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Three Injured in Coach Crash
by officialwmas June 29, 2013 Leave a comment
Saturday 29th June 2013 – 10.50pm – Steve Parry.
Twenty-four coach passengers had a 'lucky escape' according to ambulance crews after their vehicle left the road on the A46 near Combe Fields this evening.
A Patient Transport Vehicle from West Midlands Ambulance Service came across the incident and raised the alarm at just after8.30pm.
Two ambulances, together with a paramedic officer in a rapid response vehicle were sent to the scene.
A West Midlands Ambulance Service spokesman said: "Crews responded to reports of a coach coming off the A46 near Combe Fields.
"The group of twenty-four woman passengers were apparently travelling from Yorkshire to Coventry.
"Three patients, believed to be in their sixties, were treated for minor injuries. They were conveyed to the University Hospital Coventry and Warwickshire for precautionary assessments.
"Ambulance crews and police officers then assisted the remaining passengers to a place of safety. The group were taken by ambulance and police vehicles to a nearby sports centre to await transportation to their onward destination."
Cyclist Injured in Brierley Hill
A cyclist has been taken to hospital following a road traffic collision in Brierley Hill tonight.
West Midlands Ambulance Service was called to an incident in Moor Street at 8pm.
Two ambulances, a paramedic officer and the Medical Emergency Response Incident team (MERIT) attended the scene.
A West Midlands Ambulance Service spokesman said: "The ambulance service responded to a collision between a car and cyclist.
"Crews treated a male in his thirties for serious head injuries and leg fractures.
"The patient was immobilised using a neck collar, spinal board and leg splint. He was anaesthetised by a MERIT doctor and conveyed to the Queen Elizabeth Hospital for further assessment and treatment.
"The female driver of the car was treated for minor injuries and taken to Russells Hall Hospital for further assessments."
Biker Airlifted in Warwickshire
Saturday 29th June 2013 – 2.30pm – Steve Parry.
A motorcyclist has been taken to hospital following a road traffic collision near Atherstone, earlier today.
West Midlands Ambulance Service was called to the incident in Coleshill Road, Bentley at approximately 12.30pm.
An ambulance, a paramedic in a rapid response vehicle, together with a paramedic officer and the Warwickshire and Northants Air Ambulance attended the scene.
A West Midlands Ambulance Service spokesman said: "The ambulance service responded to a motorcyclist who had come off his machine and hit a tree.
"Crews treated a male in his twenties for serious back, neck and head injuries.
"The patient was given pain relief and immobilised with the use of a neck collar and spinal board before being airlifted to the University Hospital Coventry and Warwickshire for further assessment and treatment."
Five Injured in Smethwick
Friday 28th June 2013 – 8.50pm – Steve Parry.
Five men have been taken to hospital following a two car road traffic collision in Smethwick this evening.
West Midlands Ambulance Service attended the incident in Soho Close, just before 6pm.
Three ambulances, a paramedic in a rapid response vehicle and a paramedic officer were sent to the scene.
A West Midlands Ambulance Service spokesman said: "Ambulance crews treated four men from one of the vehicles involved. The patients were all treated for head and neck pain. They were taken to City and Sandwell Hospitals.
"A man in his thirties and travelling in the second car was treated for a head injury and conveyed to City Hospital for further assessment and treatment."
Four Injured in South Staffordshire
by officialwmas June 27, 2013 2 Comments
Thursday 27th June 2013 – 11pm – Steve Parry.
Four people have been taken to hospital following a road traffic incident in Essington, south Staffordshire this evening.
West Midlands Ambulance Service was called to Bognop Road just after 8pm.
Four ambulances, a paramedic in a rapid response vehicle, a paramedic officer and the Medical Emergency Response Incident Team (MERIT) were sent to the scene.
A West Midlands Ambulance Service spokesman said: "Ambulance crews responded to a road traffic collision involving a van and car in Essington. Four patients were taken to hospital by land ambulances.
"A woman in her forties was treated for serious leg injuries. The patient was given pain relief, immobilised with the use of splints, neck collar and spinal board before being conveyed to the University Hospital of North Staffordshire. .
"A man in his forties was treated for serious head and chest injuries. He was anaesthetised by a MERIT doctor before being conveyed to the University Hospital of North Staffordshire for further assessment and treatment.
"The hospital was alerted to the serious condition of the two patients.
"Two further patients were assessed and treated at the scene for head and neck injuries before being conveyed to New Cross Hospital."
Kidderminster Crash
Thursday 27th June 2013 – 7.30pm – Steve Parry.
Two people have been taken to hospital following a road traffic collision in Kidderminster this afternoon.
West Midlands Ambulance Service was called to Habberley Lane, Franche, just after 3.45pm.
Two ambulances, a paramedic in a rapid response vehicle, a paramedic officer, together with the Midlands Air Ambulance based at Cosford, were sent to the scene.
A West Midlands Ambulance Service spokesman said: "Ambulance crews responded to a road traffic collision involving a car and a 4×4 vehicle.
"A woman in her eighties travelling as a passenger in the car was treated for serious chest, neck and arm injuries. The patient was immobilised with the use of a neck collar and placed on a spinal board before being taken by land ambulance to the Queen Elizabeth Hospital in Birmingham. A doctor from the air ambulance travelled with the patient.
"The car driver, a man in his eighties, was treated for back, neck and internal injuries. He was also immobilised before being conveyed to the same hospital by land ambulance. The hospital was alerted to the serious condition of both patients.
"The driver of the 4×4 vehicle was assessed at the scene before being released.
"The air ambulance landed at the Rugby Club in Kidderminster."
Two crashes in half an hour leads to safety advice warning
Thursday 27th June 2013 – 11.50am – Murray MacGregor.
Two motorcyclists have been hurt after separate collisions within half an hour of each other in Warwickshire this morning.
The first collision happened at the junction of the A429 Fosse Way and the B4035 near Shipston on Stour.
An off duty paramedic from South Central Ambulance Service came across the incident and stopped to offer assistance. A land ambulance from West Midlands Ambulance Service was sent after a 999 call at just after 8.30am.
On arrival, the crew found a car and a motorcycle had been in collision. The motorcyclist was found about 10 feet from the bike.
The rider, a 59 year old, was complaining of neck pain, a bruised right knee and a possible fracture of his right ankle. The rider's helmet was also damaged.
The man was immobilised using a neck collar and spinal board, was given pain relief and had his ankle splinted before being taken to the Major Trauma Centre at University Hospital Coventry & Warwickshire.
The car driver was shaken but otherwise uninjured.
The second incident happened at the junction of Dale Avenue and Banbury Road in Stratford Upon Avon at just after 9.00am.
Again a car and a motorcyclist were involved in a collision.
An ambulance and a rapid response vehicle were sent to the scene. The rider, a man in his 20s was found about 10 feet from the crash. He was suffering from hip and pelvic pain and he had a nasty cut to his left knee.
The ambulance staff immobilised him, stabilised his pelvis and dressed his wound before taking him to the same hospital.
Again, the car driver was uninjured.
West Midlands Ambulance Service motorcycle paramedic, Mark Hayes, said: "A significant percentage of motorcycle accidents, particularly fatal motorcycle crashes, occur at relatively high speeds. Unfortunately, even a relatively low speed crash can lead to serious injury, especially if the rider is not wearing appropriate safety clothing.
"A good set of leathers, safety helmet and high visibility clothing go a long way to minimising injury. Secondly, it is really important for people to concentrate on arriving at their destination safely, rather than as quickly as possible. Preventing the accident is the ideal as opposed to relying on safety equipment to save lives.
"I have been riding for over 20 years and have dealt with many accidents involving riders. One of the causes of accidents is drivers failing to see the biker because they are more difficult to spot than a car.
"All motorists, whether on two, three or four wheels are responsible for respecting the rights of all other drivers no matter the size or type of their vehicle."
Man Airlifted from Allscott Crash
Thursday 27th June 2013 – 11.30am – Steve Parry.
Two people have been taken to hospital following a road traffic collision on the B4394 at Allscott, between Shrewsbury and Telford.
West Midlands Ambulance Service was called to the scene just after 9.40am. An off duty paramedic came across the incident and dealt with the patients until medical assistance arrived.
One ambulance, a paramedic in a rapid response vehicle, a paramedic officer together with the Midlands Air Ambulance based at Cosford were sent to the scene.
A West Midlands Ambulance Service spokesman said: "Ambulance crews responded to a road traffic collision involving two cars.
"A man in his twenties was trapped in the car. He was released and treated for serious chest and abdominal injuries together with a fractured arm. The patient was given pain relief treatment and immobilised with the use of a neck collar and placed on a spinal board before being airlifted to the Queen Elizabeth Hospital in Birmingham.
"The driver of the second car, a man in his forties, was treated for neck, back and shoulder pain. He was given pain relief before being conveyed to the Royal Shrewsbury Hospital by land ambulance."
Driver Trapped in Warwick Crash
Thursday 27th June 2013 – 8am – Steve Parry.
A woman has been taken to hospital following a road traffic collision near Warwick.
West Midlands Ambulance Service was called to the incident on The Cumsey, Claverdon, just before 11.20pm (WEDNESDAY).
An ambulance together with a paramedic officer in a rapid response vehicle attended the scene.
A West Midlands Ambulance Service spokesman said: "Ambulance crews responded to a road traffic collision involving a car that had overturned.
"A woman believed to be in her twenties, was trapped for almost an hour. She was later released and treated for pelvic, head and back injuries.
