EMT-Basic. Skills include: Those defined in the DOT training criteria. Hours of training: 194. Licensure requirements: Passage of both state written and practical examination. License renewal requirements: 30 credits ongoing education or DOT refresher course.
Intermediate EMT. Skills include: DOT standards, including endotracheal intubation. Hours of training: 85. Licensure requirements: Passage of state written and practical examinations. License renewal requirements: 30 credits ongoing education or DOT refresher course.
Paramedic. Skills include: Those defined in the DOT 15-Module training criteria. Hours of training: 550. Licensure requirements: Pass state written and practical examinations. License renewal requirements: 45 ongoing education hours or DOT refresher course. Responsible certification agency. Department of Consumer & Industry Services. Physician involvement required at all levels.
State population. Approximately 9,200,000
Number of licensed ambulance vehicles (public and private) in the state. 1,230
Percent of state population covered by 911. 93%.
Numbers of EMS personnel. Currently state-licensed Basic EMTs, 12,914; currently state-licensed Intermediate EMTs, 2,061; currently state-licensed Paramedics, 3,629. Medical First Responders Licensed, 13,052, in addition to those noted.
Numbers of EMS services. Total EMS services, 401; Volunteer, 191; Fire Department (volunteer and paid combined), 102; air ambulance, 6.
Application procedure for EMS/Paramedic Students
Admission to the Emergency Medical Service/Paramedic program is competitive, and there is no guarantee of admission. The top candidates are chosen in the spring preceding each fall entry date. Because of the nature of this program, applicants should meet these specific admission requirements in addition to the general admission requirements of the College:
1. Students are selected on the basis of:
a) academic coursework completed
b) ACT scores (when available)
c) a cumulative high school or college grade point average of at least 2.50.
2. An Application for Admission must be on file in the Admissions Office as well as a separate EMS/Paramedic Application with the college's Allied Health Department. All transcripts should be sent to and received by the Registrar at North Central prior to entry into the program.
3. Applicants should submit applications by December 31 of the year prior to anticipate fall entry.
4. Admission requirements reflect the College's commitment to equal opportunity and treatment of students.
5. The EMS/Paramedic program is very rigorous and demanding. A good state of physical and emotional health is necessary. Once accepted, students are required to:
* have a Medical History form completed by a physician;
* submit proof of a negative tuberculin test or negative chest x-ray (in case of positive skin test) annually;
* keep all required immunizations up to date (including Hepatitis B).All new applicants to North Central are assigned an EMS/Paramedic Program Advisor to ensure proper guidance for entry into the program.
Michigan Department of Community Health EMS AND TRAUMA SYSTEMS SECTION
P.O. Box 30437 Lansing, MI 48909
License Renewal Cost
Medical First ResponderFee: $50.00
Emergency Medical Technician (Specialist)Fee: $75.00
Emergency Medical Technician (Basic)
Emergency Medical Technician (Paramedic) Fee: $75.00
Emergency Medical Services Instructor/ Coordinator (All Levels Fee: $75.00)
License Renewal Instructions
Above is your license renewal application. Before returning your renewal, the following must completed and/or attached to your application.
1. Please type or print legibly your name, social security number, date of birth, race, sex, county of residence, telephone number and complete mailing address in the spaces provided. Remove the attached ongoing education record form. It is to be used over your next licensure period.
2. Enclose a check or money order (payable to the State of Michigan) for the appropriate fee. Fees are non-refundable.
3.Medical First Responders (MFR), Emergency Medical Technicians (EMT), EMT-Specialist (EMT-S) -- Attach a copy of your current certification of cardiopulmonary resuscitation either "Course C" (American Heart) or BLS for the Professional Rescuer (Red Cross). Attach your completed original ongoing education record form or proof of completing the appropriate refresher training (current within the past three years).
4. Paramedics-- Attach your completed original ongoing education record form, or a copy of your certificate of refresher training (current within the past three years) and, if applicable, a copy of your valid ACLS card.
5. Emergency Medical Services Instructor- Coordinator(EMS I-C) -- Attach your completed original ongoing education record form, or a copy of your certificate of refresher training (current within the past three years) and a copy of your current BCLS or BLS Instructor card.
The Michigan Department of Consumer & Industry Services will not discriminate against any individual or group on the basis of race, color, religion, national origin, or ancestry, age, sex, marital status, or handicap.
Medical First Response Life Support (MFR) is the initial level of pre-hospital care in the EMS and is provided by a Medical First Responder at the emergency scene.
Basic Life Support (BLS) is the primary level of pre-hospital care in the EMS system and is provided by EMT Basic Personnel at the emergency scene and/or in transport to a medical facility.
In Michigan a Basic EMT MUST be Partnered with a Paramedic
Limited Advance Life Support (LALS) is an enhanced level of pre-hospital care in the EMS system and is provided by EMT-Specialist personnel at the emergency scene and/or in transport to a medical facility. In Michigan Some Police Departments run Police Emergency Programs as described on "Local EMS Page." Also there are a few LALS Agencies but this is the minority not the majority.
Advanced Life Support (ALS) is the most extensive pre-hospital care in the EMS system and is provided by EMT-Paramedic personnel at the emergency scene and/or in transport to a medical facility.
In the State of Michigan The Vast majority of Paramedic Service's (ALS) are run by Private Agencies, Volunteer Organizations. In the State of Michigan there are several County & Municipal ALS Agencies. The city of Detroit run's the largest EMS service in the State which operates through the Fire Department. Also the in the State of Michigan there are currently six Air Medical Helicopter Programs. (All Michigan Firefighters are now trained to this level, also a few Police Agencies.)
Michigan's Four Level of EMS Certification
FEE EXEMPTION REQUEST FOR VOLUNTEER EMERGENCY
MEDICAL SERVICES PERSONNEL
Authority: Act179, P.A. 1990
In accordance with Act 179, P.A. 1990. Section 20908(10), I request an exemption from payment of the licensure or relicensure fee on the basis of my volunteer status with the agency named below.I understand as part of this exemption, I will act as a volunteer for the life support agency listed below, and the life support agent does not charge for its services. I understand that at such time that I cease to meet the definition of “volunteer” during the effective period of my license, I shall at that time pay the fee required under the Act.
