CETRONIA - Ambulance Corps.

CETRONIA
Ambulance Corps
JANUARY/FEBRUARY 2014
Volume 8, Issue 1
Exciting Opportunities,
New Year Ahead!
BY,ARRY7IERSCH#%/
I am very excited for our life-saving team and our
community as we embark on what will be one of the
most exciting years for our community and the entire
Cetronia family! As a result of the generosity of many
of our employees, volunteers, businesses, foundations
and community we are continuing to raise the necessary
funds so desperately needed to complete our 68,000
square foot facility at 4300 Broadway. This will be our new and official address
once we move to our Joint Operations Facility! Thank you for your continued
faith and support!! If you have not contributed to our capital campaign as of
yet, we certainly would appreciate your consideration as our goal of raising
$5,000,000 for our $10,000,000 project is still a considerable way off.
Opportunities for buying engraved bricks and naming opportunities for the
garage, conference rooms, board room, offices, education center and others
abound. Not unlike the days when I first started in EMS in 1976 or those of
the Cetronia forefathers in 1955, we need the community to help us. We
do this not for ourselves but for everyone in our community so that we can
continue to invest in life-saving technology and infrastructure.
continued on pg. 2
INSIDE THIS ISSUE:
2013: A Year In Review
American Heart Month
Welcome to 2014!
CPR Recertification Classes
Document - Thoroughness...
National Wear Red Day
Welcome New Associates
Recognition Bulletins
New ALS Ambulance
The Great Ambulance
Chase - 5K Run & Walk
Health on Wheels Gala
St. Luke’s EMS Outreach
Construction Update
Cold Injuries: Frostbite!
New Paramedics!
Newest Cetronia Family
Jan./Feb. Birthdays
3,4
4
5
5
6
6
7
8,9
10
10
11
12
13
14
15
15
16
Cetronia Ambulance Corps © All Rights Reserved
Exciting Opportunities,
New Year Ahead!FRQWLQXHGIURPSDJH
We are all owners of Cetronia Ambulance Corps and everyone benefits from fiscally sound EMS systems
that are always ready to respond to your request for help. No amount is too small as it really does take a
community to make it all happen. Please email me at [email protected]; call 610-530-5502 to reach
me directly; or visit our website www.cetronia.org, click “home” on the menu bar, “giving to Cetronia”,
“capital campaign”, then “donate now” on the right hand column to make a donation online. Don’t forget
to check out our web cam on the site to monitor a live feed of the new construction progress in real time!!
It can be accessed from our home page or the capital campaign page on the web for your convenience.
I want to once again thank the entire Walson family and our friends at Service Electric for their generous
contribution to the project resulting in the naming our communications center the “John E. Walson
Communications Center” in honor of John who gave so generously to his Lehigh Valley community. The
Walson family as well as many other corporate and private donors have already contributed to the project
in support. All will formally be recognized on a donation “Wall of Fame” located in the main hall within the
new facility as well as within our annual report to be issued in the near future.
I am pleased to share that the new structure should be fully enclosed with the interior structure beginning
by the end of January and that the concrete slabs for the entire facility along with interior block will likely
complete about the same time. We expect that our move to the new location will be late spring with a
community grand opening celebration tentatively scheduled for September of this year.
As everyone is aware, healthcare reform has already, or will soon, touch everyone in every community in
these United States. Cetronia has and continues to prepare for these changes as every EMS agency will
be affected in many different ways. While there is still much uncertainty, we expect dramatic changes in
care delivery which ultimately should save healthcare dollars and bring the care to your doorstep like never
before. There are many things in progress to facilitate this change and this, in part, is why our new facility
is so incredibly important. A scalable and expandable communications center capable of accommodating
eight or more dispatch and/or call center positions; an expandable billing/call center office area capable
of expanding to sixteen or more positions; a new and physically challenged accessible education center
to teach our community have all been designed into the new facility to facilitate and prepare for these
changes. In addition, the ability to expand the facility should we need more space, by an additional
20,000 square feet with parking has already been built into the plans for our future. So as you pass by our
new facility, keep in mind, that we had our community growth, wellness, and health in mind from the very
beginning as we have for over 58 years.
In future articles, I expect to share that our new medial alarm partnership will be formally announced as
we expect to roll the program out widely in February. We will offer this so our community can get help at
the push of a button with our partners from Connect America. I also expect we will share new partnerships
and alliances so we can continue to grow and our community can benefit. Strategic partnerships to deliver
care, with the quality you expect from Cetronia, at an affordable price, with convenience are what are in
store for our future. Not unlike our partnership with the County of Lehigh in our Joint Operations Center,
we choose partners that we believe provide synergies to deliver the very best to you our residents.
While many things are in progress, I look forward to sharing details of our programs with you as we build
the future of community health together.
Thank you for caring so we can continue to care for you.