"The patient was immobilised with use of a neck collar, spinal board and pelvic splint before being taken to the University of Coventry and Warwickshire for further assessment and treatment."
Fatality on M40
Thursday 27th June 2013 – 7.40am – Steve Parry.
A woman has died following a road traffic collision on the M40 in Warwickshire.
West Midlands Ambulance Service was called to the M40 between junctions 12 and 13 at 11.30pm (Wednesday)
An ambulance, a paramedic officer, a paramedic in a rapid response car and the Medical Emergency Response Incident team (MERIT) were sent to the scene.
A West Midlands Ambulance Service spokesman said: "Crews attended a two car road traffic collision on the M40.
"Sadly, it quickly became apparent to crews that nothing could be done to save a female. She was confirmed dead at the scene.
"Crews also assessed two male patients for minor injuries and they were later released at the scene."
Woman Injured in A40 Crash
by officialwmas June 26, 2013 June 26, 2013 Leave a comment
Wednesday 26th June 2013 – 7pm – Steve Parry.
A car driver has been airlifted to hospital following a road traffic collision on the A40 near Ross on Wye this afternoon.
West Midlands Ambulance Service was called to the scene just after 3pm.
One ambulance together with the Midlands Air Ambulance based at Strensham, were sent to the scene.
A West Midlands Ambulance Service spokesman said: "Ambulance crews responded to a road traffic collision involving two cars on the A40 near the Wilton roundabout this afternoon.
"A woman in her eighties was trapped in the car. She was released and treated for serious head and leg lacerations. The patient was immobilised with a neck collar and placed on a spinal board before being taken to Gloucester Royal Hospital."
Herefordshire Heartstart fundraising event at Whitney-on-Wye toll bridge
Wednesday 26th June 2013 – 4.25pm – Chris Kowalik.
Volunteers from the charity 'Herefordshire Heartstart' will be at Whitney-on-Wye toll bridge on Sunday 14th July.
Between 9am and 5pm, the usual toll charge will be removed between, but people crossing the bridge will instead be are asked to make a donation to the charity to support its vital work. Volunteers will also be selling home-made cakes and biscuits on the bridge. Money raised will be used to help 'Herefordshire Heartstart' continue teaching emergency lifesaving skills across the county.
Herefordshire Heartstart is a registered charity, supported by West Midlands Ambulance Service set up to deliver the British Heart Foundation Heartstart Scheme locally. Every year it trains hundreds of people in the community at its two-hour courses. Details of courses can be found at www.herefordshireheartstart.org or by emailing info@herefordshireheartstart.co.uk or call the Co-ordinator/Project Manager Loraine Coleman on 0845 60 60 654
Horse Rider Airlifted
A woman has been taken to hospital after falling from her horse near Coleshill this morning.
The incident occurred in Packington Lane, just before 9.50am.
The Midlands Air Ambulance from Tatenhill and a paramedic in a rapid response car attended the scene.
A West Midlands Ambulance Service spokesman said: "Crews arrived to find a woman had fallen from a horse.
"A woman in her forties was treated for a serious head injury.
"The horse rider was immobilised with the use of a neck collar and placed on a spinal board. She was also sedated before being airlifted to the Queen Elizabeth Hospital in Birmingham for further assessment and treatment."
WMAS supports The Big Shock Campaign
Wednesday 26th June 2013 – 1.30pm – Suzie Fothergill.
A representative from West Midlands Ambulance Service recently visited Downing Street to support cardiac charity SADS UK in delivering a petition as part of their 'The Big Shock Campaign'.
On Thursday 20th June, WMAS Community Response Manager, Matt Heward joined Anne and John Jolly, the founders of SADS UK, Redditch MP Karen Lumley and representatives from London Ambulance Service to deliver an 8,000 signature petition to the Prime Minister's Office, urging the Government to bring in legislation making defibrillators mandatory in all schools.
With an estimated 270 cardiac arrests occurring in UK schools each year SADS UK felt compelled to launch 'The Big Shock Campaign', which is a nationwide initiative to make defibrillators available on all school premises.
Talking about the campaign, Anne Jolly, founder of SADS UK said: "It is likely that children with undiagnosed heart conditions exist within the school population and sadly cardiac arrests may happen at any time. The charity knows only too well the heartache of parents who contact the charity after the sudden death of a child.
"Applying a defibrillator as soon as possible when a person goes into cardiac arrest gives them best chance of surviving.
"All schools must have fire extinguishers, but the chance of someone dying from a fire at the school is far less likely than a person dying from cardiac arrest. This lifesaving equipment is absolutely vital and must be in place on all school premises."
In support of the campaign Matt Heward, WMAS Community Response Manager said: "West Midlands Ambulance Service fully supports SADS UK with their Big Shock Campaign. As a service we strongly believe that by having defibrillators installed in public places, such as schools, and by having people trained in their use, helps to ensure that the best care possible can be provided quickly and effectively, should anyone ever unfortunately suffer a cardiac arrest.
"The quicker someone is defibrillated, not only improves the chance of their survival, but it can also help to improve the chances of a patient's full recovery and reduce the time to do so. For every minute a patient is in cardiac arrest, their chance of survival decreases by 10 percent.
"The Trust believes it is important to ensure that not only are defibrillators available in schools but that pupils also have the opportunity to learn vital lifesaving skills at a young age."
For further information about 'The Big Shock Campaign' please contact Anne Jolly on 01277 811215, email: info@sadsuk.org or visit http://www.sadsuk.org.
For more information about local initiatives and free lifesaving first aid courses available to the public within the West Midlands Region please contact Matt Heward via matthew.heward@wmas.nhs.uk or visit http://www.wmas.nhs.uk/Pages/CFRs.aspx
Pictured from left to right: SADS UK West Midlands Representatives, Margaret Underwood and Robert Underwood , Anne Jolly, Founder of SADS UK, Karen Lumley MP for Redditch, Martin Bullock and Malcolm Ritchie from London Ambulance Service and Matthew Heward from West Midlands Ambulance Service.
If used pictures must be credited to SADS UK
Interested in your ambulance service? Why not join us at our Trust Board meeting at 2pm at the Council House, Malvern District Council.
Why I became a Community First Responder – Rob Nichols
Tuesday 25th June 2013 – 8.55am – Chris Kowalik.
Rob Nichols from Evesham recently reached a milestone. After five years as a Community First Responder, he had attended his one thousandth incident.
"I keep a log of my calls. I didn't know I had reached a thousand until I looked at that. It was a bit of a shock and feels a bit funny. That's one milestone out of the way, I'm not sure what the next milestone will be."
To become a Community First Responder, Rob was trained by the ambulance service. Following his qualification as a CFR, Rob (a member of Vale of Evesham Community First Responders) can be called by the ambulance service's control room to a medical emergency near him while an emergency ambulance service vehicle is en-route. He puts himself 'on call' for the service for approx. 20 hours a week around his full-time work as a web developer and other volunteering work at British Red Cross and St. Richard's Hospice.
The 49 year old CFR's career began five years ago. He explained: "It was the floods of 2007. I had just finished my training, I hadn't gone 'live' when the floods happened. At the time I was working in Bromyard but only got as far as the floods in Worcester.
"I went to Worcester ambulance station offering to help. Initially, I found myself filling sandbags in Pershore, then ferrying equipment back and forth. I met my CFR trainer who, at the end of that day, gave me a spare response kit and suggested 'why not go on call?'
"We went back to Evesham, went live and had our first call. I haven't looked back since."
Rob has dealt with a wide variety of cases including cardiac arrests (involving the delivery of CPR), strokes, and treating unwell children.
He said "CFRs are often the first members of the Ambulance Service to arrive on scene. We need to cope with being thrown into a situation and must be able to deal with it until the ambulance crew arrive. They then take over the treatment before passing the patient onto the hospital.
"Often the technical part of the role can appear the most challenging, whereas often the most important thing we do is take the panic out of the situation. CFRs and the ambulance crews we work with, help people through some of the most traumatic experiences of their lives. We work as part of the team that achieves this day in and day out. We have good relationships with the ambulance crews, and I am grateful to them for making me feel welcome within the team."
Rob has also had to deal with cases that are not just traumatic for the patient and their loved ones but for him too, including deaths: "You are going to see some of the worst aspects, but it opens your eyes to things you may have avoided in the past – things you will have to deal with yourself at some point in your life.
"But I also see love within families. It is hugely rewarding to see the best of people; how much they care for their friends and relatives. And it is hugely rewarding to work with paramedics – lovely people who are now my friends. I owe a huge debt to the crews who have helped me through some of the most stressful cases. I really felt supported by them."
In November 2011, Rob was presented with a "Distinguished Service Award" by the Chief Executive of West Midlands Ambulance Service in recognition of his attending 800 incidents. Rob said he couldn't have done it without all the help and support he had received, also from St. Richard's Hospice, British Red Cross, his fellow volunteers at Vale of Evesham Community First Responders and his "long-suffering" wife of whom he said: "I think she is proud of me and glad that I do something I find so rewarding.
"It is one of the most rewarding things I've ever done. I do it because it makes me feel good and is great for my self-esteem. I find the rewards from volunteering are greater than those I have got from paid work."
For more information about the work of Community First Responders or to become one yourself:
visit www.wmas.nhs.uk and find the 'CFR' page under 'About us'
visit www.hwcfr.org.uk or http://voecfr.org/
call Noel Orbell, Community Response Manager on 07980 094 808
or call the CFR admin office on 01384 215 855 or email CFRAdmin@wmas.nhs.uk
One dead another seriously injured
Tuesday 25th June 2013 – 8.40pm – Murray MacGregor.
