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Friday, June 20, 2008

A Letter To The Editor

On Thursday afternoon, June 19, 2008 I was listening to the scanner when Wicomico Central dispatched the Allan Volunteer Fire Company for an MVC involving a moped just a few minutes before 5:00pm. This incident was on Cooper Road not far from Riverside Drive Extended. Central advised a responding fireman that the patient was unconscious and Trooper 4 was available. The fireman (1520) told central to start the helicopter Trooper 4. Central told them Trooper 4 had a 15 minute ETA. The Ambulance with the Paramedic was on the scene around 5:00pm and the fire truck not long after. Around 6:00pm a fireman got on the radio and told command that the helicopter paramedic told them to tell PRMC the the unconscious trauma patient was a "priority 1, a serious priority 1." Central was told this information by command and central asked if the helicopter has left yet and command told them it was still on the ground. Keep in mind this was an hour after the Allan Volunteer Fire Department with the County paid paramedic was dispatched to the call for an unconscious trauma patient. One hour with this serious patient still on the scene of the crash. Can someone tell us what is wrong with this picture? A bystander could have picked this patient off the road and got him to the local trauma center in 15 minutes. He could have been at the hospital receiving definite care at 5:15 pm, but he was still on the scene for over an hour under the care of the Allan Volunteer Fire Department and their paid paramedic as well as the Maryland State Police paramedic. There goes the "Golden Hour." R. Adams Cowley is turning over in his grave. What were they doing that couldn't be done at PRMC's Trauma Center? To keep a trauma patient that was not trapped in a vehicle on the scene for over an hour is criminal. This incident needs to be investigated by the appropriate authorities.

So at some point after 6:00 pm Trooper 4 transports the patient to PRMC. At the same time the Allan Volunteer Fire Company BLS ambulance drives to PRMC to pick up their paramedic who must have flown with the helicopter. Guess what time the helicopter arrives at the hospital? Central acknowledged them at 6:20 pm. That was probably a normal drive to the hospital by the ambulance in less than 20 minutes. So that patient could have been loaded in the ambulance and transported to the hospital in less than 20 minutes with lights and sirens. WTF were they thinking? Did I mention criminal? This is a sad case of unadulterated negligence on all parties involved. I certainly hope the patient survives without any problems.

Someone should investigate this entire incident and take the appropriate actions. Everyone involved should be reprimanded and have their certifications stripped from them. Everything is taped and recorded and can be found at the 911 center before the tapes are erased. This is another case of renegade fireman doing any thing they want to without any oversight from the County. It is apparent that the Wicomico County has given the fire departments a License to Kill. If you live in Allan I feel sorry for you. The best thing you can do is put a for sale sign in your yard and move to another county.

None of this has been fabricated. It is an actual incident that someone should be asking questions about.

45 comments:

Anonymous said...

Allan Volunteer Fire Company? Don't you mean Princess Anne Volunteer Fire Company substation.

I am surprised their ambulance wasn't in Somerset County running their calls for them.

Anonymous said...

There are examples of this kind of incompetence for almost every emergency response team in this area. You'd think that, in the year 2008 we'd be more able to depend upon the advances technology has afforded us, and that consequently we'd be able to be treated quickly and accurately by the first responders, and sent along to the most appropriate venue, i.e. PRMC, Shock Trauma, etc.

Anonymous said...

I was listening to the scanner when this happened. I, too kept wondering what had happened. I heard Trooper 4 was on the way around 5:15 and never heard anything else until around 6:00 p.m. like you said. I was also saying to myself, "Why?" As you stated the golden hour was up and why didn't they just transport via ambulance and be at PRMC within a few minutes. I'm glad that I don't live there!

Anonymous said...

Well, it takes over $600.00 an hour to run the trooper unit. Not counting ems service. The only reason they should have been used if there was a delay in getting the person out of an entrapment. A swoop and scoop, they should have been loaded and worked on while in the unit, ie mobilized to board adn color and transported right away.

That is what I would have done, if transport time was long, helicopter could have meet me on the way.

Anonymous said...

This isn't the first time an incident with similar circumstances has happened locally. Why is the chopper used instead of an ambulance in the allen/Princess Anne area?xlgef

Anonymous said...

Was the person trapped in the car?

Anonymous said...

