Relevant Topics

Definitions / Classifications of Emergency Response Personnel

There was some confusion over the classifications and definitions of who can do what when responders arrive at the scene of an emergency. This information is provided below.

The First level of Certification (can perform limited emergency medical treatment):

Medical First Responder (MFR)

Requires A State License:

Any individual who is employed as a medical first responder (MFR) must be licensed with the Michigan Department of Community Health-Emergency Services (EMS) Section

Requires 60 hours of training minimum

The MFR/EMR provides immediate lifesaving care to patients who have accessed the EMS system. The MFR/EMR is usually the first on the scene and will wait for a higher-level EMS practitioner to arrive and takeover care. The MFR/EMR takes patient vital signs; utilizes basic airway, ventilation, and oxygen therapy devices; and provides stabilization of the spine and suspected extremity injuries. The MFR/EMR is also trained in eye irrigation, bleeding control, emergency movies, CPR, automated external defibrillation, and emergency childbirth care.

 

The Second level of Certification (can perform basic life support (BLS) medical treatment):

Emergency Medical Technician (EMT)

Requires A State License:

Any individual who is employed as an emergency medical technician (EMT) to provide basic life support must be licensed with the Michigan Department of Community Health-Emergency Services (EMS) Section

Requires 226 hours of training minimum

The EMT provides basic emergency medical care and transportation to patients who access the EMS system. The interventions provided by the EMT include those performed by the EMR but with basic equipment found on an ambulance (EMT is commonly the lowest level of certification allowed to work on an ambulance). The EMT utilizes pulse oximetry, advanced oxygen therapy and ventilation equipment, automatic blood pressure monitoring equipment, and limited medication administration.

 

The Third level of Certification (can perform limited advanced life support (ALS) emergency medical treatment)

Specialist/AEM (AEMT)

Requires A State License:

Any individual who is employed as a Specialist/Advanced Emergency Medical Technician (AEMT) to provide limited advanced life support must be licensed with the Department of Community Health-Emergency Services (EMS) Section

Requires 358 of hours training minimum

The AEMT provides all the skills of the EMT with the addition of the use of advanced airway devices, monitoring of blood glucose levels, initiation of intravenous and intraosseous infusions, and administration of a select number of medications. The AEMT provides limited advanced emergency medical care and transportation of patients in the pre-hospital environment.

 

The Fourth level of Certification (can perform advanced life support (ALS) emergency medical treatment)

Paramedic

Requires A State License:

Any individual who is employed as a Paramedic to provide advanced life support must be licensed with the Department of Community Health-Emergency Services (EMS) Section

Requires 1,250 hours of training minimum

The scope of practice of a Paramedic includes the skills performed by the EMT and AEMT with the addition of more  advanced assessment and patient management skills. The Paramedic is the highest level of EMS practitioner. Paramedics perform advanced assessments, form a field impression, and provide invasive and drug interventions as well as transport the patient. Their care is designed to reduce disability and death of patients who access the EMS system.

Note: All EMS training has to be done through a National Registry of Emergency Medical Technicians (NREMT) recognized agency.

 

What is required to be licensed and approved (State & County certification required) to become an ALS provider service?

It requires that each EMS unit be equipped with a specified stock of drugs and medical equipment (heart monitor, defibrillator, etc.) and staffed with a minimum of one paramedic and one EMT. One certified vehicle is required and it must be available 24/7/365. It could be an ambulance or fire truck or a police car. But it has to have the certified people, equipment, and medicines.

 

What is required to be licensed and approved to become an ALS Transport provider service?

It requires that the department have a certified and licensed ALS EMS service (above) AND an immediately adjacent community also having a licensed and certified ALS service to back them up while they are transporting.

OR

the department having a sufficient number of operational ALS EMS staffed units in service to provide sufficient back up capabilities. Typically 4 or more.**

**Note: Tri-Hospital Emergency Medical Services currently has 11 certified and licensed ALS EMS transport units in service. They provide the ALS Transport services for Clay Township [Clay never had this license]. Algonac is MFR, Ira is BLS, Marine City is MFR, East China is MFR, St. Clair and other area communities are mostly MFR. All significantly less than CTFD! All rely on Tri-Hospital for ALS coverage.

 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Learn about Great Lakes water levels from one of the region’s leading experts!