One woman has died and a man has been seriously injured after a two vehicle crash in Birmingham. They were among six people involved in the collision.
The crash happened just after a corner near Bellingham Court on Gravelly Hill in Erdington, close to the A38M.
Four ambulances, a paramedic officer and the MERIT Trauma Doctor were sent to the scene after a number of 999 calls at 1.20am on Tuesday morning.
A West Midlands Ambulance Service spokesman said: "On arrival, crews found a car that had been in collision with a van with a cherry picker on the back.
"The car had suffered very serious damage to the passenger side.
"There were five people in the car, all estimated to be in their 20s; two men in the front and three women in the back.
"One of the women suffered multiple injuries. The doctor worked on her at the scene before she was taken on blue lights to the Major Trauma Centre at the Queen Elizabeth Hospital Birmingham.
"Sadly, despite all of the efforts of ambulance and hospital staff, she died shortly after arrival.
"The man in the front passenger seat suffered serious head and internal injuries. He was also taken to the Major Trauma Centre and was taken to for surgery soon afterwards.
"The other two women suffered head and leg injuries and were taken to City Hospital. Their conditions were not serious. The driver of the car was uninjured and was also discharged at the scene.
"The driver of the van was assessed at the scene but was uninjured and was discharged.
"The road was closed for a significant amount of time to allow emergency resources to work at the scene and then for police to investigate the crash."
Motorcyclists hurt in Nuneaton
Monday 24th June 2013 – 9.05pm – Murray MacGregor.
Two teenage boys have been injured, one potentially seriously, after they were in collision with a car in Nuneaton.
Two ambulances were sent to the junction of Queen Elizabeth Road and Dale End after a number of 999 calls at around 6.30pm on Monday evening.
A West Midlands Ambulance Service spokesman said: "On arrival, crews found a car that had had a side impact and a motorbike that was badly damaged.
"The rider had suffered possible fractures to his pelvis, leg and right arm. He was treated at the scene by ambulance staff to stabilise his condition. He was immobilised and had his injuries splinted before he was taken on blue lights to University Hospital Coventry & Warwickshire.
"The pillion passenger had minor injuries but he was taken to the same hospital as a precaution due to the mechanism of the crash.
"The lady who was driving the car was unhurt but was understandably shaken by the incident. After assessment, she was discharged at the scene.
"We would encourage anyone who rides a motorcycle to ensure that they always wear protective equipment such as leathers in addition to the mandatory crash helmet. Equally, making themselves easy to spot with reflective items can also assist in reducing the chances of being involved in a collision. Drivers are also asked to 'Think Bike' and be on the look-out for riders at all times."
Second set of wheels for Bishop's Castle and Clun Valley CFRs
Monday 24th June 2013 – 10.40am – Chris Kowalik.
Volunteer lifesavers in Shropshire have taken delivery of their second four-wheel drive response vehicle to help them get to medical emergencies in their area.
Bishop's Castle & Clun Valley Community First Responders bought the 'Darcia Duster' Laureate dCi 110 four wheel drive vehicle for use in the Clun, Newcastle and surrounding areas.
It was made possible through sponsorships from a number of local parish councils, Shropshire County Council Local Joint Committee 19 and The National Lottery 'Awards for All' programme and support from William A Lewis of Shrewsbury.
Community First Responder Eddie Jones said: "This will allow responders to access patients requiring 999 services more effectively and speedier in particular during adverse weather conditions."
Community First Responders are members of the public who have been trained by West Midlands Ambulance Service to a nationally recognised level and provide lifesaving treatment to people in their local communities. They provide vital aid quickly to those living in remote rural locations, prior to the arrival of an emergency ambulance service vehicle.
For more information about the work of Community First Responders, visit www.wmas.nhs.uk and find the 'CFR' page under 'About us'.
Pictured left to right, Eddie Jones (Community First Responder), Lee Brown & Paul Herbert (William A Lewis, Shrewsbury Sales Team)
Fatal RTC in Shropshire
Sunday 23rd June 2013 – 11.40pm – John Hawker.
West Midlands Ambulance Service can confirm it was called to reports of a serious RTC on the A442, between Alveley and Kidderminster at around 5.10pm.
An ambulance, a rapid response vehicle, a paramedic officer, the West Midlands CARE Team and the Midlands Air Ambulance from Cosford attended the scene.
A West Midlands Ambulance Service spokesman said: "Crews arrived to find a car that had left the road and been in collision with a tree.
"The passenger in the car, a man, was in cardiac arrest and the driver, a woman was unconscious.
"Ambulance crews immediately started emergency treatment, but unfortunately, despite the best efforts of medics, nothing could be done to save the man and he was confirmed dead at the scene.
"The woman, believed to be around 70 years old, suffered multiple serious injuries and received emergency treatment at the scene. She was anaesthetised by the Doctor and airlifted to Queen Elizabeth Hospital Birmingham Major Trauma Unit for further treatment.
"The Hospital had been pre alerted to the woman's arrival and her serious injuries.
"Unfortunately, at the time of the woman's arrival at hospital her injuries were considered life threatening."
Ceiling collapse at fitness centre
by officialwmas June 23, 2013 1 Comment
Sunday 23rd June 2013 – 5.00pm – John Hawker.
Swimmers at a fitness centre in Birmingham had a lucky escape this morning after a ceiling collapsed into the swimming pool.
West Midlands Ambulance Service was called to LA Fitness, Gravelly Lane, Erdington at around 9.55am to reports of the ceiling collapse.
An ambulance, a rapid response vehicle, a paramedic officer and the Trusts Hazardous Area Response Team attended the scene.
West Midlands Ambulance Service spokesman, John Hawker, said: "Ambulance crews arrived to find a large section of the ceiling that had collapsed directly into the swimming pool.
"Four people who were in the pool at the time suffered multiple minor injuries and were being cared for by staff from the fitness centre. The staff had evacuated the area and lead people to a safe part of the building.
"Three women and a man, all aged between 30 and 60, received emergency treatment at the scene by ambulance crews, including a patient who suffered a laceration to their head.
"After treatment, all four patients were discharged at the scene and did not require further treatment at hospital.
"Considering the size of the piece of ceiling that collapsed, the swimmers were extremely fortunate not to have suffered more serious injuries."
The photo can be used by the media but MUST be credited to West Midlands Ambulance Service.
Crash in Birmingham
Saturday 22nd June 2013 – 7.50am – John Hawker.
West Midlands Ambulance Service can confirm it was called to a serious RTC in Shenley Lane, Northfield at around 2.20am this morning.
Two ambulances, a rapid response vehicle, and the Trusts MERIT team attended the scene.
A West Midlands Ambulance Service spokesman said: "Crews arrived to find a car that had left the road and been in collision with a tree. The car had also rolled over.
"The two occupants of the vehicle, a man and a woman, were trapped due to their injuries.
"The man believed to be in his late 20's, and the woman, believed to be in her 30's, both suffered serious leg injuries. The woman also suffered pelvic and wrist injuries.
"Both patients received emergency treatment whilst trapped in the vehicle, and were then extricated with the assistance of the fire service. They were trapped for around one hour.
"The man and woman were released and their conditions stabilised by ambulance crews. Both were transferred by ambulances to Queen Elizabeth Hospital Major Trauma Unit for further emergency treatment."
Ends//
We have no further details on this incident.
Serious RTC in Stoke on Trent
Two men have been injured following a serious RTC in the early hours of this morning in Stoke on Trent.
The crash occurred near the junction of Elgin Street and Stoke Road, Hanley at around 5.35am. Two ambulances and a paramedic officer attended the scene.
A West Midlands Ambulance Service spokesman said: "Ambulance crews arrived to find a car that had left the road and been in collision with a lamppost, street signs and also a chemist shop.
"The car was on fire and the first ambulance crew on scene pulled the two men clear from their vehicle and away from immediate danger.
"The driver of the car, a man believed to be in his late 30's, suffered serious facial injuries and received emergency treatment at the scene. The man was immobilised using a spinal board and neck collar and was transferred by ambulance to University Hospital North Staffordshire for further emergency treatment.
"The passenger, a man in his 60's, suffered chest injuries and was also treated at the scene. He was also transferred to the same hospital for further emergency treatment.
"Considering the damage to the vehicle and the fact it was on fire before they were pulled clear, the occupants were fortunate not to have suffered more serious or even fatal injuries."
We have no further details on this incident
Fatal crash
Friday 21st June 2013 – 6.45am – John Hawker.
A man has died following an RTC in Solihull last night.
The crash occurred on Kineton Lane, Hockley Heath at around 9.30pm. An ambulance, a paramedic officer and the Trusts MERIT Team attended the scene.
A West Midlands Ambulance Service spokesman said: "Crews arrived to find a car that had been in a serious crash.
"Unfortunately, it quickly became apparent nothing could be done to save the man who was driving the car and he was confirmed dead at the scene."
Notes to Editors, we have no further details on this incident
What to do "In Case of Emergency"
Issued in conjunction with Worcestershire Acute Hospitals NHS Trust.
Thursday 20th June 2013 – 9.40am – Chris Kowalik.
Let emergency staff know exactly who to contact if you are in an emergency just by using ICE (In Case of Emergency).
Typically ICE is typed in front of a loved one's name on your mobile phone, to let the emergency services know who to contact in case you are in an emergency situation.
However Worcestershire Acute Hospitals NHS Trust and West Midlands Ambulance Service are now urging everyone to carry an ICE contact in an easy to find location.
