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Video Shows Utah Nurse Handcuffed After Refusing to Draw Patient’s Blood – New York Times

She took a few steps back and screamed, Somebody help me! as Officer Payne pushed her through two sets of doors out of the emergency room and outdoors, twisted her so she was partly facing a wall and placed her in handcuffs.

Excerpts from the video, which came to light at a news conference by Ms. Wubbels and her lawyer on Thursday, gained widespread attention.

The video led to apologies from the mayor of Salt Lake City, Jackie Biskupski, and the police chief, Mike Brown, on Friday and an outpouring of support for Ms. Wubbels, 41. Investigations by the Police Departments Internal Affairs unit and the citys Civilian Review Board are also underway, the mayor said in a statement.

These are officers of the peace, Ms. Wubbels said in an interview on Friday. There was nothing peaceful about this incident.

The episode unfolded on July 26 as the Salt Lake City police were helping another police department in an investigation of a driver who had crashed into another vehicle while fleeing the police. The fleeing driver was killed, according to a report filed by Officer Payne, and the other driver was flown to Utah Hospital.

Officer Payne wrote that he was seeking to draw blood from the patient to check if he had any chemical substances in his system at the time of the crash, though it was not clear why.

He wrote that he spoke with Ms. Wubbels, who was the nurse in charge in the burn unit, and tried to explain the exigent circumstances of the request.

The confrontation intensified as they headed to the emergency room from the burn unit upstairs.

Im just being told what to do by my entire hospital, she said, referring to her administrators.

Officer Payne responded, And Im being told what to do by my boss, and Im going to do what my boss says.

Officer Payne could not be reached on Friday. Chief Brown said in a statement on Friday that he was alarmed by the video.

I want to be clear, we take this very seriously, he said, adding, Within 24 hours of this incident, Salt Lake City Police Department took steps to ensure this will never happen again.

The chief said that Officer Payne had been suspended from the blood draw program, in which officers are trained as phlebotomists to take blood samples, and that a new policy had been put in place. The Salt Lake Tribune reported that Officer Payne remained on duty with the Police Department.

Ms. Wubbels, a nurse at the hospital since 2009, said she was adhering to hospital policies and the law. The United States Supreme Court has ruled that the police do not have the right to draw blood in drunken-driving investigations without a warrant.

It wasnt like she decided she was a constitutional scholar, her lawyer, Karra J. Porter, said in an interview on Friday.

No charges were filed against Ms. Wubbels, who was in handcuffs for about 20 minutes before being released. Ms. Wubbels said she wanted to use the episode to educate medical professionals and the police and to open a civic dialogue.

University of Utah Health, which runs the hospital, supports Ms. Wubbels and is proud of her decision to focus first and foremost on the care and well-being of her patient, Kathy Wilets, a spokeswoman, said in an email. She followed procedures and protocols in this matter and was acting in her patients best interest.

Ms. Biskupski said that efforts to get the police to increase the use of de-escalation techniques have been successful but that this incident is a troubling setback.

Robert J. Louden, a retired chief hostage negotiator with the New York Police Department and a professor emeritus of criminal justice and homeland security at Georgian Court University in New Jersey, watched the video and said in an interview on Friday that Ms. Wubbels was an absolute professional.

Officer Payne was 100 percent not correct, he said, adding, It seems to me hes in need of an attitude adjustment.

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Only 3% of emergency room visits may truly be avoidable, study … – FierceHealthcare

Though many emergency rooms are overcrowded and some patients may not have urgent needs, just a fraction of visits are truly avoidable, according to a new study.

Researchers examined datafrom the National Hospital Ambulatory Medical Care Survey from 2005 to 2011 that included more than 115,000 records representing 424 million emergency department visits, and found that only 3.3% were avoidable.The study team defined avoidable visits as thosethat did not require diagnostic tests, screenings, procedures or medications.

A number of these avoidable visits were for concerns that the ER is not equipped to treat, like dental or mental health issues, according to the study. Of the avoidable visits, 6.8% were for alcohol- or mood-related disorders, like depression or anxiety, while 3.9% were for dental conditions.

RELATED:4 strategies to reduce ER overcrowding

The findings, published in the International Journal for Quality in Health Care,challenge the commonly held belief that many people visit the ER needlessly, said RebeccaParker, M.D., president of the American College of Emergency Physicians, in an announcement.

Despite a relentless campaign by the insurance industry to mislead policymakers and the public into believing that many ER visits are avoidable, the facts say otherwise, Parker said. Most patients who are in the emergency department belong there and insurers should cover those visits. The myths about unnecessary ER visits are just thatmyths.