2
n%%3
2013: A Year in Review
BY#AITLIN3TIBITZ$IRECTOROF-ARKETING0UBLIC2ELATIONS
Of one of the most notable achievements for Cetronia Ambulance Corps in
2013 was the groundbreaking for our new facility. In February, we hosted many
dignitaries and officials including Governor Tom Corbett and Lt. Governor Jim
Cawley as we broke ground, celebrated the past 58 years of life-saving care that
is synonymous with Cetronia Ambulance Corps and looked towards the future of
pre-hospital healthcare. As you can see from the other items in this newsletter,
construction is moving along and we are on track for a May 2014 completion
date. Stay tuned, we will be planning a ribbon cutting celebration for
September 2014!
The need for emergency medical services and transportation continues to grow.
As of November 30th, we received over 44,000 requests for help and our year end
volume is projected to be about 2,000 more calls dispatched than the previous
year. Our medi-car service has taken off and has completed well over 1,000 calls
from the previous year. Over the past year and a half, we have been analyzing the demand for this level of
service and are proud to announce that we have purchased a second Medi-car (Toyota Sienna) so that we are
able to meet the new medical transportation needs of our growing and aging population.
Our fleet in 2013 consisted of 19 ambulances, 11 paratransit trucks, 1 supervisor’s vehicle, 1 medi-car and 1
rehab truck, logging over 414,000 miles! We’ve added a new Type III Chevy ambulance to our fleet (all others
are currently Ford models) with a Mac’s patient lift which will enable us to better care for bariatric patients. In
addition to vehicle upgrades, we’ve also made several significant capital equipment purchases including a
third LUCAS device (which gives near perfect CPR and is used on cardiac arrest patients), a new ventilator,
stair chair, two stretchers, a power stretcher, four vehicle laptops and several radio upgrades. As you can see,
we continuously reinvest in our lifesaving equipment and technologies to serve our patients with the very best
and respond to special needs!!
Safety and training continue to be a priority for our Operations Team. In addition to mandatory training and
annual skills review for all field personnel, we have offered targeted continuing education training for things
such as pediatrics, rehab, obese patients and special operations. Additionally, our operations management
(consisting of 3 field Supervisors, 2 field Crew Chiefs and a Clinical Coordinator) attended training at the
National Fire Academy for quality assurance programs, special operations and disaster response. Our Safety
Committee was certified for the 13th consecutive year by the Pennsylvania Department of Labor and Industry.
All committee members receive additional training in safety committee operations, hazard inspection and
accident investigation with our main objective always being to keep everyone safe and ensure that everyone
goes home.
We continue to place an emphasis on youth education and community outreach. In 2013, we held an
Emergency Medical Responder course that certified 12 youth (between the ages of 14-18) as Emergency
Responders. As graduates of the program, those youth can join our Teen Associate Program and run as a third
on our ambulances. We also launched a new youth program this summer, a week-long Emergency Services
Camp in partnership with South Whitehall Township Police, Fire and Emergency Management. We are very
pleased that a few of our campers have enrolled in the Emergency Medical Responder course for 2014 and
will be pursuing their interest towards a career in emergency services!
A lot of our community outreach efforts this year focused on “Hands-Only” or Community CPR, which focuses
on immediate chest compressions and does not include mouth-to-mouth breaths. Sudden cardiac arrest is
the leading killer of all Americans, and improving survival from it requires a collective community response.
Our goal is to increase the survival rate in the communities we serve by raising awareness and educate people
on how to react if they witness this. Working with the Eastern PA EMS Council on this initiative, we held an
education event at the Lehigh Valley Mall in February. Working with our collegiate EMS partners, we also held
an event at DeSales University in March.
continued on pg. 4
3
2013: A Year in Review CONTINUEDFROMPAGE
In September, we celebrated the success of Community CPR in which three bystanders immediately
performed CPR and saved a man’s life after he went into sudden cardiac arrest during a concert at Parkland
High School. Most recently a cardiac arrest victim visited us to thank us personally for “bringing him back to
life” and within the past few weeks we have had many more success stories that are similar. We save lives!!
We strive to be a welcomed presence throughout all the communities we serve and actively participate
in most community events – whether it’s providing a crew for stand-by services, our Bike Team to ensure
the safety of participants for walks and runs, “Andy the Ambulance” to educate and interact with our
youngest residents, doing blood pressure screenings at health and wellness fair, teaching CPR and First
Aid or working with our Boy and Girl Scouts to achieve various Merit Badges. Through November 30th,
Cetronia Ambulance Corps participated in 252 special events, stand-by’s and educational programs in the
communities we serve. Of those 252 events, our services were donated for 108 events, totaling $43,161 of
community benefit. This number does not include the hundreds of fire responses that we provide to support
our partners in the fire and rescue services, which also are provided free of charge in most, if not all cases.
