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Welcome to the first addition of the Los Santos Fire Department's monthly newsletter for the year 2013. This month the public affairs team have as always put the full dedication and effort into ensuring that the city of Los Santos is kept up-to-date in-regards to the on-goings of it's main medical unit. We hope you enjoy the read and as always appreciate any feedback and suggestions you may have!

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I have to say, being sat here today seeing the Los Santos Fire Department continuing it's success through to the next year of 2013 does bring a smile to my face. As always there have been up and downs inside of the LSFD, people come and people go however one thing that will never change is that the Firefighters and Physicians of the Los Santos Fire Department will always continue to serve the city of Los Santos with full commitment and dedication.

Last year saw a lot of big changes happen within, the one being the change of Commissioners from Stuart Collins to myself and this year we start in the exact same way but not for the reason of the last change but instead an improvement. Previous Commissioner changes have always been due to the LSFD's previous Commissioner stepping down instead this time I will be staying as Commissioner and instead the department will be run with two. So I am pleased to announce as the start of our bulletin and the start of the new year ahead the appointment of Arun Harris as Commissioner. This means the department will be able to run throughout the year without any hiccups, all decisions will be made with more integrity and if it occurs that myself or Harris have an unexpected absence the department will continue unaffected.

So now we move on to the months ahead and prepare for the ups and downs to come. I'd like to welcome every new member of the department and say goodbye to all the ones who have moved on. One thing for certain is that this year will not fail to disappoint and many changes will come to improve the medical care we provide to the citizens of Los Santos . Stay safe Los Santos!

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LSFD General Practitioner

Written by Alexander Fedecino

Over the course of this month, Chief of Surgery Alastair Crawford created a brand new Clinical team, which is the General Practitioner. The GP is a brilliant way of getting all types of citizens to come and have a free check up to check out any bumps, aches, pain and a lot more. The GP helps the LSFD communicate with San Andreas in ways that vary. They will be mostly based in CGH, you will find out when your local GP is available by community adverts. There are several General Practitioner in the LSFD and all have endless possibilities to what they can help. Here are all of the LSFD GP's:

Captain Vittoria Tizano
Chief of Sugery Alastair Crawford
Senior Resident Maria Petropoulos
Senior Resident Alexander Fedecino
Senior Resident Jimmy Ventura

GPs look after the health of people in their local community and deal with a whole range of health problems. They also provide health education, offer advice on smoking and diet, run clinics, give vaccinations and carry out simple surgical operations. I should remind that this is free and nothing is paid for. GP's are also here for advise about life education and person hygiene so if you have any queries, don't be scared to tell the GP about your worries. Also, if you have a personal issue, you can sign up for a family GP and that issue will be kept between you and your family GP.

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Los Santos Fire Department Impounder Unit

Written by Nick Apps

We at the LSFD are always looking to improve our services for the citizens of Los Santos, and as you may have noticed, the amount of abandanoned damanged cars in the city, and the amount of illegal parked cars that block lanes and increase the danger level on our roads have become a real pain recently. Thanks to Commissioner Russ, we have now commissioned some new Wrecker Units into the Fire Department inventory!

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With these new units, and fully trained Fire Fighters to operate them, we plan to help clean up the city streets, one car at a time! However, we are not merely imounders, just looking to ticket and remove your car, our main aim, as given by Commissioner Russ;


    - To ensure the Ambulances Only traffic laws are enforced at Hospital and care Facilities.
    - To attend MVA calls to assist other Fire Fighters in clearing the location to allow safe use for road users.
    - Attend any calls where road safety is in danger and take appropriate action to ensure safety for Drivers.


We hope that the Citizens of the great Los Santos will notice a change in the Abandoned Car issue which plagues this city so much these days. Should you have any questions regarding the new Internal Support Unit, or any questions for the LSFD at all, feel free to contact us, speak to a LSFD Staff member face to face or visit our website at: "ems.lsgov.us"

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Dontate Blood For Leucemia

Written by Vittoria Tizano, M.D.

Unfortunately, none of the healthy women are able to give a hundred percentage healthy birth due to the recent natural threats, which directly affects the health rate of the births. One of the most important issue that have to be considered is no other than Leucemia, which is a type of cancer of the blood or bone marrow characterized by an abnormal increase of immature white blood cells called blasts.