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DAVE'S EMS HEADQUARTER'S
MICHIGAN'S EMS SYSTEM
MICHIGAN CAAS ACCREDITED AGENCIES
Alliance Mobile Health, Inc
American Medical Response, Grand Rapids, MI
Belding Area Ambulance Service, Belding, MI
Huron Valley Ambulance, Ann Arbor, MI
Jackson Community Ambulance, Jackson, MI
Lapeer County EMS, Lapeer, MI
Lenawee Community Ambulance,
LifeCare Ambulance Service, Battle Creek, MI
Life EMS, Inc., Grand Rapids, MI (NOW ALL LOCATIONS)
Life EMS of Ionia County, Inc., Ionia, MI
Life EMS of Kalamazoo, Inc., Kalamazoo, MI
Life EMS of Lansing LLC, Lansing, MI
Life EMS of Newaygo County, MI
Medic 1 Ambulance, Benton Harbor, MI
Medstar Ambulance, Mt. Clemens, MI
Mobile Medical Response, Inc., Saginaw, MI
Patriot Ambulance Service, Flint MI (Notified by Kristin 4-16-08)
Pride Care Kalamazoo MI
Professional Med Team, Inc., Muskegon, MI
Rockford Ambulance, Rockford, MI (10-2008 40th Anniversary)
Stat EMS of Flint, MI (As of August 2009)
Tri-Hospital EMS, Port Huron, MI
ADDITIONAL DATA AND FILE'S CAN BE FOUND AT THE FOLLWING PAGES INFORMATION--LOCAL EMS SYSTEMS-MI EMS NEWS--ON THESE PAGES YOU WILL ALSO FIND TRAINING INSTITUTIONS ETC.
STATE OF MICHIGAN EMS TRAINING AND EDUCATION PROGRAMS
The State of Michigan's EMS Website can be found at The State of Michigan’s Family & Health Services. The address iswww.michigan.gov/cisportal. This Site is in NO way associated with any State of Michigan Websites
Requires that Medical Control Authorities adopt protocols to ensure that each life support agency that provides basic, limited, or advanced life support is equipped with epinephrine or epinephrine auto-injectors. The bill does not apply to Medical First Responders.
Fee's are subject to change check site page for changes
The Emergency Medical Services Section for the State of Michigan is responsible for the licensure and relicensure of over 700 life support agencies and over 2,400 life support vehicles.
In addition, the section approves local Medical Control Authorities (a hospital or group of hospitals) which provide community based prehospital emergency care oversight. Each county (or group of counties) is required to have such an Authority with the responsibility to establish policies, procedures and protocols focusing specifically on how prehospital emergency care will be carried out within their particular geographic area. The section also approves each of the 66 Authority's prehospital care policies, procedures and protocols prior to implementation.
The section is responsible to ensure that all life support agencies are in compliance with the communications standards prescribed under the State Medical Communications (MEDCOM) Requirements.
MEDICAL FIRST RESPONDER REFRESHER PROGRAM
Click here to READ
In 2000 EMT’s and paramedics held about 172,000 jobs. Most career EMT’s and paramedics work in metropolitan areas. There are many more volunteer EMT’s and paramedics, especially in smaller cities, towns, and rural areas. They volunteer for fire departments, emergency medical services (EMS), or hospitals and may respond to only a few calls for service per month, or may answer the majority of calls, especially in smaller communities. EMT’s and paramedics work closely with firefighters, who often are certified as EMT’s as well and act as first responders.
EMT’s and paramedics employed by fire departments work about 50 hours a week. Those employed by hospitals frequently work between 45 and 60 hours a week, and those in private ambulance services, between 45 and 50 hours. Some of these workers, especially those in police and fire departments, are on call for extended periods. Because emergency services function 24 hours a day, EMT’s and paramedics have irregular working hours that add to job stress.
Full and part-time paid EMT’s and paramedics were employed in a number of industries. About 4 out of 10 worked in local and suburban transportation, as employees of private ambulance services. About 3 out of 10 worked in local government for fire departments, public ambulance services and EMS. Another 2 out 10 were found in hospitals, where they worked full time within the medical facility or responded to calls in ambulances or helicopters to transport critically ill or injured patients. The remainder worked in various industries providing emergency services.
Michigan Law, Act 164 Yielding to EMS Vehicles
257.653Immediate approach of authorized emergency vehicle; duty of driver of another vehicle; duty of streetcar operator; violation as civil infraction. Sec. 653. (1) Upon the immediate approach of an authorized emergency vehicle equipped with not less than l lighted flashing, rotating, or oscillating lamp exhibiting a red or blue light visible under normal atmospheric condition from a distance of 500 feet to the front of the vehicle and when the driver is giving audible signal by siren, exhaust whistle, or bell:
(a)The driver of another vehicle shall yield the right of way and shall immediately drive to a position parallel to and as close as possible to the right-hand edge or curb of the roadway, clear of an intersection, and shall stop and remain in that position until the authorized emergency vehicle has passed, except when otherwise directed by a police officer.
(b)The operator of a streetcar shall immediately stop the car, clear of an intersection, and shall keep it in that position until the authorized emergency vehicle has passed, except when otherwise directed by a police officer.
(2)This section does not relieve the driver of an authorized emergency vehicle from the duty to drive with due regard for the safety of persons using the highway.
(3)A person who violates this section is responsible for a civil infraction.
Michigan Passes Good Samaritan Act Revisions Include AED
Act No. 173
Public Acts of 1999
Approved by the Governor--November 15, 1999
Filed with the Secretary of State-November 16, 1999
EFFECTIVE DATE: November 16, 1999
STATE OF MICHIGAN
90TH LEGISLATURE --REGULAR SESSION OF 1999 Introduced by: Reps. Law, Richner, Rocca, Cassis, Faunce, Woronchak, Green, Mortimer, Koetje, Toy, DeVuyst, Kelly, LaForge, Jelinek, Howell, DeHart, Van Woerkom, Vear and Hager
ENROLLED HOUSE BILL No. 4420
AN ACT to amend 1963 PA 17, entitled "An act to relieve certain persons from civil liability when rendering emergency care, when rendering care to persons involved in competitive sports under certain circumstances, or when participating in a mass immunization program approved by the department of public health," by amending section 4 (MCL 691.1504), as added by 1986 PA 21.
