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Ambulance: Light Weights – Heroin Math 2 (Why We Don’t Get Robbed of our Fentanyl)

Written by RSS Poster Medic Scribe

You carry four 100 mcgs vials of Fentanyl in your controlled substances kit.  How much would those vials be worth on the street?

Let’s do the math.

100 mcgs of Fentanyl is the equivalent of 10 mgs of Morphine.

Morphine is 50% as strong as heroin.

Morphine is the equivalent of 50% pure heroin.

A bag of heroin in Hartford contains 0.1 grams of powder.

0.1 grams of 50% pure heroin is 50 mg of heroin and 50 mgs of filler.

50 mg heroin is the equivalent of 100 mg morphine.

100 mg Morphine is equivalent to 1000mcgs of Fentanyl.

1000 mcgs of Fentanyl is 10 vials of 100 mcg Fentanyl.

A 0.1 mg bag of 50% pure street heroin is the equivalent to 10 vials of 100 mcg Fentanyl.

A bag of heroin costs $5 on the Hartford streets.

Each 100 mcg vial of Fentanyl is worth 50 cents.

Four 100 mcg vials of Fentanyl is worth $2.00.

When was the last time you were held up at gun or knifepoint for your controlled substances by a heroin user?

Ever wonder why 100 mcgs of Fentanyl...

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Ambulance: The dampest squib - Shape of Training outcome

Written by RSS Poster Garth Marenghi
So the Shape of Training Steering Group have published their final report and I think it's fair to say it's a massive improvement on Professor Greenaway's disastrous first draft.  My summary article in the BMJ from 2015 summarises the huge problems with the initial report and the rather dubious political influence upon the review that was taking place off the public record. The most dangerous


Police: Tricks and Tools

Written by RSS Poster Mental Health Cop

By working in a role that takes me around the country, I get to see the various differences that exist between police areas – and I don’t just mean the 43 police forces of England and Wales, but even more local than that.  I’m a West Midlands Police officer and my operational experience has mainly been in Birmingham but I’ve also spent three years working in the Black Country.  The Brummies and the Yam Yams will hate me for saying this: but those areas are not as different as they’d like to think they are – I hope I can get away with that, being neutral (a Geordie).  But there are differences in the way that services operate: different local authorities, different mental health trust albeit the same 999 services who often work across those boundaries.  Section 136 MHA works very differently on Shenstone Road, in west Birmingham depending on which side of the road you’re detained – one side of the road is in the Sandwell LA/MH area, the other is Birmingham’s.  Or maybe it depends which are the attending police...

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Police: PROVEN ANTI SEMITE IN LEGAL PRACTICE

Written by RSS Poster The Justice of the Peace
I suppose the legal profession has always had its bad apples. My own experience tells me that they are probably more abundant than generally realised. In times past I would opine that gaining riches from clients by methods at or over the borderline of legality was the inspiration for many.  However with the proliferation of social media and the ability to tell the world in just a few words and/or minutes just what one thinks the boundaries between merely insulting, offensive and downright unlawful have meshed ever more closely.  When professionals beholden to their professional and/or regulatory body stray too close to that boundary they have only themselves to blame for the repercussions.  Such is the case of this solicitor.  I wonder if the firm`s clients would continue to be attracted to their services if they knew his recent history.


Fire: MFRS handed silver award for support to armed forces community

Written by RSS Poster Merseyside Fire & Rescue Service - Latest News
MFRS handed silver award for support to armed forces community


Fire: Statement in response to sentencing of arsonist Jeremy Taylor

Written by RSS Poster News

TODAY (August 18) Jeremy Taylor was sentenced at Manchester Crown Court to four-and-half-years after setting fire to the Wythenshawe Hall in March 2016.

Greater Manchester Fire and Rescue Service (GMFRS), County Fire Officer, Peter O’Reilly, said:

“More than 50 firefighters and ten fire engines were tied up at this incident, which put lives at risk and caused incredible damage to this unique, historical landmark.