In addition to all the community events, we also held two of our own special fundraising events. In March,
we held our 2nd Annual Great Ambulance Chase 5K at Lehigh University in conjunction with the Greater
Lehigh Valley Auto Show. Thanks to our generous sponsors – Capital BlueCross, Embassy Bank, Bar
Association of Lehigh County, Zator Law, Working Dog Press, The Greater Lehigh Valley Auto Dealers
Association, Wegmans and the Morning Call – and our racers, we generated over $14,000 to support our
youth educational programs. To celebrate EMS Week in May, we held our Health on Wheels Gala, a casino
night and elite viewing of Nicola Bulgari’s personal car collection. Thanks to our generous sponsors –
Lehigh Valley Health Network, the Holiday Inn, Fellowship Community, St. Luke’s University Health Network,
Capital BlueCross, Sacred Heart Hospital, Caruso Benefits, Westfield Hospital, Haldeman Ford, ET&T, CM
Stauffer Insurance, Keenan-Nagle Advertising, TuWay Communications, Lesavoy, Butz & Seitz, Center
Stage, Hospital Central Services (HCSC) and American Emergency Vehicles (AEV) – and our 127 attendees,
we raised over $21,000 for the Community Education & Training Center in our new facility. We are already
busy planning for 2014 – please save the dates for our Health on Wheels Gala on April 26,
2014 and for our Great Ambulance Chase 5K Run and Walk on May 17, 2014!
We’d also like to share that over the past two years we totally redesigned our website – WWW.CETRONIA.
ORG. Not only has it gotten a fresh look, but it has expanded capabilities and is much more user friendly.
You can go online to make a donation to any one of our programs, and as of this month you can now
pay your bill and schedule a transport online. Those who pay online (within 10 days of the invoice date)
will receive a 5% discount. Next, we will be working on creating an online sing-up for subscription
memberships – keep checking our site for improvements and announcements about our building and
other progress throughout 2014!
#@=MP<MTDN*"/& +%"/1*,+1%
Heart Disease is the Number One Cause of Death!
Heart disease is the leading cause of death in the United States and is a major cause of
disability. The most common heart disease in the United States is coronary heart disease,
which often appears as a heart attack. In 2010, an estimated 785,000 Americans had a new
coronary attack, and about 470,000 had a recurrent attack. About every 25 seconds, an
American will have a coronary event, and about one every minute will die from one.
For a full list of diseases and conditions along
with risk factors and other health information
associated with heart disease, visit the
American Heart Association.
4
Other conditions that affect your heart or increase your risk of death or disability include
arrhythmia, heart failure, and peripheral artery disease (PAD). High cholesterol, high blood
pressure, obesity, diabetes, tobacco use, unhealthy diet, physical inactivity, and secondhand
smoke are also risk factors associated with heart disease.
Welcome to 2014!
BY#HRIS0EISCHL%-40$IRECTOROF/PERATIONS
I hope everyone had a great holiday season and were able to spend time with your friends and family. As
the New Year begins, we need to remember the important things in life and ensure we make time for them.
Looking back, I am so proud to say that our survival rate for witnessed sudden cardiac
arrest was 50%!! That ranks up there with some of the high performing systems that we read about in
the national journals and publications. All of our hard work with high performance CPR, teaching hands
only CPR, celebrating our successes, reviewing calls and treatments provided has paid huge dividends!
Every associate should be proud of that number and feel very accomplished knowing that the level of care
provided by Cetronia associates is truly top of the line. We have been saying that we are the best and now
we are providing data to back up that statement. Simply stated, an awesome job!!!!
Looking forward, this year has a lot of new and exciting events coming up. We are all aware of the
building project that is being completed right before our very eyes. Watching the construction progress,
building being erected and the expectations that go with it is very exciting in itself. But that is not the only
reason for 2014 to be an exciting year. Our annual gala, being held downtown in one of the refurbished
buildings at 634 Hamilton Street, will bring excitement and enthusiasm to the event and help to make it
a huge success.
Our 3rd Annual Great Ambulance Chase, being held on the Sunday of EMS week to kick off the week long
activities, will also bring a new level of awareness to EMS Week; as well as a chance for associates to
get out and run/walk the 5K. Our HR department has some new and exciting programs for all associates
as the year goes on that will continue to make Cetronia the premier EMS employer as well as an agency
to volunteer with.
Finally, remember we are out in our community. You are walking billboards, a mobile statement of who we
are. People repeatedly tell me over and over that they see Cetronia ambulances and personnel all over the
Greater Lehigh Valley. Your representation of Cetronia reflects on you, me, your partner, and the legacy
of Cetronia providers; remember that as you go about your shift. Be proud of what the Cetronia brand
means to all involved and the level of care and service provided to our patients and customers. When
people see a Cetronia unit pull up to handle their situation, they have a high expectation of the service you
will provide to them. Keep up the great work you do, and always strive to reach your next goal.
