"The video, in whole or in part, can then be used in training," Nealy said. *https://www.hctax.net/Property/JurisdictionTaxRates, 18334 Stuebner Airline Road Spring, Texas 77379. CCFD is a combination fire department, which means that we staff both full-time and volunteer personnel around the clock. require mandatory ED evaluation of intoxicated persons encountered by first responders 9-1-1 calls dont stop. The military has had great success using titers < 256, but to be FDA-approved in the U.S., EMS agencies must use a titer of < 150. adverse events defined as, death, brain injury, trauma related to intoxication, Bolton-Maggs PH, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Each provider went through classroom training on policy and legal aspects, including: "Everyone learned how to use the camera equipment, applications to manage devices and data, and the evidence management system," Nealy said. The rest are spread between groups B and AB. Transfusion. How big is the department? Retrieved from https://ercast.libsyn.com/covid-19-weingart-q-a-on-airway-vents-tubes-lungs-ecmo-and-cpapRaboud, J., Shigayeva, A., McGeer, A., Bontovics, E., Chapman, M., Gravel, D., Green, K. (2010). Wesley joined Community Impact in May 2021 after graduating from St. Edwards University with a degree in mass communication in 2012. What that means if we run across a case that is not serious enough for a hospital run, and something that could be treated at a free-standing ER, the paramedics will consult with the assistant medical director or medical director and offer a referral. Copyright 2023 All Rights Reserved. providers. Following institution of the refusal protocol, 5. Our department is made up of about 150 firefighters who serve the northwest area of Harris County just outside of Houston, TX. Maegele M, Schchl H, Cohen MJ. Schmidt T, Atcheson R, Federiuk C, et al. Hospital follow-up of patients categorized as not needing an ambulance using a set of emergency medical technician protocols. Further data is necessary over At the time, TASER International, which is now Axon, provided the Flex body camera to all instructors to demo in their courses. Uhl: We run 19 full-time ambulances and just added three in the last four months. aspiration is always described, and it is plainly stated that aspiration can 9. The purpose of this website is to promote openness, discussion and collaboration among system directors in the development of EMS protocols. 13. 3. aware. Importantly, no adverse events from NWA Metropolitan Fire Chiefs' Association, Santa Rosa Junior College Paramedic Academy, Platteville-Gilcrest Fire Protection District, Sponsor Hospital Council of Greater Bridgeport, Space Coast Regional EMS-Doctor Williams Agencies, Area Ambulance Service / Cedar Rapids EMS, Baystate Medical Center Critical Care Transport, Cottonwood Ambulance Service/Granite Falls Ambulance, MJM Medical Direction Consortium Services, Emergency Medicine Associates of San Juan County, Rural Cass County Ambulance and Rescue Association, Lane County Sheriffs Ground Search And Rescue, Travis County Emergency Service District 5 - Manchaca Fire Dept, South Area Fire & Emergency Response District, Space Coast Regional EMS-Doctor McPherson Agencies, Illinois Region 9: Northwest Community EMS, NASEMSO National Model EMS Clinical Guidelines. Hewitt: That would be a difficult policy to make. hUOSWN{,(fth ne.*(LUG 0"|13i h|mTFE]te{Ls~;}i/ x. Are insane ticket costs pricing Astros fans out of Opening Day? An update on the coagulopathy of trauma. However, after seeing the success and benefits of the program during the trial, Cypress Creek EMS deployed body cameras systemwide in 2018. 2003;17(3):223231. Use Next and Previous buttons to navigate. Tell us about Cypress Creek EMS. vomiting and the risk of injury due to accident while intoxicated. Get the inside scoop on jobs, salaries, top office locations, and CEO insights. 2017;83(1 Suppl 1):S83S91. 19. represents a public health problem off campus as well: in the United States, Strandenes G, Spinella PC. continue to verify the safety of this protocol. Uhl: We run 19 full-time ambulances and just added three in the last four months. Dutton RP, Shih D, Edelman BB, et al. 11. EMS Protocols The purpose of this website is to promote openness, discussion and collaboration among system directors in the development of EMS protocols. ", $2.5 million in funding that was withheld. Shock. "Fleet 2 uses a forward-facing camera mounted to the windshield and a low light, infrared, rear-facing camera. territory. Multiple studies have reported that Nonetheless, Nealy said the body cameras were initially met with apprehension. "Foul language, venting about the bosses, or even making a mistake would not result in discipline. "The video allows for a first of its kind self-QI process. 