Dr. Andrew Gronewold, Ph.D., P.E., Physical Scientist, National Oceanic and Atmospheric Administration (NOAA) – Great Lakes Environmental Research Laboratory, and Adjunct Professor, University of Michigan will discuss:

• How water levels are measured
• Historic and current conditions & trends
• Future predictions (forecasts)
• Water budgets (precipitation, evaporation, surface flow, etc.)
• Lake-to-lake differences
• Relative contributions of natural phenomena (e.g., ice cover) and human activities (e.g., control structures, diversions, dredging)

The presentation & discussion occurred online via a FREE “webinar” on Wednesday, August 22, 2018.

A brief Q&A document was also included since they ran out of time to answer questions.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Island challenges require Island solutions. Read on to find out how HISCFA Director and Treasurer Harold Stieber is representing Island residents with the Great Lakes Islands Coalition to come up with Island solutions.

The Great Lakes contain the largest, most diverse collection of freshwater islands in the world. Of the 32,000 islands in the Great Lakes, nearly twenty continue to host communities of people, typically a mix of year-round residents, seasonal  transplants, and transient visitors. With no permanent connection to the mainland, they are literally defined and shaped by water. They are the quintessential “Great Lakes coastal community.”

While present-day island communities are uniquely distinct from one another in character, traditions, and personality, they share in common a number of complex, inter-related challenges. These include access to services and quality education, supporting a diversified economy, and managing natural, cultural, and historical resources across public and private boundaries. Underlying these challenges is the fact that island demographics are changing at great speed and
dimension (size, age, seasonality, ownership, economic status, etc.). For these small and remote places, the relative impact of a rapidly changing society can be enormous.

Further, awareness and understanding of “island life” is limited among many mainland decision-makers, such as governments, private organizations, and the general public. In a world driven by information, there are few, if any, programs or data sets specific to most Great Lakes islands – either individually or as a collective – by which to accurately inform management decisions and drive strategic actions related to social, economic, environmental, and other challenges.

Luckily, these challenges are hurdles, not unmovable barriers. In fact, some island communities have already independently developed their own “island solutions to island challenges.” Interestingly, island communities are finding they often have more in common with one another than to their adjacent mainland. Thus, there is great value in islanders learning from other islanders about best practices that work, as well as those that don’t.

Major impediments to more systematically implementing more solutions on more islands are a lack of capacity and limited access to information. To help address these needs, a new collaboration – the “Great Lakes Islands Coalition” – is forming between multiple island communities with support from off-island partner organizations. Currently under development, it will be built off existing models of island collaboration in places elsewhere but will be tailored to meet the unique needs of the Great Lakes region.

A Coalition will foster broader island-to-island coordination and dialogue, including regular sharing of tools and ideas. Participating islands will benefit from access to timely and accurate information, technical experts and decision-makers.  Ultimately, any implementation would occur on individual islands at their own discretion and pace. By coming together, island voices would be elevated and amplified, resulting in greater awareness and understanding on the mainland.

Great Lakes islands are uniquely poised to turn their challenges into opportunities. This past September, representatives from Harsen’s Island were asked to represent our island in the inaugural Islands Summit titled “Laying the Foundation for a Great Lakes Island Coalition”. It was organized by a little known, independent State of Michigan department, the Office of the Great Lakes, which works to protect and restore our state’s waters. It reports directly to the governor and, for budget purposes only, shows up under the Michigan Department of Environmental Quality.

In attendance were 72 participants from 11 Great Lakes islands including islands from Michigan, Ohio, Wisconsin and Canada. The meeting was held at the Central Michigan University Biological Station on Beaver Island in Lake Michigan where attendees overwhelmingly supported the solidification of the foundation of the Great Lakes Island Coalition that was established here. The overall sentiment was a renewed conviction that we can accomplish things as a group that we can’t do individually. Subsequent topical meetings will be held throughout the coming year on a webinar basis coordinated by the OGL so that groups with interest in a particular topic would be able to participate without involving groups to which the topic is not relevant.

An annual gathering of all island groups is being planned for this same time in 2018 on Madeline Island, WI.

 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 

ATTENTION ALL ISLANDERS!!!! Effective Monday July 14th, 2014, the North Channel water station will require an electronic access card to gain entry to the inside of the station. This does not effect the outside taps. If you require access to inside the station and do not have your card yet, please contact Barbara Crown at 810-278-5736 to obtain information about getting one.

 

copy-th1.jpg

 

 

 

 

Clay Township Master Plan Public Meeting


The following links are provided for your information prior to the
Master Plan public meeting at a regularly scheduled Planning Commission
Meeting on September 12, 2012 at 7:30PM

The document can be viewed in its entirety on the Clay Township website.
Below for your review is an earlier draft.