RELATED: ER visits offer a teachable moment to reduce drug use

The ER has been a frequent target for initiatives seeking to reduce overuse and the costs associated with emergency care. However, the researchers saidthat their findings point more toward the value in programs to improve patient access to services like mental health and dental care.

The study found that 10.4% of visits from patients with alcohol-related disorders and 16.9% of visits from patients with mood disorders were avoidable, suggesting that policymakers could do more to increase access to the services that would keep those patients out of the ER.

Our findings serve as a start to addressing gaps in the U.S. healthcare system, rather than penalizing patients for lack of access, and may be a better step to decreasing avoidable ED visits, the authors wrote.

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Emergency room doctor arrested in illegal drug manufacturing bust – Corvallis Gazette Times

Agents from Linn County Interagency Narcotic Enforcement raided two homes early this week, one in Scio and another in Corvallis, arresting six people and discovering an illegal drug manufacturing operation, according to Albany Police Capt. Eric Carter.

The investigation focused on the unlawful manufacture of the marijuana extract known as butane hash oil, or butane honey oil. The oil is used to make extremely potent cannabinoid edibles or can be smoked or vaporized, which is commonly known as “dabbing.”

The activities involved a legal substance but are criminal because of the quantity the suspects possessed, and because the group was manufacturing BHO without a state license.

Officers in Corvallis raided a home in the2700 block of Marshall Drive, where they arrested Mark Craig Rose, 61, an emergency room doctor with Samaritan Health Services, reporting he had an inactive BHO lab and three 55-gallon drums of marijuana.

Rose was originally booked into the Linn County Jail for charges related to the Scio raid, but was later transferred to the Benton County Jail. He faces two counts of manufacturing marijuana items, two counts of delivery of marijuana, and two counts of possession of more than 4 ounces of marijuana.

Records also indicate that Rose owns the property at 36585 Crackerneck Drive in Scio, where agents discovered an active BHO lab and about 6.5 pounds of BHO. As a result of both raids, officers seized 200 pounds of marijuana, a quantity of Ecstasy, and user amounts of methamphetamine.

George Joseph Nelson, 42, of Scio was arrested for manufacture of marijuana items, delivery of marijuana, and possession of more than 4 ounces of marijuana.

Jeremiah Alexander Hart, 42, of Corvallis, was arrested for manufacture of marijuana items, possession of more than 4 ounces of marijuana, and possession of methylenedioxymeth, or Ecstasy.

In addition, Jennifer Marie Pechar, 40, of Scio, was cited and released for possession of methamphetamine and frequenting a place where drugs are manufactured and sold; Kimberly Jeanet Wolf, 36, of Lebanon, was cited forfrequenting a place where drugs are manufactured and sold; and James Eugene Mobley, 33, of Lebanon, was cited for frequenting a place where drugs are manufactured and sold.

The Linn County Regional SWAT Team, Corvallis Police Department, and lab teams from the Oregon State Police and the DEA Eugene office assisted inthe arrests and warrant service.

TheLinn County Interagency Narcotic Enforcement team was established after the county was designated as a High Intensity Drug Trafficking Area in 2016. The team is comprised of investigators from the Linn County Sheriffs Office, Albany Police Department, Lebanon Police Department, Sweet Home Police Department, Oregon State Police, DEA and Oregon National Guard Counterdrug Task Force.

Benton County District Attorney John Haroldson said the cases will be tried in Linn County despite the raid in Corvallis.

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Regional One Medical Center Emergency Room has re-opened after temporary flooding – FOX13 Memphis

Updated: Aug 31, 2017 – 10:21 PM

MEMPHIS, Tenn. – Regional One officialstold FOX13 Regional One Medical Emergency Room was flooded.

The roof at Regional One was leaking on the first floor in the Trauma Center. The incident happened around 7:45 p.m.

As of 8:40 p.m., hospital officials told FOX13 they are using a shop vac to deal with the water. They said the roof has been patched and there is no more flooding.

Regional One officials told Shelby County, the Trauma Center will be back in full operation by 9:45 p.m., at the latest.

The hospital is calling it a minor incident.

While the Trauma Center has been closed, patients have been diverted to Methodist, according toDale Lane, Director of Shelby CountyOffice of Preparedness.

The Regional One Medical Center is now open.