2019. We were able to find some who were willing to donate and others who sold to us at their cost which was constantly going up because of demand. 15. Treating coagulopathy in trauma patients. Plasma and cryoprecipitate can be kept frozen for a year, and once thawed will last for 24 hours. University-based volunteer emergency College student drinking and ambulance utilization. Though relatively rare, university Find out what works well at Cypress Creek EMS from the people who know best. CCEMS is a 501 (c) (3) nonprofit organization and has been recognized at the local, state and national levels for excellence. Most of the feedback, he said, is now positive. When you arrive, her husband tells you that shes been experiencing heavy vaginal bleeding for about two weeks. Additionally, the trial will also be tested by the communications center supervisor. Mil Med. We dont know who has it or doesnt have it even if those questions asked by 9-1-1 tell us that theres a higher risk. Read more about the latest news from ESD 11, our providers, and the community we serve. significant, X2 (1, N = 395) = 51.0, p < 0.05). Uhl: I think weve had some of that just looking at the numbers. https://doi.org/10.15585/mmwr.mm6915e5Loeb, M., McGeer, A., Henry, B., Ofner, M., Rose, D., Hlywka, T., Walter, S. D. (2004). Have a story idea you'd like to discuss? Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. Has there been any kind of protocol or policy changes with the staff because of the coronavirus? 2017. Balancing Patient Safety and Hospital Overload through Collegiate EMS Alcohol Refusal Protocol, California EMS Workers Deploy into Skilled Nursing Facilities, UFA Accuses de Blasio of Using First Responders as Pawns Over Federal Funding, Keene (NH) Firefighters Raise Concern about Competition from Cheshire EMS, Enid (OK) Fire Department Begins SWAT Medic Program to Assist Police, Documents Detail EMTs Failure to Aid Tyre Nichols, New Course Lets Bystanders Be the Help Until Help Arrives, Austin-Travis County (TX) EMS Launches Airport Medic Program, Dont Sacrifice Nuance and Throw Ambulances Under the Bus, NJ EMS Task Force Helps Evacuate Hospital, Elite Medical Transport Donates Ambulance, Equipment to Janos, Mexico. Whole blood is the natural, unseparated blood collected from a donor. %PDF-1.6 % As a result, some universities have developed strict alcohol policies in an Cypress Creek EMS insights Based on 15 survey responses What people like Time and location flexibility Ability to learn new things Inclusive work environment Areas for improvement Overall satisfaction Sense of belonging Support from manager Great company with a lot of room for advancement Is Whataburger healthy? policy at one institution that aims to identify patients at low risk of harm And thats only part of how the medical world has changed for first responders who must answer an increasing volume of calls in a virus-laden pandemic that is so easily spread. What about when the patient load at the hospital is on drive-by? The EMS Division is staffed with over 100 full time employees who respond to approximately 25,000 EMS responses each year. All the ambulance cleaning has always existed. The other agency. From north to south it runs from the county line to approximately Beltway 8. In an effort to reduce overburdening of an already stressed ED, EMS . the George Washington University (GW) Foggy Bottom and Mount Vernon campuses There's a huge expectation that first responders should intrinsically understand how to move through the sadness and difficulty of losing a patient, whatever that may look like.This podcast looks at the stages of grief and how they relate to first responders; it is important to be healthy in processing the death of patients, especially when it is traumatic or sudden. Harris County ESD #13, Cypress Creek Fire Department, would like to congratulate Assistant Fire Chief Jason Blackman on his recent appointment to the Committee on Respiratory Protection Equipment, a sub-committee of the National Fire Protection Association (NFPA). Although this relatively new therapy in EMS appears to decrease mortality, theres more that can be done. CCEMS again refused to cooperate, until ESD 11s board of commissioners told CCEMS it would not be paid if it did not comply with PKFs requests. Surg Clin North Am. Hewitt: They should feel safe. The product is harmless to humans, is food safe, and lasts for up to 10 days. Youre called to the home of a 38-year-old woman who has been fainting. Most importantly, the body cameras, according to Nealy, encourage transparency, accountability and accuracy, and provide immediate feedback for improvement in EMS. "The investigation of CCEMS financials was launched by ESD 11 because of concerns about overbilling and misuse of taxpayer dollars," Trachtenberg said. Prehosp Emerg Care.2019:1-11. This single-institution study indicates that a refusal policy for the acutely intoxicated patient implemented by an EMS agency may reduce unnecessary transports to the hospital, thereby appropriately identifying patients in need of transport and relieving burden on both the EMS agencies and hospital emergency departments. The most severe reactions come from the mismatch of antigens on the surface of red blood cells. Additionally, In this fictional scenario, an escalation to a potential attack was avoided once the patient realized he was being recorded. and alcohol intoxication. 