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North Dakota rural EMS report: How do we compare to the national average?

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North Dakota rural EMS report: How do we compare to the national average?


The North Dakota Emergency Medical Companies Affiliation is devoted to enhancing group well being and security, and over the previous three years, they’ve been doing so because of the facility of knowledge.

The Middle for Rural Well being on the College of North Dakota was awarded a grant in 2018 to take part in an illustration undertaking for 120 EMS businesses throughout North Dakota to see how they carried out throughout 911 calls in comparison with the nationwide common.

The aim of this undertaking was for Emergency Service businesses in North Dakota to find out which practices will assist enhance constructive affected person outcomes.

“The issue that we had been attempting to unravel with this undertaking is rural EMS faces challenges which are completely different from EMS that operates in city settings. And there was no particular set of efficiency measures to say whether or not or not we’re offering one of the best care,” mentioned Remle Crowe, director of the clinic and operational analysis for ESO.

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Though some components of North Dakota are thought-about “city,” many metro EMS businesses should report back to rural areas all through the state.

Which means response occasions and performances will be very completely different in rural areas than in city ones.

PJ Ringdahl, regional director for North Dakota’s Emergency Medical Companies Affiliation, says that response occasions are not an important issue when responding to an emergency.

“The demographic right here is everywhere. Quite a lot of these companies have decrease name quantity however they’re nonetheless performing the excessive technical expertise as anyone else is in EMS. However they’re simply on their very own. They is perhaps an hour or extra away from one other supplier. So having this data to assist them enhance what they’re doing on the market, and getting them the instruments that they want, is basically essential. Particularly in these tremendous rural areas,” mentioned Ringdahl.

In accordance to the report from ESO, North Dakota is above the nationwide common in ache administration and ache intervention.

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Because of this sufferers who had a ache degree of 5 or greater earlier than EMS arrived reported that their ache degree lowered as soon as EMS handled them.

Nevertheless, when coping with sufferers affected by strokes, North Dakota is beneath the nationwide common.

However fortunately with this information, Crowe says the EMS businesses can concentrate on coaching and reevaluating protocols for stroke victims and enhance.

“We in all probability don’t see a affected person with a stroke each single day; that’s a uncommon occasion. So how can we guarantee that when that uncommon occasion occurs, we’re ready and bear in mind to doc the issues that we have to?” mentioned Crowe.

Because of this report, Crowe says she has seen improved relationships between EMS businesses and hospitals.

And now, tales will be given to the group primarily based on info and numbers, and, after all, higher outcomes for the sufferers.

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North Dakota EMS responded to just about 110,000 calls in 2021.



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North Dakota

Careful cleanup continues on Foster County train derailment

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Careful cleanup continues on Foster County train derailment


BORDULAC, N.D. — An early morning train derailment on the east edge of Bordulac on Friday, July 5, led to 29 cars leaving the tracks and igniting a large fire at the site.

At approximately 3:53 a.m. Friday, first responders from Carrington Fire and Rescue and CHI Carrington EMS were dispatched to Second Street Southeast and 75th Avenue Southeast for a hazardous materials incident near Lake George just outside Bordulac.

Ten to 15 cars were reported to have caught on fire, with an estimate of 25 to 30 cars leaving the tracks upon initial inspection. The train was traveling east through Bordulac when the derailment occurred.

No injuries were reported from the accident, though EMS was on scene to provide backup for any fire or hazmat team personnel working to extinguish the fire and clean up and clear the site.

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Heavy rains that came through the Carrington area the previous day may have been the culprit for the derailment. At the site of the incident, a culvert partially washed out, compromising the railroad bed. Though much of the estimated 145-car train passed through Bordulac without issues, the tail end of the train derailed.

County Road 1613, locally known as the Bordulac Highway, was closed to traffic, along with portions of Highway 200, during the early morning hours of July 5 as county and state officials worked to keep persons away from the area. The town of Bordulac was under mandatory evacuation, as well as one rural residence approximately 1/2 mile from the scene.

The fire burned for the remainder of the morning and much of the afternoon, continuing into Saturday and Sunday while CF&R worked around the clock to contain it.

According to Stutsman County Emergency Manager Andrew Kirking, working as Foster County’s interim emergency manager, primary goals set forth at an incident command meeting the afternoon of the derailment were threefold: to preserve the lives and safety of residents and responders, stabilize the incident and minimize environmental impact.

Along with extinguishing and cooling the rail cars, tactical objectives included removing as much material as possible from the cars and preparing the site for heavy equipment to remove them.

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Kirking said that since the area is wet, boggy and marshy, timbers were used to stabilize the scene for responders to better combat the blaze and engage in cleanup operations.