The People of the State of Michigan enact:
Sec. 4. (1) Subject to subsection (2), an individual who having no duty to do so in good faith voluntarily renders cardiopulmonary resuscitation to another individual is not liable in a civil action for damages resulting from an act or omission in rendering the cardiopulmonary resuscitation, except an act or omission that constitutes gross negligence or willful and wanton misconduct.
(2) Subsection (1) applies only to a civil action that is filed or pending on or after May 1, 1986.
(3) Subject to subsection (5), an individual who having no duty to do so in good faith voluntarily renders emergency services to another individual using an automated external defibrillator is not liable in a civil action for damages resulting from an act or omission in rendering the emergency services using the automated external defibrillator, except an act or omission that constitutes gross negligence or willful and wanton misconduct.
(4) Subject to subsection (5), the following persons are not liable in a civil action for damages resulting from an act or omission of an individual rendering emergency services using an automated external defibrillator as described in subsection (3), except if the person's actions constitute gross negligence or willful and wanton misconduct:
(a) A physician who provides medical authorization for use of an automated external defibrillator.
(b) An individual who instructs others in the use of an automated external defibrillator.
(c) An individual or entity that owns, occupies, or manages the premises where an automated external defibrillator is located or used.
(5) Subsections (3) and (4) apply only to a civil action that is filed or pending on or after the effective date of the amendatory act that added this subsection.
NEW LAW TO PROTECT EMS
Act 300 of 1949
257.653a.added THIS ADDED SECTION IS EFFECTIVE MARCH 28, 2001 a.added Stationary emergency vehicle giving visual signal; duty of approaching vehicle to exhibit due care and caution; violation; penalty.
Sec. 653a. (1) Upon approaching and passing a stationary authorized emergency vehicle that is giving a visual signal by means of flashing, rotating, or oscillating red, blue, or white lights as permitted by section 698, the driver of an approaching vehicle shall exhibit due care and caution, as required under the following: (a) On any public roadway with at least 2 adjacent lanes proceeding in the same direction of the stationary authorized emergency vehicle, the driver of the approaching vehicle shall proceed with caution and yield the right-of-way by moving into a lane at least 1 moving lane or 2 vehicle widths apart from the stationary authorized emergency vehicle, unless directed otherwise by a police officer. If movement to an adjacent lane or 2 vehicle widths apart is not possible due to weather, road conditions, or the immediate presence of vehicular or pedestrian traffic in parallel moving lanes, the driver of the approaching vehicle shall proceed as required in subdivision (b).
(b) On any public roadway that does not have at least 2 adjacent lanes proceeding in the same direction as the stationary authorized emergency vehicle, or if the movement by the driver of the vehicle into an adjacent lane or 2 vehicle widths apart is not possible as described in subdivision (a), the approaching vehicle shall reduce and maintain a safe speed for weather, road conditions, and vehicular or pedestrian traffic and proceed with due care and caution, or as directed by a police officer.
(2) Except as provided in subsections (3) and (4), a person who violates this section is guilty of a misdemeanor punishable by a fine of not more than $500.00 or imprisonment for not more than 90 days, or both.
(3) A person who violates this section and causes injury to a police officer, firefighter, or other emergency response personnel in the immediate area of the stationary authorized emergency vehicle is guilty of a felony punishable by a fine of not more than $1,000.00 or imprisonment for not more than 2 years, or both.
(4) A person who violates this section and causes death to a police officer, firefighter, or other emergency response personnel in the immediate area of the stationary authorized emergency vehicle is guilty of a felony punishable by a fine of not more than $7,500.00 or by imprisonment for not more than 15 years, or both.
History: Add. 2000, Act 458, Eff. Mar. 28, 2001
EMS PERSONNEL HAVE HIGHERFATALITY THAN POLICE FIRE
Emergency Medical Workers have an occupational fatality rate of 9.6 per 100,000 workers per year in transportation-related incidents, compared with 6.3 for police, 4.5 for fire fighters and 2 for average citizens.
Script courtesy of the Michigan's Ambulance Assocation--Thank you
STATE OF MICHIGAN DEPARTMENT OF EMS IDENTIFICATION CARDS
I. Purpose: To provide a picture identification card that can be used for:
1. Identification for access to and at the scene of mass casualty incidents.
2. Identification at EMS scenes when off-duty.
3. Identification purposes within the EMS system (i.e. drug bag or equipment exchange).
4. Picture identification of EMS personnel when requested by the general public.
5. Identification or tracking purposes within the provider's agency should the agency desire
(i.e.bar code time tracking).
II. State of Michigan will produce identification cards for the following individuals:
1. Licensed EMS providers who have medical control privileges in their respective County EMS System.
2. Emergency Nurses and Physicians working within the system.
3. Critical Incident Stress Management Team Personnel.
4. Other groups at the discretion of State EMS.
State of Michigan Identification cards will be issued to all EMS personnel with active State EMS privileges. Personnel must wear the ID card when on duty. Personnel should keep the card in their possession at all times should it be immediately needed.
The initial card will be provided at no charge. For security purposes, it is the expectation that the cards should be returned to the Department of Emergency Medical Services if the cardholder discontinues work within the system. If the card is lost, the provider will pay a fee of $ 10 to obtain a replacement card. A reward of $ 10 will be provided for the return of the lost card.
The identification cards will be colored coded by the level of privileges of the provider (i.e. Medical First Responder, EMT, Specialist, Paramedic, etc.)
Color Code: (Background/Lettering)
State EMS staff - Orange/Blue
Paramedic - Red/Black
EMT-Intermediate - Yellow/Black
EMT- Basic - Green/Black
Medical First Responder - Blue/Green
CISM - Purple/Black
Emergency Physician - PENDING
Emergency Nurse - PENDING
NOTE: The necessity for the use of the ID card will be dependent upon the uses of the card in the system. For example, if the ID cards are used for drug bag exchanges all personnel involved in the drug bag exchange program will be required to use an ID card when exchanging medications.