Ooooops just reread again, dint notice it was a moped.

Anonymous said...

Anonymous said...
Was the person trapped in the car?

3:31 PM

No this person was on a moped and lying on the ground. There is nothing a paramedic can do for this patient by waiting over an hour to get this patient to the proper hospital which was just a few minutes away. A basic EMT could have done the swoop and scoop and got this patient to definitive care within minutes. Those paramedics and their command need their certifications suspended until a review of the case is done by the appropriate authorities.

Allan's fire department didn't even need an ambulance but the chief got greedy and wanted all of that county money and revenue from billing. It is a sad day when first responders think about greed and personal agenda's before they think about the well being of the citizen.

Anonymous said...

Anonymous said...

Allan's fire department didn't even need an ambulance but the chief got greedy and wanted all of that county money and revenue from billing.

3:59 PM

Would that be Frederick More, the legend in his own mind?

Anonymous said...

Joe, you have your neck way out here if you don't have all the facts. Did you attempt to call the Allen Fire Dept. Chief, or officer. If your blog is more geared toward news, which is great, then investigate. There sure seems to be more to the story. The MSP paramedic would not have waited on the scene either, so it's not just some redneck firemen that just passed his/her EMT responsible. In the case of all field providers, severial reports would have been done, it's mandotory if any actions were outside of protocall.

Anonymous said...

Anonymous said...
Joe, you have your neck way out here if you don't have all the facts. Did you attempt to call the Allen Fire Dept. Chief, or officer. If your blog is more geared toward news, which is great, then investigate. There sure seems to be more to the story. The MSP paramedic would not have waited on the scene either, so it's not just some redneck firemen that just passed his/her EMT responsible. In the case of all field providers, severial reports would have been done, it's mandotory if any actions were outside of protocall.

4:31 PM

Anon 431, if you read the comments there are several people that heard what was going on and they question why as well.

What Salisbury News is doing is investigative reporting and it has to start somewhere. Do you think that if he called the fire department in question that they would tell him the information he is requesting. Nah, to much liability.

You must have been part of that Cluster F#&K yesterday.

Keep up the good work Joe, the MSM has nothing on you.

Anonymous said...

The old guy that was Chief, is certainly not Moore. He's LESS.

Anonymous said...

The paramedic that was working yesterday is a reject from all departments except there. He has a little issue with sticky fingers and cant get a job many places. Not to mention the fact he has vicious dogs that attack little kids, on several occasions. Sounds like he just wanted to ride on the helicopter to me, since he called for it before he ever got to the scene. Far from a competent provider he is.....I know him and listened to the whole thing going on. What a disgrace to the fire service. Sounded like Bo and Luke Duke were on the radio talking to uncle Jessie. Hell the provider talked on the radio so much, not sure where he found time to do patient care. Enough said. Hope Dr. Alcorta gets involved and pulls his card for this nonsense.

Anonymous said...

Anonymous said...
Hope Dr. Alcorta gets involved and pulls his card for this nonsense.

7:20 PM

Feel free to copy and paste these posts, esp. the link to the time stamped audio tape and email them to MIEMSS. Here are the email addresses to Dr. Bass and Dr. Alcorta.

ralcorta@miemss.org
rbass@miemss.org

Anonymous said...

what the hell is going on in Allen, first Chief Moore quits now this. Maybe the two are connected. Do they even have a chief at this point? You have to remember what you are dealing with this is a fire company that takes a brush truck to a house fire or tow a boat to manure shed fire.WTF! Maybe they should give the fire area to Fruitland they seem a little more profesional.

Anonymous said...

Joe,
I don't know who the responding fireman or the ambulance attendant was or their level of EMS training therefore I can't comment on their actions or lack thereof. I do know that the State Trooper Paramedics that have Helo duty are some of the finest Paramedics we have in the state. The State Trooper Paramedic would have taken charge of the situation and the patient on arrival. If they were on the ground with the patient that long after arrival I feel sure that there was good reason and that the patient was receiving the best of care. We don't know if the patient was properly packaged - ie stabalized, boarded, airway controlled, bleeding controlled, etc. prior to their arrival or if they had to do (or re-do) any or everything. The State Trooper Paramedics have close oversight and their time on the ground has to be justified. Only untrained individuals swoop and scoop then hope for the best not aware of uncaring as to the additional damage they can do by moving the patient without proper immobilization and bandageing. The time taken on the ground can mean the difference between a patient being delivered to the Emergency Department alive and having a potential for a quality of life, or arriving dead or without the possiblility of any quality of life. If I were in an accident and had the choice of waiting for the State Trooper Paramedic or being transported "as is" I would be electing to wait fot the State Trooper Paramedic.