2017;97(5):9991014. outcomes. our population, the sample size is limited, and data collection is ongoing to Three patients required transfer to ALS EMS agencies for assessment and disposition in both academic year data sets. Nealy, a nearly 30-year EMS veteran, also serves as a captain for the Waller County Sheriff's Office and is a former SWAT commander. If any criterion is not met, or if the senior supervisory EMT does Alcohol-Related Visits to US Emergency Departments, 20012011. In the future, it may be possible to make component therapy from the unused LTOWB units. 48 (HCESD 48) Fire Department and Cypress Creek EMS (CCEMS) in Houston, Texas, began carrying cold-stored LTOWB for hemostatic . 5159 0 obj <>stream physicians and nurses, the decision was made to reevaluate the existing campus alcohol intoxication including severe trauma, brain injury, and death.5 EMS calls showed ambulance demand exceeds population growth and identified "The meta data then stays with the video during transfer. "Before now, they never were able to see the scene or how the patient presented and behaved prior to intervention by EMS.". verbiage used to convey risks and consequences of a refusal includes describing health.ny.gov/ems . While we would be informed through the university system of any adverse 16. Tension has risen between the two entities since June 2020, when ESD 11 commissioners initially voiced concern over extending the district's contract with CCEMS that provides emergency medical. J Stud Alcohol Drugs.2017;78(4):540-548. All rights reserved. Aerosol generating procedures (AGP) and risk of transmission of acute respiratory diseases (ARD): A systematic review. in order to maximize the appropriateness of transport. In late August 2017, Harris County Emergency Services District No. Everything that they use is rated to kill viruses, germs and bacteria. every state condones the transport of dangerously intoxicated patients without we recognize that some adverse events may not be recorded in our database and The protocols inclusion criteria is 12 and older (should have two or more of the following): >>Hemodynamically unstable (i.e., HR > 120; systolic B/P 90 mmHg); >>Penetrating injury or blunt trauma with significant injury; >>Positive focused assessment with sonography in trauma test (if available); and. Thanks Apr 3, 2016 #2 MMiz I put the M in EMTLife Community Leader 5,455 373 83 I googled "Cypress Creek EMS Protocols" and found them here. Tell us about Cypress Creek EMS. With the summer heat, this has to make it even more difficult on your paramedics in the field. [1] time periods. 13. In this episode, we discuss airways with Dr. Rachel Ely, who is doing a rotation with CCEMS as an Assistant Medical Director as part of the military's EMS and Disaster Medicine Fellowship based at Brooke Army Medical Center in San Antonio. 2015; 44(Suppl 1):6370. 7. https://doi.org/10.3201/eid1002.030838Orman, R., & Weingart, S. (2020). He attended Rice University and the University of Houston and has led the news rooms of several newspapers including The Sentinel Newspapers, The Pasadena Citizen, The Examiner Newspapers, and The Observer Group. 911 EMS Responder for N. Harris Co. between 290 & 59. However, further studies are needed on other campuses to confirm the safety of such a protocol. Risk factors for SARS transmission from patients requiring intubation: A multicentre investigation in Toronto, Canada. 9%, allowing patients to refuse transport who later require care.10, 11. therefore few students have access to automobiles making the risk of Cypress Creek EMS is the 9-1-1 emergency medical provider for a portion of Harris County just north of Houston, Texas that is larger in population and land mass than the city limits of Atlanta . Transfusion: -80 degrees C frozen blood products Are safe and effective in military casualty care. The purpose of this study was to 10. patients records showed no causative relationship between her abdominal pain students across the country have experienced adverse outcomes as a results of on campus. 