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How Four Master’s Students Used Design to Help One Haiti Emergency Room – The Bentley University Newsroom

Imagine walking into a crowded emergency room and having your symptoms recorded electronically, in order to minimize wait time and maximize care. That efficient scenario a dream of hospitals everywhere is newly underway at a hospital in Haiti.

In 2015, Boston, Mass.-based Partners in Health (PIH), which runs University Hospital in Mirebalais, Haiti, set out to develop an electronic triage system to replace its paper-based process.Their strategy was to expand on OpenMRS, the open-source medical record system implemented there. But this being relatively new territory for the PIH team, they sought additional experts to get the job done.

Tapping into a Learning Community

Enter Bill Gribbons, a leading authority on user experience who directs the Masters in Human Factors in Information Design (HFID) at Bentley University. PIH contacted Gribbons, who then reached out to his extensive network he calls it a learning community and received a flood of interest. He recruited another faculty expert, Roland Hubscher, to help advise a team, and four part-time graduate students eager for hands-on experience and excited to make a difference. All were willing to work on the project remotely, for no pay and no course credit.

I firmly believe some of the most meaningful learning happens outside the confines of a traditional classroom, said Gribbons. This type of project, one that requires in-depth involvement and makes an immediate impact on a product, is invaluable for students particularly for graduate students, who are looking to grow their careers and stand out in a crowded marketplace.

The HFID students were located in different cities and time zones and came from different professional backgrounds. Kim Forthofer, the team lead, was in Southwest Harbor, Maine, Mary Gribbons in Cambridge, Mass.; Truc Tokarz in San Jose, Calif.; and Dan Lopes in Toronto, Ontario. Though they were not able to work on site in Haiti, they used Google Hangouts to meet as a group on Wednesday evenings to stay on track.

We looked to Bentley because we knew that their graduate students would be accountable for their work and thoughtfully execute this project, said David DeSimone, business analyst at PIH. The students did not disappoint. They asked all the right questions and delivered a product that was immediately well received.

Designing a Product that Makes a Difference

Designing an electronic emergency intake form, from a remote location, is no easy task. The requirements were that the form permit easy scanning by a nurse and visually signal the urgency of a patients medical needs. To begin, University Hospital sent its typical paper intake forms to the Bentley team for analysis. This system, which ranked patients with a numerical score and a color based on severity, left plenty of room for mathematical error.

In addition to the technical parameters, cultural considerations were also essential. One of the biggest challenges for the team was coming up with a user-friendly design for a population that has limited access to computers, said DeSimone. Their initial designs used a keyboard only, with no mouse. But by the time we implemented the technology, we were able to train the nurses on Google Chromebooks.

A significant part of the design process involved user surveys and user testing. Due to the distance and lack of readily available technology, the Bentley team designed static mockups and used a cognitive walkthrough exercise where they asked nurses to role-play a patient-intake scenario.

This helped us better understand the human thought process behind the products use, said Forthofer. We knew it was possible that lives could depend on nurses understanding the new app as quickly as possible.

Life-Changing Experience

Despite the lack of credit or pay, the experience of acting as consultants had enormous value for the team. They improved the hospital experience for patients in Haiti, while also building their own skills and putting them into practice.

The project was much more like a real consulting gig instead of a realistic project done over a semester and graded by a professor. This provided us with real-world pressure as well as real-world confidence and experience, said Forthofer, who also gained reinforcement that she is in the right career, for the right reasons. I began my professional life as an environmental engineer and user experience is a second career for me, so challenges related to technical and scientific areas are the ones I continue to be drawn to.

This venture is a first for Partners in Health, in terms of developing a product that triages patients electronically in real time. They hope the intake form will be replicated at other facilities in Haiti and elsewhere. Anecdotally, they know that emergency room waiting times are lower and, more important, that prioritization has improved so the most critical patients are seen first. PIH has plans to gather data on the products effectiveness, but in the meantime, patients are getting better care and nurses and doctors are better able to do their jobs – a winning prescription all around.

Dedicatedto Preparing a New Kind of Business Leader

Bentley Universityis one of the nations leading business schools, dedicated to preparing a new kind of business leader with the technical skills, global perspective and ethical standards required to make a difference in an ever-changing world. Bentleys diverse arts and sciences program combined with an advanced business curriculum prepares graduates to make an impact in their chosen fields. The university enrolls approximately 4,000 undergraduate and 1,000 graduate students. ThePrinceton Reviewranked Bentley #1 in the United States in both career services and internships andBloomberg BusinessWeekranked Bentley a top 10 undergraduate business school.