Increased security has led to nearly every phone being locked with a secure passcode, meaning the emergency services cannot access this vital information.
By writing the number on a card in your wallet, or sticking it on the back of your phone, it can still be found and used quickly by response teams.
Michelle Brotherton, General Manager at West Midlands Ambulance Service said: "When every second counts, emergency staff need answers fast so they can quickly and effectively give you or your loved ones the medical attention they so desperately need."
Clare Bush, Senior Emergency Ward Sister at Worcestershire Acute Hospitals NHS Trust said: "When an unconscious patient arrives in the A&E department there are many methods we use to identify them and then contact relatives.
"Some of the methods used to identify relatives would be to look through the patients belongings. It is very helpful for us if patients are carrying an emergency contact number marked as ICE, as it makes the information quick and easy to find."
Laura Wedekind on 01905 760453 or laura.wedekind@worcsacute.nhs.uk
Rebecca Currie on 01905 733759 or rebecca.currie@worcsacute.nhs.uk
Teachers Learn that CPR is as easy as ABC
Thursday 20th June 2013 – 9.30am – Claire Brown.
A Birmingham school, where a young boy suffered a cardiac arrest on his way home last year, has been given the gift of life.
Greenholm Primary School in Great Barr is now home to an automated external defibrillator thanks to West Midlands Ambulance Service. On Friday, eleven teaching assistants went back to the classroom to learn basic life support and the use of a defibrillator; a device used to restart someone's heart when they're suffering a cardiac arrest.
The new piece of kit comes after seven year old pupil, Callum Bryan, suffered a cardiac arrest as he was leaving school during a thunderstorm last May. Fortunately, thanks to the quick thinking of his mother Jayne, his sister Nicole, ambulance crews and Birmingham Children's Hospital, Callum returned to school in November after undergoing heart surgery.
Clare Russell-Mayne, Teaching Assistant, remembers comforting Callum before home time that day as he was frightened of the thunderstorm. Clare received training last week alongside colleagues and said: "In a previous job, I worked at another school where a child sadly died and always think back to whether the outcome would've been different if there had been a defibrillator.
"It's nice to know that the defibrillator is here if we ever need it. We've all done 1st aid training but the training we've had from West Midlands Ambulance Service takes our skills a little further. The defibrillator is much easier to use than I thought it would be. It tells you what to do, it's that easy!"
Darren Tranter, the Trust's Community Defibrillator Facilitator, ran the training session last week and said: "It's particularly rewarding to visit and instruct a school. It was a pleasure to meet the staff at Greenholm and I am confident they're now better equipped to deal with a life threatening emergency."
Jayne Bryan, Callum's mother, said: "We would like to thank West Midlands Ambulance Service for this amazing gift. We hope it will never be needed because to see any child suffer like Callum did would be devastating. It gives great peace of mind to our family to know the equipment and training is there."
Gill Turner, the School's Head Teacher, said: "I am delighted that our staff have had the training with the defibrillator. It means that we can offer even better care to our children and we are delighted to have been given this equipment from the ambulance service."
Notes to Editor:
Photograph 1 (group): Andy Jeynes (WMAS Community Response Manager) with Teaching Assistants Gail Jackson, Judith Dean, Lynda Mayo, Sylvia Donnelly, Johanna Mack, Janet Lloyd, Sean Broadhurst, Linda Brandon, Nusrat Yaseen, Yvonne Cooksey and Clare Russell-Mayne.
Photograph 2 and 3: Teaching assistants practicing CPR.
Photograph 4: Callum Bryan
Visit to Wrekin View Primary School
Two members of West Midlands Ambulance Service staff have embarked on a programme to visit children at schools throughout Shropshire.
Paramedic Edd Davis and Clinical Team Mentor Tess Allmark's first trip was to Wrekin View Primary School on Thursday May 23rd. It was also part of the school's "people who help us" week.
There, they taught children the importance of when to call 999 as well as showing them how to do first aid and dress wounds. Some pupils also played "patients", being placed on scoop stretchers and having neck collars applied. They were also wowed by the lights and sirens of the ambulance.
Edd said: "It is important for children to meet us in uniform, see the things we do, the equipment we use and have a look around the ambulance so they don't feel scared if we have to help them in a real emergency. It is also important to teach them when and when not to call 999."
Ellese Smallwood, a teacher at the school, said: "The children thoroughly enjoyed it and my colleagues and I were amazed at how well both Edd and Tess interacted with the children."
Edd is planning on visiting more schools in Shropshire. If you know of a school in Shropshire that would like to be visited, contact Edd on 07816 247 681 or email eddcjdavis@gmail.com
CFRs and Air Cadets fly through bag pack
Wednesday 19th June – 5.30pm – Suzie Fothergill.
Volunteers from the Burntwood and District Community First Responders recently joined forces with members of the Girls Venture Corps Air Cadets to carry out a supermarket bag pack in a bid to raise money to help the local community.
Community First Responders (CFRs) are groups of volunteers that respond to medical emergencies in rural communities on behalf of West Midlands Ambulance Service, prior to the arrival of an ambulance. In many illnesses or injuries the first few minutes are critical and simple interventions can be performed in order to save lives or prevent disability.
These CFR groups are entirely self-funded, so often volunteers will not only be seen attending medical emergencies but they can often be seen out in the local community fundraising and raising awareness of their scheme.
The Burntwood and District CFRs have now been responding for a year and a half and currently have three active responders.
Talking about the fundraising event, Burntwood & District Community First Responder, Eddie Malpass said: "I would like to say a big thank you to the members from the Girls Venture Corps Air Cadets – Hednesford Unit for their outstanding effort during the day. The team managed to raise over £400 which will help with the fuel and maintenance costs to keep our response vehicle on the road.
"I would also like to thank Morrisons in Burntwood for their continued support and of course the local community for all their donations. Without your support and generous donations we wouldn't be able to continue responding."
Pictured: CFR group coordinator Vicky Cahill and volunteers from the Girls Venture Corps Air Cadets – Hednesford Unit.
Five hurt in crash in Stoke on Trent
Tuesday 18th June 2013 – 6.50am – Murray MacGregor.
Five people have been taken to hospital after a two car crash in Stoke on Trent that left both vehicles with massive damage.
The collision happened at the junction of Grindley Lane and Farnborough Drive, in Blyth Bridge at about 10.00pm last night, Monday.
A community first responder was first on scene and was backed up by three ambulances, two BASICS doctors and a paramedic officer.
A West Midlands Ambulance Service spokesman said: "Both cars had suffered very considerable damage.
"A woman in her 20s who was the driver of the white car was ejected. She had multiple abrasions and was complaining of chest pains. She was immobilised using a neck collar and spinal board.
"A man of a similar age, who was a front seat passenger had shoulder pain and travelled to University Hospital North Staffordshire with the woman.
"There were three people in the red car all believed to be in their 20s. The man driving was complaining of chest, abdominal and neck pain. He was also feeling dizzy. He was immobilised at the scene.
"The rear seat passenger, a man, had shoulder pain. The woman in the front had back and knee pain. All three were taken to the same hospital."
Fall from scooter
Monday 17th June 2013 – 5.00pm – John Hawker.
Two people have been injured after falling from a scooter in Warwickshire this morning.
The crash occurred on Darlingscote Road, Shipston On Stour at around 11.00am. An ambulance, a rapid response vehicle, a paramedic officer and the Warwickshire and Northamptonshire Air Ambulance attended the scene.
A West Midlands Ambulance Service spokesman said: "Crews arrived to two people that had been injured after falling from a scooter.
"The rider, a 57 year old man, suffered rib and chest injuries in the crash and received emergency treatment at the scene. He was immobilised using a spinal board and neck collar and transferred by land ambulance to University Hospital Coventry and Warwickshire for further treatment.
"A 16 year old boy, who was a pillion passenger on the scooter suffered multiple minor injuries and was also treated at the scene. The boy was transferred in the same ambulance to hospital for further treatment.
"The Trust would like to highlight the importance of people wearing full protective clothing when riding any size motorcycle or scooter, no matter how short the journey. The correct safety clothing can help minimise injuries and keep riders and passengers safe should a crash occur."
Motorcyclists seriously injured
Sunday 16th June 2013 – 10.00pm – Suzie Fothergill.
Two men have been taken to hospital following an incident Wednesbury today.
West Midlands Ambulance Service was called to a dirt track off St. Pauls Road in Wednesbury shortly after 6.15pm this evening.
Four ambulances, a paramedic area support officer, the Trust's MERIT rapid response vehicle, carrying a critical care paramedic and a trauma doctor and two Midlands Air Ambulances; one from Cosford and one from Staffordshire were dispatched to the scene.
A West Midlands Ambulance Service spokeswoman said: "Crews were called to reports of two motorcyclists that had been in collision.
"The first motorcyclist, a man, was treated for serious injuries to his head and multiple fractures to his body. Due to the nature of his injuries the doctor from the air ambulance gave the man an anaesthetic at the scene. The man was fully immobilised and airlifted to the major trauma centre at the Queen Elizabeth Hospital Birmingham.
"The second motorcyclist, also a man, was treated for serious multiple injuries and suspected internal injuries. The man was given pain relief and fully immobilised at the scene before being conveyed, via land ambulance, to the same hospital for further assessment and specialist treatment. The doctor and the critical care paramedic from MERIT travelled on board the ambulance continuing to provide emergency medical treatment whilst en route to hospital.
"Hospital medics had been pre-alerted and were on standby awaiting the arrival of both of the men."