“We did everything we could to save the much-loved building and while the quick actions of our crews saved the majority of the structure, a devastating amount of damage was caused. Thanks to the Friends of Wythenshawe Hall and Manchester City Council, I hope one day we will see the Hall restored to its former glory and re-opened once again to the public.

“Deliberate fires of any kind put lives at risk. As well as the potential harm caused by the fire itself, diverting resources to tackle arson attacks means our crews and engines are tied up when they may be desperately needed elsewhere.”



Ambulance: Nocebo Effect

Written by RSS Poster Medic Scribe

While headlines of deadly Fentanyl creating Haz Mat scenes and causing first responders to be hospitalized continue to dominate the news, on July 10, 2017 with little fanfare, the US Institute for Occupational Health and Safety removed the statement “skin absorption can be deadly” from its Fentanyl page.

You can read their safety recommendations here:

Fentanyl: Preventing Occupational Exposure to Emergency Responders

A rational article on what is becoming an increasingly hysterical situation was published by STAT.

Are people really falling ill from touching fentanyl? In most cases, scientists say no

Here is an informative passage:

Juurlink said the real culprit in these cases may be a phenomenon known as the nocebo effect, in which the mere suggestion that a substance can be harmful causes people to suffer negative effects after exposure. In medical research, for example, being informed of side effects related to a pill or procedure can bring on real-life symptoms.

“If in a moment of panic, a person sees powder on their skin and...

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Police: MOJ & FAKE NEWS//MILLENIALS

Written by RSS Poster The Justice of the Peace
Once again MOJ is telling all who`ll listen by e mail, print media, TV or social media that there are so many new recruits to the prison service that we`ll soon have this problem solved.  Does the MOJ press office with all the little weasels of Petty France spewing out this propaganda really think that those who know even a teeny little bitty of the truth will be taken in by this truly fake news?......Thank you D Trump for this new and much needed addition to our language.  

One part of today`s announcement is available here and full release is linked to Adobe Acrobat. Perhaps before those interested peruse the press release a few minutes looking at the situation in 2009/10 might put the matter in perspective.

For centuries governments have been successful in fooling the people of this country with so many lies that just could not be investigated except by professional researchers with the funds and facilities so to do.....not any more. The Mays and Corbyns plus all the others might try to disguise their...

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Police: My journey to a career in crime prevention

Written by RSS Poster Crimestoppers

Nina volunteers for Crimestoppers in our central office and also volunteers regularly with her local magistrates’ court. Here she talks to us about her interest in crime prevention.

NinaI’ve been volunteering at Crimestoppers for a few months now to get an insight into how the British justice system works, but the idea of becoming a criminologist has captivated me since I was 16. I think it runs in the family: one of my grandparents used to be chief of Skopje police station in Macedonia! When I lived in Bulgaria I heard about corruption every day. Motivated to make a difference in society, I started preparing myself for a career in crime prevention when I was at school

People who work to solve crimes have to be curious and comfortable with uncertainties

I began to take additional classes in maths and psychology to improve my critical thinking and deductive reasoning. Ethics, law and sociology classes have served as a good introduction to criminology. Every year my school (together with the police crime...

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Police: COURTS` INCREASED WORKING HOURS

Written by RSS Poster The Justice of the Peace
There has been much comment within legal circles of the forthcoming "pilot schemes" to increase working hours of crown and magistrates` courts.  Yesterday the Sheffield Star in its report on the project gave the fairest and most comprehensive account of the proposal I have read in the general news media. It`s certainly worth a few minutes reading time.

My weekly inspection of HMCTS` own blog on this topic shows that specific questions in relation to magistrates` involvement in this pilot posted on July 25th by "May" have as yet received no comment from HMCTS.  I`ll look again next week.  The original post is copied below:-

May posted on

Have you secured sufficient numbers of magistrates to the proposed rota for extended hours? Similarly have you DJs in place. If to my first question the answer is "no" will you attempt to use DJs more often? Have you sufficient of them for your proposed needs? Do you have a division of sittings in mind for JPs and DJs?



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Emergency Shorts:
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