Thank you for all you have done in 2013, and what you will provide to our community in 2014.
CPR Recertification Classes
Saturday, January 25th beginning at 9:00 AM
Thursday, January 28th beginning at 9:00 AM
and Saturday, March 22nd beginning at 9:00 AM
All classes will be held at our Operations Center, please contact
Betty Naylor at 610-398-0239 ext. 512 for pricing and to register.
5
Document….Thoroughness and Detail is Excellence
in Customer Service! BY4INA&ATZINGER"ILLING-ANAGER
As we begin a new year, the billing department has put together a list of the most common issues and
suggestions for helping to properly complete patient care reports. We ask for your commitment to following
these practices and procedures; by doing so less patient care reports will have to be returned, which
will allow us to process claims more effectively. Following these practices provides the best possible
customer service to our patients so they can utilize their healthcare benefits appropriately and not become
frustrated by the lack of detail. Thank you in advance for your cooperation and working together with us
on this matter.
1) Signature Forms: The section of the form is being completed must contain all the information
requested or it is not a valid form. For completing Section 3, if the patient cannot sign you must
include the reason the patient cannot sign, crew signature (written and printed) and the receiving
facility signature (written and printed). Please make sure that the narrative relating to patient
condition supports the reason why a signature was not obtained.
2) EMD codes: EMD codes recorded on the trip sheet must match the dispatch reason in CAD.
3) Medical Alert Alarms: These trips need to include patient demographics. These are a response
and require details.
4) Crew Signatures: Please be sure to sign your trip sheet prior to scanning.
If you sign after you scanned the trip, it must be rescanned.
5) Attachments: Please be sure all attachments are scanned and attached to the trip sheet in HEMS.
There are many reasons attachments will not show with the trip sheet, such as system unable to
read a trip number if it is written over, date is incorrect or does not match CAD record, times are out
of sequence, etc. It is very helpful if the chart is reviewed thoroughly and prior to sending to billing
to ensure accuracy.
6) Complete the vital/treatment log with all information including the provider’s name
who supplied the service.
7) A narrative must be included with all trip sheets.
National
Wear Red Day
®
Heart disease is the No. 1 killer of women in the
United States, claiming more lives than all forms
of cancer combined. For more than 10 years,
the American Heart Association has sponsored
® to raise awareness in the fight against heart disease in women. They have
National Wear Red Day
proudly worn red, shared stories of survival and begun to understand the truth about women’s hearts
and how heart disease can be prevented. Each year, on the first Friday in February, millions of women
and men come together to wear red, take action and commit to fighting this deadly disease.
Celebrate National Wear Red Day® with Go Red For Women on FRIDAY, FEB. 7, 2014 to
help fight women’s No. 1 killer—heart disease.
6
Welcome
New Associates
Sarah Walbert
FT Paratransit
Hired: 9/17/2013
Troy Barlet
FT Paramedic
Hired: 9/18/2013
Kyle Kichline
FT EMT
Hired: 9/24/2013
Anthony Damiani
FT Paramedic
Hired: 10/8/2013
Kasey Kromka
FT EMT
Hired: 10/15/2013
Ryan Seckington
PT EMT
Hired: 10/3/2013
Kaitlyn Conner
FT Paratransit
Hired: 10/9/2013
Robert Greenway
FT EMT
Hired: 10/29/2013
Abigayle Leidich
PT EMT
Hired: 10/31/2013
Joseph Stern
PT PHRN
Hired: 12/19/2013
7
)MPORTANTØSSOCIATE
2ECOGNITION"ULLETIN
'REAT#USTOMER3ERVICE
#Ø3%
Good Morning Sarah,
You transported a gentleman (Elmer) last
evening from SHH to his residence. He
described to me his pain inside, pain that
one can’t see only feel. He spoke of you
and used several words to describe your
work, Great Job, very kind, helpful. He
went on to say because of you he will be
using our service more often and will
spread the word about our great
organization. He said to me sir, if she is
anything like your other drivers you have a
great company! He then wished us all a
Merry Christmas.
Sarah I can’t express enough thanks for
making a difference in this gentleman’s
day as you truly made him feel special and
left an impression that he took the time to
call and share his experience to me. You
clearly exemplified our Core Values.
42)0
We received the above very nice thank you from a
couple visiting from out of state. Well done by the team
of R. Menendez and M. Rivera!
Thank you for being on our team!
n%%3
)MPORTANTØSSOCIATE
2ECOGNITION"ULLETIN
(EART-USCLEAND,IFE3AVED
#Ø3%
Excellent teamwork by the crew of John
Shambo and Greg Marchetti along with
controller Brian Rabenold!! This 54 Year
Female was experiencing severe chest pain
and our response and care was excellent !!