Fire at Recycling Plant
WMAS crews are supporting the fire service at a large fire at a recycling plant in Kidderminster.
Road clousures are currently in place around the Vale Industrial Estate.
Those living nearby are being advised to keep their windows and door closed.
Motorcylist airlifted
Saturday 15th June 2013 – 5.30pm – Suzie Fothergill.
A man has been airlifted to hospital following a road traffic collision in the Black Country today.
West Midlands Ambulance Service was called to the junction of Avenue Road and Stourbridge Road in Dudley shortly before 10.40am this morning.
An ambulance, a paramedic area support officer and the Midlands Air Ambulance from Cosford were dispatched to the scene.
A West Midlands Ambulance Service spokeswoman said: "Crews were called to reports of a car and a motorbike that had been in collision.
"On arrival at the scene crews treated the motorcyclist for significant multiple limb injuries. The man believed to be in his 50's was given pain relief at the scene and fully immobilised before being airlifted to the major trauma centre at Queen Elizabeth Hospital for further assessment and treatment.
"The driver and passenger from the car were treated at the scene for minor injuries but did not require further hospital treatment."
RTC in Stourport on Severn
Friday 14th June 2013 – 8.20pm – Suzie Fothergill.
Two people have been injured following a road traffic collision in Worcestershire today.
West Midlands Ambulance Service was called to Hermitage Way in Stourport on Severn shortly after 3pm this afternoon.
Two ambulances, a rapid response vehicle, a paramedic area support officer, a senior paramedic ambulance officer and the Midlands Air Ambulance from Strensham were dispatched to the scene.
A West Midlands Ambulance Service spokeswoman said: "Crews were called to reports of a pedestrian and a car that had been in collision.
"The pedestrian, a man, was treated at the scene for serious leg injuries. The man was given pain relief and fully immobilised before being airlifted to Queen Elizabeth Hospital Birmingham for further assessment and specialist treatment.
"The driver of the car, a man, was treated for a chest injury before being conveyed via land ambulance to Worcester Royal."
Live in Codsall, Wolverhampton? Learn how to save a life on Saturday…
If you missed the press release (issued on the 24th May) and to find out more about the yellow box on the wall at Lloyds TSB on Station Road in Codsall, come along to Parish Rooms on Church Road in the village between 9.00am and 12.30am on Saturday the 15th June. South Staffordshire First Responders and the Trust's Community Response Manager Emma Wilkins will be running an informal drop-in session to give locals the opportunity to get hands-on with the defibrillator and learn how to save a life.
Girl airlifted from Bilston RTC
Thursday 13th June 2013 – 5.15pm – Claire Brown.
A girl is in a serious condition after being involved in a road traffic collision in the Black Country this afternoon.
West Midlands Ambulance Service was called to the junction of Bilston Road, Moseley Road and Darlaston Lane at around 3.15pm today (Thursday). An ambulance, a paramedic area support officer and the Midlands Air Ambulance from Cosford with a MERIT trauma doctor on board attended the scene.
A West Midlands Ambulance Service spokeswoman said: "When crews arrived they found a girl lying in the road with serious injuries being cared for by bystanders.
"Crews and the medic began assessing the girl, believed to be 12 years old, and found she had sustained serious head, leg and pelvic injuries after reportedly being in collision with a car.
"Pain relief was quickly administered to the girl to help stabilise her condition and make her more comfortable whilst they continued treating her injuries. She was fully immobilised with a neck collar, spinal board and splints before the air ambulance transferred her to Birmingham Children's Hospital. The medic travelled in the helicopter to continue treatment en route.
"No one else was injured in the crash."
Roof fall man airlifted to hospital
A man has been airlifted to hospital after falling from the roof of a property in Stourbridge.
West Midlands Ambulance Service was called to a property off the B4186 Highpark Avenue in Wollaston shortly after 12.15pm this afternoon (Thursday). An ambulance, a paramedic area support officer and the Midlands Air Ambulance from Cosford with a MERIT trauma doctor on board attended the scene.
A West Midlands Ambulance Service spokeswoman said: "Crews arrived to find a man who had reportedly fallen from the roof of a two storey building, landing onto concrete.
"The man, believed to be in his 40s, was assessed by crews and the medic and was found to have suffered serious back pain and a suspected fractured wrist in the fall. They stabilised his condition on scene by administering pain relief to the man before they carefully immobilised him with a neck collar, spinal board and arm splint.
"The man was taken by land ambulance to the awaiting helicopter, which had landed in a park nearby, before being airlifted to Queen Elizabeth Hospital Birmingham, the regional trauma centre, for further emergency treatment."
The rain's certainly arrived in Brierley Hill as predicted. It's sheeting down! The dripping noise in the ceiling is a little concerning :-(
Fancy working for us?
We're currently on the look-out for Business Administrative Apprentices, Emergency Medical Technicians & Registered Paramedics. If you're interested in working for West Midlands Ambulance Service along with around 4,300 other staff, and want to find out more about our current job opportunities, please visit http://www.jobs.nhs.uk/cgi-bin/advsearch?vpd_code=217.
Warning of heavy rain from the Met Office now includes parts of Warks, Worcs and the W Mids conurbation. Could be minor flooding on roads
Lifesaving box for sticky wickets in Wombourne
Cricketers in Wombourne are now equipped to help people in cardiac arrest thanks to the installation of a lifesaving box.
Tucked away in the South Staffordshire countryside is Beacon Cricket Club on Trysull Road in Wombourne. With more than 100 members, young and old, and a busy calendar of coaching sessions, matches and county cricket games drawing in hundreds of spectators, the club is an ideal location for a defibrillator.
Last Tuesday (4th June) saw the club take delivery of an automated external defibrillator from the Trust; a device used to restart someone's heart when they're suffering a cardiac arrest.
Sarah Hodgetts is a Senior Night Sister at Queen Elizabeth Hospital Birmingham. When she's not at work, Sarah is a volunteer life saver with South Staffordshire First Responders and is also an advanced life support instructor. Sarah recently trained ten members of the cricket club in basic life support and the use of the defibrillator. She said: "The cricket club is off the beaten track, down a narrow country lane and because it's in quite an isolated place it's easy to miss it when you walk or drive past.
"By having a defibrillator on an active and well used site such as this with people trained in basic life support means that if a cricketer, spectator or a member of the public nearby were to suffer a cardiac arrest, emergency treatment could start straight away whilst an ambulance or a community first responder like me was en route."
Roger Siers, Chairman at Beacon Cricket Club, said: "Through our relationship with the local CFR group, we're very pleased to have secured the custody of the defibrillator. Through this and the appropriate training we have received it is a comfort to know that in the event of us having a serious life threatening emergency then we have the training and equipment to deal with it, until the emergency services arrive, and hopefully save someone's life.
"Previously in my 30 odd years with Beacon Cricket Club and amateur sport in the area, I can recall two serious incidents that thankfully were resolved by the professional's, but could have been worse. Cardiac arrest can happen to anyone of any age and any level of fitness, we derive comfort to know that as a local amateur sports club, we are better prepared to deal with a cardiac arrest should it occur."
Pictured (left to right) – Cricketers Oliver Green, Harry Hodgetts and Jake Cartwright, 1st Team Captain Roger Fildes and SSFR Sarah Hodgetts.
We've always said that it pays to know how to do CPR in an emergency. Clearly this young lady is a budding paramedic: http://www.youtube.com/watch?v=oixF4bOvSl4
The great British summer; Met Office warning of heavy showers, hail and thunder for Staffs and Shrops today. Could be flooding on roads :-(
With the Met Office predicting gusts of 50mph tomorrow morning on your drive to work, please watch out for fallen trees and other debris.
New heights for HART
West Midlands Ambulance Service's Hazardous Area Response Team (HART) has recently installed a new training aid into their base to ensure they continue to be on top form.
WMAS HART consists of 42 Paramedics that are trained in a variety of skills enabling them to provide lifesaving emergency medical treatment in some very difficult environments. The teams are trained to use specialist equipment enabling them to work at heights, within confined spaces such as tunnels or collapsed buildings, rough terrain, at the scene of severe building fires as well as water rescue incidents. They also have specialist knowledge surrounding hazardous materials, such as chemicals, and how best to treat those patients that may have come into contact with such materials.
To help assist the team with some of their specialist 'Safe Working at Height' Training, a brand new purpose built structure standing seven metres high has recently been installed at their base in Oldbury.
All HART operatives have to successfully pass a nationally recognised certificate in order for them to work at height. This certificate, which entails them undertaking and successfully passing an external two day course, officially lasts for three years. However, as the teams have so many specialist competencies West Midlands Ambulance Services provides protected training for each HART Paramedic every seven weeks. This refresher training ensures all HART Paramedics operate confidently and safely within all their competencies.
Working within the scope of the Safe Working at Height competency, teams not only have to demonstrate their knowledge of how to help rescue patients from tricky locations but to also demonstrate the ability to carry out that work safely, using specific personal fall protection equipment, and to demonstrate the ability to rescue a colleague should anything unfortunate happen whilst at an incident.
James Price, WMAS HART Manager said: "The organisation has a responsibility to keep staff and patients safe. As a regional asset HART find themselves having to work in a whole host of unfamiliar and very difficult environments in which they have to use a number of specialist skills. Having this training equipment so readily available will help to assist the teams to complete their strict working at height training programmes."
Ed Bowen, HART Paramedic and Urban Search and Rescue Lead said: "Having this facility on site is excellent. Teams no longer have to travel to use such facilities elsewhere, meaning they can train at times and dates that are best suited for them.