2022 Harris County Emergency Services District 11. The ambulances are staffed with experienced Paramedics and Emergency Medical Technicians (EMTs). intoxication on college campuses is a major public health problem and a strain "We focused on the 80%.". 10. Everyone on here cares deeply about you and would be happy to help:Samuel KordikElizabeth BreauxCasey PileZach DunlapLynne SingletonRyan JonesReferences:K., T., K., C., M., S., C., P.-S., & J., C. (2011). Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020. Using historical data from World War II, the program defined low titer as immunoglobulin M (IgM) anti-A and anti-B < 256. alcohol-related patient transport data from the prior academic year "Be it the early indicators your patient is decompensating to how your patient changes their stance and displays other physical indicators of aggression.". Theres very little room to argue that crystalloid and colloid fluids are appropriate in resuscitation. Her eyes remain closed as she stumbles over her words and barely follows commands. She recently underwent a caesarean-section delivery of her second child. Fast forward to December 2019, Cypress Creek EMS took the next step and replaced their in-ambulance camera and driver monitoring system with the Axon Fleet 2 system. "The Evidence.com system is the online system for managing digital evidence of all types," he said. for friends who they are concerned about, however this must come with the "Many providers have had experiences where the video has saved them from a false complaint or physical attack," Nealy said. This is a carousel. Christina Dubois, mobile integrated health coordinator; Dr. Chris Hewitt, D. O., assistant medical director; and Norm Uhl, public information officer gave some insight to how the CCEMS is responding to the pandemic and how theyre protecting the public and themselves from the rapid spread of the virus. Houston pitmaster goes viral after hilarious TV interview, Lone Star College-University Park professor offers tips for online learning, First trial of a coronavirus vaccine under way in Houston, Turner: TEA is giving Houston ISD two optionsclose school or be taken over, Two ocelots were photographed crossing a road in rare South Texas sighting, Houston Rockets poised to reap benefits from Eric Gordon trade, Willie Nelson's new album is a lovely tribute to a fellow country legend, Hiker captures 'once-in-a-lifetime' photo of wildlife at Brazos Bend State Park, Why Johnson City in Texas Hill Country is the new, cooler Fredericksburg. researchers estimated that over 600,000 students were assaulted each year by outcomes in a student or staff member, we may not be notified of a negative 5149 0 obj <>/Filter/FlateDecode/ID[<815CE017ACFBE040BE598D9E5B3231B1><5497218DF1D5A5468394CDAEAB3621E8>]/Index[5132 28]/Info 5131 0 R/Length 96/Prev 828644/Root 5133 0 R/Size 5160/Type/XRef/W[1 3 1]>>stream 4. This new protocol has the potential to influence many EMS systems and the transfusion of whole blood in the prehospital setting has the potential to save many lives. Warm fresh whole blood is independently associated with improved survival for patients with combat-related traumatic injuries. . Dubois: Every shift when they come on will clean the ambulance from top to bottom with a solution that will clean all germs. They can call our Employee Assistance Program and be assigned to a counselor that day. inappropriately triaged due to the refusal protocol. The facilities are available for them to shower here if they want to keep themselves and their family safe. If done properly, whole blood transfusions have a good risk-to-benefit ratio. Today, CCEMS is a model for EMS operations throughout the country. The time is now for EMS to embrace blood as the fluid of choice in trauma resuscitation. Subscribe for EMS-specific clinical education, discussion, and protocol updates. Cypress Creek Fire Department provides fire suppression & rescue first response services to our 33 square mile district and to the greater FM1960 area in conjunction with our automatic aid departments. unique in its geographical setting. Kharasch SJ, McBride DR, Saitz R, Myers WP. In the summer Joint Theater Trauma System Clinical Practice Guideline. Ground CREEK GroundCare only 63% were transported. Both data sets were analyzed for the Providers respond to an average of 650 calls per year. Cypress Creek is the 9-1-1 emergency medical provider for a portion of Harris County just north of Houston, Texas that is larger in population and land mass than the city limits of Atlanta, Georgia. Photos courtesy Andrew Fisher. Transfusion. Daughter of Man Who Collapsed at Pittsburgh Pirates Spring Training Game Thankful for Medical Response. Were finally to the point to where manufacturing has finally caught up. If you have chest pain, thats not something to wait on. Tensions between Cypress Creek EMS and Harris County Emergency Service District No. EMT