When bone marrow is damaged, it is nearly impossible for itself to recover, which causes lots of immature white blood cells to increase drastically, resulting the lack in the blood platelets, which all are important in the process of blood clotting. In overall, this means, a person who suffers from leucemia causes their cells to be bruised or injured much quicker than a healthy person, also leading the tissues, cells bleeding excessively. Other than that, we can include as signs of leucemia is that some patients experience other symptoms, such as feeling sick, having fevers, chills, night sweats, feeling fatigued and other flu-like symptoms. Some patients experience nausea or a feeling of fullness due to an enlarged liver and spleen; this can result in unintentional weight loss. Blasts affected by the disease may come together and become swollen in the liver or in the lymph nodes causing pain and leading to nausea.

Even though no single reason is found that why leucemia is increased or why it is such a threat for people's lives, there are some facts that leucemia is seen more likely than other people. According to a study conducted at the Center for Research in Epidemiology and Population Health in France, children born to mothers who use fertility drugs to induce ovulation are more than twice as likely to develop leukemia during their childhoods than other children. Also, race is known to play a role, with some racial groups being more at risk than others. Hispanics, especially those under the age of 20, are at the highest risk for leucemia, while whites, Native Americans, Asians, and Alaska Natives are at higher risk than blacks. And finally, in the case of gender, more men than women are diagnosed with leucemia and die from the disease. Around 31 percent more men than women live with leucemia.

Diagnosis is usually based on repeated complete blood counts and a bone marrow examination following observations of the symptoms, however, in rare cases blood tests may not show if a patient has leucemia, generally this is because the leucemia is in the early stages or has entered remission. A lymph node biopsy can be performed as well in order to diagnose certain types of leucemia in certain situations. Following diagnosis, blood chemistry tests can be used to determine the degree of liver and kidney damage or the effects of chemotherapy on the patient. When concerns arise about visible damage due to leucemia, doctors may use an X-ray, MRI, or Ultrasound. These can potentially view leucemia's effects on such body parts as bones (X-ray), the brain (MRI), or the kidneys, spleen, and liver (ultrasound). Finally, CT scans are rarely used to check lymph nodes in the chest.

Treatments are basically known as, pharmaceutical medication, typically combined into a multi-drug chemotherapy regimen, radiation therapy and bone marrow transplant. As being All Saints General Hospital doctors, who are currently working under Los Santos Fire Department, LSFD, there is a new event created as "Donate Blood For Leucemia Children" to avoid the further increasing deaths on children, who suffer from this cancer in recent years. Don't forget, by giving a tube of blood, we can ensure them to live longer, even this would lead them to recover. We are expecting all of our civilians to be a part of this event.

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Sub-Department Changes

Written by Jenny Russ

As always changes are made to sub-departments and new ones are introduced. This month has seen two new clinical teams introduced to the hospital sector of the Los Santos Fire Department with aims to get kick started at the start of this month and provide a full service to the citizens of Los Santos:

    - Physiotherapist - Headed and created by Alexander Fedecino.
    - General Practitioner - Headed and created by Alastair Crawford.


We wish both new clinical teams the success we are sure they will achieve and hope to see the services provided by them to be beneficial to the city. Any questions in-regards to any of the above new teams of the LSFD can be directed to the relevant heads of each.

As well as new areas being made there are a few notable changes that have been made to the leadership of the existing sub-departments:


    - Public Affairs: Elena Armero stepped down as deputy head with Alexander Fedecino being announced as the new deputy.
    - Child Protective Services: Nick apps appointed as deputy head.
    - Training Division: Vittoria Tizano appointed as head of the training division after the resignation of Shawn Donnell.
    - Special Hazards Unit: Ted Lambe announced as the new head of SHU.


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Written by Arun Harris

Total members in the Los Santos Fire Department: 51

High Command - 8.0%
Commissioner
2 - 4.0%
Bureau Chief
0 - 0.0%
Battalion Chief
2 - 4.0%

Command - 12.0%
Captain
2 - 4.0%
Lieutenant
3 - 6.0%
Chief of Surgery
1 - 2.0%

Non-Commissioned - 80.0%
Attending Physician
0 - 0.0%
Senior Resident
4 - 8.0%
Resident
0 - 0.0%
Intern
4 - 8.0%

Engineer
5 - 10.0%
Firefighter II
4 - 8.0%
Firefighter I
14 - 28.0%
Probationary Firefighter
10 - 20.0%

