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PAAW is dedicated to healthy, sustainable ambulance and emergency medical service delivery in Wisconsin

Patrick Ryan, PAAW President
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Current News and Information from PAAW

April 17, 2015

Upcoming Live Show:  Paramedicine and those responsible for its rise in the 1960s and 70s - and what it means for us today!

On Monday, May 4 starting at 12 noon central time, we have a special live broadcast planned for Wisconsin EMS Live.  Our guests include Dr. Eugene Nagel, Randolph Mantooth and Nancy McFarland.  If these names aren’t familiar to you, that’s okay.  Just know they are some of the EMS industry’s strongest advocates.

The 60 minute program is dedicated to discussing the start of Paramedic systems, those responsible for its rise in the 1960's and 70's, the determination and vision it took, and based on their experiences how they see the industry evolving into Community Paramedicine!  Listener questions will be invited during the live show.

Guests include:

Dr. Eugene Nagel – is still deeply involved in EMS – even at age 90.  He continues to speak to groups and at community college paramedic classes in Florida.  Dr. Nagel is a retired anesthesiologist. He was an innovative pioneer who served as medical director for the City of Miami Fire Department's rescue operation from 1964 to 1974. During those 10 years, Dr. Nagel developed the first paramedic program utilizing voice medical control and telemetry to send a patient’s heart rhythm from the field to the receiving hospital.  The biophone or “orange box” was a familiar piece of equipment used by paramedics and on the TV show EMERENCY!  The TV show’s unit now resides on display at the Smithsonian Institute in Washington, D.C. 

Randolph Mantooth - actor, producer and speaker. Widely known for his role as Paramedic John Gage in the TV series EMERGENCY! -- the show that transformed America's perception and approach to emergency medical care in the 1970s and introduced millions to the word "paramedic" for the first time. Mr. Mantooth is a popular speaker at Fire and EMS events, and an advocate for firefighter health and safety.  His website is www.RandolphMantooth.com

Nancy McFarland – (Retired) LA County Fire Museum board director and Chair of the Pioneers of Paramedicine Committee. Ms. McFarland was instrumental in uniting the four doctors credited with starting the first (fire-based) paramedic programs in the United States in the late 1960s for taped interviews and a Lifetime Achievement Awards Gala in May of 2010. 

Don't miss this inspiring conversation.  Call in using 646-929-1081 or listen on any internet connected device.   Listener questions can be called in during the live show or by emailing wisconsinemslive@paaw.us.

Don’t miss a beat of the action – listen to Wisconsin EMS Live.

A word from Randolph Mantooth

I’ve traveled the country speaking about the history of paramedics, and about the people whose visionary ideas changed the face of emergency medicine.  I find that many men and women in the EMS profession and its related industries aren’t aware of their own history. They don’t know the names of the “Pioneers of Paramedicine.” Keeping that history alive, and telling the story of the journey of EMS in America has become a passion of mine -- a torch passed on to me by my good friend, Jim Page.

As with many ideas, this one started with a simple conversation during a road trip in Minnesota in 2009. We asked one another -- what if we were able to bring together the four doctors who started these paramedic programs, and have Eugene Nagel from Miami, Leonard Cobb from Seattle and Michael Criley and Walter Graf from Los Angeles record their personal stories on video. These four doctors weren’t just witnesses to the birth of modern EMS -- they conceived the idea, and delivered it.

Click below to hear the stories told by the people who lived them as visionaries of modern day EMS.

>> Click here for the Pioneers of Paramedicine video produced in 2010.

April 14, 2015

Madison ambulance company bringing Community Paramedics to Wisconsin

>> Click for written news story.

April 14, 2015

Newest Wisconsin EMS Live show recording now online!

Today's internet broadcast was dedicated to Community Paramedicine and the Physician Advisory Committee's recommendations with nitrous oxide and medication assisted advanced airway.  If you missed today's live show, no need to worry.  The recording of the broadcast was just posted online.

>> Click to listen now!

Our guests included Minnesota Ambulance Association’s Buck McAlpin, PAAW President Patrick Ryan, and city of Milwaukee Fire Department’s Michael Wright.  All three are deeply involved in CP and building the infrastructure to deliver it the right way here in Wisconsin.  Like anything new or evolving some education and learning is required to move forward, and there will be many questions to ask and answer.

Community Paramedicine programs have been evolving in Minnesota, Colorado and Texas.  An architect in Minnesota’s CP development is Buck McAlpin, director of government affairs for the Minnesota Ambulance Association and North Memorial Medical Transportation in Robbinsdale, Minnesota.  Given his experience in leading CP concepts in Minnesota, McAlpin’s knowledge and expertise is being sought nationally, to include by the Professional Ambulance Association of Wisconsin.

We were also joined by Dr. Suzanne Martens, Chair of the Physicians Advisory Committee.  Her group recently recommended use of nitrous oxide as an option to control pain management at the Advanced EMT level and higher.  Another recommendation is allowing one paramedic and one trained airway technician to perform a medication assisted advanced airway procedure that under current situations requires two paramedics.

Don't miss a beat of the action - listen to Wisconsin EMS Live!

April 14, 2015

Rural Health Creates Community Paramedicine Forum
By Kevin Jacobson, Wisconsin Office of Rural Health

The Wisconsin Office of Rural Health has been a strong supporter of Community Paramedic programs, or Mobile Integrated Healthcare, in the State. 

