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Driving down a dirt logging road in rural Maine, paramedic Nathan Yerxa can’t help but take in the view most days. Looking out over the landscape here, it’s as if the sky and the land seem to merge.Yerxa is a paramedic for North East Mobile Health Services and stationed in Jackman, Maine, a small town in the northern part of this state home to about 700 people. From the edge of town, you can see the Canadian border in the distance, and on any given day, paramedics here are responsible for covering an area that’s approximately the size of the state of Rhode Island.“The remote landscape and difficult terrain make it difficult to bring resources to the area,” Yerxa said, as he drove through town in a Ford pickup truck that’s been converted to an all-terrain ambulance.Like rural communities across the country, getting patients to an emergency room in this area is a difficult, often time-consuming task. The closest ER is about 70 miles away, a trip that can sometimes take close to two hours. While Jackman does have a community health center, the facility can’t perform many emergency procedures most larger hospitals can.So, in an effort to save time and lives, the emergency room is being brought to Jackman in an innovative new way, harnessing technology and the expertise of paramedics likes Yerxa.“I think it’s one of those situations where what’s old is new again,” he said.The idea is a Critical Access Integrated Paramedic program. Paramedics here are receiving more training in critical care. While at the same time, that pickup truck Yerxa relies on is being outfitted with tools like satellite internet and a satellite phone. First responders even have heart rate monitors that can send data wirelessly to a doctor anywhere.The concept is simple. Using technology, paramedics can instantly connect to a doctor no matter where they take a call. From stitches to ultrasounds, paramedics in this region are bridging the rural healthcare gap by instantly connecting via video chat to a doctor who may be hours away.“It is in many ways like a high-tech home visit that you might have seen 60 years ago, but we’re also bringing urgent care services with us,” Yerxa explained.Finding new ways for rural communities to connect is a key component to the program's success.Nationwide 25 million people don't have access to broadband.The COVID-19 pandemic has only magnified the issue. In Maine alone, 36,000 telehealth calls were made last month up from 650 the same time last year. Many times, though, patients and doctors have trouble connecting because of poor internet connections.Town manager Victoria Forkus pushed hard for the program.“We were in a way forced to implement this new program early because of COVID,” she said while sitting inside Jackman’s town offices.The whole program is costing Jackman and surrounding communities about 0,000 a year to implement. Some of the money will come from a tax increase, which is no small feat in a town where the median income is just ,000.But out here, the program has overwhelming support.“What’s the dollar amount on one of my neighbors’ lives? What’s the cost of saving a community member? It’s priceless,” Forkus added.The concept of the program is gaining attention across the state.Jim Rogers, with Health Connect Networks based in Maine, is lobbying Congress hard to expand rural broadband connectivity. It’s something he says is now more imperative than ever given the pandemic.“People in these rural communities just don’t have adequate internet to support a telehealth consult,” he said.As for Yerxa, he sees the program as something other rural communities across the country can emulate.“Hopefully, we can now provide 24-hour coverage to patients in any of these rural locations.” 3770

EL CAJON (CNS) - The husband of a pregnant woman killed when her car struck a tree after being rear-ended by an alleged drunk driver in Ramona testified Tuesday that he saw the accident in his rear-view mirror.Christian Foderingham's testimony came as a preliminary hearing got underway for Andrew Milonis, charged with murder, DUI and gross vehicular manslaughter while intoxicated in the May 14 death of 29-year-old Jessica Foderingham, who was eight months pregnant.The victim's husband testified that his wife was following him in her own car on San Vincente Road on the way to her grandmother's house on Mother's Day when he heard a loud bang, saw an SUV swerve onto a sidewalk and saw his wife's 2016 Dodge Dart slam into a tree in the center median.RELATED: Judge raises bail to M in Ramona fatal hit and run"It felt like my heart stopped," he said. "I ran back to her car."Christian Foderingham, a U.S. Marine, said he cut off the seat belt holding his wife's lifeless body in place and pulled her out of the car. Jessica Foderingham and her unborn daughter were pronounced dead later at a hospital.The husband said the force of the accident made it look like someone had taken a sledgehammer to his wife's lower body.According to the California Highway Patrol, Milonis was heading east on San Vicente Road when his 2011 GMC Yukon pickup rear-ended the victim's car near Arena Drive about 6:45 p.m.Milonis fled following the collision, then abandoned his vehicle about a mile away and called for a Lyft driver to give him a ride to a bar on Main Street, CHP public-affairs Officer Kevin Pearlstein said. Deputies found him at the tavern about an hour later and arrested him.According to court testimony, Milonis was arrested for DUI six months before the fatal accident when he allegedly drove drunk and hit a fence.The preliminary hearing will continue Wednesday. When it's over, Judge John Thompson will decide whether enough evidence was presented to order Milonis to stand trial. The defendant faces 40 years to life in prison if convicted. 2067

EL CAJON, Calif. (KGTV) -- Despite the pandemic, the 74th annual Mother Goose Parade continues in 2020, although it may look a bit different.This year, the parade and all of its sights and sounds have gone completely virtual for the first time. The parade's theme, "A Whole New World," couldn't be more true, but fans of the El Cajon tradition can expect the same holiday magic they've come to enjoy year after year.Take a walk through the parade's history, floats and balloons, and more surprises as we kick off the holiday season in San Diego County with the virtual edition of the Mother Goose Parade. Watch the virtual parade in the player below: 659

DULZURA, Calif. (KGTV) — A woman and her 16-year-old daughter were rescued from a remote part of Otay Mountain Friday.U.S. Border Patrol said the woman and teenager were found after being lost without food and water in a mountainous area of southeast Otay Lakes Reservoir at about 12 p.m. Border Search Trauma and Rescue and San Diego Sheriff's Department responded to the rescue effort. Border agents had to hike to the mother and teen's location and begin life-saving treatment.RELATED: Several migrants rescued from flooded storm drain in San YsidroAgents said the pair were losing consciousness and incoherent when they were found.A helicopter was used to take the two to an ambulance, which brought them to a nearby hospital for treatment.The incident marked the 21st and 22nd rescues by border agents performed in 24 hours, after 20 people were rescued from a storm drain near San Ysidro on Thanksgiving Day. 922

Do you ever wonder what impact putting your recyclables in the right bin can actually have? For one Colorado city, it’s been huge.At prAna, an activewear business located in Boulder, Colorado, Drew Romano’s biggest concerns are his customers and Mother Nature. Recycling is front and center.“Hey, we're not just throwing your stuff in the landfill; it's actually being recycled,” says Romano about the company.Most of prAna‘s shipping supplies are recyclable. As for the plastics bags that hard to recycle, prAna partnered with a company to make sure they don't end up in the landfill.“We wanted to make sure that we can strive to be as zero waste as possible,” says Ramano.It's part of the city’s Universal Zero Waste Ordinance, which requires businesses to recycle and compost.  Environmental manager Kara Mertz, who works for the City of Boulder, says in just one year, the effort is paying off. The city is now saving more than half of its trash from going to the landfill.Mertz says they used this video to show residents how to recycle. Then, they made it easy for residents to do it, by placing bins with clear and identical signage across the city.“I think making it easy and accessible to everyone is really the key,” says Mertz.Mertz says it's something we can all do, no matter where we live.“We do believe that over time people will get more and more used to it,” Mertz says. “It'll become second nature, and then all of that material, once it's sorted properly, can be put in the correct bins.” 1520