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Written by Arun Harris

We would like to wish everyone who has resigned from the Los Santos Fire Department the best of luck with the rest of their lives.
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    - Adam Foster
    Engineer

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    - Ronald Costa
    Firefighter Second Class

______________________________________________________________________

    - Abbud Mufazzal
    Firefighter First Class

______________________________________________________________________

    - Luke Michaels
    Probationary Firefighter

______________________________________________________________________

    - Robert Fullman
    Probationary Firefighter

______________________________________________________________________

    - Kate Callahan
    Probationary Firefighter

______________________________________________________________________

    - Jack Falcone
    Probationary Firefighter

______________________________________________________________________

    - Raymond Ramirez
    Intern

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    Written by Vittoria Tizano, M.D.


Individual promotions were handed out during the month, so here are the individuals that were promoted throughout the month of January:

Probationary Firefighter -> Firefighter I
    - Joseph Ragusa
    - Michael Queen
    - Hubert McIntosh
    - Chicho Ramos


Resident -> Senior Resident
    - Alexander Fedecino, M.D.


Attending Physician -> Chief of Surgery
    - Alastair Crawford, M.D.


Bureau Chief -> Commissioner
    - Arun Harris


Congratulations to all who have been promoted this month. Please understand that if you were not promoted this month, you still have many opportunities throughout the month of February to prove yourself meritorious of an increase in rank. Now moving on to one of the most important parts of the monthly bulletin - the bulks:

Firefighter One -> Firefighter Two
    - Kevin Alterlis
    - Joseph Ragusa
    - Michael Queen


Firefighter Two -> Engineer
    - Mason Verdone


Engineer -> Lieutenant
    - Eleonora Tjader
    - Nick Apps


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Every month, we recognize our firefighters and doctors within the Los Santos Fire Department and All Saints General Hospital who have received commendations for their tireless dedication, bravery and professionalism. We praise these wonderful achievements with awards. Let's take a moment and reflect on who was honored during the month of January:

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Service Award III
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Sean Barclay has dedicated over a year in the Department, we'd like to personally thank them for their diligent work and service done throughout the department, additionally continous support.

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Service Award II
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Vittoria Tizano, M.D. has dedicated over six months to the Department, we'd like to personally thank them for their services and continued support.

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Service Award I
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We would like to thank Mitchelle Cooper, Sarah Holcombe, Juozas Venta for their continued dedication and service to the LSFD for the last three months.

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EMT-B Certification Award
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These are our newest members of the department who have successfully passed our basic medical training program and have been certified as Probationary Firefighters.

Recipients:
Bernando Hernandez
Megumi Fujishima
Robert Henderson


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EMT-I Certification Award
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These individuals have completed their firefighter training program and have been employed with the LSFD for at least two months ((two weeks)); therefore, these men/women have achieved the rank of Firefighter I allowing them to respond to fire events and practice intermediate medical procedures and protocols.

Recipients:
Joseph Ragusa
Michael Queen
Hubert McIntosh
Chicho Ramos
Alex Levin
Sergei Laevski

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EMT-P Certification Award
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These members have continued to exceed expectations in the field of emergency medical care and are now certified to administer advanced emergency medical care as certified paramedics:

Recipients:
Kloe Mandaline
Integra Davenport
Catalina Lombardi
Adriana George
Viola Fischer
Jonathan Griffiths
Mason Verdone

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Firefighter Certification
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The department’s medics not only provide outstanding emergency medical care, but they are also expected to fight fires in Los Santos. The following individuals have traversed the department’s firefighter training program to receive their firefighter certifications, which also makes them eligible for promotion to the rank of Firefighter I:

Recipients:
Joseph Ragusa
Michael Queen
Hubert McIntosh
Chicho Ramos

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Command Team Award
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Alastair Crawford, M.D. has achieved the rank of Chief of Surgery in the LSFD as well as Nick Apps and Eleonora Tjader achieving the rank of Lieutenant. This position is part of the LSFD Command Team and with it, comes great responsibility. We know each and everyone of them is up for the challenges and we look forward to their leadership.