"It is hoped that in the future, the Trust will be able to build on this existing structure; providing additional scope to introduce an area for confined space training."
Man Airlifted After Wolverhampton Fall
Wednesday 12th June 2013 – 12.30pm – Steve Parry.
A man has been airlifted to hospital after reportedly falling from a bridge onto the Wolverhampton ring road this morning.
West Midlands Ambulance Service was called to the incident near the railway station at around 10.50am.
An ambulance crew, a responder paramedic officer and the Midlands Air Ambulance from Cosford were sent to the scene.
A West Midlands Ambulance Service spokesman said: "A man, believed to be in his thirties, had reportedly been injured after falling from a bridge.
"The man received serious head, chest and pelvic injuries. A doctor from the Midlands Air Ambulance anaesthetised the patient before he was immobilised fully with a neck collar and spinal board and airlifted to the Queen Elizabeth Hospital in Birmingham.
"The hospital was alerted to the serious condition of the patient."
Drivers very fortunate
Wednesday 12th June 2013 – 11.26am – Murray MacGregor.
An ambulance boss says it is a miracle that no-one was seriously hurt after a crash at a busy junction in North Warwickshire.
The incident happened on the roundabout where the A5 from Dordon meets the slip roads off M42 at Junction 10.
An off duty emergency care practitioner, an ambulance and a paramedic officer were sent to the scene after a number of 999 calls at 7.30am on Wednesday morning.
Assistant Area Manager, Nigel Wells, said: "When crews arrived they found a small white van that had gone through some crash barriers and ended up back on the roundabout.
"Two St Johns Ambulance first aiders who came across the incident were already on scene.
"The van driver, a 47 year old Kingsbury man was suffering from a medical condition when we examined him. Thankfully, he appeared to have only suffered very minor injuries from the crash itself.
"As a precaution has was cut free from the vehicle and was immobilised using a neck collar and spinal board before being taken to Good Hope Hospital for further assessment.
"When you consider how busy that junction is at that time of the morning, it was really lucky that no other vehicles were damaged in the crash."
Fatal road traffic collision in Walsall
Wednesday 12th June 2013 – 9.20am – Suzie Fothergill.
A man has died following an incident in Walsall today.
West Midlands Ambulance Service was called to a road traffic collision on Wednesbury Road shortly before 4.45am this morning.
An ambulance, a rapid response vehicle, a paramedic area support officer, the Hazardous Area Response Team and the Trust's MERIT rapid response vehicle, carrying a critical care paramedic and a trauma doctor were dispatched to the scene. The police and fire service were also in attendance.
A West Midlands Ambulance Service spokeswoman said: "On arrival at the scene crews found a single vehicle that had left the carriageway and had come to rest on an embankment.
"The driver, a man, had sustained a significant head injury. Sadly, despite best efforts of emergency service personnel nothing could be done to save the man and he was confirmed deceased at the scene."
Car in collision with lamppost
A man has been taken to hospital following a road traffic collision in Birmingham today.
West Midlands Ambulance Service was called to the incident on Islington Row Middleway at approximately 1.30am this morning.
An ambulance, a paramedic area support officer and the Trust's MERIT rapid response vehicle, carrying a critical care paramedic and a trauma doctor were dispatched to the scene. The police and the fire service were also in attendance.
A West Midlands Ambulance Service spokeswoman said: "On arrival at the scene crews found a car that had been in collision with a lamppost. The vehicle had sustained significant damage.
"The driver of the car, a man believed to be 19 years of age, was trapped in the vehicle for approximately one hour. The man, who was suffering from hip and back pain was fully immobilised and given pain relief before being extricated from the vehicle, with the assistance of the fire service.
"Once freed the man was conveyed to Queen Elizabeth Hospital Birmingham for further assessment and treatment."
New Community Ambulance Station in Southam
Tuesday 11th June – 12.30pm – John Hawker
For the first time, Southam has its first ever dedicated team of paramedics at their own dedicated station.
A Community Ambulance Station has opened within the town's Warwick House Business Park with paramedics responding to 999 calls from there in the area since the 1st April, using a rapid response vehicle.
The team consists of three staff; two Emergency Care Practitioners (ECP) and an Advanced Paramedic. The ECPs both started their careers in nursing with one specialising as a Paediatric Nurse and the other having previously worked as a Practice Nurse in the town before joining the Ambulance Service. The third member of the team is an experienced Paramedic is currently completing extended training on patient assessment and wound Care.
All three members of staff received additional training and gained extra skills (such as urine-testing) and treatment procedures (such as wound care) that traditionally would have meant taking the patient to A&E. They will increasingly be able to treat patients in the comfort of their own homes, or refer them for appropriate follow-up care without the need to take them to an acute hospital.
Area Manager for Warwickshire, Martyn Scott, said: "The Community Paramedic Scheme is staffed twelve hours a day from the new community site based in Southam. It is hoped the team of paramedics with advanced training, will become integrated within the local Health Care Community, have referral pathways and work alongside other healthcare providers in the town and surrounding villages.
"The team will work alongside the already established team of volunteer Community First Responders in the area to provide them with training and support to ensure the communities in and around Southam receive the best possible pre-hospital emergency care."
Emergency Care Practitioner, Mandy Morrice, said: "I live in the area of Southam and have been in the ambulance service for 9 years. Previously I worked as a Nurse for 25 years. I am looking forward to working in my local community and trying to ensure that people get the best possible care. Our advanced training will ensure that only people who really need to go to hospital and need further treatment will do so. Hopefully more people will receive treatment in their own homes."
In the first four weeks of the scheme going live, the paramedics attended 108 calls in the local area and also attended community events.
Martyn Scott said lastly: "Dedicated to Southam and the immediate surrounding area, the Community Paramedics are able to bring more A&E skills to the patient, instead of having to take patients to A&E.
"The old image of the ambulance service many years ago was that all they did was take patients to hospital; that ambulances and its staff didn't do much treating, just transporting. I am delighted that this has changed and the aim now is to ultimately reduce the number of people we take to A&E with paramedics treating things like minor wounds and cuts at home without having to take the patient to hospital.
"We firmly believe that the public's expectation of an ambulance taking every patient to an A&E should be a thing of the past. There are often more appropriate ways to treat a patient and these are better for patient and the NHS as a whole."
West Midlands Ambulance Service are also in the process of securing locations and setting up further Community Paramedic Schemes. Schemes will vary in hours of operation from 12-24 hours, 7 days a week.
The move is part of West Midlands Ambulance Service's 'Make Ready' Project. In addition to new teams of advanced paramedics, a new network of Community Ambulance Stations, such as schemes in Shipston-on-Stour, Kenilworth and Stratford-Upon-Avon are in the process of being set up.
Two Ambulance Service Hubs will be opening in Coventry and Warwick in the next few months which will be brand new purpose built facilities which will ensure that ambulance staff will spend more time out on the road treating patients, than completing other tasks such as cleaning and restocking ambulances. These tasks will be done by other specialist teams of Ambulance Fleet Assistants.
Area Manager Martyn Scott pictured with ECP Mandy Morrice.
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Vohimasina Nord is een plaats en gemeente in Madagaskar gelegen in het district Manakara van de regio Vatovavy-Fitovinany. Er woonden bij de volkstelling in 2001 ongeveer 22.000 mensen.

In de plaats is basisonderwijs en voortgezet onderwijs voor jonge kinderen beschikbaar. 90,3% van de bevolking is landbouwer. Het belangrijkste gewas is kruidnagel, maar er wordt ook sinaasappelen, cassave en rijst verbouwd. 1,5% van de bevolking is werkzaam in de industriesector en 2,2 % van de bevolking in de dienstensector. De overige 6% van de bevolking voorziet in levensonderhoud via visserij.

Gemeente in Vatovavy-Fitovinany

redpajama_set_name: RedPajamaWikipedia


text:
Furthest Right
Civilization Crushes Us Through External Control
by Brett Stevens on February 11, 2018
Hard questions make the best pursuits because they are both prone to reveal the greatest truths, and are most commonly not just ignored but denied because they scare the heck out of us.
One of those hard questions appears when we consider the nature of civilization. On the surface, civilization brings great power; underneath, it seems that it sets a group of people on a course to slowly self-destruct. Perhaps like our stomach acid, or oxidation itself, civilization is a game of playing with fire that we have not quite adjusted to the point of being stable yet.
Many good things are this way. We are accustomed to flying in airplanes where a minute tweak to the stick could bring disaster not just to us but on the ground. We walk feet away from speeding cars, dwell in homes alongside captured fire and contained lightning that bring us warmth and light, and somewhere out there, nuclear weapons and nerve gas are ready for deployment.
But in our inner thoughts, we wonder how much civilization is actually bad for us. The instinct of the human in civilization is to react to threats by standardizing behavior in such a way that it excludes the threat. This creates a myriad of rules, taboos, punishments, and other negative reactions to drive us away from certain behaviors. But in so doing, it lessens our knowledge of why the threat is bad and how to avoid falling into it by doing something else instead. In effect, civilization subtracts behaviors at the expense of any sense of purpose or goal.
We can see this through a biological metaphor involving the humble German cockroach and the termites which evolved from its ancestors:
Termites are "social cockroaches." They evolved from ancestral solitary cockroaches some 150 million years ago, at least 50 million years before bees, ants and wasps evolved similar intricate societies independently of termites. Termites live in complex societies characterized by division of labor of castes and close coordination of tasks among members of the colony. For example, the queen and king monopolize all reproduction within the colony, while workers and soldiers maintain and defend the colony. This separation of responsibilities within the colony requires clear recognition of who's who and mechanisms to suppress worker reproduction when a fertile queen is present, and stimulate new queens to develop when the resident queen dies. At the same time, termites have a relatively simple lifestyle – they eat wood and rarely venture in the open. These changes from the ancestral solitary cockroach should be reflected in the organization of the termite genes, the genome.