MICHIGANS EMS LISENCE GENERAL DENIAL
Registration of individuals convicted of certain crimes present an unreasonable risk to public health and safety. Thus, applications for certification by individuals convicted of the following crimes will be denied in all cases.
1. Felonies involving sexual misconduct where the victim’s failure to affirmatively consent is an element of the crime, such as forcible rape.
2. Felonies involving the sexual or physical abuse of children, the elderly or the infirm, such as sexual misconduct with a child, making or distributing child pornography or using a child in a sexual display, incest involving a child, assault on an elderly or infirm person.
3. Any crime in which the victim is an out-of-hospital patient or a patient or resident of a health care facility including abuse, neglect, theft from, or financial exploitation of a person entrusted to the care or protection of the applicant.
Some are private providers, some are housed in fire departments, some are connected to another service like a hospital, some are run by municipal government. No studies have been done that show whether one type of service is more effective than another.
What's the difference between an Emergency Medical Technician and a Paramedic?
Though titles vary from state to state, typically the beginning level is made up of first responders who have basic first aid and emergency training.
Basic emergency medical technicians, or EMT’s, typically have about 150 hours of training that allows them to administer oxygen, treat wounds and immobilize spines. Advanced training might allow them to administer IV fluids, intubate patients and monitor heart conditions.
Paramedics would have an additional 1,200 hours of training and be qualified to do a number of more aggressive treatments and administer drugs.
Michigan has 389 first response services, which aren't allowed to transport patients but can help until an ambulance arrives; 175 basic life support services, which must have at least one EMT and one first responder on board an ambulance; 20 limited advanced life support services, which have at least one basic EMT and one EMT with advanced training; and 172 advanced life support services, which have at least one paramedic and one EMT.
Do EMS Agencies hire people just to drive Ambulance?
That job category was phased out 37 years ago. Now, everyone on board has to be at least an EMT.
Are all Ambulances the same?
One type is a conversion truck cab and chassis with a separated box and cab. Another is a van type with integrated cab and body. A third type is a cutaway van with an integrated cab and body. There is not enough in-depth analysis of ambulance crashes to know whether one kind holds up better in a crash.
State EMS Agencies
Each state and territory in the United States has a lead EMS agency. These agencies are usually a part of the state health department, but in some states they are part of the public safety department or are an independent agency. State EMS agencies are responsible for the overall planning, coordination, and regulation of state EMS systems, and typically include the following functions:
Licensure and certification of EMS providers and agencies
Serving as the lead agency for statewide trauma systems or other specialty care systems
Collecting data from local EMS agencies, hospitals, and trauma centers and monitoring system performance and outcomes
Developing statewide medical protocols for EMS providers, or otherwise establishing the scope of EMS practice
Operating or coordinating a statewide communications system that connects EMS providers in the field with hospitals as well as trauma and specialty centers
Coordinating the distribution of federal grants for EMS or administering state EMS grant programs
Planning for and coordinating the medical response to disasters and mass casualty incidents and homeland security medical initiatives
The state EMS agency ensures a statewide coordinated, high quality, emergency medical services system that is there when you need it
Code of Ethics (EMS)
Professional status as an Emergency Medical Technician and Emergency Medical Technician-Paramedic is maintained and enriched by the willingness of the individual practitioner to accept and fulfill obligations to society, other medical professionals, and the profession of Emergency Medical Technician. As an Emergency Medical Technician-Paramedic, I solemnly pledge myself to the following code of professional ethics:
A fundamental responsibility of the Emergency Medical Technician is to conserve life, to alleviate suffering, to promote health, to do no harm, and to encourage the quality and equal availability of emergency medical care.
The Emergency Medical Technician provides services based on human need, with respect for human dignity, unrestricted by consideration of nationality, race creed, color, or status.
The Emergency Medical Technician does not use professional knowledge and skills in any enterprise detrimental to the public well being.
The Emergency Medical Technician respects and holds in confidence all information of a confidential nature obtained in the course of professional work unless required by law to divulge such information.
The Emergency Medical Technician, as a citizen, understands and upholds the law and performs the duties of citizenship; as a professional, the Emergency Medical Technician has the never-ending responsibilty to work with concerned citizens and other health care professionals in promoting a high standard of emergency medical care to all people.
The Emergency Medical Technician shall maintain professional competence and demonstrate concern for the competence of other members of the Emergency Medical Services health care team.
An Emergency Medical Technician assumes responsibility in defining and upholding standards of professional practice and education.
The Emergency Medical Technician assumes responsibility for individual professional actions and judgment, both in dependent and independent emergency functions, and knows and upholds the laws, which affect the practice of the Emergency Medical Technician.
An Emergency Medical Technician has the responsibility to be aware of and participate in matters of legislation affecting the Emergency Medical Service System.
The Emergency Medical Technician, or groups of Emergency Medical Technicians, who advertise professional service, do so in conformity with the dignity of the profession.
The Emergency Medical Technician has an obligation to protect the public by not delegating to a person less qualified, any service which requires the professional competence of an Emergency Medical Technician
The Emergency Medical Technician will work harmoniously with and sustain confidence in Emergency Medical Technician associates, the nurses, the physicians, and other members of the Emergency Medical Services health care team.
The Emergency Medical Technician refuses to participate in unethical procedures, and assumes the responsibility to expose incompetence or unethical conduct of others to the appropriate authority in a proper and professional manner.
Author: Written by, Charles Gillestie M.D. (1978)(copyrighted material used with permission)
Medical First Responder:See Above
EMT-Basic:Skills include: Those defined in the DOT training criteria. Hours of training: 194. Licensure requirements: Passage of both state written and practical examination.
License renewal requirements: 30credits ongoing education or DOT refresher course.
EMT-Specialist: Skills include: DOT standards, including endotracheal intubations. Hours of training: 85. Licensure requirements: Passage of state written and practical
EMT-Paramedic:Skills include: Those defined in the DOT 15-module training criteria. Hours of training: 550. Licensure requirements: Pass state written and practical examinations. License renewal requirements: 45 ongoing education hours or DOT refresher course.