Anonymous said...

Anonymous said...
what the hell is going on in Allen, first Chief Moore quits now this. Maybe the two are connected. Do they even have a chief at this point? You have to remember what you are dealing with this is a fire company that takes a brush truck to a house fire or tow a boat to manure shed fire.WTF! Maybe they should give the fire area to Fruitland they seem a little more profesional.

7:43 PM


Anonymous said...
Joe,
I don't know who the responding fireman or the ambulance attendant was or their level of EMS training therefore I can't comment on their actions or lack thereof. I do know that the State Trooper Paramedics that have Helo duty are some of the finest Paramedics we have in the state. The State Trooper Paramedic would have taken charge of the situation and the patient on arrival. If they were on the ground with the patient that long after arrival I feel sure that there was good reason and that the patient was receiving the best of care. We don't know if the patient was properly packaged - ie stabalized, boarded, airway controlled, bleeding controlled, etc. prior to their arrival or if they had to do (or re-do) any or everything. The State Trooper Paramedics have close oversight and their time on the ground has to be justified. Only untrained individuals swoop and scoop then hope for the best not aware of uncaring as to the additional damage they can do by moving the patient without proper immobilization and bandageing. The time taken on the ground can mean the difference between a patient being delivered to the Emergency Department alive and having a potential for a quality of life, or arriving dead or without the possiblility of any quality of life. If I were in an accident and had the choice of waiting for the State Trooper Paramedic or being transported "as is" I would be electing to wait fot the State Trooper Paramedic.

8:00 PM

You have no clue WTF you are talking about. Sounds like damage control to me.

Anonymous said...

Anonymous said...
Joe,
"I do know that the State Trooper Paramedics that have Helo duty are some of the finest Paramedics we have in the state."

How do you know that? They are human, they make mistakes.

"The State Trooper Paramedic would have taken charge of the situation and the patient on arrival."

Who gives them the authority to take charge of the situation? Is their a different level of Paramedicine in the MSP?

"If they were on the ground with the patient that long after arrival I feel sure that there was good reason and that the patient was receiving the best of care."

YOU feel sure there is a good reason??? That is scary. There is no good reason to keep any trauma patient on the scene for over an hour. Just because another paramedic arrives in a helicopter doesn't make them any better than the paramedic on the street. Well then again there was a moron he was assisting.

"We don't know if the patient was properly packaged - ie stabalized, boarded, airway controlled, bleeding controlled, etc. prior to their arrival or if they had to do (or re-do) any or everything." So now it is time to re-educate another paramedic at the expense of the poor patient. Have you morons ever heard of "Load and Go" and perform these measures enroute to the hospital?

"The State Trooper Paramedics have close oversight and their time on the ground has to be justified."

Close oversight? So you are telling us that the Flight Medics have their Medical Directors on scene with them? Get real the only thing that is reviewed is what is put on paper and anyone can fudge that.

"Only untrained individuals swoop and scoop..."

Really! Prove it. Cite your source. Where did you get this information?

"then hope for the best not aware of uncaring as to the additional damage they can do by moving the patient without proper immobilization and bandageing."

Did someone mention improper immoblization with Swoop and Scoop or Load and Go? You obviously have no idea what you are talking about and it is obvious that you don't know what you are talking about? You are the untrained, unskilled individual.

"The time taken on the ground can mean the difference between a patient being delivered to the Emergency Department alive and having a potential for a quality of life, or arriving dead or without the possiblility of any quality of life."

Wrong again... didn't someone already mention the "Golden Hour?"

"If I were in an accident and had the choice of waiting for the State Trooper Paramedic or being transported "as is" I would be electing to wait fot the State Trooper Paramedic."

You do that my friend it only shows your intelligence or lack of!! Again Swoop and Scoop or Load and Go doesn't mean transporting "as is." This person is almost hysterical and I am about to pee in my pants with his/her lack of intelligence.