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Police: Emergency room doctor, five others arrested in ‘major … – KATU – KATU

by Joe Douglass, KATU News

From left to right: Mark Rose, 61, George Nelson, 42, and Jeremiah Hart, 42. Police said the three men and three other suspects were arrested this week for allegedly taking part in an illegal butane hash oil manufacturing operation.

Police said an emergency room doctor and five other people were arrested in a major drug bust in Linn and Benton counties this week.

Officers said Dr. Mark Rose, 61, is not accused of committing crimes on the job but KATU discovered he is facing repercussions professionally.

Rose and others are accused of illegally manufacturing butane hash oil, also known as butane honey oil, BHO or dab. The substance is a concentrated byproduct of marijuana that’s extracted through a highly-flammable, potentially dangerous process.

“We know it’s a highly-lucrative business. We know that there’s a lot of money to be made,” Captain Eric Carter, of the Albany Police Department, told KATU on Thursday.

He said a major drug bust at two locations started at a property on the 36000 block of Crackerneck Drive in Scio Monday morning. Carter said inside a barn officers from the Linn County Interagency Narcotic Enforcement Team found a lab manufacturing butane hash oil.

“What really sets this apart is this was a commercial-grade operation,” Carter explained. “What was missing in this operation is they weren’t licensed or sanctioned by the state to produce the BHO.”

At the Scio location, Carter said two men, George Nelson, 42, and Jeremiah Hart, 42, were arrested on suspicion of illegally manufacturing and having marijuana. He said Hart also had ecstasy.

Three other people were cited for frequenting the location and released, according to police.

“The (lab) in Scio was actually completing a process when the search warrant was executed,” Carter said.

Around 1 a.m. on Tuesday, carter said officers paid a visit to Rose’s house on the 2700 block of Marshall Drive in Corvallis.

There he said they found another lab and three 55-gallon drums worth of marijuana.

Carter said Rose was linked with both operations.

“The property in Scio belongs to him,” Carter explained. “And so he owns the property and knew of the people that were on that property manufacturing BHO.”

At the Scio location, Carter said officers found 6.5 pounds of finished butane hash oil product with a street value of about $115,000.

“We’re trying to close the loop on exactly where it was being distributed at,” Carter said. “We know from the investigation it was illegally being sold by people and we also have indications that we’re following up on that it was also being sold to marijuana dispensaries in the Willamette Valley.”

A spokesman for Samaritan Lebanon Community Hospital told KATU due to his arrest Rose is suspended from his job as an ER doctor pending further investigation. The CEO of the hospital said Rose has worked there for 13 years.

A deputy at the Linn County jail said Rose posted $111,500 bail on Tuesday and was released. He’s due in court on Sept. 6.

Below are the charges faced by those arrested in the raids:

– Nelson was booked on manufacturing marijuana, delivering marijuana and possession of more than 4 ounces of marijuana.

– Hart faces manufacturing marijuana, possession of more than 4 ounces of marijuana and possession of ecstasy charges.

– Rose faces two counts of manufacturing marijuana, two counts of delivering marijuana and two counts of possession of more than 4 ounces of marijuana.

– Jennifer Marie Pechar, 40, of Scio, was cited for possession of methamphetamine and frequenting a place where controlled substances are used.

– Kimberly Jeanet Wolf, 36, of Lebanon, was cited for frequenting a place where controlled substances are used.

– James Eugene Mobley, 33, of Lebanon was cited for frequenting a place where controlled substances are used.

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Only 3.3% of emergency room visits are ‘avoidable,’ study says – Healthcare Finance News

Only 3.3 percent of emergency room visits are avoidable, according to a study published Thursday in the International Journal for Quality in Health Care.https://academic.oup.com/intqhc/article-lookup/doi/10.1093/intqhc/mzx081

This is because those visits deemed ‘avoidable’ involve mental health or dental care, issues with which the ER is generally not equipped to deal, according to the study published in the peer-reviewed journal.

[Also: Medicaid expansion results in more emergency room trips; fewer patients uninsured]

The study shows that despite the health insurance industry’s campaign about avoidable ER visits, most patients in the emergency room belong there, said American College of Emergency Physicians President Becky Parker, MD.

The ‘avoidable’ emergency department visits are defined as visits in which patients did not require any diagnostic or screening services, procedures, or medications, and were discharged home.

“Most patients who are in the emergency department belong there and insurers should cover those visits,” Parker said. “The myths about ‘unnecessary’ ER visits are just that myths.”

