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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

DOLLAR POINT, Calif. (KGTV) - A 4.1 magnitude earthquake shook the Lake Tahoe-area town of Truckee, California Thursday.The quake happened at 3:08 p.m. and was five kilometers north-northwest of Dollar Point in the Sierra Nevada Mountain range.People in Sacramento also felt the shaking about 120 miles away, according to the U.S. Geological Survey map.There are no immediate reports of damage or injuries. 419

EL CAJON, Calif. (KGTV) -- A standoff in El Cajon ended Thursday afternoon after a man barricaded himself inside an apartment. According to police, the incident began unfolding before 1 p.m. near the intersection of Jamacha Road and Dorothy Street. Police told 10News the standoff was sparked due to a domestic incident at The Grove apartments.Police could be seen blocking off the street as officers stood near their patrol cars in the rain. Neighbors watched in awe from across the street."We heard the cops say that he made a comment saying he was going to burn the apartment down," said Christina Messenger. The man shattered the glass of the windows several times from the inside the first floor unit. At one point, he poked his head out to yell at officers. "You just don’t know whats going on in there," said Sherry Quijada. "You don’t know whether hes gonna pull a gun out and start shooting. You don’t know what someone like that is capable of."Eventually, a K9 officer was sent in, ending the hours-long standoff. Watch video of the scene in the player below: 10News will continue to keep you updated as soon as we receive more information. 1159

EL CAJON, Calif. (KGTV) - The owner of a bike shop came upon a heartbreaking scene: glass everywhere and pricey, custom bikes stolen. "You just feel violated right away," said Jason Guthrie, owner of Chainline Bikes on Pioneer Way.On Sunday morning, he went to his shop to fetch a bike for a ride. "Came around and saw the cable had been pulled through the window. All the glass was here. My heart dropped. It was on the floor with the glass," said Guthrie.The intruder had tossed a large rock, smashing a side glass door. The alarm didn't go off. Once inside, the intruder sliced the security cable."There were four empty slots in the rack," said Guthrie.Four mountain bikes - three of them custom made - were missing, worth about ,000."For a small shop, a couple thousand dollars worth makes a huge difference ... keeps our lights on for the next month," said Guthrie.Among the bikes that vanished is "Mary." "Everybody knew the bike by name," said Guthrie.Painted by the shop, the bike became well known in the mountain biking community and the shop's mascot."Whenever I would go to bike parks from here up to Whistler, Canada, they would know my bike and not necessarily me," said Guthrie.Guthrie says one of the bikes had actually sold online the night it was stolen. If you have any information on the case, call El Cajon Police at 619-579-3311. 1362

EL CAJON, Calif. (KGTV) -- Students in the Grossmont Union High School District will head back to class on Monday, Aug. 10, but the start of the new school year comes with a number of changes.For starters, all classes will be online because of the coronavirus pandemic.The district will also have new leadership, as Superintendent Theresa Kemper takes over."We have a plan that's scalable and flexible," Kemper told ABC 10News.Kemper took over as the superintendent on July 1 after Tim Glover left the position. Kemper has been with the district for nearly 25 years, with stints as an assistant principal, principal and assistant superintendent.Since May, Kemper has been leading the effort to create a back to school plan for this fall amidst the pandemic."We knew it was not entirely in our control which is exactly why we created the plan the way we did," she said. "We're committed to moving into it slowly and carefully and not making mistakes as we go."According to their "Roadmap for Reopening," GUHSD will start the 2020-21 school year entirely online, complying with state and county health guidelines that say schools cannot return to in-person learning until San Diego County has been off the state coronavirus watch-list for 14 days.The full plan calls for five levels of reopening that gradually increase the number of students on campus. Level 2 allows for 25% capacity and Level 3 is 50%; Level 4 is 100% capacity, with some limited online learning. Level 5 is a return to full, in-person school.Kemper said the goal is to ease teachers and students back into the classroom, and allow for flexibility as things change."It's been a long time since teachers and students have been in classrooms together," she said. "So, we want to ease them into the process and make sure conditions are still holding for them to all be there."In response to the plan, the Grossmont Education Association, which represents the teachers in the district, released a statement on their Facebook page on July 2. It says, in part, that the changes for the coming school year "reflect our ongoing commitment to innovation and learning for all students."The statement concludes by saying, "While there are many, many other issues and details that still need to be determined, we are excited to move forward with our plans to prepare to have students on campus this fall."Teachers, meanwhile, spent the summer training and adapting their lesson plans to what Kemper calls "distance learning 2.0.""It's more interactive," she explained. "We'll have daily interaction with students and teachers. More hands-on experiences for students, more project based and more interactive learning."Grossmont also just completed million worth of construction projects. They were part of more than 0 million in voter-approved bonds since 2004.But the pandemic has left the new buildings empty and unused. They'll stay that way until students come back.Kemper said the new facilities will help the students readjust to the new normal."They're modernized, updated, better able to use the technology that is state-of-the-art," she said. "We have spaces for students that we didn't have, inside and outside."Even before the pandemic, the district gave every incoming student a Chromebook laptop and made them comfortable with online and digital learning. Kemper said that's helping students and teachers adapt to distance learning.Now, she's waiting to see what the new school year brings."We've never gone through this before and it's really challenging opening school in the midst of a pandemic," said Kemper. "But we've created a plan, we are opening school and I think it's going to be amazing." 3683

来源：资阳报