The Hartford Circus Fire and Aetna Ambulance: Volume 2

Hartford Circus Fire 1944

by Sam Porcello

Read Volume 1 here…

In Hartford, there was just one private ambulance company at the time, Maple Hill, provided through the Talarski Funeral Home.  (Many funeral homes including Ahern on Farmington Avenue provided ambulance services in the early 1900s, since hearses were large enough for people to lay down in). Penicillin was newly available, and approximately 85% of the world’s supply was being used in the war to treat infections, including pilots’ burns.

There were several factors that contributed to the Hartford Circus Fire.  Small circus fires were actually pretty common in 1944, because more than 41% of Americans smoked.  Safety codes at the time applied mostly to buildings.  Since tents were “just” temporary structures, they did not generate a lot of attention.  Requirements for detailed safety inspections, exit widths and having fire equipment onsite did not exist for outdoor events.  With resources depleted from the war, manpower was scarce, so there were fewer Ringling employees watching inside the tent for fires.

The tent itself was waterproofed with a highly flammable mixture of paraffin and 6,000 gallons of gasoline, which accelerated the spread of the fire.  From the time the fire started until the tent was completely burned away, a total of 10 minutes elapsed.   A total of 168 people died, and another 484 were injured….(more to come, check back for future volumes).

Colorado Article on Mercedes Sprinter Ambulances References ASM

Insider_072512_ChipBailey_350FORT COLLINS, CO. — The Ambulance Service of Manchester was referenced in an industry article about the University of Colorado Health System’s decision to purchase Mercedes Sprinter ambulances for their fleet. The excerpt appears below and read the original article here…

“…It didn’t take long to learn that the Mercedes model was making major inroads into the American ambulance industry. Numerous U.S. ambulance services had begun using the model, including Acadian Ambulance, the nation’s largest privately held medical transportation company, and the Ambulance Service of Manchester, which serves the Hartford and Manchester region in Connecticut. The service has 48 ambulances, 33 of which are Mercedes built by American Emergency Vehicle, the manufacturer of the UCHealth ambulance.

“We couldn’t be happier with our Mercedes ambulances,” reports Wayne Wright, president and CEO of Ambulance Service of Manchester. “We’re happy in every respect. They handle well. Patients and our employees like them.”

The Hartford Circus Fire and Aetna Ambulance: Volume 1

Hartford Circus Fire - Aetna Ambulance Serviceby Sam Porcello

For the past three years, I have participated in National History Day, a nationwide historical research competition for middle and high school students.  The theme for 2013 is “Turning Points in History: People, Places and Ideas.”   I chose the Hartford Circus Fire as my topic because I have always been intrigued how every July 6th, amid the cheerful Fourth of July stories, my local news always includes a report about the 1944 fire.  I wanted to find out why a 10 minute event continues to be discussed 68 years later, and what changes it brought about.

The tragic fire occurred on July 6, 1944 on Barbour Street in Hartford during an afternoon performance of the Ringling Brothers circus.  It was one month after D-Day. Connecticut, a major defense manufacturer with its Pratt aircraft, Colt firearms and Waterbury brass foundries, had a thorough emergency plan in place in case of enemy attack.  This plan included using delivery vans from local businesses such as Aetna Florist, Colt, and Brown Thompson as ambulances to transport the injured…check back for future volumes.

Schedule of EMS Week 2013 Events and Activities

EMS Week 2013 - Aetna Ambulance Ambulance Service of ManchesterEMS Week 2013

Sunday, May 19th 

  • 0700: Hartford Hospital EMS Room: Fresh fruit available.
  • 1500: Hartford Hospital EMS Room: Fresh fruit available.
  • 2300: Hartford Hospital EMS Room: Fresh fruit available.
Monday, May 20th
  • 0900-1400: Hartford Hospital (Conklin Building) EMS Update, Lunch to be served.
Tuesday, May 21st
  • 0700-0900: Hartford Hospital EMS Room, Breakfast.
  • 1130-1330: Burrito BBQ Lunch, Saint Francis Hospital, Emergency Department.
Wednesday, May 22nd
  • 1200-1400: Hartford Hospital (outside of Conklin Building) Annual Cookout.
  • 1730-1900: Hartford Hospital (outside of Conklin Building) Annual Cookout.
Thursday, May 23rd
  • 0700-0900: Hartford Hospital EMS Room, breakfast.
  • 1700-1900: Burrito BBQ Dinner, Saint Francis Hospital, Emergency Department.
  • 1730: Saint Francis Hospital EMS Champion Awards Ceremony, Emergency Department, ambulance bay area.
  • 1800: Johnson Memorial Medical Center BBQ & CME: Two CME hours for “EMS Responding to IEDs” lecture that follows BBQ at CMEC Ampitheatre (the building on the right as you enter the main hospital driveway).
Friday, May 24th
  • 0700: Hartford Hospital EMS Room, Baked Goods from ED staff.
  • 1500: Hartford Hospital EMS Room, Baked Goods from ED staff.
  • 2300: Hartford Hospital EMS Room, Baked Goods from ED staff.
Saturday, May 25th
  • 0700: Hartford Hospital EMS Room, Fresh Fruit available
  • 1500: Hartford Hospital EMS Room, Fresh Fruit available
  • 2300: Hartford Hospital EMS Room, Fresh Fruit available

If your organization, facility or agency is having an EMS Week event in the greater Hartford area and you do not see it listed here, please fill out the contact form, post it as a comment or email it to us at DavidS [at] asm-aetna.com.