The study analyzed data from the National Hospital Ambulatory Medical Care Survey from 2005 to 2011.

The most common ‘avoidable’ ER visits in the study included cases in which patients were discharged with alcohol- and mood-related disorders, or with dental conditions.

The study showed that 10.4 percent of visits by patients diagnosed with alcohol-related disorders, 16.9 percent for mood-related disorders and 4.9 percent for dental-related conditions, were ‘avoidable.’

While these visits were deemed avoidable, the majority of patients with these conditions still required some form of diagnostic or treatment service, said the study’s authors.

“We found that many of the common conditions of ‘avoidable’ emergency department visits involved mental health and dental problems, which ERs are generally ill-equipped to treat,” said lead study author Renee Hsia, MD, of the Department of Emergency Medicine at the University of California, San Francisco. “This suggests a lack of access to healthcare rather than intentional inappropriate use is driving many of these ‘avoidable’ visits. These patients come to the ER because they need help and literally have no place else to go.”

Twitter: @SusanJMorseEmail the writer: susan.morse@himssmedia.com

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Health system displays mock-up of new hospital ER – The Times Telegram

Amy Neff Roth

The plans for Uticas future hospital call for one emergency room with a “quick-turn” area to treat minor injuries, a separate “pod” for behavioral health patients and all private rooms.

The Mohawk Valley Health System showed off a cardboard mock-up of a patient room in the emergency room of its planned new hospital Tuesday and unveiled some of the principles governing the ERs design.

The overall goal is “creating an environment that the patient feels calm in and knows theyre getting exceptional care,” said Janet Susi, a former nurse and health care planner with architectural firm NBBJ, which is designing the hospital.

The cardboard room, covered with sticky notes labeled with room features and containing a mock cardboard bed in the middle, lets designers and hospital staff figure out the most effective and efficient layout. The design will be revisited for staff input on a regular basis during the design process and eventually re-created accurately to train staff before the new hospital opens, Susi said.

Many of the spaces in the new hospital are receiving similar treatment to achieve a space that works for patients, families and staff.

In the emergency department, a big feature is universality, so that any patient can be cared for in any room, Susi said. Another big point is standardization so everything is located in the same place in every room, making it easy for providers to work efficiently in different rooms, she said.

The design of the future definitely is a big contrast to existing conditions, Susi said.

“Its amazing how they have been able to still deliver care and do it well in such a tight environment,” she said.

Will better design actually translate to better patient care?

Yes, said Dr. Avinash Kambhampati, assistant medical director of emergency services, who said he planned to spend some time on the mock-up to make sure the room will work.

“It can give us much more efficient health care that will be faster, cheaper, that will help us attract more physicians,” he said. “This is something we can use to attract more ER staff. We can use it to attract more surgeons and attract more younger doctors who are going to eventually live here, work here, raise a family here.”

The mock-up already contains some big improvements, Kambhampati said. Right now, the air supply, the oxygen and the vacuum in the existing ER rooms are too close together so staff cant use the vacuum, which requires a canister, he said. The mock-up has moved them farther apart so the vacuum will be usable.

And there are sharps disposal boxes on both sides of the room, meaning staff can dispose of needles and other sharps without having to walk across the room, Kambhampati said. He also pointed to sticky notes identified as chairs for family members, saying that there will be more room to make patients relatives comfortable.

Here are some more planned feature for the emergency department of the new hospital being designed for downtown Utica, according to officials and signs in the ER mock-up:

A behavioral health area with rooms that keep patients safe and allow for easy monitoring by staff. The rooms would have the same layout as other rooms so they could be used for other patients, but a “garage door” would cover medical gases and other standard features that could pose a danger to mental health patients.

The quick-turn area will be particularly useful for children who tend to come in just needing an X-ray to make sure no bones are broken.

A 10-bed observation area will house patients who dont need to be admitted, but who should be watched overnight.

Design will create less noise and chaos.

There will be separate entrances for walk-in patients and emergency medical services.

Imaging services will be located close to the trauma center.

Staff will have easy, fast access to supplies.

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When do you go to urgent care vs. an emergency room? – KSNT News

Related Coverage

TOPEKA, Kan. (KSNT) Thousands of people use emergency rooms and urgent care centers in Northeast Kansas every year. But do you know the difference between the two, and when to use each? Health professionals in Topeka are saying many people get confused on where to go when immediate medical ailments arise.

Korri Phillips, the Medical Director at Cotton ONeil Express Care Clinics said the biggest difference is the emergency room is there for life or limb threatening illnesses or injuries.

