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PORT LUDLOW HEALTH NEWS (Click!)
Health Emergencies
Heart Attacks & Stroke: Emergency Information & Protocols (PLHealth)
Disaster Preparedness
EMERGENCY CARE (Medical Emergency Services)

Photo from the 1970s(?)
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- Saving Time Saves Lives |
[also here]
Washington State Emergency
Cardiac and Stroke System
[New System Launches June 2011]
[www.plfr.org/operations/ems/assets/WACardiacStrokeSystem.pdf]
- Letter [January 10, 2011]
TO: Emergency Cardiac and Stroke System Stakeholders
FROM: Janet Kastl, Director
Office of Community Health Systems
SUBJECT: Update on Emergency Cardiac and Stroke System Implementation
The 2010 Legislature passed a law that establishes a formal cardiac and stroke system of care in our state. A tremendous amount of work has been accomplished by EMS providers, physicians and nurses across the state to design the new system. Their input has been invaluable. It took considerable time to design the system and it will take time to fully implement the system.
A July 1, 2011 system “go live” date was established as a goal to work toward....
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- Cardiac Emergencies & Protocols
[...] Port Ludlow Fire & Rescue, Harrison Medical Center, Kitsap Cardiology and the Poulsbo Doctors Clinic have created protocols that allow Port Ludlow Fire & Rescue
paramedics to administer a host of drugs, including thrombolytics "clot busters"— which can destroy a blood clot blocking blood and oxygen to the heart — and provide
immediate treatment during heart attacks. [...]
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New Protocols Improve Care for Heart Attack Patients (Jefferson
Healthcare)
"A recent collaboration of representatives from Jefferson Healthcare, East Jefferson Fire Rescue, Port Ludlow Fire Rescue, Harrison Medical Center, Kitsap Cardiology, and
the Doctors Clinic, has resulted in development of new protocols for treatment and transport of heart attack victims. The participants used a system of rapid process
improvement (RPI) to develop these protocols, which are based on an established algorithm or decision tree...."
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Help for hearts: Ludlow, EJFR medics have rare 'clot buster' power for
heart attack patients
Port Townsend Leader, 6/24/2009
"The clot-busting drug will dissolve the clot to restore blood flow to
the heart....
Fire District 1 (Port Hadlock, Chimacum, Irondale, Cape George Kala
Point and Port Townsend) has eight (soon to be nine) paramedics plus
two chief paramedics. District 3 (Port Ludlow/Shine) has four
paramedics. The medics can use the clot-busting drugs on patients they
treat as part of mutual aid responses to adjacent districts....
- Videos: Cardiac Emergencies
- STROKE Emergencies and Warning Signs
- Types of Strokes
[National Stroke Association]
- Stroke Treatment
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Port Ludlow Fire & Rescue: EMS Page (Stroke)
- Washington State: Prehospital Stroke Triage Destination Procedure
Protocol Guidelines: Purpose
The purpose of the Stroke Triage and Destination Procedure is to help you identify stroke patients in the field so you can take them to the most appropriate hospital. Like trauma, stroke treatment is time-critical – the sooner a patient is treated, the better their chances of survival. Fast treatment can mean less disability, too. For strokes caused by a blood clot in the brain (ischemic), clot-busting medication must be adminis-tered within 4.5 hours from the time they first have symptoms. For bleeding strokes (hemorrhagic), time is also critical. As an emergency responder, you play a crucial role in getting patients to treatment in time.
Assess Applicability for Triage
Report from patient or bystander of one or more sudden:
Numbness or weakness of the face, arm or leg, especially on one side of the body Confusion, trouble speaking or understanding;
Trouble seeing in one or both eyes;
Trouble walking, dizziness, loss of balance or coordination;
Severe headache with no known cause.
Perform F.A.S.T. Assessment:
Face: unilateral facial droop?
Arms: unilateral drift or weakness?
Speech: abnormal or slurred?
Time last normal (determine time patient last known normal)
Yes to any one sign (Face, Arms, Speech) = YES
Washington State: Prehospital Stroke Triage Destination Procedure

"Stroke treatment is time-critical – the sooner a patient is treated, the better their chances of survival. Fast treatment can mean less disability, too. For strokes caused by a blood clot in the brain (ischemic), clot-busting medication must be adminis-tered within 4.5 hours from the time they first have symptoms. For bleeding strokes (hemorrhagic), time is also critical. As an emergency responder, you play a crucial role in getting patients to treatment in time. [Source]
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- Harborview Medical Center/UW Medicine
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Neurosciences
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Harborview Medical Center named to Target: Stroke Honor Roll by Clare Hagerty,
UW Today; 2010-12-14 [FROM THE UW NEWS ARCHIVES PRIOR TO 2011]
The UW Medicine Stroke Center at Harborview has been recognized for excellence in emergency stroke care on the Target: Stroke Honor Roll by the American Heart Association / American Stroke Association. Harborview is one of a select group of hospitals in the U.S. -- and the first in Washington -- to make the list.