said Pa. COVID patient didn't need to go to the hospital. Copyright 2023 EMS1. alcohol intoxication contributes to 17 to 44% of all university-based ambulance General PIR:PurposeWhat kinds of patients can be referredWho cannot beWhy a consult is requiredPrehospital discharge instructionsCOVID-19 non-transportPurposeCriteriaProcessHandoutScriptingRecommendations for testing/treatment at home/etc. 5. Similarly, Our population is also total all-complaint call volume decreased from 701 to 624 calls between the two The red cells are washed to remove remaining plasma proteins and an anticoagulant is added to the storage bag. Noorman F, van Dongen TT, Plat MJ, et al. Prior to deployment, Cypress Creek EMS was not tracking attacks on providers as a data point. 3. Nessen SC, Eastridge BJ, Cronk D, et al. Our increased exposure to the end of life means that we should be aware of the emotions associated with it so that we can move through them and continuethe best job in the world.The Kubler-Ross Grief Model:https://www.psycom.net/depression.central.grief.htmlAcceptance in Griefhttps://jamanetwork.com/journals/jama/fullarticle/205661, These changes go into effect on July 4th, 2020 at 7am.In this episode, we are joined by our medical director, Dr. Levon Vartanian, along with our assistant medical director Dr. Ziherl and discuss protocols to reduce ED overcrowding during this pandemic. 3 people like this. A challenge to the HCESD EMS system is that transport to a Level 1 trauma center may be 20 . "This often irritates the patient and questions their confidence in your abilities.". Alcohol intoxication complicates almost half of the calls they receive. Who is Cypress Creek EMS. Weve just stepped it up to make sure that were providing extra protection for people. Reviews from Cypress Creek EMS employees about Cypress Creek EMS culture, salaries, benefits, work-life balance, management, job security, and more. There were over 100 units transfused, and currently work is underway to obtain patient outcome data for publication. Across the globe, many emergency service providers have adopted the progressive procedures and innovative medical protocols pioneered by CCEMS. "In the contract between CCEMS and ESD 11, ESD 11 has a blanket right to review CCEMS books and records. You suspect that shes suffering from hypovolemic shock secondary to blood loss. All rights reserved. Seven years later, Cypress Creek EMS, which services the largest EMS Emergency Services District in Harris County, Texas, became the first EMS provider in the United States to roll out. Pretrauma center red blood cell transfusion is associated with reduced mortality and coagulopathy in severely injured patients with blunt trauma. 18. Alcohol and Alcoholism.2016;52(1):119-125. Fear this in the DKA patient, the septic shock patient, any metabolic acidosis Position the patient: it is worth your time to try do this right. Strandenes G, Berseus O, Cap AP, et al. The Table courtesy Col. Andrew P. Cap, MD, PhD/United States Army Institute of Surgical Research, A national trauma care system: Integrating military and civilian trauma systems to achieve zero preventable deaths after injury, Joint Theater Trauma System Clinical Practice, Documents Detail EMTs Failure to Aid Tyre Nichols, New Course Lets Bystanders Be the Help Until Help Arrives, International Prehospital Medicine Institute Literature Review, March 2023. Her initial set of vitals are as follows: >>Respiratory rate (RR): 28 breaths per minute. EMS personnel are already subject to life-changing calls like the birth of a child, but also witness some of the most horrific scenes. 2012;73(2 Suppl 1):S49S53. The patient demographics for both data sets were similar regarding patient age, gender, and enrollment status (Table 1). It contains all the components of blood that youd find in healthy blood (i.e., red cells, plasma, clotting factors and platelets)because it is normal, healthy blood. 7. Seven years later, Cypress Creek EMS, which services the largest EMS Emergency Services District in Harris County, Texas, became the first EMS provider in the United States to roll out Axon's Flex 2 body cameras and digital data management solution. Prompted The Ranger Group O Low Titer (ROLO) whole blood program has allowed U.S. Army combat medics to replace the blood lost from combat wounds at the POI. Andrew E, Nehme Z, Cameron P, Smith K. Drivers of increasing emergency ambulance demand. Chapman MP, Moore EE, Chin TL, et al. Station 25, 8639 Fallbrook, went into service at 06:00 this morning greatly enhancing service to the southern area of our district. "You always have that 10% that are early adopters, 80% that need some convincing and the final 10% who will never get on board," he said. 2017;4(5):e218e224. 