Friday, March 27, 2009

Man who died 'refused treatment'

A man who died two days after being attacked in a pub probably would have lived if he had sought medical treatment, a court heard.

Keith Waterworth was found dead in the bedroom of his flat in Fleetwood, Lancashire, in April 2008.

He had suffered multiple nose fractures after being punched by James Howard in a pub in Fleetwood, Lancashire.

Howard, who had just been released from prison, admitted manslaughter and was jailed for three years.

Mr Waterworth suffered a deep cut to the bridge of the nose in the attack but refused attempts by paramedics to get him to hospital.

'Unusual' case

He was found dead at his flat in Fleetwood on 22 April after suffering massive blood loss, Preston Crown Court heard.

Howard, of North Albert Street, Fleetwood, told police he had punched Mr Waterworth, a father-of-three, after being provoked.

Sentencing him on Friday, the judge said it was a "tragic case and unusual case".

A consultant pathologist had stated that Mr Waterworth would most likely have survived if he had gone to hospital, the court heard.

Story from BBC NEWS:


Published: 2009/03/27 18:44:37 GMT

Saturday, March 21, 2009

Most New EMS Recruits Overweight or Obese

Massachusetts finding has troubling implications for public safety, experts say

More than 75 percent of candidates for fire and ambulance services in Massachusetts are either overweight or obese, a situation that has major consequences for public health and safety, researchers say.

"First, cardiovascular disease and musculoskeletal injury are important causes of [disability and death] in emergency responders, and excess body fat is associated with higher risk for both. Second, because of the nature of emergency response work, any health condition suddenly incapacitating an emergency responder also potentially compromises the safety of his or her co-workers and the community," lead author Antonios Tsismenakis, a second-year medical student at Boston University School of Medicine, said in a news release.

A team from BUSM, Boston Medical Center, Harvard University and the Cambridge Health Alliance reviewed the pre-placement medical examinations of 370 firefighter and ambulance recruits assessed at two Massachusetts clinics between October 2004 and June 2007.

They found that 43.8 percent of the recruits were overweight, 33 percent were obese, and only 22 percent were normal weight.

Excess weight as measured by body-mass index (BMI) was associated with higher blood pressures, worse metabolic profiles and lower exercise tolerance on treadmill stress tests, the researchers said.

While all normal-weight recruits achieved the National Fire Protection Agency's recommended minimum exercise threshold of 12 metabolic equivalents, 42 percent of obese and 7 percent of overweight recruits failed to meet the criteria.

The study appears online March 19 in the journal Obesity.

"These findings are strong evidence against the common misconception in the emergency responder community that many of their members have BMIs in the overweight and obese ranges simply on the basis of increased muscle mass. Even in these young recruits, we documented a very strong association between excess BMI and an increased cardiovascular risk profile," study senior author Dr. Stefanos Kales, director of Occupational and Environmental Medicine Residency, Harvard School of Public Health, said in the news release.

More information

There's more on fighting overweight and obesity at the U.S. Centers for Disease Control and Prevention.

Saturday, March 14, 2009

A NYC EMT worker was charged with abandoning a child

by Claudette Rothman in crazy, crime

Authorities said that Paul Casson, 28, did not want to stick around for a nurse’s signature last New Year’s Eve after dropping the five-year-old boy, who was in a car accident, off at the hospital, so he forged a nurse’s signature and left the child there.

EMT workers are required to fill out Patient Care Reports and get them signed by a designated nurse before leaving the hospital.

Fortunately, for Casson, the boy did not have life threatening injuries.

If convicted, he faces up to seven years in prison.