We thought it would be beneficial to have a forum where those working on CP program development and implementation had a place to share their progress and ask questions of each other.  We feel it’s also important for those new to the concept or just beginning to explore these programs, to have a place to find out more information.  With that in mind, we have created the Community Paramedic Listserv.  We hope this will fill a need in Wisconsin.  Our Office will host the list, but its members will create the content. 

You are welcome to subscribe by navigating to this website: https://lists.wisc.edu/read/all_forums/subscribe?name=cp  where you’ll enter your name and email address.  You’ll receive a confirmation email after you subscribe.

In addition, PAAW President Patrick Ryan hosts a conference call every other Friday for those interested in mapping out and discussing Community Paramedicine in more detail and to share information.  Contact Patrick directly for more information at email president@paaw.us.

April 13, 2015

Wisconsin EMS Service Directors Training Course dates announced by EMS Office

The Wisconsin EMS Office recently announced multiple opportunities to participate in the Wisconsin EMS Service Directors Training Course. >> Click here for course dates and locations.

The purpose of the course is to educate service directors and interested individuals on how to operate a Wisconsin EMS service.  Successful completion of the course provides eight hours of continuing education.

The first course is April 29 and 30 at Fox Valley Technical College.  Registration is now open in the WiTrain (https://wi.train.org) learning management system.

Again, refer to the flyer or HOT TOPICS area of the Wisconsin EMS Office’s website at https://www.dhs.wisconsin.gov/ems/index.htm

April 8, 2015

Ambulance Funding Assistance Program application period open until May 15

The Wisconsin EMS Funding Assistance Program is now accepting applications through May 15.  This funding can be used for “the purchase of ambulance vehicles, vehicle equipment and emergency medical service non-disposable supplies and equipment as well as emergency medical training for ambulance service personnel.”  

More information and the application are on the >> EMS-FAP website.

April 1, 2015

Providers can't sue state Medicaid agencies over rates, Supreme Court rules

Private healthcare providers cannot sue state Medicaid agencies over low reimbursement rates, the U.S. Supreme Court decided Tuesday, March 31 in a 5-4 decision (PDF), reversing a lower court's ruling.

Justice Antonin Scalia wrote in the majority opinion that the supremacy clause of the U.S. Constitution, which says federal laws reign supreme over state ones, does not allow providers to sue state Medicaid agencies over rates. Scalia also wrote that the Medicaid Act implicitly does not allow private parties to enforce a part of the law that requires state plans to “assure that payments are consistent with efficiency, economy, and quality of care” while “safeguard(ing) against unnecessary utilization of ... care and services.” Congress, he concluded, did not mean for the court to be able to get around that part of the law.                  

>> Read more

Source: Modern Healthcare

March 31, 2015

National EMS Week May 17 - 23

If you haven't started already, now is the perfect time to begin plans for National EMS Week, May 17 to 23.  The occasion is your opportunity to invite the public, community leaders and government officials to tour your operation and meet the people behind the siren, the newspaper headlines, and everyday heroes delivering patient care and serving as your community's emergency medical safety net.

National EMS Week is presented by the American College of Emergency Physicians and is in partnership with the National Association of EMTs.

If you need EMS Week ideas or a planning guide, one is now available from ACEP at this link >> EMS Week website, or by emailing emsweek@acep.org.

Don't miss this opportunity to proudly share your EMS passion with the public and other healthcare professionals, as well as recognize and celebrate your ambulance service and emergency medical services.

Upcoming Events

Current PAAW Priorities

Tax Refund Intercept Program (TRIP)
Community Paramedicine / Mobile Integrated Healthcare
Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA)
Stars of Life 2015 Awards and Recognition Event
Collaboration with Dept of Health Services/EMS Office

WI Medicaid Patient Transportation Rates

Special Live Show Broadcast

Monday, May 4 starting at 12:00 noon


Paramedicine and those responsible for its rise in the 1960's and 70's - and what it means for us today!

Special Guests:

Dr. Eugene Nagel

Randolph Mantooth

Nancy McFarland

Dr. Nagel and Randolph Mantooth on May 7, 2010 standing by the original Squad 51 used in the 1970's hit TV show EMERGENCY!  Nancy McFarland organized the Pioneers of Paramedicine event that brought them together. Listen to all three during the May 4 live show of Wisconsin EMS Live.

Emergency calls or patient contacts to PAAW members last year

Over 400,000

>> See who's a PAAW member.  Not a PAAW member? That's okay. Subscribe to receive free email updates and alerts from PAAW.  >> Click to get started.

REPLICA is the Way Forward for Interstate Licensing

(Posted 3/24/15 - Run Time 20 min:10 sec)


Dia Gainor
Executive Director
National Association of State EMS Officials (NASEMSO)

PAAW continues to monitor the ongoing EMS pharmaceutical drug and IV fluids backorder situation by posting weekly updates, courtesy of Bound Tree Medical.

Through a special arrangement with EMS World magazine, PAAW members and their employees or volunteers receive a free 12-month subscription, a $40 value. 

Stay on top of national EMS news, tips, a variety of topics and special reports - delivered right to your home or work address or e-mail account the beginning of every month!  >> Click to receive this benefit.

Monitor Police, Fire and EMS Radio Traffic Around the U.S.!

Browse over 2,000 police, fire and EMS scanner monitoring stations around the U.S. with a simple click of your computer mouse.  It's sure to make any scanner junkie go wild!

>> Click here to find out more about selecting your own monitoring station or click the scanner below to open the audio player for Milwaukee County Fire radio traffic.

Milwaukee County Fire
(click scanner below to activate feed)

Winamp Aplha Display

Crystal Wallin

Critical Care Paramedic and Writer

Recent blog posts by Crystal: Standby for Tones

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