The fact that the Volunteer Fire Departments in this county has no QA/QI is dangerous and a liability to the County Government and elected leaders.

Rick Pollitt get you head out of your fat a$$ and do something!!

8:00 PM

Anonymous said...

I thought the Moore's still ran the Allen Fire Co.

Anonymous said...

Anonymous said...
Anonymous said...
what the hell is going on in Allen, first Chief Moore quits now this. Maybe the two are connected. Do they even have a chief at this point? You have to remember what you are dealing with this is a fire company that takes a brush truck to a house fire or tow a boat to manure shed fire.WTF! Maybe they should give the fire area to Fruitland they seem a little more profesional.

7:43 PM

Didn't they leave the Salibury Christmas Parade not to long ago while towing a boat to respond on a call? I believe they were driving to fast and caused a wreck and damaged the boat they were towing as well. WTF is going on with the fire service in this county. Nothing but a bunch of darn renegades.

Anonymous said...

Rick Pollitt should be spending his time on the County's EMS crisis, not scheming how to get a citizen's committee to assist him in getting a new Civic Center and doing away with the Liquor Dispensary system.

I'm at the point where I want my vote for him back as much as my vote for Louise Smith.

Anonymous said...

Anon 8:00

As a seasoned paramedic with fifteen years under my belt , I will say this is total disregard to the patient involved in the accident. If the pt. was not entangled in the moped, there is absolutly no reason in this world for that pt. to be on the scene for more than ten minutes. I could have a monkey strap someone to a backboard and maintain c-spine in about two minutes. A quick listen to the breath sounds, and everything else would be done enroute to the hospital, including intubation if needed, decompressing the chest, IV's , EKG's, etc. There is no reason under the sun to sit on the scene with a priority one trauma pt. for thirty or forty minutes, when the main thing the pt. needs is surgery. Last time i checked, no paramedics, including the MSP medics that you so greatly think of can perform that in the field, with the exception of surgical airways. And guess what, every paramedic gets trained the same, so i and every other medic can do that. Therefore Allen's medic is not competent and needs to be fired along with having his paramedic card revoked. I hope the family reads this and sees what kinda care this person received from that card holding wanna be paramedic. He should stick to lifestar where he belongs.

Anonymous said...

Anonymous said...
Rick Pollitt should be spending his time on the County's EMS crisis, not scheming how to get a citizen's committee to assist him in getting a new Civic Center and doing away with the Liquor Dispensary system.

I'm at the point where I want my vote for him back as much as my vote for Louise Smith.

10:44 PM

I have to agree with you here on that statement. There is a serious EMS crisis in this county.

What is more important to the people, public safety or who runs the liquor dispensory?

What is more important to the people, public safety or the civic center?

Rick Pollitt isn't the only problem, there are 7 dwarfs on the county council.

Anonymous said...

I have to agree with you here on that statement. There is a serious EMS crisis in this county.

What is more important to the people, public safety or who runs the liquor dispensory?

What is more important to the people, public safety or the civic center?

Rick Pollitt isn't the only problem, there are 7 dwarfs on the county council.

2:27 AM

-
Wow these statements could be applied to Salibury city as well.

Whats more important PUBLIC SAFETY or an ATTITUDE SURVEY?

Whats more important PUBLIC SAFETY or MORE BONDED DEBT for Fire Trucks that ALL DO NOT need to be replaced at one time?

Whats more important PUBLIC SAFETY or more DEVELOPER REIMBURSEMENT?

Anonymous said...

who got hurt???

Anonymous said...

Anonymous said...
Joe,
I don't know who the responding fireman or the ambulance attendant was or their level of EMS training therefore I can't comment on their actions or lack thereof. I do know that the State Trooper Paramedics that have Helo duty are some of the finest Paramedics we have in the state. The State Trooper Paramedic would have taken charge of the situation and the patient on arrival. If they were on the ground with the patient that long after arrival I feel sure that there was good reason and that the patient was receiving the best of care. We don't know if the patient was properly packaged - ie stabalized, boarded, airway controlled, bleeding controlled, etc. prior to their arrival or if they had to do (or re-do) any or everything. The State Trooper Paramedics have close oversight and their time on the ground has to be justified. Only untrained individuals swoop and scoop then hope for the best not aware of uncaring as to the additional damage they can do by moving the patient without proper immobilization and bandageing. The time taken on the ground can mean the difference between a patient being delivered to the Emergency Department alive and having a potential for a quality of life, or arriving dead or without the possiblility of any quality of life. If I were in an accident and had the choice of waiting for the State Trooper Paramedic or being transported "as is" I would be electing to wait fot the State Trooper Paramedic.