David Werfel Presents Compliance with Medicare’s Ambulance Rules

(L to R): David Werfel and Aetna/ASM President and CEO Wayne Wright

(L to R): David Werfel and Aetna/ASM President and CEO Wayne Wright

MANCHESTER — On April 23, 2013, Aetna and ASM welcomed David Werfel, Esq. from Werfel & Werfel, PLLC. As our Medicare Compliance attorneys, David delivered their annual site visit.

As in years past, David presented proper and compliant documentation to the ambulance crews and dispatchers. Both David and his son Brian Werfel, Esq are nationally renowned experts in Medicare billing and compliance. They have authored numerous articles and manuals, including the Medicare Reference Manual for the American Ambulance Association.

In addition to reviewing EMS/Medicare documentation, they consistently share important points and evolving issues. David also spent time with the Billing Department and management team reviewing Ambulance Relief Extension, 2012 rates, Overpayment Rule,  Lifetime Signature, proving medical need and other topics.

Influenza Advisory

Office of Emergency Medical ServicesTO: All EMS Care Providers

FROM: Raphael M. Barishansky, Director, Office of Emergency Medical Services

This year’s influenza or “flu” season has been producing a high number of cases. This communication highlights the scope of the problem and reminds providers to take all appropriate precautions to limit the spread of this illness. The Centers for Disease Control and Prevention have classified this year’s seasonal flu as an epidemic, with 47 states reporting widespread flu activity. The following are some Connecticut-specific statistics that DPH has collected and analyzed as of 1/09/2013:

  • The percentage of outpatient visits with influenza-like illness (ILI – defined as a cough or sore throat in the absence of a known cause, and the presence of a fever > 100° F) is almost twice that of the previous two flu seasons
  • There have been more persons hospitalized with influenza-associated illness during the past five weeks than the entire 2011-2012 flu season.
  • There have been 55% more reports of positive laboratory tests for influenza for the first three weeks of this flu season compared to the entire 2011-2012 season.
  • Respiratory influenza activity has most commonly peaked in February, so we may continue to experience a serious influenza season for some time to come. OEMS recommends that you review information on influenza as well as your respiratory protection plans.
  • Information is available on the CDC and CT DPH flu websites. The following are some tips to protect from influenza transmission:

GET VACCINATED! While it is ideal to receive the influenza vaccine earlier in the season, it is still of benefit to obtain a vaccination now.
BE PREPARED. Check your service’s inventories: N95 masks; simple surgical masks; alcohol-based hand sanitizer; ambulance decontamination spray
WASH YOUR HANDS! Wash them upon arrival for shift; before and after eating; after ANY contact with ANY patient; if you have worked on computers at the hospital; after ambulance decontamination.
WEAR PPE CONSISTENTLY. Follow droplet precautions in accordance with your respiratory protection plan. Consider having patients presenting with ILI symptoms wear a simple surgical mask or oxygen mask.
THOROUGH DECONTAMINATION. Don’t forget: Stretcher straps, ceiling hand rails, door handles, driver’s compartment surfaces, portable & fixed O2 tanks, stairchair, jumpkits, toughbooks and clipboards.

A Tiered System: Volume Two

Paramedic Intercept ASM Aetna AmbulanceWhy did the EMTs (ambulance) and Paramedics arrive separately?

EMTs are able to perform a specific set of skills that do not include such advanced treatments as IVs, EKG heart monitoring, IV medications, advanced airway techniques, nebulizers and more. Paramedics are required in the treatment of patients with chest pain, difficulty breathing, altered mental status, severe accidents and injuries and many other types of medical emergencies.

Simply put, when a 911 call is received that meets certain criteria, an EMT level ambulance (BLS) and a paramedic service (ALS) are dispatched simultaneously. Upon arrival, if the patient needs any of the treatment listed above, the paramedic will then ride Continue reading

A Note About Aetna Ambulance’s Past

Aetna Ambulance Service, Inc.

I was surfing the Internet and chanced upon Aetna Ambulance’s page. I was sorry to learn of the passing of Herman and Jean Grady. I knew them back in the late ’70s and early ’80s when I was employed as Communications Coordinator for the North Central Connecticut EMS Council. Of all the ambulance providers I knew and worked with, they were about the nicest and most cooperative folks you could ever have hoped to meet.” 