She did in fact have a Stemi event and with
our response of 8 minutes and 11 seconds,
excellence in clinical care and transport we
helped save her heart and life!! Well done
team! Thank you!!
n%%3
8
Thank you, %RE
7ELLDONE3ARAH (n3+7n%%3
)MPORTANTØSSOCIATE
2ECOGNITION"ULLETIN
#ARDIACØRREST3AVE
'REAT7ORK%VERYONE
#Ø3%
A superb example of how we save lives
and truly made a difference in this family’s
future! Congratulations to the crew of
Greg Gordon, Jason Eckert, Kris Vierling,
Brian Rabenold in the comm, UMAC PD
and an observer who got to see us in
action. Full cardiac arrest, early CPR by the
wife on a 66 Y/O male patient who
collapsed and received CPR by wife and
PD prior to our arrival.
Response time of less than five minutes, great ALS care and spontaneous return of pulses prior to
arriving at hospital. STEMI recognized by crew and relayed to hospital, door to balloon of 40 minutes.
You saved this man’s life yesterday team! Well done and thank you!!
n%%3
42)0
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CETRONIA
Ambulance Corps
9
In the fall, we debuted
the newest member of
Cetronia fleet - 6288.
Our new Advanced Life Support
(ALS) ambulance has chevy chassis,
which is 20 inches longer than our
Ford chassis ambulances, and will
serve as a specialty care truck.
It is equipped with a lift to better
transport bariatric patients and
some of the specialized equipment
will help us to provide advanced life
support for pediatric patients, as
well as for transporting critical care
patients. This unit joins Cetronia’s
fleet of 34 vehicles consisting of 19
ambulances, 11 paratransit trucks, 2
medi-car vans, 1 supervisor’s vehicle
and 1 rehab unit.
10
Cetronia EMT’s Nick Partenope and Jessica
Maldonado checking the vital signs of guests
at the St. Luke’s West End Medical Center
community open house in October, 2013.
11
12
CETRONIA
Ambulance Corps
13
Cold Injuries: Frostbite!
BY"RYAN$.ELSON-"Ø.2%-40
0REHOSPITAL1UALITY3PECIALIST,EHIGH6ALLEY(EALTH.ETWORK
Winter
exposure
unprotected
Wint
nter – it’s
iit’
t’s
s on like
llik
ike
ik
e Donkey
Donk
Do
nkey
nk
ey Kong.
Kon
K
ong.
on
g. It’s
It’s also
also th
the
e ti
time
me of ye
year
ar when
when th
the
e ex
expo
posu
po
sure
su
re of un
unpr
prot
pr
otec
ot
ecte
ec
ted
te
d sk
skin
in
to arctic-like
prolonged
arct
ctic
ct
ic-l
-lik
-l
ike
e temperatures
temp
mper
mp
erat
er
atures
es can
can lead
lead to cold
cold injuries.
inju
in
juri
ju
ries
ri
es.. Cold
es
Cold injuries
inju
in
juri
ju
ries
ri
es typically
typi
ty
pica
pi
callllllyy occur
ca
occu
oc
curr when
cu
when there
ther
th
ere
er
e is pr
prol
olon
ol
onge
on
ged
ge
d
exposure
brief
expo
ex
posu
sure
re to cold
cold temperatures;
temp
te
mper
mp
erat
er
atur
at
ures
ur
es;; however,
es
howe
ho
weve
we
ver,
ve
r, they
they can
can also
also occur
occu
oc
curr with
cu
with br
brie
ieff exposure
ie
expo
ex
posu
po
sure
su
re during
duri
du
ring
ri
ng extremely
extr
ex
trem
tr
emel
em
elyy cold
el
cold
conditions
chill?).
never
evident
co
ns (perhaps
(per
(p
erha
haps
ha
ps an MCI
MCI on a major
majo
ma
jorr highway
jo
high
hi
ghwa
gh
wayy wi
wa
with
th a -2
-20°
0° wi
wind
nd ch
chil
ilill?
l?).
l?
). Th
This
is wa
wass ne
neve
verr mo
ve
more
re ev
evid
iden
id
entt th
en
than
an
with
subzero
temperatures
produced
“polar
vortex.”
with the
e recent
rece
cent
ce
nt su
subz
bzer
bz
ero
er
o te
temp
mper
mp
erat
er
atur
at
ures
ur
es pr
prod
oduc
od
uced
uc
ed by th
the
e “p
“pol
olar
ol
ar vo
vort
rtex
rt
ex.”
ex
.”
As amazing
only
ama
a
mazi
ma
zing
zi
ng as
as the
the human
huma
hu
man
ma
n body
body is,
is, it
it really
real
re
ally
al
ly o
onl
nly
nl
y has
has two
two primary
prim
pr
imar
im
ary
ar
y methods
meth
me
thod
th
ods
od
s of defense
def
d
efen
ef
ense
en
se against
aga
a
gain
ga
inst
in
st
the
the cold.
cold
co
ld.