The express care is more for immediate care needs; fevers, sore throats, ear aches, sprains, strains, fractures. We always joke that its fractures without the bone sticking out of the skin.

Between primary care offices, urgent and express care, and emergency rooms, many may not know where the best place to go is, when a critical medical situation arises.

Phillips said the following are emergencies appropriate for the ER, I tell people to think of it as a threat to life, limb, or to their eye sight.

Urgent cares are opportune for more immediate medical concerns, when your primary care doctor is unavailable.

I come here because its something the doctor can take care of and its not an emergency situation, said Jackie Creek, a patient at Cotton ONeil Express Care.

When using Express or Urgent Cares instead of Emergency Rooms, wait times are significantly less, and co-pays are easier on your wallet.

So the express cares still charge the co-pays, but the co-pays are much less than the emergency room and the cost of care is much less than the emergency room. There are national studies that now show there are immediate cost benefits for the patient. Most of it is the convenience and not having to make an appointment. You can walk in. You can be seen at your own convenience. Right now we have six clinics across Topeka and 5 of the six clinics are open on the weekend. The other clinics are open throughout the day and into the evening, and then also the weekend hours, said Phillips.

If you are still unsure on what is the best facility to go to, you can always call to get advice from a medical professional before arriving in person.

Recently, three Cotton ONeil Express Care facilities received accreditation from the Urgent Care Association of America.

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ER doc resting at home when car plowed into 7 people – Standard Speaker

RICE TWP. Still in her pajamas and sipping coffee after a long overnight shift in the emergency room, Dr. Annette Mann bolted from her house Friday afternoon upon hearing a thunderous crash outside.

She didnt even pause to put on shoes.

Mann, a trauma doctor for 20 years, spotted a man she recognized from the neighborhood wounded in the street outside her Aleksander Boulevard home.

He grabbed my ankles and said to me, My babies. Where are my babies? I turned my head and I realized there were children all over the lawn. I just went in automatic emergency medicine mode, Mann recalled.

Bryan Herbst, his wife, Nina, the couples four small children and a niece had been hit by an out-of-control car during a walk and lay critically wounded.

Mann, 51, started a triage process to assess the victims and treat them in order of injury severity.

Tessa, the couples beloved 10-month-old daughter, was in the worst shape. She wasnt breathing.

I went to the baby first because I saw the carriage was mangled. My neighbor Becky (Mendrzycki) did so great. We got her airway open and I had Becky hold her airway open so she could breathe better. I was on the phone at the same time, Mann said.

Mann, an emergency room doctor at Lehigh Valley Hospital-Hazleton for 10 years, said she was relaying information to emergency responders to prepare them for arrival. She also gave directions to neighbors and even her 17-year-old twin sons about what they could do to help the victims.

I do what I do best when I work with people who add to the team approach, she said.

After ambulances shuttled the victims to hospitals and helicopter landing zones, a bloodied and barefoot Mann stood in the middle of the street. Her feet were cut from stepping on glass debris.

I never expected in my neighborhood that this kind of thing could happen, she said.

Mann has lived on Aleksander Boulevard since moving to the area in 2004. A Philadelphia native, she became a doctor and then entered the U.S. Air Force. Following her military service, she moved to the area and worked in the emergency room of Wilkes-Barre General Hospital for several years prior to her current job in Hazleton.

Mann said instincts kicked in Friday.

I feel like I just did what I was born and trained to do. I always felt my whole life I was born to be a physician and trained to be a healer, Mann said. The only difference that is unusual with this is when you are in the ER, you are in that mind-set, you expect to see sick people. But when you are home, you dont expect that. I had to go from, Oh, Im resting to Youre an ER doctor. Go!

It was the first time her sons got to see her in action. One of them told her it was life-changing to him.

He said, Mom, I never had the thought of being a doctor until today, she recalled. That was so profound.

The night before the incident, Mann worked 7 p.m. until 7 a.m. She arrived home around 8 a.m. Friday to take a nap. She was up relaxing in her den when the crash occurred around 1 p.m.

She had Friday off, but had a full days worth of errands and tasks planned and wasnt expecting to be home much, she said.

My schedule is all over the place. Its hit or miss if Im home. When I am off, I am in and out all day, Mann said. I had a whole list of stuff I had to get done. For me to be home, it was nothing short of a miracle. It makes you wonder.

Contact the writer: bkalinowski@citizensvoice.com; 570-821-2055; @cvbobkal

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