– Michael McMurtrey, Carrollton, TX

Learn more about Aetna’s history here…

Who Sets the Rates and Charges for the Ambulance Service?

Paramedic Intercept ASM Aetna AmbulanceHARTFORD — A recent patient satisfaction survey received by Aetna Ambulance Service was full of praise for the crew and care received, but the patient had a question about the cost of services: Who sets the rates the ambulance service charges for transport or paramedic services? 

Aetna and ASM are licensed Connecticut ambulance services. As such, our companies are regulated by the Connecticut Department of Public Health (DPH). The rates for each individual service category are issued to us by DPH and we do not have the discretion to set our own rates or billing categories or make any changes. The bills that are issued to patients for services rendered are produced with these set rates and cannot be higher. Continue reading

Heavy Lifting For Ambulance Crews

Obesity Epidemic Is Changing Emergency Medical Transport

By JESSE LEAVENWORTH, leavenworth@courant.com The Hartford Courant

October 20, 2012

Brian Langan Ambulance Service of Manchester

Emergency medical technicians have long shared a Murphy’s Law kind of reckoning about obese patients: for every additional floor in a building, the patient will weigh 100 more pounds.

It’s dark humor among men and women with an often grim, strenuous job, but obesity rates are rising throughout the state and nation, and a recently released report says the ranks of the morbidly obese will continue to balloon.

The task of transporting patients who weigh at least 100 pounds more than they should is now a daily reality in Connecticut and throughout the nation. The job strains ambulance crews, causing widespread back injuries, and piles financial burdens on both volunteer companies and professional providers.

“We’ve always had to deal with big people,” said Glenn Luedtke,safety committee chairman of the National Association of Emergency Medical Technicians, “but nowadays, it’s not uncommon to see someone who’s 300 pounds into the 400-pound range.” Continue reading

Who’s Got Your Back? Campion Ambulance

WATERBURY — Campion Ambulance was featured on WTNH’s “Who’s Got Your Back” Series. Campion is an extraordinarily well respected ambulance company with a long history of service. They are not affiliated with Aetna Ambulance or ASM but the three companies share the same level of dedication and local commitment.

Who’s got your back? Campion Ambulance. (PS…we do too!) Nice job, Campion.

The Ultimate Lifesaver? How Aetna and ASM Ambulance Stack Up – Vol. 4

ASM and Aetna were early adopters of Intraosseous (IO) infusers

ASM and Aetna were early adopters of Intraosseous (IO) infusers

A recent Wall Street Journal article described cutting edge equipment, techniques and skills in Emergency Medical Services (EMS) that are changing patient outcomes, revolutionizing care and sharpening the leading edge of the EMS industry.

Read the Wall Street Journal article here…

So how do Aetna and ASM match up against The Ultimate Lifesaver?

Volume 4: Intraosseous Infusers

Resembling a light-weight hobbyist drill, Continue reading

Questions About Billing for Paramedic Services such as Paramedic Intercept

Paramedic Intercept ASM Aetna AmbulanceWhy did I get two bills, one from the ambulance service and one from the paramedic service?

Many patients and families express confusion over the concept of a ‘Paramedic Intercept’ and wonder why many health insurance companies, including Medicare, will not pay for such a service.

A Paramedic Intercept is a service provided during a medical emergency, most often in a rural area, where the ambulance operated by the patient’s town is staffed with EMTs. EMTs provide what is called Basic Life Support (BLS) while paramedics provide what is called Advanced Life Support (ALS).

The Ultimate Lifesaver? How Aetna and ASM Ambulance Stack Up – Vol. 3

A recent Wall Street Journal article described cutting edge equipment, techniques and skills in Emergency Medical Services (EMS) that are changing patient outcomes, revolutionizing care and sharpening the leading edge of the EMS industry.

Read the Wall Street Journal article here…

So how do Aetna and ASM match up against The Ultimate Lifesaver?

Volume 3: Induced hypothermia

Studies have shown a significant improvement in neurological outcomes for victims of cardiac arrest who receive Continue reading

The Ultimate Lifesaver? How Aetna and ASM Ambulance Stack Up – Vol. 2

ASM Aetna Continuous Positive Airway Pressure

ASM Aetna were early adopters of Continuous Positive Airway Pressure devices.

A recent Wall Street Journal article described cutting edge equipment, techniques and skills in Emergency Medical Services (EMS) that are changing patient outcomes, revolutionizing care and sharpening the leading edge of the EMS industry.

Read the Wall Street Journal article here…

So how do Aetna and ASM match up against The Ultimate Lifesaver?

Volume 2: Continuous Positive Airway Pressure (CPAP) Devices

CPAP is an amazingly effective device that Continue reading