• Va
Vasoconstriction:
Vaso
soco
so
cons
co
nstr
ns
tric
tr
icti
ic
tion
ti
on:: Wh
on
When
en th
the
e bo
body
dy gets
gets co
cold
cold,
ld,, th
ld
the
e bl
bloo
blood
ood
oo
d ve
vess
vessels
ssel
ss
elss wi
el
willll co
cons
constrict
nstr
ns
tric
tr
ictt an
ic
and
d shunt
shun
sh
untt blood
un
bloo
bl
ood
oo
d away
away
from
attempt
reduce
fro
rom
ro
m the
the skin,
skin
sk
in,, and
in
and extremities,
extr
ex
trem
tr
emit
em
itie
it
ies,
ie
s, in an at
atte
temp
te
mptt to re
mp
redu
duce
du
ce he
heat
at loss.
loss
lo
ss..
ss
Shivering:
Shiv
iver
iv
erin
er
ing:
in
g: Involuntary
Invo
In
volu
vo
lunt
lu
ntar
nt
ary
ar
y mu
musc
muscle
scle
sc
le co
cont
contraction
ntra
nt
ract
ra
ctio
ct
ion
io
n is th
the
e bo
body
body’s
dy’s
dy
’s fin
final
al at
atte
attempt
temp
te
mptt to ge
mp
gene
generate
nera
ne
rate
ra
te ad
addi
additional
diti
di
tion
ti
onal
on
al
• Sh
heat
temperature
dropping.
hea
h
eatt – and
and a sure
sure sign
sign th
that
at yo
your
ur bo
body
dy te
temp
mper
mp
erat
er
atur
at
ure
ur
e is dr
drop
oppi
op
ping
pi
ng..
ng
Although
opposite
Alth
Al
thou
th
ough
ou
gh they
they are
are caused
caus
ca
used
us
ed by op
oppo
posi
po
site
si
te extremes
extr
ex
trem
tr
emes
em
es in temperature,
temp
te
mper
mp
erat
er
atur
at
ure,
ur
e, th
the
e damage
dama
da
mage
ma
ge caused
caus
ca
used
us
ed by cold
cold closely
clos
cl
osel
os
elyy
el
resembles
burn.
reduced
skin,
tissue
injury
rese
re
semb
mble
mb
less that
le
that of a bu
burn
rn.. Wh
rn
When
en blood
bloo
bl
ood
oo
d flo
flow
w is re
redu
duce
du
ced
ce
d to th
the
e sk
skin
in,, an
in
and
d extremities,
extr
ex
trem
tr
emit
em
itie
it
ies,
ie
s, localized
loca
lo
calililize
ca
zed
ze
d ti
tiss
ssue
ss
ue in
inju
jury
ju
ry
can occur.
occu
oc
cur.
r. The
The severity
seve
se
veri
ve
rity
ri
ty of the
the injury
inju
in
jury
ju
ry depends
depe
de
pend
pe
ndss on the
nd
the level
leve
le
vell of exposure
ve
expo
ex
posu
po
sure
su
re to cold
cold AND
AND can
can occur
occu
oc
curr with,
cu
with
wi
th,, or
th
can
without,
with
wi
thou
th
out,
ou
t, hypothermia.
hypo
hy
poth
po
ther
th
ermi
er
mia.
mi
a. The
The hands
hand
ha
nds
nd
s (fingers),
(fing
(fi
nger
ng
ers)
er
s),, feet
s)
feet (toes),
(toe
(t
oes)
oe
s),, ears,
s)
ears
ea
rs,, and
rs
and nose
nose are
are most
most commonly
comm
co
mmon
mm
only
on
ly affected.
affe
af
fect
fe
cted
ct
ed..
ed
Exposure
near,
freezing,
decrease
Expo
Ex
posu
po
sure
su
re o
off extremities
extr
ex
trem
tr
emit
em
itie
it
ies
ie
s to temperatures
ttem
empe
em
pera
pe
ratu
ra
ture
tu
res
re
s ne
near
ar,, or below
ar
bel
b
elow
el
ow ffre
reez
re
ezin
ez
ing,
in
g, causes
cau
c
ause
au
ses
se
s a de
decr
crea
cr
ease
ea
se in
in th
the
e
temperature
temp
te
mper
mp
erat
er
atur
at
ure
ur
e of the
the tissue.
ttis
issu
is
sue.
su
e. As the
the temperature
ttem
empe
em
pera
pe
ratu
ra
ture
tu
re of
of th
the
e extremity
extr
ex
trem
tr
emit
em
ity
it
y decreases,
decr
de
crea
cr
ease
ea
ses,
se
s, iitt causes
caus
ca
uses
us
es injury
iinj
njur
nj
ury
ur
y in
four
four phases.
pha
p
hase
ha
ses.
se
s.