8:00 PM

To the intelligent moron that made this post you need to do some research and educate yourself. Don't worry I've done some for you.

Medical News: Emergency Medicine

Aggressive Paramedic Care Holds No Benefit for Trauma Patients

By Michael Smith, North American Correspondent, MedPage Today
Published: April 22, 2008
Reviewed by Zalman S. Agus, MD; Emeritus Professor
University of Pennsylvania School of Medicine.

OTTAWA, April 22 -- Advanced life support by paramedics in the field -- endotracheal intubation and intravenous fluid management -- does not improve survival in trauma patients, researchers here said.

Most urban areas in the United States and Canada offer prehospital advanced life support for critically injured patients, but the relative effectiveness of the care "has not been clearly established," Dr. Stiell and colleagues said in the April 22 issue of the Canadian Medical Association Journal.


To explore the issue, the researchers conducted an analysis of trauma patients' survival before and after a system-wide switch in 17 cities in Ontario from basic life support programs by paramedics to advanced life support.


The so-called Ontario Prehospital Advanced Life Support (OPALS) project has already shown that the change offered no benefit for patients in cardiac arrest, but significantly improved outcomes for patients in respiratory distress, the researchers said.

Go here to read more on this research:

http://www.medpagetoday.com/EmergencyMedicine/EmergencyMedicine/tb/9200

Anonymous said...

Anonymous said...
Anonymous said...
Hope Dr. Alcorta gets involved and pulls his card for this nonsense.

7:20 PM

Feel free to copy and paste these posts, esp. the link to the time stamped audio tape and email them to MIEMSS. Here are the email addresses to Dr. Bass and Dr. Alcorta.

ralcorta@miemss.org
rbass@miemss.org

7:40 PM

You can also contact:
Maryland State Police Aviation Command Headquarters

Command Staff / Administration
(410) 238-5800
aviation@mdsp.org

Medical Director
(410) 238-5857
dfloccare@miemss.org

A complete review of this incident is necessary for the future of the citizens in Wicomico County

Anonymous said...

I would suggest contacting the county council members and Pollitt to complain about this or any other call you have grips with. All the more reason to have a county ambulance service instead of what is going on now.

Anonymous said...

Anonymous said...
I would suggest contacting the county council members and Pollitt to complain about this or any other call you have grips with. All the more reason to have a county ambulance service instead of what is going on now.

10:36 PM

I have complained and they don't think there is a problem or they just brush it under the table. They think it's a local fire department issue and not a county council issue?

Who is the county council person for the Allen ambulance area? I know Rick Pollitt lives there but he doesn't care.

Anonymous said...

I realize that the general public has a nack for looking at situations of which they have absolutely NO understanding and picking and prodding and pointing fingers, but really... you have no idea what circumstances were in play. The patient could have been too unstable to load into the chopper, you know, the type of care given on board the trooper can be limited by the fact that there can be a max of 2 providers and the fact that you are airborne. As far as the question, "why did they fly him, they could have loaded him in an ambo?" There are certain "mechanisms of injury" (i.e. getting cracked by a car when you are on a moped) that lend themselves to the smoother ride of the trooper. (Potholes will do wonders for a serious back injury).

I am cutting off here only to keep this post short. In closing, the Trooper/Medics of MSP are some of the most professional, well trained, and well respected paramedical professionals in the country. The Maryland EMS system, the one that oversees everybody, even little old Allan, is also one of the best in the country, engineered by a doctor at Shock Trauma. Beleive me, if you are going to get hurt, do it in MD. AND... if you really want to make a difference in situations like these, get out from behind your computer, go volunteer (they will pay for your training), and get hands on, make a difference, touch someone's life, give some of YOUR time to make YOUR community safer for YOU and YOUR family.

Anonymous said...

Anonymous said...