Friday, March 13, 2009

DOI ARRESTS AN EMERGENCY MEDICAL TECHNICIAN ON FORGERY CHARGES

(converted from PDF content)  The City of New York Department of Investigation ROSE GILL HEARN COMMISSIONER  80 MAIDEN LANE           Release #22-2009 NEW YORK, NY 10038           nyc.gov/html/doi 212-825-5900  FOR IMMEDIATE RELEASE                   CONTACT: DIANE STRUZZI FRIDAY, MARCH 13, 2009                                     
(212) 825-5931
DOI ARRESTS AN EMERGENCY MEDICAL TECHNICIAN ON FORGERY CHARGES  ROSE GILL HEARN, Commissioner of the Department of Investigation ("DOI"), announced the arrest today of PAUL CASSON, an Emergency Medical Technician ("EMT") employed by the New York City Fire Department ("FDNY"), on charges that he forged a nurse's signature and then left his five-year-old patient at the Lincoln Hospital Emergency room in the Bronx. The office of Bronx District Attorney Robert T. Johnson is prosecuting the case.
CASSON, 28, of the Bronx, was charged with Criminal Possession of a Forged Instrument in the Second Degree and Forgery in the Second Degree, class D felonies, and six misdemeanors. Upon conviction, a class D felony is punishable by up to seven years in prison.  CASSON has been employed as an EMT since November 2002, is assigned to Station 17, on Ogden Avenue in the Bronx, and receives an annual salary of approximately $44,520.  DOI Commissioner Rose Gill Hearn said, "Forging another person's signature, especially on a medical report, is unacceptable conduct for an individual entrusted with taking care of medical emergencies. Anyone who engages in such foolish and illegal behavior will face the consequences."  DOI's investigation began after it was notified by the FDNY about an allegation that CASSON forged the signature of a triage nurse at Lincoln Hospital.  According to the criminal complaint, on Dec. 31, 2008, CASSON transported a five-year-old child to the Emergency Room at Lincoln Hospital on E.149th St. for treatment. To properly transfer the patient from the EMT's care to another appropriate professional in the hospital, an EMT must fill out a Patient Care Report ("PCR") and have it signed by a designated hospital "receiving agent". DOI's investigation found that the hospital official's signature on the form was forged, according to the complaint, and that the official heard CASSON say he signed the official's name on the PCR because he didn't want to wait.  Commissioner Gill Hearn thanked FDNY Commissioner Nicholas Scoppetta and Lincoln Hospital for their assistance and cooperation in this case.  This investigation was conducted by DOI's Office of the Inspector General for FDNY.  A criminal complaint is an accusation.  A defendant is presumed innocent until proven guilty.

Wednesday, February 25, 2009

EMS boss from LI accused of firing BB gun at workers


BY JOSEPH MALLIA | joseph.mallia@newsday.com
8:46 AM EST, February 25, 2009

An Island Park man employed as a lieutenant with the New York City Fire Department's emergency medical services unit was arrested Tuesday after he fired a BB gun at subordinates at his Brooklyn EMS station, city officials said.

Leonard Tiberi, 38, was released on a desk appearance ticket and is scheduled to appear in Brooklyn Criminal Court on April 1 on charges of prohibited use of a weapon, reckless endangerment and criminal mischief, police said.

The arrest by the city Department of Investigation came after a complaint from the FDNY saying Tiberi aimed and shot BB pellets at subordinates on Feb. 9 inside EMS Station 58, at 420 E. 83rd St.

Investigators also found that Tiberi shot at walls and boxes at the station, making holes in the walls.

There were no reported injuries, the DOI said.

"Deliberately firing a weapon in the workplace is not only a dangerous and foolish act but, as this arrest shows, it is also criminal," DOI Commissioner Rose Gill Hearn said in a statement.

"Any city employee who engages in this type of illegal conduct and compromises safety can expect to be arrested and prosecuted."

Tiberi has worked for the EMS division of the FDNY since March 1996, earning an annual salary of $55,930, authorities said.

The office of Brooklyn District Attorney Charles J. Hynes is prosecuting the case.

The criminal charges against Tiberi are class A misdemeanors that carry a maximum 1-year jail sentence. Tiberi also faces a city administrative code charge of selling or possessing air pistols and air rifles, a violation punishable by a $50 fine and up to 30 days in jail

Thursday, February 12, 2009

Body Dragged Nearly 20 Miles On NYC Highways

Colleen Long - Associated Press

NEW YORK -- A van traveled for nearly an hour over busy New York City roads before its driver discovered the horrific cargo it had dragged almost 20 miles: the partially scraped-away body of a man who was plowed over by an SUV just before he got caught under the van.
Police said the gruesome episode was accidental and that they have no plans to charge the drivers at this time.

