Hyperphosphatemia is a serum phosphate concentration > 4.5 mg/dL (> 1.46 mmol/L). Causes include chronic kidney disease, hypoparathyroidism, and metabolic or respiratory acidosis. Clinical features may be due to accompanying hypocalcemia and include tetany. Diagnosis is by serum phosphate measurement.
Fire Chief  Michael Kain. Fire Chief Michael Kain is a life long resident of the valley. He currently oversees operations, fire suppression, EMS services, training, facility management, and fleet. Fire Chief Michael Kain was hired by the Selma Fire Department in 1987 as a Firefighter/Paramedic. He has promoted to each rank within the Selma Fire Department.
Cunningham Volunteer Fire Department was established in 1983 for fire protection in the Cunningham, TN area. Currently, there are 50 members of the department. Under the leadership of Dawson Swift, Cunningham Volunteer Fire Department responds to fires, motor vehicle accidents with injuries, hazardous material scenes, emergency medical calls, fire alarms and carbon monoxide alarms.