• Ph
Phase
Phas
ase
as
e I: Of
Ofte
Often
ten
te
n ca
call
called
lllled
ed “F
“Fro
“Frostnip”
rost
ro
stni
st
nip”
ni
p” – is caused
caus
ca
used
us
ed by va
vaso
vasoconstriction
soco
so
cons
co
nstr
ns
tric
tr
icti
ic
tion
ti
on re
resu
resulting
sult
su
ltin
lt
ing
in
g in in
inad
inadequate
adeq
ad
equa
eq
uate
ua
te
blood
oxygenation.
hands
hurt”
phase….
blo
b
lood
lo
od flo
flow
w an
and
d tissue
tiss
ti
ssue
ss
ue ox
oxyg
ygen
yg
enat
en
atio
at
ion.
io
n. Th
This
is is th
the
e “m
“myy ha
hand
ndss ar
nd
are
e so co
cold
ld th
they
ey hu
hurt
rt”” ph
rt
phas
ase…
as
e…..
e…
• Ph
Phase
Phas
ase
as
e II
II:: The
The second
seco
se
cond
co
nd ph
phas
phase
ase
as
e is ch
char
characterized
arac
ar
acte
ac
teri
te
rize
ri
zed
ze
d by th
the
e fo
form
formation
rmat
rm
atio
at
ion
io
n of ic
ice
e cr
crys
crystals
ysta
ys
tals
ta
ls in th
the
e ce
cell
cells
llllss an
and
d th
the
e
formation
fluid-filled
temperature
drops
below
ffor
orma
or
mati
ma
tion
ti
on of clear,
clea
cl
ear,
ea
r, flu
fluid
id-fi
id
-filllllled
-fi
ed blisters,
blis
bl
iste
is
ters
te
rs,, as the
rs
the te
temp
mper
mp
erat
er
atur
at
ure
ur
e dr
drop
opss be
op
belo
low
lo
w 24.8°F.
24.8
24
.8°F
.8
°F.. If the
°F
the extremity
extr
ex
trem
tr
emit
em
ityy is not
it
not
rewarmed
immediately,
cellular
death
imminent.
hands
point…
rrew
ewar
ew
arme
ar
med
me
d im
imme
medi
me
diat
di
atel
at
ely,
el
y, ce
cell
llllul
ular
ul
ar de
deat
ath
at
h is im
immi
mine
mi
nent
ne
nt.. Yo
nt
Your
ur ha
hand
ndss ar
nd
are
e nu
numb
mb at th
this
is po
poin
int…
in
t…
Phase
Phas
ase
as
e II
III:
I: Th
This
is ph
phas
phase
ase
as
e is ch
char
characterized
arac
ar
acte
ac
teri
te
rize
ri
zed
ze
d by de
deep
deeper
eper
ep
er ti
tiss
tissue
ssue
ss
ue da
dama
damage
mage
ma
ge (p
(par
(partial
arti
ar
tial
ti
al th
thic
thickness),
ickn
ic
knes
kn
ess)
es
s),, in
s)
incl
including
clud
cl
udin
ud
ing
in
g bl
bloo
blood
ood
oo
d
• Ph
vessel
leakage
purple
vves
esse
es
sell le
se
leak
akag
ak
age
ag
e an
and
d pu
purp
rple
rp
le blisters.
blis
bl
iste
is
ters
te
rs..
rs
• Phase
Phas
Ph
ase
as
e IV
IV:: Results
Resu
Re
sult
su
lts
lt
s in clotting
clot
cl
otti
ot
ting
ti
ng (freezing)
(fre
(f
reez
re
ezin
ez
ing)
in
g) of deep
deep tissue
tiss
ti
ssue
ss
ue and
and bl
blood
bloo
ood
oo
d resulting
resu
re
sult
su
ltin
lt
ing
in
g in irreversible
irre
ir
reve
re
vers
ve
rsib
rs
ible
ib
le loss
loss of blood
bloo
bl
ood
oo
d
flow
fl
ow to th
the
e ex
extr
trem
tr
emit
em
ity,
it
y, cellular
cellllllul
ce
ular
ul
ar de
deat
ath,
at
h, an
and
d tissue
tiss
ti
ssue
ss
ue necrosis.
necr
ne
cros
cr
osis
os
is.. Signs
is
Sign
Si
gnss include
gn
incl
in
clud
cl
ude
ud
e discoloration
disc
di
scol
sc
olor
ol
orat
or
atio
at
ion
io
n and
and swelling
swel
sw
ellililing
el
ng of the
the
extremity,
death,
ext
e
xtre
xt
remi
re
mity
mi
ty up
upon
on rewarming.
rewa
re
warm
wa
rmin
rm
ing.
in
g.
