I’m sure you’ve seen the recent news of unrest in Pakistan. As things were coming to a head, I was part of a team that was conducting the inaugural ATLS program in Karachi, Pakistan. As the president of Pakistan was declaring a state of emergency and suspending the constitution, the last of us were on our way home. Hopefully, things will settle down quickly, and organizers will be able to continue their plan, which includes PHTLS for prehospital providers and training for nurses as well. We were working at the College of Physicians and Surgeons Pakistan, which is a secure facility in Karachi that provides training and testing for doctors in Pakistan and several other countries. The facility has classrooms, libraries and e-learning facilities, as well as living quarters for faculty and students. With all that was going on while we were there, we felt quite safe in these facilities and the attention of our hosts. The program in Karachi may sound like an example of a rare occurrence — representatives from various countries coming together to improve prehospital care in developing countries. However, it’s just a personal and recent example of international cooperation that takes place all over the world. On any given day, it’s likely that U.S. paramedics, physicians and nurses are working with our brothers and sisters in established and developing countries.Back at home, I’m happy to have been a part of this and feel strongly that this type of cooperation — especially when it’s not easy — will save lives in many ways. First, the training will give the country’s medical personnel a chance to use their skills and passion to give the best possible care. Second, these types of international cooperatives teach all of us about one another and the benefits of sharing knowledge of science and culture — bridging gaps, and finding common missions and passions. Although the attention to trauma in much of Europe and the Americas has resulted in a reduction in deaths due to trauma, in this part of the world death due to trauma is on the rise. In his address to the media during a recognition of the inaugural ATLS program, Professor Zafarullah Chaudhry, the president of the college, described the country’s recent history of earthquakes, road traffic injuries and other examples of trauma that require an organized approach. He continued that countless lives could have been saved with the training that 16 Pakistani doctors went through during the week. The course is the beginning, and trauma systems planning and prehospital education are the keys to the overall plan for Pakistan. Given the diverse populations — including congested urban settings and sparsely populated rural areas — getting EMS organized in Pakistan is a huge undertaking. In the vicinity of Lahore, a system similar to 9-1-1, called 1122, was recently inaugurated. Results of implementing the 1122 system have been encouraging, and Pakistani officials hope to expand further as they learn. An international team consisted of Dr. Christoph Kaufmann (ATLS International Coordinator) from Portland, Ore.; Dr. John Kortbeek (ATLS Chair) from Calgary, Canada; Dr. Jameel Ali from Toronto, Canada; and Dr. Subash Gautam from United Arab Emirates. It also included Prof. Zafarullah Chaudhry, Prof. Mahmood Ayyaz and Prof. Irshad Waheed — Pakistani physicians trained in the U.S., — and Dr. Mohammad Farooq Afzal and Dr. Kamran Khalid Khawaja — Pakistani physicians trained in Saudi Arabia. What we found when we arrived was a dedicated staff; the doctors and nurses we worked with were committed to working toward improving opportunities for improved trauma outcomes and to participate in the international community that focuses on improving those outcomes.
LOS ANGELES — Los Angeles Fire Chief Brian Cummings turned the tables on City Council members Tuesday, blaming response time delays on budget cuts approved by lawmakers. “You gave us a budget,” Cummings said during a nearly two-hour hearing at City Hall. “We’re giving you the most effective fire department that we can within that budget.” Read More: The council cut the LAFD’s annual budget by $88 million.
Image: Pacific NorthWest LNG The leadership of Fort Nelson First Nation, Prophet River First Nation and West Moberly First Nations said they are astounded by the province of British Columbia’s deal with Petronas, for the company’s proposed Pacific NorthWest LNG development on the West Coast.“In yet another example of the province ignoring First Nations’ constitutionally-protected rights, at no point were the Treaty 8 First Nations consulted on the project development agreement or the long-term royalty agreement,” the First Nations said in a joint statement.The agreements are intended to secure a positive final investment decision on the Pacific NorthWest LNG export facility.If that facility is built, it will cause significant and irreparable harm to the ability of Treaty 8 First Nations to practice their Treaty rights, the statement said.The trillions of cubic feet of natural gas used to supply Pacific NorthWest LNG will be extracted by Progress Energy Canada from the Montney gas play in northeast BC and Treaty 8 Territory. That area is already suffering extreme and unsustainable cumulative impacts from existing oil-and-gas and other industrial development, stands in the statement.“To feed the Pacific NorthWest LNG facility, Progress Energy will need to drill thousands of new wells and install huge amounts of infrastructure, including roads, pipelines, and gas plants. Those activities will have serious adverse impacts on our lands, waters, animals, and other resources. They will compromise our territory and treaty rights for generations,” Treaty 8 First Nations said.They claim the government of British Columbia has never consulted Treaty 8 First Nations about the potential impacts such an LNG project and the related upstream development could have on their rights under Treaty No. 8.The BC government has not been transparent about the nature, degree, scope, and duration of the impacts from extraction activities in Treaty 8 territory throughout the life cycle of the proposed project, according to the statement.These Treaty 8 nations are not opposed to sustainable and responsible natural resource development but stress that they have to be fully informed and involved in the decisions that will determine the future of their territory.First Nations claim the Government cannot put oil and gas companies before treaty rights and traditional way of life.“British Columbia must meaningfully consult and accommodate these Treaty 8 First Nations on such important decisions and all other aspects of this proposed project that could impact our rights,” they said.First Nations concluded that the focus cannot be placed only on the plant site ignoring the upstream developments. Failure to meaningfully consult Treaty 8 First Nations will only lead to more uncertainty in northeast BC.
FacebookTwitterEmailPrintFriendly分享Senate Seat District O primary-election results have left the Kenai Peninsula on the edge of their seats, and yesterday’s results from the Division of Elections was no different. The DOE released the updated totals for absentee and questioned ballots from last weeks primary election. On Tuesday, August 21, at the end of the primary election night Gillham had a slim 12 vote lead. Senate Majority Leader Peter Micciche now leads challenger Ron Gillham in the Republican primary for Senate Seat District O. Preliminary reports show Micciche leads Gillham by 72 votes. Gillham: “Kind of a shock to see how much that turned, but I’m not giving up yet until the election is actually certified.” Senator Micciche: “We are still keeping the champagne corked until the final count, and there will be some additional votes trickling in. From the beginning I’ve been kind of slow to publicly talk about this, because it’s not over until it’s over.” According to Gillham members of the community have requested that he move forward with a write-in campaign if the results stay the same when they are certified this weekend: “I’m being inundated with people wanting me to do a write-in, and that is something that has crossed my mind. I will make that decision once the certification is in.” Absentee ballots could continue to trickle in until Friday when the state Division of Elections will release the certified totals.