“We just needed to get our ducks in a row before we attack it,” Kirking said that morning.

He reported at the initial meeting later on Friday that two pumping trailers doused the derailed cars “with success.”

“Quenching the fires has had an effect on the plume, slightly lightening its color from black to gray,” said Kirking, noting the smoke color change meant fewer materials actively burning and more steam released into the air. As a result, he said, the plume lost upward development, and air, soil and water monitoring continues with no life safety risks.

At 4 p.m. on Friday, NDResponse issued a Temporary Flight Restriction for one nautical mile surrounding the derailment site and 1,000 feet above the site and below. Operation of all aircraft, including drones, was prohibited with the exception of emergency services-approved aircraft effective for 48 hours, until 4 p.m. Sunday, July 7.

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Smoke billows from the site of a train derailment near Bordulac, North Dakota, on Friday morning, July 5.

Erik Gjovik / Foster County Independent

According to the National Transportation Safety Board, which arrived on scene Saturday, the contents of the derailed cars involved methanol, anhydrous ammonia and plastic pellets. Kirking said the burning pellets contributed to the black smoke early in the crash. NTSB has been at the site, along with officials from the Federal Railroad Administration.

Saturday morning updates revealed that firefighting operations throughout the night and morning were incredibly successful, according to Kirking, and much of the fire had been extinguished by that time, with occasional flare-ups. Later that evening, recovery efforts for the rail cars began.

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Because the cars still have products inside them, Kirking said that each unit must be individually evaluated, relocated and emptied of as much material as possible before final removal can occur.

“The situation is being closely monitored by environmental specialists to ensure as little product as possible is lost,” he said.

Canadian Pacific Kansas City Railway has developed an in-depth and procedural recovery plan, and local responders have been briefed on the plan’s specifics and were still on-site as of Sunday afternoon and beyond for anything that may arise.

He reassured residents on Saturday that readings from the North Dakota Department of Environmental Quality regarding air contamination in the area were effectively near zero, and that remote monitoring downwind also showed no contamination.

On Sunday, however, Kirking said air monitors detected low levels of anhydrous ammonia after one rail car began venting during removal from the site. For precautionary purposes, Bordulac-area residents were subject to a shelter-in-place notice, which has since been lifted.

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Kirking concluded, “I would like to commend the efforts of responders, state and federal partners, the selfless aid of mutual aid partners, and the community commitment of Canadian Pacific Kansas City Railway for their prompt and proportional response.”

Bordulac is a town of 18 people about 40 miles north of Jamestown.





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Check out North Dakota’s Pregnancy and Parenting portal.

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Check out North Dakota’s Pregnancy and Parenting portal.


Concerned Women for America (CWA) of North Dakota wants you to know about the state’s online portal resource for expectant mothers and families. CWA of North Dakota leaders and pro-life legislators worked together in the last legislative session to see the North Dakota Health and Human Services develop the life.nd.gov website, which links users to the “Welcome to North Dakota’s Pregnancy and Parenting” portal.

CWA’s CEO and President, Penny Nance, has been encouraging the creation of an online portal at the federal and state level to help mothers and families in need find the resources of pregnancy help centers, adoption services, and other available pregnancy and parenting services. With our state’s  life.nd.gov website, North Dakota provides compassionate care and life-giving support to assist mothers and their babies, and resources are available to them.

To help spread the word about the website, North Dakota Health and Human Services developed a postcard, “Life ND Helps New Parents Take Their First Steps.”

Let’s join them in spreading the word; forward this message to your friends and family today!

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US: Fire following train derailment largely extinguished in North Dakota – www.lokmattimes.com

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US: Fire following train derailment largely extinguished in North Dakota – www.lokmattimes.com


Los Angeles, July 7 The flames from railcars carrying hazardous material have been mostly extinguished one day after a train derailed in the midwestern US state of North Dakota, local media reported.

Foster County Emergency Manager Andrew Kirking was quoted by KFYR Television station on Saturday as saying that firefighters carried out operations from Friday night to Saturday morning at the site of the train derailment near Carrington County, east of Foster County.

Most of the fire has been extinguished, with only occasional flare-ups as railcars were moved, the report said.

Contents of the derailed cars included methanol, anhydrous ammonia and plastic pellets, and air monitoring has consistently shown zero-per cent air contamination in the area, reports Xinhua news agency, citing Kirking.

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According to the North Dakota Department of Emergency Services, the train carrying hazardous materials derailed and caught fire early Friday morning with no injuries reported.

Disclaimer: This post has been auto-published from an agency feed without any modifications to the text and has not been reviewed by an editor

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