extremity
Trea
Tr
Treatment
eatm
ea
tmen
tm
entt of su
en
supe
superficial
perfi
pe
rfici
rfi
cial
ci
al Fr
Fros
Frostbite
ostb
os
tbit
tb
ite
it
e in
incl
includes
clud
cl
udes
ud
es
rewa
re
warm
wa
rmin
rm
ing
in
g th
the
e ex
extr
trem
tr
emit
em
ity
it
y in wa
warm
rm (n
(not
ot ho
hot)
t)
rewarming
extremity
wate
wa
terr an
te
and
d prevention
prev
pr
even
ev
enti
en
tion
ti
on of re-freezing.
re-f
re
-fre
-f
reez
re
ezin
ez
ing.
in
g. You
You
water
shou
sh
ould
ou
ld se
seek
ek me
medi
dica
di
call at
ca
atte
tent
te
ntio
nt
ion
io
n fo
forr anything
anyt
an
ythi
yt
hing
hi
ng
should
medical
attention
more
mo
re se
seri
serious.
riou
ri
ous.
ou
s. Re
Reme
Remember;
memb
me
mber
mb
er;; ne
er
neve
never
verr ma
ve
mass
massage
ssag
ss
age
ag
e
fros
fr
ostb
os
tbit
tb
ite,
it
e, as th
this
is can
can result
resu
re
sult
su
lt in increased
incr
in
crea
cr
ease
ea
sed
se
d
frostbite,
dama
da
mage
ma
ge to th
the
e fr
froz
ozen
oz
en ti
tiss
ssue
ss
ues.
ue
s.
damage
frozen
tissues.
Tips
Ti
ps to pr
prev
prevent
even
ev
entt Fr
en
Fros
Frostnip
ostn
os
tnip
tn
ip an
and
d Fr
Fros
Frostbite
ostb
os
tbit
tb
ite
it
e
incl
in
clud
cl
ude
ud
e la
laye
yeri
ye
ring
ri
ng yo
your
ur cl
clot
othi
ot
hing
hi
ng,, we
ng
wear
arin
ar
ing
in
g
include
layering
clothing,
wearing
hats
ha
ts an
and
d gl
glov
oves
ov
es,, an
es
and
d lilimi
miti
mi
ting
ti
ng th
the
e am
amou
ount
ou
nt of
gloves,
limiting
amount
time
ti
me yo
you
u ma
mayy be ex
expo
pose
po
sed
se
d to ex
extr
trem
tr
eme
em
e co
cold
ld
exposed
extreme
temp
te
mper
mp
erat
er
atur
at
ures
ur
es.. Pl
es
Plan
an ah
ahea
ead,
ea
d, be pr
prep
epar
ep
ared
ar
ed,,
ed
temperatures.
ahead,
prepared,
and
an
d st
stay
ay wa
warm
rm – es
espe
peci
pe
cial
ci
ally
al
ly du
duri
ring
ri
ng th
the
e po
pola
larr
la
especially
during
polar
vort
vo
rtex
rt
ex!!
ex
vortex!
14
8F"SF$FUSPOJB
1SPVEPGBMMPGZPV
Please join me in congratulating 9 of
our Cetronia teammates as they move
forward with their EMS careers.
0HHWWKHQHZHVW
PHPEHUVRI
WKH&HWURQLDIDPLO\
0LFKDHO/XNLWVFK
6J[VILY[O
SIZVa¹
$ELJDLO)HJOH\
+LJLTILYZ[
SIZVa¹
ABOVE: Greg Marchetti; Jason Eckert; Johnny
Semonich and Chris Fegley were among the George
E. Moerkirk Emergency Medicine Institute’s Paramedic
Class of 2013! Upon completing the rigorous 12 month
program, including both practical and didactic hours,
all participants took the Paramedic National Registry
exam. We welcome these gentleman into their new role
as paramedics!
&DOHE%DUOHW
1HU\HY`Z[
SIZ Va¹
Congratulations also goes out to Mat Diffenderfer,
Ken Escolopio, Luke Bulmer, Nick Partenope and Ed
Gleason for being accepted into the 2014 paramedic
program! We wish them well and look forward to helping
them achieve success! As co-workers, I ask that you
wish them well and do whatever you can to help them
achieve their goals.
15
$VVRFLDWH%LUWKGD\VRI
'<IP<MT
1st – Joseph Kunkle
1st – Elise Himelson
4th – Kris Vierling
12th – Ryan Seckington
13th – Shelia Vanhorn
14th – Shannon Dunksi
15th – Bennet Heyman
18th – Robert Walbert
18th – Steven Kline
19th – Benjamin Miller
20th – Karen Mace
24th – Hygenica Boozel
27th – Roger Benner
28th – Betty Naylor
30th – Robert Bernabucci
30th – Cheryl Williams
16
#@=MP<MT
6th – Beth Young
8th – Peter Dorn
8th – Jenna Littman
9th – Casey Concannon
11th – Leslie Henning
13th – Ken D’Encarnacao
14th – Margaret Duke
16th – Carole Wessner
17th – Susan Deprill
19th – Michael Nagel
25th – David Bond