 Petrina Sullivan 131 Dianne Cavaleri 181 Susan Schiller 132 Andrew Klemenakis 182 Dennis Mitchell 133 Richard O’Brien 183 Steven McHugh 134 James Roache 184 Amy Doyle 135 Daniel Hickey 185 Mark Duffy 136 John Doyle 186 Michael Reardon 137 Brendan Kearney 187 Stephen Fleming 138 Kevin Donovan 188 Keith Wilson 139 Cliff Nolan 189 Joseph Kalil 140 Michael Bosse 190 Derek Rappaport 141 John Bilotas 191 Robert Flater 142 James Ahern 192 Sharon Cintolo 143 Juli Nichols 193 Robert Morley 144 Alta Pete Brown 194 Michael Giunta 145 Richard Covino 195 Michael Yaffe 146 Stephen Lawlor 196 Timothy Geary 147 Leonard Shubitowski 197 Michael Zemina 148 Michael Sullivan 198 Anne Norton 149 150 Jay Weaver Stephen Johnson 199 David Cruse 200 Katherine Dwyer Mark LaChance 46 TWENTIETH ANNUAL AWARDS BANQUET It is with overwhelming pride and honor that I thank everyone who has made this event possible. The amount of time spent on award submissions, taking pictures, selecting award recipients, book design, ticket sales, letter writing, video creating, and notifying honorees, along with just taking time out of your personal lives to be involved, has not gone unnoticed. Ever year it amazes me to watch as this banquet comes together. Without the contribution of each and every one of you, this evening of recognition for our co‐workers would never happen. With great respect, I thank you all for everything you have done to create such a successful event. James Salvia President Cover Credit The Yearbook Team 2012 Cover by Deb Acres Stephen Beyer - 2007 Jeffrey Mayes - 2004 Ken McCarron - 1994, 1999, 2000 Contributors Stephen Beyer Denny Chan John Cotter Virginia Famolare Melvin Guante-Joseph Rafael Hernandez Daniel Hickey Paul Hughes William Lessard Michael MacNeil Claire Madigan-McNeil Ken McCarron Edward McCarthy Juli Nichols Brian Pomodoro Bruce Proulx Elizabeth Rimas Marni Ring Susan Rook Robert Stearns Jay Weaver Advertisement Jaclyn Greenwood Robert Locke James Salvia Editors Deborah Acres Kimberly Horne Kay Schmidt 47 BOSTON EMERGENCY MEDICAL SERVICES RELIEF ASSOCIATION 48