Responsible Certification Agency:Department of Community Health
Physician involvement required at all levels:YES
Must pass National Registry exam for licensure:YES
Salary ranges:21,500 to 27,000 (Private Service)
State of Michigan's Population: Approximately9,200,000.
Percent of state population covered by 9-1-1:100%
States Employment and Economy Status:"Rebounding slowly"(2011)
MICHIGAN'S EMS STATISTICS
Personnel in the US:
567,221EMERGENCY MEDICAL TECHNICIANS
180,000THE APPROXIMATE NUMBER OF MEDICS WORKING FULL-TIME IN EMS
Operations in the US:
48,384CREDENTIALED EMS VEHICLES
EMS IN THE U.S.A.
Fee's Subject to change
Subject: Regarding Suspicious Activity directed against EMS and Fire agencies recently.
Suspicious Sector Activities and Countermeasures During the past two weeks, Emergency Services Sector (ESS) organizations experienced suspicious activities that were reported to proper authorities. Seven fire departments received anti-war/anti-government videotapes. Three departments described suspicious videotaping of their firehouses. Also, hackers attempted to access the secure computer files of a county Emergency Medical Services (EMS) agency.
The EMR-ISAC cautions that the preceding occurrences are only examples and not inclusive. In addition to the continuing threats against police officers, these events increase concerns that the ESS is one of America's critical infrastructures being targeted by domestic and transnational adversaries.
Considering the potential threat against ESS organizations, the EMR-ISAC provides the following ten reminders (i.e., countermeasures) to sector leaders, which were edited from Department of Homeland Security sources:
Alert all personnel to guard against individuals with apparently legitimate credentials and/or wearing recognizable uniforms to gain access to facilities and sensitive areas.
Avoid divulging information about organizational capabilities, plans, operations, and training to anyone who is not formally validated or vetted.
Provide adequate lighting for and maintain control over all entry and exit points.
Establish and enforce credentialing and badges of full-time, part-time, and volunteer personnel.
Inspect all parcels and packages immediately upon arrival that are delivered by the postal services, vendors, and visitors.
Require rigorous inspections, inventorying, and accounting of all sensitive or high-value materials, equipment, systems, and vehicles.
Failure to return your completed application within 60 days from the date of license expiration shall invalidate your application.
MICHIGAN UNIT IDENTIFIER & LEVEL OF CARE
ALPHA--Advanced Life Support Ambulance
BRAVO--Basic Life Support Ambulance
ECHO--Advanced Life Support Non-Transport Vehicle
HOTEL--Air Ambulance or Helicopter
LIMA--Limited Advanced Life Support Ambulance
MIKE--Limited Advanced Life Support Non-Transport Vehicle
ROMEO--Rescue, Extrication, or Medical First Responder Unit
Michigan’s Economy is in the worst state imaginable, unemployment has reached it’s highest levels in decades, in addition due to layoff’s, business closing all over the state, the auto industry which the State of Michigan’s economy has been built around which includes many part suppliers whose business have also suffered heavy layoffs and many closures has resulted in the number of Michigan resident holding job positions as described as “underemployed.”
Because of Michigan’s Economy, many families have moved out of State to seek employment. Many state residents have been forced into bankruptcy, and due to new federal guidelines implemented regarding changes in the Federal Bankruptcy laws, have limited the number of approved bankruptcies.
Gasoline prices in the State have ranged between $3.75 up to $4.45 per gallon; this is affecting a family’s ability to afford vacations. The States tourism has been down over the last three years. Governor Jennifer Granholm has laid off State employees representing almost every state agency. Several months ago she planned to lay off Michigan State Trooper’s, which was averted only by the State Police Union stepping in and appropriating funds to maintain the trooper’s positions. Then in a bizarre moved just over two months ago she limited patrol mileage per cruiser per shift in an attempt to save money in the latest fiasco by both her and a States full time Legislative and State Senators to balance Michigan’s Budget.
Then in early July 2007, Governor Granholm proposed lowering sentencing and jail time for convicted inmates and lowering the same for drug charges and many other criminal categories. With the economy poor the number of criminal acts has risen. On July 8, 2007, Grand Rapids Police Officer Robert “Koz” Kozminski was ambushed while answering a domestic disturbance call; Officer Kozminski was killed from a shotgun blast to the head. The man who killed the seven year veteran was arrested in Late June 2007, and was released on bail the next day and was awaiting a hearing on that domestic abuse call when he gunned down Kozminski after terrorizing his soon to bee ex-wife and his two teenage sons showing up at their residence armed with a shotgun.
In Early July 2007, two Paramedics were assaulted by a patient, responding police responded and trailed the suspect using a K-9, when found the suspect attacked and seriously injured the police K-9 and assaulted two police officers.
In December 2006 American Medical Response who had been operating on the east side of the state announced that they were closing operations leaving their Medics and Support Personnel unemployed as they ceased operation on December 31, 2006, citing Economic concerns and low collection rates.
In Michigan more than 80% percent of EMS Operations are privately owned the remaining is County or Fire operated EMS Services. EMT’s and Paramedics wages in the State of Michigan are based on Licensure Status, full time Emergency Medical Technicians earn an average $10.00 to $12.00 an hour. A Paramedic’s wage ranges from $12.00 to $15.00 an hour, and based on a forty hour work week is slightly above poverty income. In addition the number of EMT’s and Paramedic’s who have been assaulted continues to rise in Michigan. In January 2007, Two Medics were taken hostage on the east side of the State, after they were taken hostage at gun point when they responded to a call regarding a man with an injured leg.
Most police agencies in Michigan do not respond to medicals or unknown medicals unless the call can be identified as one that involves violence. If violence is involved
Than both first responders and EMS Units will stage a distance from the scene until police arrive and advise it’s secure to enter.