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UW Medicine: Stroke referrals and TeleStroke partnership program
"Why do our communities need TeleStroke?
With TeleStroke, consulting partners receive immediate telephone consultation with a vascular neurologist.
The specialist can review the patient’s digital radiology images via a virtual private network and provide immediate
feedback to the physician requesting consultation. Referring partners also have access to acute stroke evaluation
at UW Medicine, as well as diagnostic and treatment protocols to facilitate each patient’s treatment.
To request a TeleStroke consult, please contact the
UW Medicine Transfer Center
at 888.731.4791.
According to a letter from the Harrison Foundation (Nov 14, 2011), Harrison Medical Center is now a member of this partnership.
EMT Decision Tree Flow Chart
[www.lifeguardadventures.com/media/Maps/EMTposter.pdf]
Emergency Transportation
Locations of Medical Emergency Equipment in PL:
- Beach Club: AED (up-to-date? Brand? Procedures?) First Aid?
- Bay Club: AED (up-to-date? Brand? Procedures?) First Aid?
- Others??
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Tips for Taking an Elderly Patient to the Emergency Room
[Hospital.com]
Trauma Care
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UW-Harborview Trauma Center
All trauma centers are designated with levels to ensure that facilities have the resources, organizations and expertise
to provide optimal care for injured patients. Harborview is the only Level I adult and pediatric trauma center in
Washington, Alaska, Montana and Idaho.
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2011 Trauma Summit in Seattle [10 videos on different injuries & fractures]
This 2nd Annual Trauma Symposium, hosted by Seattle's Harborview Hospital
and UW Medical Center, offers viewers a look at clinical care concerns and
advanced research in a variety of musculoskeletal disorders with an
emphasis on traumatic injuries of the upper extremities.
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Emergency Medical Services & Trauma System [Wash State Dept of Health]
Disaster Preparedness
NEWS:
"Disaster Preparedness in Port Ludlow", LMC Navigator, November 2011, p.8 (By Russ Henry) [scroll down to p.8]
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Port Ludlow “Disaster Preparedness Group”
... has been in operation at least 15 years. ...We are linking into Jefferson County’s Emergency Operations Center. We are a committee of the Port Ludlow Village Council.... The present Port Ludlow Disaster Preparedness Group consist of active volunteers who are trained to assist residents in the case of a local disaster. We communicate via portable UHF Family Radio Service radios. Our neighborhood Disaster Preparedness Captains and Co-Captains are not trained to provide emergency assistance. If a resident has an emergency, call 911....
Port Ludlow Volunteer Disaster Preparedness Management Plan [some sections have been bolded by the PLHealth.org editor]
[....]
The Disaster Preparedness Director has overall responsibility for developing the Port Ludlow Disaster Preparedness Plan and coordination with other Emergency Management System Groups such as the Jefferson County Department of Emergency Management or the American Red Cross. He shall develop, maintain and communicate the Disaster Preparedness Management Plan. He is also the Chairman of the Disaster Preparedness Committee which reports to the Port Ludlow Village Council which provides financial assistance.
The Community Emergency Response Team (CERT) Program educates people about disaster preparedness for hazards that may impact their area and trains them in basic disaster response skills such as fire safety, light search and rescue, team organization, and disaster medical operations. Using the training learned in the classroom and during exercises, CERT members can assist others in their neighborhood following an event when professional responders are not immediately available to help. The skills which are taught in the CERT training are applicable to the functions of neighborhood Captains. These include the proper approach to assessment of damaged buildings, management of gas leaks, movement of injured people and early triage. Therefore neighborhood Captains are encouraged to avail themselves of CERT training and CERT-trained individuals are encouraged to volunteer for duty as a neighborhood Captains.
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Port Townsend Disaster Preparedness Resources
- LOCAL 20/20: Emergency Preparedness
The Jefferson County Department of Emergency Management will coordinate the needs of Port Ludlow with the professional disaster workers and coordinate their activities.
The American Red Cross Disaster Coordinator is responsible for making the Port Ludlow Plan compatible with that of the
Red Cross and for providing Red Cross assistance to Port Ludlow as it becomes available.
The Fire Chief of Port Ludlow Fire and Rescue District #3 is responsible for integrating the
planning of Fire District #3 with the emergency planning of Port Ludlow. The Fire Department
will handle fires, provide search and rescue services, and emergency medical care.
Emergency Medical Technicians and Paramedics from Fire District #3 are the primary resource
for medical emergencies. Located at the Fire Station is the Emergency Communication
Room with communications with the U.S. Coast Guard Auxiliary, Ham radios, North and South
Bay Communications Centers and the Jefferson County Emergency Operations Center.
This room will be manned by designated Port Ludlow residents following a disaster incident.