…A paper in Nature Ecology & Evolution reports the sequencing, annotation and analysis of the genomes of the German cockroach, Blattella germanica, and the drywood termite, Cryptotermes secundus, within the context of the evolution of sociality in termites from solitary cockroaches. The team, including NC State entomologist Coby Schal and principal research scholar Ayako Wada-Katsumata, compared these genomes and those of 15 other insect species so that the evolution of gene families could be analyzed along the transition from non-social cockroaches to social termites. Of particular interest in this paper are the chemosensory genes, which are used in chemical communication – smell and taste. The nocturnal and omnivorous lifestyle of cockroaches requires substantial investment in sensitive and discerning senses of smell and taste, and the genome of the cockroach reflects this. Four families of chemosensory proteins enable insects to distinguish diverse foods, locate and recognize mates and aggregation sites (pheromones), and avoid poisons and pathogens. The German cockroach now holds the world record for the diversity of its chemosensory gene repertoire, and this resource will be invaluable for developing better lures and baits for pest control. The far more specialized but evolutionarily related termite experienced considerable losses of smell and taste genes, commensurate with the more specialized chemistry of its ecological habitat.
For the termite, the social order of the the mound replaces the need to react directly to nature. As long as an individual termite is fulfilling its role, it will be rewarded with life; on the other hand, a roach needs to do more than act out a role because it needs to achieve actual results. It is like the difference between a job and running a business.
The roaches remained independent and have developed a far more advanced sense of smell and taste because they are less efficient. They did not aim for a safe optimum, like an accountant, but instead remain open to whatever they can scrounge, where termites have specialized on a food source and environment. Specialization requires optimization to that specialty.
We can see the same process occur in the degradation of our delicious beer which has become, for lack of a better term, an alcohol-enhanced soft drink:
Designed from scratch today, a modern, profit-minded brewery would do no brewing. Instead, it would be a distillery — a lean, sterile study in efficiency that churns out pure alcohol from a cheap source of carbohydrates.
Artificial flavors and colors would go into that blank alcoholic base, the precise formulation depending on the desired style of beer. Maybe a little more color for a brown ale, a little less for pilsner. Fruitier flavors for hefeweizen, a chocolatey tone for stout.
For the finishing flourish, the "beer" would be hissed full of foam, then packaged and shipped off to thirsty drinkers across the globe.
We may whine and complain about this horrible "progress," but it wins in two areas: efficiency and utilitarianism. It is much simpler, cheaper, easier, and most of all, safer to brew the way the big industries do, which is by distilling alcohol and then adding carbonation and artificial beer flavorings; this means the process is more "efficient" or produces greater results per amount of cost, at least as measured in profit.
Utilitarianism, or the idea that whatever people say they think makes them happy is the best choice, means that this beer is not measured in profit alone. For it to be profitable, most people have to like it. Unlike aristocrats, they do not concern themselves with the simplistic flavor profile and yucky origins of the beverage; they simply consume. And so the product succeeds.
Most of the writers and critics out there will criticize this approach but will be ignored because they are a relatively small group at least in contrast to the much larger audience that is purchasing this stuff. Food critics hate Big Macs, but the audience loves them. Political theorists hate American laws, but the majority of the people vote for the politicians that make them.
In this we see part of the crisis of civilization: if it does not have an internal hierarchy that places scornful aristocrats over plebeian consumption, the lowest common denominator will rule.
As a secondary problem, the presence of this lowest common denominator prompts people to try to distinguish themselves from it. Since most of them are in fact of it, this means a whole lot of LARPing about being unique and different. This causes them to fear being downgraded in importance for their attention-seeking behavior.
Civilization naturally reacts to fears, and out of fear of "racism" it turns to diversity, at which point those who fear being downgraded see an opportunity: they can create a camouflage for themselves out of social chaos, because if there is no standard of normalcy, then anything they want to do as individuals must be accepted.
Like most things that civilization does, this creates a situation no one is happy because different groups have conflicting goals including power over their own futures:
On campus, everybody suffers. "Some Asian Americans," writes Mr. Dershowitz in his review, "argue that race-based affirmative action programs discriminate against Asian applicants. Some Jewish students point to anti-Israel hate speech, including accusations that they — American Jewish students — are complicit in genocide, apartheid and war crimes. Some Muslim students claim that the very presence of Zionists on campus makes them feel unsafe. Some Christian students say their religious beliefs, particularly regarding abortion and same-sex marriage, are mocked and belittled. Some gay, lesbian and transgender students feel marginalized in a hetero-dominant culture. Some women [argue] that campuses promote 'rape culture' and that allowing anti-abortion voices to be heard exacerbates the view that men control women's bodies."
Groups clash not just because they are innately biologically and genetically different but because in order to be a member of that group, they need to act out the customs of that group and work toward its self-interest, which is to become dominant in its territory before another group takes over. Think of West Side Story and all those gang movies which were essentially about conflict over "our territory" or "who owns this street."
For a member of any group to lose identity with that group is for them to become less unique, and therefore to lose at the game of being important above the lowest common denominator. This means that unless forced, they will not give up their ethnic identity, because to do so is to lose their only real point of orientation.
This could explain why the only mixed-race groups that prosper are those which are also financially adept. They have another identity in their wealth and power.
With diversity, we see the extension of the entropy of civilization: it erases unique traits and replaces them with traits oriented toward obedience, which in human society is enforced through socializing. Those who do the same thing that everyone else is doing are rewarded, while those who go their own way are excluded.
Even more, human society works by demoting those who are not in touch with whatever is trending at the moment. Someone who does not know the latest movies, clubs, television, restaurants, and memes will be considered to be a lesser person than someone who is "in the know," much as someone who does not know the latest stock tips is less "valuable" as a friend.
Staying in touch with fads, trends, gossip, news, entertainment, and shopping is a way to signal your allegiance to the crowd. It in effect says to them, "You and not I are most valuable," and that makes them feel better about awarding you with popularity. It is an odd codependency where those who appear to be leaders are in fact servants, and those who appear to be servants are also servants, but can retaliate at any time, and is highly unstable.
This instability works in favor of those on the bottom. They are empowered to destroy those above them, which makes them feel powerful as they go off to their unnecessary jobs and wade through the bureaucracy. This power gives them the ability to destroy those who bring up unpopular truths, and this creates a death cycle.
Politicians, bureaucrats, and careerists think of themselves first: they have to pay the bills and feed their families. Once they learn that certain topics bring negative response, they stop bringing them up, and in order to fend off criticism, invent distractions and lies to cover their backs.
A distraction usually consists of identifying a different problem as the "real" problem while concealing the actual source of the system, and a lie can be as simple as claiming the problem is solved or insoluble. "It's just human nature" or "we're doing better than before" are powerful combinations of the two.
This creates a headless system, in that the unpopular truths are the ones centered on real threats, and public opinion forces their suppression. The system then veers between accepting some truth, and going into twenty-year binges of backlash against those moments, draining itself of energy.
Right now, we are in a backlash against the backlash to Ronald Reagan. From 1992 to 2016, the anti-conservative element — including neoconservatives — ruled America and Europe. Once it hit its peak in globalism, diversity, over-taxation, and other destructive policies, people momentarily rejected it through Trump/Brexit.
Leftism and its system liberal democracy debunked themselves in the best way possible, which is by succeeding and through that, creating failure conditions. The falling status of liberal democracies shows us that the future for Leftism is a bad one:
The highlight of last year's summit was a speech by Chinese President Xi Jinping, who earned ardent applause for his rousing defense of globalization. With the U.S. receding from the world, China has raced to fill the vacuum, a development with troubling implications. "If you're American now, you have to answer the question," says [Timothy] Snyder, the Yale historian. "Why is democracy a good idea if it brings you to this?" What good is democracy, the world wants to know, if the result is Trump?
Of course China likes globalism: with the West removing any barriers to foreign investment, those who are in the rising part of their economic cycle are benefiting, while the more mature Western economies are not only more slow-moving, but have been sabotaged by regulations, tax-and-spend policies, and endless favoritism toward the developing world through political correctness on an international level.
At the same time, Synder is incorrect: faith in democracy is not declining because of Trump; we have Trump because of declining faith in democracy worldwide. Democracy won, gained full power, and made a dystopic "Utopia" and now people want off that crazy train.
Like all things Leftist, democracy is based on the idea that people are equal, including roughly equal in their ability to make decisions. We have to think that, otherwise we are saying that some people make better decisions than others, and this means that the basis of modern society — overthrow of the aristocracy — was not just wrong, but suicidal. Few of us want the only other options, dictatorship, anarchy, or oligarchy, although facets of those are present in our current system, specifically oligarchy, since vote-buying by legal or illegal means is common.
One important idea from the American system was to make its democracy into a limited agency through a maze of rules and procedures outlined in the American Constitution. This failed sometime around 1865, and for the next hundred years America grew more democratic and less rule-oriented, but for the past nine years, there has been a backlash against that century of mob rule.
First Barack Obama took power and ruled autocratically like a third-world warlord, and then Donald Trump arose with "populism" which seems to be the idea that the vote does not represent the voice of the people, or at least the spirit of the people. When those people have been replaced with imported voters, this is not surprising.