EMS Agencies through out the State have been forced to raise treatment and transportation rates due to increased operating expenses causing higher ambulance bills but collection rates are low due to the high unemployment rates residents do not have insurance, many cannot maintain the ability inability to pay for cobra health insurance, or are working jobs that do not provide insurance, or provide the lowest policies. In addition EMS Agencies have endured cuts in reimbursements from both the States Medicaid system and Medicare.
Unlike Emergency Services such as Police and Fire services provided by local government through taxes, EMS Agencies in Michigan receive no subsidies from the state cities, and townships. So when an ambulance staffed with Paramedics and EMT’s are needed because a loved one has suffered a heart attack, a seizure, or other medical problem and the patient is transported to an Emergency Room or Trauma Center a bill is sent by the Ambulance Services Billing department as is a bill by your local hospital for Emergency Room Services.
But the State of Michigan Legislature has made paying these bills more difficult; they enacted a “Driver Responsibity tax,” that ranges from $200.00 to $500.00 that is tacked onto certain civil and misdemeanor citations (tickets) that require payment or suspension of driving privileges this bill was signed by Governor Granholm.
In addition now some of Michigan’s cities are now charging for Police and Fire Services. (Please read above story.)
Many of Michigan’s most seasoned EMT’s and Paramedics are returning to school to obtain either nursing or physicians assistance degrees where they can support their families leaving the streets short of medics.
Michigan was once a State were EMT’s and Paramedics came to train and many ended up staying and working here. Now due to Michigan’s Economy students go out of state to obtain their training, and are finding better paying positions in other States.
Thanks to Michigan’s Democrats, Republicans, and Independents, American Medical response will not be the last EMS Service to close their doors.
MICHIGAN EMS DISPATCHERS-EMERGENCY MEDICAL TECHNICANS-PARAMEDICS-INSTRUCTOR COORDINATOR-FLIGHT NURSE-FLIGHT PARAMEDIC-EMS MANAGEMENT AND MEDICAL DIRECTOR POSITIONS AND EMPLOYMENT OPPORTUNITIES BOTH IN THE STATE OF MICHIGAN AND AROUND THE UNITED STATES.
This Page was Last Updated: November 6, 2013
Michigan’s Newborn Surrender Law
To help prevent the death of a newborn infant, abandoned without care and subject to possible death, Michigan law allows a way for the parents to surrender the child in a safe and legal way. The law passed in 2000 and was amended in 2006, which allows the birth parent or parents to anonymously surrender their newborn to an "Emergency Service Provider." Which includes EMT’s, EMT-Specialist, and Paramedics as well as Hospital E.R.’s, Med Centers, even a doctor’s office?
This also includes a Hospital, Police Department or a staffed Fire station, or to a paramedic or emergency medical technician working a shift in an Ambulance.
As long as the child is unharmed and no more than three days old, there will be no legal repercussions. The surrendering parents (s) are asked to offer as much medical history as possible to help in the child's future, which will be kept confidential.
Since this Michigan Law has been enacted, there have been 44 infants surrendered to emergency service providers in Michigan. The child is then placed with a licensed adoption agency with the goal of a permanent adoption into a loving home.
A 24/7 hotline at 1-866-733-7733 will explain the Safe Delivery procedure, or go to the Department of Human Services Web site: atNewborn Surrender Law
Woodland Michigan 04-23-2008 Lakewood Ambulance is out of business and will no longer service the five townships it covered.
A lot of factors went into the closing, from rising gas prices to small town politics. Now residents in Odessa, Woodland, Campbell, Sunfield, and Sebewa townships will have to wait twice as long for ambulance service. Life EMS, Portland and Mercy Ambulance and providing coverage to the 13,000 people in those townships, even though they don't have a contract.
According to the Lakewood Ambulance Director Jim Robertson, the company went out of business because the townships pulled funding. Robertson said 47 percent of the emergency calls went to Odessa Township, even though they haven't paid for service for 12 years.
Robertson said the other four townships were tired of carrying the financial charges of Odessa, so they stopped funding the ambulance service.
Odessa Township's clerk told 24 Hour News 8 they weren't happy with the quality of service. Robertson said that became a big problem.
"Odessa Township was holding out. When this happened, the other four townships said, 'Well, we have been carrying your wait financially for years and cannot any longer make up the difference.'" "Sunfield and Sebewa both have been working over the past four years with our fire chief to try to keep this thing going, especially because it's the cheapest solution for our area being it's pretty rural," said Sebewa Township Supervisor Jim Stank. Stank said most area ambulance services cost twice of what Lakewood charged.
Right now, all of the townships are looking at proposals from companies. Odessa Township leaders said they will propose a millage for that, and also said its first responders, like firefighters, will help fill any gaps in delayed ambulance service.
CHANGES IN MICHIGANS EMS LICENSURE
The 2008 changes in the way Emergency Medical Service Personnel are certified will make it harder and more expensive to train emergency responders and likely will deter people from entering the profession, metro Detroit fire chiefs say.
The National Registry of Emergency Medical Technicians in 2013 no longer will certify paramedics who graduate from unaccredited training programs. It's a move the Columbus, Ohio-based registry -- which certifies emergency medical service personnel nationwide -- says will improve the quality of emergency responders across the country.
Only two of the 42 EMS training programs in Michigan have the required accreditation -- those operated by Lansing Community College and Huron Valley Ambulance in Ann Arbor. Last month, Bloomfield Township became one of the first municipalities in the state to pass a resolution expressing concern over the proposed changes. Also in July, the Southeast Michigan Association of Fire Chiefs drafted a proposed resolution in opposition to the new education standards.
Fire chiefs fear that unaccredited programs -- most based at fire stations -- will close when the new rules take effect, leaving only longer and more expensive training programs. There are 29,000 emergency medical service personnel in the state. All must receive additional training every few years.
"There already is a shortage of EMS responders in Michigan," said Jon Hockman of Livonia, vice president of the Michigan Association of Emergency Medical Technicians. "Yet we're getting this rammed down our throats. ... These new standards would create an even larger shortage. That means higher risk to the public."
Michigan emergency medical service personnel must pass the same certification examinations as those attending programs accredited by the Texas-based Committee on Accreditation of Educational Programs for the EMS Professions. But proponents say paramedic accreditation is needed to create uniform minimum training requirements from state to state. They argue EMS training programs will adjust to the new standards and doubt the number of people training as emergency responders will drop significantly.