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Medical Internship & Residency
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The LSFD is not only comprised of pre-hospital personnel that provide emergency medical services in the field, but the ASGH maintains an amazing staff of highly trained doctors to administer surgical procedures and tend to our many drug addicted citizens of Los Santos; however, every doctor has to start somewhere. So, we would like to recognize the newest interns and residents that have joined the elite team of doctors at the ASGH:

Recipients:
Kloe Mandaline
Integra Davenport
Catalina Lombardi
Adriana George
Viola Fischer
Jonathan Griffiths


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Purple Heart:
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Unfortunately our line of work is a quite difficult one; we'd like to personally thank the following heroes for their continued service despite an injury in the field:

Kevin Alterlis


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Firefighter Commendation Award:

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Occasionally a member performs an incredible act of service either in the field or within the hospital. This month, we'd like to extend our gratitude to the following emergency responders, who have proven themselves in the line of duty:

Kevin Alterlis
Eleonora Tjader
Nick Apps
Isaac Fischer


Physician Commendation Award:

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Occasionally a member performs an incredible act of service either in the field or within the hospital. This month, we'd like to extend our gratitude to the following emergency responders, who have proven themselves in the line of duty:

Vittoria Tizano, M.D.


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Firefighter Service Commendation Award:

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Reason: Awarded to a veteran (more than 6 months) member of the department who has performed service to the department in a highly commendable manner.

Mark Everett

Physician Service Commendation Award:

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Reason: Awarded to a veteran (more than 6 months) member of the department who has performed service to the department in a highly commendable manner.

Kayla Liams, M.D.
Elena Armero, M.D.

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Medal of Honor
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Description: Awarded to those who have performed an act of heroism which furthers the highest traditions of the LSFD while on duty and under EXTREME hazardous conditions as well as being confronted with imminent personal risk.

Kevin Alterlis

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Unit Commendation Award:

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Reason: Awarded to a group of members who have performed service to the department in a highly commendable manner. (A unit is a partnered unit that has been seen on many occasions partnered together).

Jenny Russ
Nick Apps

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Administration Commendation Award:

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Reason: Awarded to an individual who contributes greatly to the administration and upkeep of records of the Los Santos Fire Department and it's subsidiaries.

Vittoria Tizano, M.D.
Kayla Liams, M.D.

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Meritorious Service Medal:

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Reason: The member has performed a notable act of distinction in the performance of duty.

Robert Henderson
Joseph Ragusa

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Distinguished Service Medal:

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Reason: The member has performed a highly unusual act of distinction under adverse conditions in the performance of duty.

Alastair Crawford, M.D.

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Marty Sweet Bravery Medal:

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Reason: Awarded to those who have demonstrated outstanding bravery in a Fire Department situation.

Nick Apps
Joseph Ragusa
Mithcelle Cooper
Michael Queen
Jenny Russ
Kayla Liams, M.D.
Elena Armero, M.D.

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Sub-Division Awards

The Air Operations Division is proud to award pilot Isaac Fischer with both the Distinguished Service Ribbon and the Pilot of the Month: December awards.
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The Training Division is proud to award Alastair Crawford, M.D. with the Trainer of the Month: December award! Thank you for your continuous effort in welcoming new and returning applicants to the Department.
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The Training Division is proud to award Vittoria Tizano, M.D. and Elena Armero, M.D. with the Service I Award due their dedication towards the department over three months. Thank you for your continuous effort in welcoming new and returning applicants to the Department.
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Every month, High Command recognizes two individuals from the hospital and pre-hospital sides of the department for their outstanding and consistent efforts to advance emergency medical care and the Hippocratic Oath within the field and administratively within the office. We recognize the exemplary efforts of these individuals with the Physician of the Month and Firefighter of the Month awards. So, without further delay:

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The title of Firefighter of the Month goes to Joseph Ragusa for his continuous dedication shown to the department and expertise show in all elements of his work in the field and in the office. His participation and dedication to our Department remain unmatched.

We would also like to present Alexander Fedecino, M.D. with the title of Physician of the Month for his admirable work ethics shown towards his many duties as a physician and continuous dedication throughout the department.

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Again, we'd like to express our gratitude to each and every member of the Department, the civilian population we serve, and the cooperating agencies we work with. We'd like to encourage you to stay tuned for upcoming publications from the Public Affairs Department, and as always, let's make this next month even better than the last.

Furthermore, if you have any questions regarding this bulletin or the Los Santos Fire Department in general, we encourage you to contact our Community Liaison Office.

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Produced by the Public Affairs Department
Approved for release by Commissioner Jenny Russ
Quality Control for Approval Stamps by Battalion Chief Kayla Liams

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