But that did not diminish the shock of seeing a dead man hooked under a van that had just traversed some of the busiest roads in the city. Police said the driver, Manuel Lituma Sanchez, had no idea he hit the victim until the end of his trip, when a bystander told him something was dragging under his van.

Investigators were working to identify the body, which was found largely intact but horribly battered. The man's heels were shorn off. His clothes and several layers of skin on his legs and buttocks were worn off. The back of his head was worn through to the scalp.
A business card, Western Union receipt and a broken iPhone were found in the man's pockets, NYPD spokesman Paul Browne said.

The man was first hit around 6:15 a.m. while apparently crossing against a stop light in the Corona section of Queens by the driver of a black Ford Expedition, Gustavo Acosta, who immediately called 911. When police arrived, the victim was gone and no damage was found to the SUV.

Lituma Sanchez, who was about two vehicles behind, said he had noticed cars swerving but didn't see the initial accident and assumed the drivers were simply avoiding a pothole.
He drove over the victim, who was facing up, and the man's chest was hooked by a steel plate under the van known as the skid plate, used to protect the transmission and undercarriage.

"I didn't feel anything, and I didn't hear anything," Lituma Sanchez told reporters outside his Queens home. "I didn't know what happened."

It's not clear whether the victim was alive at that point.

"The van comes and rides right over the body and as it goes by there's no body there," Browne said. "The body was basically fish-hooked by the plate."

Lituma Sanchez stopped shortly after the accident to check his car but noticed nothing and went on his way. The vehicle has a low ridge around the wheels for stepping inside, making it difficult to see under the van.

Lituma Sanchez drove on the Grand Central Parkway, the Van Wyck Expressway and the Belt Parkway, winding from Queens to Brooklyn and ending up in Brighton Beach, where he works as a delivery man, Browne said. On the residential streets at a slower speed, he suspected something was wrong with his engine, and he stopped, opened the hood and checked the oil. But he did not look under the car.

He got back in and drove a few more blocks before a pedestrian flagged him to say something was dragging under his 1998 Chevrolet van. Lituma Sanchez got out of his car again, looked underneath, discovered the body and called 911 from his cell phone.

"You can't imagine the shock I felt" on seeing the corpse, he told reporters. "I'm just so nervous and very sad."

Police jacked up the vehicle and pulled the body from under the van. The corpse, found face up with the shirt and pants shredded, was covered with a white sheet as officers investigated and talked to the shellshocked, exhausted driver in a police car. The victim's bruised and bloody legs could be seen protruding from the sheet in front of the van.

An autopsy was planned for Thursday. Both drivers have clean records, police said.
Police retraced the van's route and recovered a blue jacket believed to have belonged to the victim, who was described as Hispanic, in his 20s or 30s and between 5 feet 2 and 5 feet 4 inches tall.

Police had initially believed it was a 17-mile journey, but did a closer examination of the route realized it was 19.8 miles instead.

Sunday, February 8, 2009

Paramedic Accused Of Assaulting Patient

DENVER (AP)

Colorado Mug Shots A Denver paramedic has been charged with assaulting a patient in an ambulance, fracturing the man's skull and breaking his nose and an eye socket.

Thirty-year-old Alan Miller was arrested Thursday on suspicion of second-degree assault.

Miller was being held under $50,000 bail. A telephone message left at his home on Friday wasn't immediately returned, and it wasn't known if he had an attorney.

Police said Miller was in the ambulance that was taking 39-year-old Tim Smith to the hospital after Smith suffered a seizure and hit his head on Jan. 3.

Smith's wife, Suzanne Smith, told police her husband didn't have the skull, nose and eye socket injuries when he was loaded into the ambulance.

Another paramedic on the call, Shaunna King, told police they had to stop the ambulance because Smith slipped out of his restraints. She said four police officers helped put Smith back into the restraints.

Miller worked for Denver Health Medical Center at the time. Hospital spokesman Josh Harrington said Friday that Miller no longer works there. He declined to elaborate.

Police said Denver Health's paramedic division conducted its own investigation but declined to release the results without a court order. Police said they obtained hospital's report and some e-mails after a judge approved a search warrant.