Furthermore, proponents of the changes point out that all other allied health professionals, such as doctors and nurses, have to go through accredited training programs to get certified. "All we're trying to do is produce credible paramedics across the nation," said Bill Brown, executive director of the National Registry of Emergency Medical Technicians, which proposed the changes based on recommendations in several federal reports. "We're saying, 'You've got to do this for the betterment of the people in your state.' "Am I going to say that we're going to save millions of lives because we're going to go through this more rigorous training? No. But this is a part of getting there. It creates a culture of excellence." Most states already use the organization's test to certify paramedics and emergency medical technicians.
Firehouse-based programs in Michigan are inspected and monitored by state EMS officials, but many would not meet national accreditation standards, fire officials say. For example, many of the unaccredited programs do not have extensive libraries or offer career counseling -- which are required for accreditation. Adding those features and going through the accreditation process could cost up to $30,000, fire officials say. The process includes periodic program inspections by out-of-state emergency response professionals. "We would need a library, counseling, on-site inspections," said Ron Spears, director of a popular EMS training program based at the Waterford Fire Department. "Our school would cease to operate. We have a very successful pass rate on the certification exam. Many fire departments send their people to us. It would just be a shame."
Lapeer County Michigan EMS Dumps Ford Ambulances
In June 2008, Lapeer EMS took possession of a demonstrator GMC Ambulance built by McCoy Miller a well known and respected Ambulance Manufacturer located in Indiana. Lapeer County Officials and EMS Manager site the lack of confidence in Ford Motor Companies Ambulances, which have been under scrutiny over frequent breakdowns and down times.
Ford is currently facing a class action lawsuit regarding the once former popular choice for ambulances by EMS Agencies. According to the Web site lawyersandsettlements.com, a class action lawsuit was filed February in Federal Court in Texas against Ford Motor Co. alleging the company's diesel-powered ambulances are defective. According to the Web site, fire departments and ambulance services across the country have been experiencing engine problems such as blown gaskets, radiator hoses, and sensors in Ford ambulances equipped with the six-liter diesel.
McCoy Miller has begun offering GMC Ambulances to EMS Agencies, and EMS is defiantly happy in having a choice. For decades Ford held the market in providing the Ambulance chassis. Like many other EMS Agencies Lapeer County EMS has been experiencing breakdown and high maintenance issue with its Ford Ambulance fleet and are excited with the newest addition to their fleet of the GMC McCoy Miller Built Ambulance.
Detroit’s Fire Department’s EMS Division in October was forced to purchase a rush order of nine new ambulances, and was expected to receive an additional seven for a total of 16 new EMS Ambulances. Detroit Fire/EMS was reacting to a series of complaints due to delayed responses.
Detroit/Fire EMS Medics were frustrated with frequent breakdown of Ford built ambulances often enroute to calls and EMS management officials stated that their ambulance were in the garage for service then they were on the street.
EMS Ambulance dealers and Manufacturers confirms over the past year, they have a large number of inquiries regarding the availability of GMC chassis’s over the ford models. Lapeer County’s EMS Director say's they are excited about the new unit which is now on the street. If it performs as well as they anticipate he see’s the eventually of phasing out their current fleet Ford ambulances over the next several years.
House Bill 4518
House Bill 4518, sponsored by State Representative Paul Gieleghem (D-Clinton Township), will require that emergency response vehicles be equipped with epinephrine and that emergency medical personnel be appropriately trained to administer the medicine. Epinephrine is the only treatment for the life-threatening allergic reactions some people have to certain insect bites, foods, substances, or medications. Under current law, not all medical personnel who respond to a 911 call may be authorized to administer epinephrine, and only advanced life support services carry it in their medicine kits.
Denial of License
Michigan now requires taking the National Registry Exam, the Denial policies are as follows:
Verify a Medical First Responder, EMT, EMT-S EMT-Paramedic, EMT Instructor-Coordinator-Nurse Doctor Etc:
Settlement in Fatal Upper Michigan Ambulance Accident Reached
Read Archived Original Story & Updates
Jackson Man Pleads No Contest in EMT's Death
Ann Arbor MI 07-06-2009 Washtenaw County Circuit Judge Archie Brown sentenced Forty-seven-year-old Charles Baconon July 1, 2009. Bacon was sentenced to one year in jail, under the plea agreement, Bacon plead no contest to charges that includied failure to use due care and caution while passing a stationary emergency vehicle, causing death.
Twenty-three-year-old Emergency Medical Technician (EMT) Cheryl Kiefer of Brooklyn Michigan, was killed on January 26, 2008, while she was assisting a motorist whose car spun off Interstate 94 in Washtenaw County, when Bacon struck and killed EMT Cheryl Kiefer.
Michigan's Electronic Run Filing's Raises Concerns & EMS Cost
Many West Michigan Emergency Medical Services Agencies including and fire departments who provide First Response and Transport have yet to comply with a new requirement that they report their patient contacts to Lansing via computer, allowing the state to track hundreds of emergency-related items. The states’ new requirement is costing Providers the set-up fee as well as the staff, and raising very serious concerns regarding patient privacy.
As of the middle of August 2009, 33 of 36 Emergency Medical Services Companies as well as all Fire Departments mandated as “First Responders,” throughout Kent County alone have been set up with the software and equipment needed to meet the State of Michigan’s requirement to submit electronic “run forms” and according to the Grand Rapids Press report, approximately only 70 percent were sending the mandated data to the state’s EMS Office. Reportedly submission rate’s are even lower in Ottawa County, where 21 of 24 agencies were set up but only 64 percent were reporting.
Michigan’s State EMS officials hope that within 18 months, all agencies will be reporting data. Robin Shivley, the State's EMS and Trauma Systems Section Manager claims that the data will provide a better picture of pre-hospital care, and allow both the state and local agencies to focus their education and resources on what is needed most. Paramedics have long been required to fill out EMS Run Forms that detail patient treatment provided. EMS Run Forms are filled out by EMT’s and Paramedics for all EMS runs and Patient contact.