Although Trump is doing good work at removing the Obama-Clinton damage, he has a century of wild democratic thought and policies that he will have to un-do, and under the American Constitution, that is too much for any president. Hence the growing dissatisfaction with democracy, much as Europe is irate at its elected leaders for denying Brexit and continuing to import more foreign voters.
This means that what we are looking at is not just the failure of liberal democracy but the failure of egalitarianism itself:
The bottom line is this: if liberalism is supposed to be all about the power of the people and allowing the people to do exactly as they please; why are so many people in even the most "successful" of liberal societies so constantly unhappy and discontented? The answer, as should be all to obvious by now given recent events in both Europe and America, is that the people are not actually ruling themselves, they never have done and doubtless never will. They are being ruled but not in an open and honest way and this means that they are being manipulated by those who are their rulers but do not wish to be seen as such. This, I think, is something no traditional monarch has or could ever be accused of doing. For them, such a thing would have been unseemly as well as unnecessary but in the liberal system of idealism, it must be done to maintain the charade, to keep hiding the truth that liberalism is just as totalitarian as every other political "ism" that has ever been devised.
People no longer have faith in "the system," but they are making the important leap in understanding that reveals that the actual system is the psychology of voters. In groups, humans tend toward insanity because their first action is to remove any notions that offend or disturb others; in a group, the first goal is achieving consensus, and that twists the question to fit the answer that might be achieved in that group, instead of twisting the answer to fit the question, as one does when looking for a realistic, accurate, and forward-thinking response.
This means that democracy — and all other systems based on consensus — are doomed to fail, not because of the system, but because of the human element. For that reason, even tweaking these systems as the Americans did cannot work. They are permanently broken as idea because of the very nature of humans as social animals and of group dynamics as rewarding compromise and greater attention to fears than intangible goals.
Tags: beer, cockroaches, democracy, diversity, donald j. trump, termites
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About UsMichael Foley2019-09-19T04:49:00+00:00
The Canadian Rheumatology Association (CRA) is the national professional association for Canadian rheumatologists.
In 1936, when Canada was emerging from the depression and war clouds were gathering in Europe an organization named the Canadian Rheumatic Disease Association (CRDA) was founded. Read more…
The mission of the Canadian Rheumatology Association is to represent Canadian rheumatologists and promote the pursuit of excellence in arthritis and rheumatic disease care, education and research.
Today, the CRA comprises over 500 members throughout all 10 provinces and territories as well as some international members.
Since its inception, the CRA has promoted and advanced the field of rheumatology by organizing networking, training and education opportunities for clinicians, students, allied health professionals and researchers. More recently the CRA has become involved in the promotion and coordination of funding for important rheumatology research (CIORA).
The CRA carries out its mission through a multifaceted network of activities and investments. A cornerstone activity of the CRA is the annual scientific meeting, whose purpose is to showcase the various clinical and research endeavours of CRA members and other arthritis health professionals. The meeting also serves to foster professional collaboration and an exchange of ideas in the rheumatology community.
As a nationally and internationally respected organization, the CRA continues to serve as a national voice for practicing rheumatologists and researchers with an interest in rheumatic diseases.
The CRA exists so that Canadian rheumatologists achieve excellence in clinical care, education and research.
Optimal Care
Members are supported in their efforts to provide optimal care.
Workforce Planning & Management
Members are aware of rheumatology workforce issues related to practice management, career development, employment opportunities and training new rheumatologists.
Members are provided with opportunities to feel connected.
Members are supported in their research.
Stakeholder Relations
External organizations are engaged to enhance the CRA's reputation, build relationships with stakeholders and promote optimal care
Organizational Viability
Long-term viability and success of the association is ensured through good governance practices and appropriate risk mitigation
CRA Office Address and Contact Information
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e: info@rheum.ca
GST # 892002619RT0001
QST # 1222-081676TQ0001
Leadership & Committees
Paediatrics Executive Committee
Code of Ethics & Industry Guidelines


The Forum at Cherry Creek, located at 425 S Cherry St., Denver, courtesy of Cushman & Wakefield.
DENVER – The Forum at Cherry Creek, a 10-story, 83,268-square-foot, multi-tenant office building located at 425 S. Cherry Street in Glendale, has sold for $13.6 million or approximately $165 per square foot to a private company.
Aaron D. Johnson and Jon D. Hendrickson, managing directors, of Cushman & Wakefield Denver's Capital Markets Group had the exclusive listing to sell the property on behalf of Denver-based Millice Group.
"The Forum at Cherry Creek provides a significant value-add opportunity, with a stabilized asset, where the current lease rates are as much as 30 percent below market. This iconic asset benefits from a central location surrounded by numerous walkable amenities and some of Denver's premier, most affluent neighborhoods," said Johnson. "With occupancy costs in Cherry Creek and Denver's CBD continuing to rise, The Forum at Cherry Creek will continue to cater to a diverse office and medical tenant base servicing this central location," added Johnson.
The Forum at Cherry Creek is located near the intersection of Colorado Boulevard and Alameda Avenue, surrounded by Denver's premier, most affluent, neighborhoods including Cherry Creek, Country Club, Hilltop, Washington Park and among others.
The Property was 88 percent leased at the time of sale to a diverse tenant base of office and medical office tenants with approximately 40 percent of the existing tenants having some medical use. The property provides an outstanding parking ratio of 3.83 per 1,000 rentable square feet, higher than any other building within the competitive set.


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Liverpool defender named as PFA Player of the Month for September
Liverpool took to Twitter to announce that one of their defenders won the PFA Player of the Month award for September, but it was not who everyone was thinking.
During September, Liverpool boasted a strong defence made up of Andy Robertson, Trent Alexander-Arnold and the defensive partnership of Joel Matip and Virgil van Dijk. Out of all of those names, it was the Cameroonian, Joel Matip that won the award.
Matip played every minute of Liverpool's charge for the title during September, being vital in preserving Liverpool's stunning start to the Premier League campaign, currently standing at a magnificent eight wins in a row.
The other contenders for the award were Manchester City duo Kevin de Bruyne and Riyad Mahrez, Bournemouth star man, Callum Wilson, Leicester City's rampaging full-back, Ricardo Pereira, as well as Arsenal's top performer, Pierre-Emerick Aubameyang.
Matip was particularly outstanding in Liverpool's crucial 2-1 away win against Chelsea, earning himself the Man of the Match award, after winning five out of six of his aerial duels, making nine clearances, and completing three tackles.
If Liverpool are to continue their top form, they will definitely need to keep van Dijk and Matip's defensive solidity intact for the rest of the season.


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Publication of the FACT-JACIE International Standards for Hematopoietic Cellular Therapy, Seventh Edition
The University of Texas MD Anderson CARTOX Program is First to Achieve Accreditation Under the FACT Standards for Immune Effector Cells
Gratitude Expressed to Outgoing FACT Board Members
Release of Cord Blood Units that Do Not Meet Post-Thaw Specification Requirements
Cellular Therapy Product Storage at Collection Facilities
Terminology Used in Clinical Trials versus Standard of Care
Reporting of Adverse Events Related to Licensed Cellular Therapy Products
FACT Prepares for New Portal Launch
Cellular Therapy Accreditation Committee News and Notes
New FACT Standards Development Activities
ISBT 128 Audit Tool for Cellular Therapy Provides Additional Resource for Verifying Labels
ASBMT and FACT Partnering on Project to Support Quality Managers
Ensure Receipt of FACT Communications!
Posted in :: 2018 Volume 2 :: Tuesday, May 22nd, 2018
By Shannon Walsh, FACT Accreditation Coordinator
We have all used similar but distinct words interchangeably at times. It is easy to do and often times does not seem to matter. However, words and the message they deliver (whether intended or not) can be critical, especially in the area of clinical research.
With the new developments in immune effector cellular therapy and products recently approved by the FDA, such as Kymriah and Yescarta, it is even easier for the distinction between therapy and research to be blurred. These advances have been the focus of a lot of media attention, and laypeople may extrapolate the compelling human interest stories to any type of similar cellular therapy. Furthermore, some programs will be administering these commercial, licensed products to patients alongside research products. For other products still under research and not yet approved, staff must be aware of distinctions that must be clear to the prospective study subject.
In the United States, the Food and Drug Administration, Department of Health and Human Services, and the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, among others, have provided regulations and guidelines to ensure the protection of human subjects in research. Part of this protection involves the careful and intentional use of words when advertising for clinical trials, communicating with prospective study subjects, obtaining informed consent, and continues throughout the subject's participation in a trial.
Words such as "treatment", "patient", and "cure", when used in relation to participation in a clinical trial, can potentially blur the lines between treatment of a patient with an approved drug and enrolling a subject in a clinical research study for the evaluation of safety and/or efficacy of a test article under investigation.
For individuals to be fully informed of research under which they are agreeing to participate, they must know that it is research and that the product is not yet an approved drug for the indication being evaluated. While it is possible that the test article may help or cure the disease, it is also possible that it may not improve the individual's condition, may cause serious adverse reactions, or may even result in death.
Federal regulations provide additional safeguards for vulnerable populations, such as pregnant women, children, prisoners, mentally disabled, economically disadvantaged, and others. Vulnerable populations may also include the terminally ill given the gravity of their illness. There is a balance between increasing access to research trials for vulnerable populations and protecting these individuals from coercion or undue influence. Considering the relationship between a trusted physician and patient, and the hope for a cure of their illness, there is a fine line in clinical research for using accurate and intentional words to ensure full understanding, autonomy, and informed consent.