5:14 AM

Sounds like you may have been intimately involved. What are your credentials to prove these are facts that you a saying. Just put your name on here with your credentials otherwise we will know it is just an attempt at damage control.

Anonymous said...

Fred Moore is a poor excuse for a Fire Chief !! It has always been about Fred Moore. Anything he does he thinks about himself first. What can I get out of this!! And by the way...he rips everyone off with his SOD FYI...so don't buy it from him. When you get the sod it is half dead and he won't satisfy you as a customer...again it's ALL ABOUT FRED MOORE !!!

Anonymous said...

Didn't Fred Moore make a kid pay 50,000 for damaging 200.00 worth of his SOD? He will answer someone up above for that. What a crook!!! And this guy is a Fire Chief?? He kinda reminds me of the MARE.

Anonymous said...

Anonymous said...
Well, it takes over $600.00 an hour to run the trooper unit. Not counting ems service. The only reason they should have been used if there was a delay in getting the person out of an entrapment. A swoop and scoop, they should have been loaded and worked on while in the unit, ie mobilized to board adn color and transported right away.

That is what I would have done, if transport time was long, helicopter could have meet me on the way.

2:15 PM

I would venture a guess that the cost of that helicopter transport was more like $10,000. The state ought to demand that the Allen Volunteer Fire Department pay them back, with interest!!

Anonymous said...

Anonymous said...
Didn't Fred Moore make a kid pay 50,000 for damaging 200.00 worth of his SOD? He will answer someone up above for that. What a crook!!! And this guy is a Fire Chief?? He kinda reminds me of the MARE.

3:50 PM

How ironic. Wasn't Fred Moore the Sod Farmer that was accused of stealing everyones ground water during the drought just to water his sod? That affected residents in both Wicomico and Somerset County's.

Anonymous said...

Yes...the SAME old Fred Moore that stole everyone elses ground water. I know that kids parents..they paid for that SOD that by the way Fred Moore used after they paid for it. If I were them, I would have took the SOD they paid for. They just paid for it and let the crook keep it to sell. We better check and see if he is related to Ray Lewis.

Anonymous said...

The Moores' had nothing to do with this incident.Fred Moore is not the fire chief and has not been for three years. Eddie moore is not the fire chief and has not been for two weeks. Our Sod business is our private business and not fire company or county business. Get the facts then comment!!!

Thank you,
EDDIE MOORE

Anonymous said...

Sorry Eddie..I wouldn't want everyone to know about your dirty laundry either. I hope business is going great. I would have used the water to so my SOD didn't die but I don't think I would have ripped off that kid.

Anonymous said...

Once again, Those that know the least make the most noise. As for as putting names to posts..... Why, to let the same opinionated, vocal, local individuals who do nothing but criticize others and don't post their names either have a target?


A tin can with one or two rocks in it makes much more noise than one that is full.
jph

Anonymous said...

By the way the kid had damaged approximately $50,000 worth of sod. Mr. Moore harvested what he could out of the field so the kid's parents only paid $5000.00. Let's see how you would feel if someone ran threw your newly planted lawn on purpose. This is the mans livelyhood and you think he's supposed to take the loss everytime someone decides to enter private property they know they don't belong on and ruin his crop. As for Mr. Moore stealing water once again it was a bunch of people jumping on the band wagon, making accusations and having no facts to back it up. Meanwhile Mr. Moore has spent a lot of money to defend himself.

Anonymous said...

Anonymous said...
Meanwhile Mr. Moore has spent a lot of money to defend himself.

1:45 PM

To the Moore's welcome to America. You gotta pay to play.

So where did the water come from?? Underground wells of course. While everyone is conserving water due to a drought this individual is stealing, I mean pumping valuable drinking water dry. Can't the SOD farmers irrigate water from a creek or the river?

Anonymous said...

Anonymous said...
Fred Moore is not the fire chief and has not been for three years. Eddie moore is not the fire chief and has not been for two weeks.
Thank you,
EDDIE MOORE

8:05 AM

So what happened to you guys?

Anonymous said...

They quit as usual when something didn't go their way. How many times is this now between the two?

Anonymous said...

WTF is going on with the fire service in this county. Nothing but a bunch of darn renegades.
RE: how does allans situation reflect all county fire depts?

Anonymous said...

Allen is the correct spelling.