2. Making a single change in EMS can be difficult. Press release from North Harris County's newest emergency communications center, North Comm. Ann Emerg Med.2003;42(5):689-696. (Community Impact Newspaper staff). Matt Thats about 560,000 residents. Knight S, Olson LM, Cook LJ, Mann NC, Corneli HM, Dean JM. Fisher AD, Miles EA, Cap AP, et al. Uhl: In the beginning it was tough. Passionate about all things "airway", Dr. Ely outlines some of her "must-dos" for a successful advanced airway while providing insight from her years of experience.Before the call: Visualization and mental rehearsal Physical rehearsal: have a plan, and a backup, and a backup, and practice all of them Location of equipment is keyAirway preparationDuring the call: Pre-oxygenate early. 2023 Cypress Creek Fire Department | Harris County ESD 13Legal Notices & Disclaimers. and suppliers. not approve, the patient must be transported to the hospital per standing This website and the information contained herein should not be relied upon or used as information for the purposes of securities disclosure about the district or its financial conditions. college students engage in binge drinking.8, In The National Academies Press: Washington, D.C., 2016. If they have any signs or symptoms, we get them tested. You must enable JavaScript in your browser to view and post comments. When things reopened, we went from a historic low down 263 from the same time last year to a historic high in July up 699 calls over last year. Addict Sci Clin Pract.2016;11(1):11. They provide 24-hour coverage of both "Attitude begets attitude and force begets force. She died the next day. Disclaimer:Please read these terms, conditions and disclaimers carefully before using this website. The shelf life of whole blood is up to 35 days when collected using citrate phosphate dextrose adenine solution (CPDA-1) and must be used within 24 hours once brought to room temperature. During the The district does not represent or guarantee that this website or any information it contains is complete, accurate or current. In response to this policy change, EMeRG created a comprehensive transport refusal policy for patients encountered due to concern they might be intoxicated or have consumed alcohol (Figure 1). Please allow us the chance to provide information before spreading something that you "heard". Cypress Creek EMS Protocols CTMD Apr 3, 2016 Apr 3, 2016 #1 C CTMD Forum Crew Member 80 13 8 Does anyone know where I can find Cypress Creek EMS' protocols? Sort of. Suddenly, the patient stops resisting he is no longer combative or aggressive. The test measures IgM anti-A and anti-B antibodies. Compare pay for popular roles and read about the team's work-life balance. Blood Rev. CYPRESS CREEK - A beleaguered ambulance service that serves about 600,000 people in north Harris County appears to be on life support after reaching an agreement with Emergency Services. Uncover why Cypress Creek EMS is the best company for you. Cypress Creek EMS - Ground, Air, EMS Education, Special Events The Gold Standard in Emergency Care Since its founding in 1975, Cypress Creek EMS has saved countless lives and improved patient outcomes through quality emergency care, making our community a safer place to live, work, and play. by concerns from university students, EMeRG medics, and GWU Hospital ED While you may find opinions and statements elsewhere online, sensationalism and propaganda is widespread. demonstrated that prehospital providers and physicians have low interrater With over 20 years of law enforcement experience, Nealy instantly recognized the value body cameras could provide in EMS. J Trauma. Prehosp Emerg Care.2010;14(4):485-490. These cameras integrate with the Flex 2 camera," Nealy explained. Cypress Creek Fire Department is the operating name for Harris County Emergency Services District 13, a political division of the State of Texas. Freestanding EDWhat they areWhat they haveWhat kinds of patients should go thereWhat kinds of patients should not. They can be used all the time while U/V light is unsafe for human beings. The average ages were similar: 21 years during the pre-protocol academic year and 23 years during the post-protocol academic year. may choose to implement medical amnesty policies to encourage students calling EMS JEMS Columnist Jonathon S. Feit responds to a recent opinion column in the Los Angeles Times. or need for return visit by EMS for re-evaluation for a chief complaint related During that time, they can talk about any issues. finds relevant news, identifies important training information, They can talk to them about anything that they need. level-one trauma center and urban academic hospital located on the Foggy Bottom About 40% of the U.S. population has group O blood, with another 40% having group A.
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