Prior to the new mandated State Electronic Filing program, EMS Personnel filled out EMS Run Forms by hand, which would then be signed by the Emergency Room Physician, and the multiple copies would be distributed i.e. copy states with patients hospital’s medical chart, agency copy, local medical control authority copy and a copy for the State.On the positive side: legibility and a standardized reporting format for emergency rooms, along with easy access to records. The negative: the expense to local departments for laptop computers and software, and the time added to each ambulance call and fire department first response.
Some services, such as West Michigan's Life EMS, are withholding data from the state until issues regarding patient confidentiality are resolved. Shivley, who says she is confident the state can keep the records private, is awaiting a legal decision to counter the concerns, which also have been raised by the Michigan Association of Ambulance Services. Shivley states she feels confident that safety measures are in place. Michigan Department of EMS provided free software to EMS Providers and First Responders. Life EMS has chosen to purchase a program that its trials found to be more user-friendly. Between the grant monies as well as Life’s costs, of more than $250,000 has been spent thus far for laptops, software, and wireless modems for the Companies 50 trucks throughout its eight-county service area.
Brent Walker, Life EMS Director of Health and Safety states that Michigan’s Filing Mandate is unfunded, yet that Life EMS is embracing it by looking for how we can leverage this and gain some basic efficiency by going electronic."
Another local ambulance service, American Medical Response, has told its medics to keep filling out the old run forms by hand at the hospital, according to General Manager Dale Feldhauser. Then they fill in a makeshift form, which is uploaded to the state, fulfilling the obligation to the hospital and state in two steps rather than one. It's only a temporary measure, says Feldhauser. AMR is waiting to switch to electronic forms until its proprietary software is upgraded to integrate billing, so paramedics will only have to fill out one document.
The new requirement also is affecting first response agencies. Grand Rapids Fire Lt. Mary Johnson said her department is not yet reporting to the state, in part because of the financial burden. She estimates software costs at $3,500. The new requirement also is time-consuming for fire crews, who already must fill out reports for the national agency that collects fire data. The department responded to 1,003 medical calls in July, according to Johnson. The Cutlerville Fire Department had 295 medical calls in the past 90 days and reported all the data to the state. Cutlerville is a mixed department, with just three full-time firefighters and 15 paid on-call. "It's a huge cost," said Chief Russ Jansen, "not only in time but in software."
Some are happy with the results. Todd Chassee, an emergency room physician at Spectrum Health Butterworth Hospital, said the old handwritten forms were difficult to read. There can be a delay in getting electronic forms, he said, but they usually arrive an hour or two after the patient. He said paper forms weren't always left immediately. "This definitely offers an improvement over the old system, but it's not perfect," he said.
Results of the above Poll are being sent to the Michigan Legislature
Michigan Based EMS Agencies and Helicopter Programs
U of M Survival Flight
USCG TRAVERSE CITY
ALLIED EMS CROSSES MACKINAW BRIDGE
West MI--American Medical Response.
NORTHFLIGHT Medical Helicopter Traverse City, MI
DETROIT FIRE EMS MI
GRAND RAPIDS MI LIFE-EMS
LAPEER MI EMS
ALLIED EMS BASED IN Both Northern Michigan & the U.P.
02-12-2011 58 y/o Emergency Medical Technician Mike Kotulak along with his partner stopped to aid a stranded motorist, early Saturday morning, February 12, 2011 on the Lodge Freeway near Outer Drive.
When a gray, or silver minivan struck EMT Kotulak and throwing the medic into the freeway.
EMT Kotulak who is listed in serious condition, but is expected to recover from his injuries suffered two broken legs, 6 fractured ribs and injures to his hand when he was struck. Kotulak partner is credited with saving his partner he entered the freeway at great risk, getting both his partner out of further danger as well as treating him on scene.
Both medics work for Community EMS, located Southfield, MI.
The Driver who struck the Medic appeared to stop, then drove off, Police are looking for a gray to silver minivan with front end damage.
The Michigan State Police have joined the DPD in the hunt for the woman. Police are asking anyone with knowledge of the hit and run driver or helpful information to call the Michigan State Police at (313) 456-6600 or the Detroit Police.
Michigan EMT Struck Seriously Injured by Hit and Run Driver
Submit a picture of one of your agencies Ambulance either from Michigan or any other State.Click the e-mail tab below
Grand Rapids, MI AERO-MED
Mason County/Life EMS (contracted)
Rockford MI EMS
Fee's Updated on this page as of: 10/2011
Should EMS Carry Weapons?
Not Sure(31) 4%
794 total votes since 01/01/12
Poll ended: 01/01/12
City of Taylor Michigan eliminates Fire Based EMS Operations leading to the layoffs of 17 Firefighters
February 2012 The city of Taylor Michigan has notified both the State of Michigan EMS Section and the Taylor-based Healthlink EMS a private EMS provider that it has ceased it's Fire-based Ambulance service. The move follows the cities latest steps to shave its budgets woes. As a result of the stoppage of the cities long history of it Fire/EMS operation.
The layoffs have reduced the fire department to 24 firefighters. The City states this will save the city an estimated $2 million dollars per year. Union officials have indicated that they will attempt to negotiate with the city to try to bring back some of the laid off firefighters. In the meantime the Taylor Fire Department will respond to medicals in its new role as "Medical First Responders."
Grand Haven MI NOCH EMS
Michigan EMS Memorial Service set to hold it's First Annual Michigan EMS Memorial Service
Held June 28th, 29th, and 30th, 2013, at the Gratiot County Fairgrounds
The three days included CE's, EMS displays, vendors, food sales, beer tent, LZ training, courtesy of U of M Survival Flight, a massive motorcycle rally, a raffle for a new 2013 custom Harley Davidson Hard Tail (In memory of EMT Cheryl Kiefer...her 1st cousin is the one who built the bike.), and their will be family fun and some live bands and a DJ.
More information and event pictures and details can be found at Michigan EMS Memorial Website by clicking here
Information provided by: Eric D. Liddy Sr. AEMT, FF-I.C.