[....]
- Disaster Preparedness Coordinators/ Captains
- Radio Communications
- Residents can learn more about self protection by visiting the free course of instruction located at
http://www.getemergencyprepared.com/index.html
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Community Emergency Response Team (CERT) [Port Ludlow Fire & Rescue]
- Jefferson County Public Health: Emergency Preparedness & Response
- Northwest Region Emergency Medical Services and Trauma Care Council
- American Red Cross, Olympic Peninsula Chapter, serving Clallam and Jefferson Counties.
- American Red Cross
- FEMA (Federal Emergency Management Agency)
- Washington State Office of Emergency Management
Washington Military Department
Emergency Management Division
Building 20, MS TA-20
Camp Murray, WA 98430-5112
1 (800) 562-6108
www.emd.wa.gov
Washington State Commission for National and Community Service
P.O. Box 43113
Olympia, WA 98504-3113
www.ofm.wa.gov/servewa
- Fema's "Ready" Page
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Emergency Preparedness and Response (CDC)
The CDC Emergency Preparedness and Response website is CDC’s primary source of information and resources for preparing for and responding to public health emergencies. This site continues to keep the public informed about public health emergencies and provides the information needed to protect and save lives
- Resource Guide
for Disaster Medicine and Public Health [Disaster Information Management Research Center, US Dept of Health & Human Services]
- DISASTR-OUTREACH-LIB Listserv (Email List)
This email discussion forum is for librarians, information specialists, and other professionals interested in disaster health information outreach to their communities.
As a participant in this listserv, you can stay informed about current disaster-related resources, connect to colleagues in the field, engage in information exchange
and learn about new ideas, trends, training opportunities, and conferences in the area of disaster health information.
- Disaster Medicine and Public Health Literature
- Tsunamies in Puget Sound
- Disaster Preparedness: Earthquakes [Kitsap Sun, Nov 2011]
The Kitsap Peninsula has been marked as one of the hottest danger zones in the United States where a high-magnitude
earthquake could occur. A major earthquake on the Seattle fault - which stretches from Bellvue, through Bainbridge Island,
Bremerton and Port Orchard - could create a tsunami that would inundate many of Kitsap's shoreline areas.
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Weather's Dozen: 2011 Breaks U.S. Billion-Dollar Disaster Record
PBS, December 9, 2011.
- Kitsap Traffic Fatalities [2008-2010 Data] Kitsap SUN
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In Case of Emergency Information Checklist [Snap for Seniors]
- Harborview
Medical Center, Seattle
- EMERGENCY CONTACT INFORMATION FOR PORT LUDLOW
Fire-Police-Ambulance Call 911
Port Ludlow Fire and Rescue (office): 437-2236
Harrison Medical Center: 1-800-385-2200 [Trauma Center Level: III G]
Jefferson Healthcare (Port Townsend): 1-360-385-2200 [Trauma Center Level: IV G]
Harborview Medical Center (Seattle)
General Information: 206.744.3300; TTY: 206.744.3246 [Trauma Center Levels I G & I P]
Poison Control Center (Seattle) 1-800-222-1222
Red Cross (Olympic Peninsula Chapter): 360-385-2737
Domestic Violence Hotline: 1-800-562-6025
National Suicide Prevention: 1-800-273-8255
Jefferson Animal Services: 1-360-385-3292
Coast Guard Search & Rescue: 1-360-457-4404
Wa State Patrol (emergencies) 1-800-283-7808
Jefferson County Sheriff: 1-360-385-3831
Forest Fire (reports only) 1-800-562-6010
Washington Road Conditions: 1-800-695-ROAD
Mountain Pass Condition Report: 1-206-434-7277
Olympic Peninsula Road Conditions: 1-360-357-2789
Hood Canal Bridge Status: 1-800-419-9085
Utilities:
-Cable TV-
Broadstripe: 1-800-829-2225
-Internet Services-
Qwest DSL: 1-800-244-1111
Broadstripe: 1-800-829-2225
-Telephone-
Qwest: 1-800-244-1111
-Electricity-
Puget Sound Energy: 1-888-225-5773
-Refuse-
Murrey's Garbage Service: 1-800-422-7854
Water & Sewer
Olympic Sewer & Water, Inc: 1-360-437-2101
Call before you dig: 811
What would you like to see on this Health Emergency Page? -- contact: krumme(at)comcast(dot)net
Disclaimer:
The WebGuys behind this assembly of Web resources are not responsible
for the content of the Web Sites to which they have provided links.
Nothing on this site shall constitute medical advice.
Please review the full disclaimer (Click!)
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Last updated: May 2012 (gk)
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Fire Chief Ed Wilkerson visits the PLVC booth at the 2011 Festival at the Bay
and its wellness exhibits, including the FILE OF LIFE (here together with Ursel Krumme, the organizer of the Wellness Education Resource Center)
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