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Theres a three-car crash on the Williamsburg bridge and emergency medical technicians are immediately deployed to the scene. They get on their radios to prepare emergency room nurses at the nearest hospital for the slew of wounded patients who are about to come in. The problem is, the sound quality is grainy: Should they expect three or four patients? Was that cut to the head or to the neck?

"Think of the static-heavy noisy environments these EMTs are in, says Crystal Law, a former EMT and CEO of Twiage. In addition to being limited to words alone--rather than pictures--half the time, the emergency rooms cant even understand the words that are being said.

Last year, Law decided to tackle this problem head on. At the Disrupting Medicine Hackathon sponsored by Brigham and Womens hospital, Law met Yi Ding Yu, a doctor who had similar frustrations with emergency communication, and John Rodley, a developer eager to use technology to solve medical problems. The outcome: Twiage, a platform that allows first responders to send tweet-like messages and pictures from their smartphones straight to the emergency room. Users live-update Twitter with a news event using videos, pictures, and words, says Yu. Why cant that same story be told for patient care by physicians and first responders? (While Twiage is inspired by Twitter, it is not affiliated with Twitter in any way.)

Twiage has already rolled out in beta at Cape Cod Hospital and it is expanding into five other Massachusetts hospital this year. In these early test cases, it has proven effective in streamlining communication and reducing misunderstandings, according to Yu. This system seems to work best when conveying straightforward, limited information, rather than complex patient dynamics. Paramedics have a standardized way of communicating patient details, says Yu. They explain the vital signs and they ask for what they need. Thats the most important part of a triage. She explains that this platform helps to communicate critical information quickly; first responders can explain more nuanced details in person later.

Twiage is web-based, so hospitals can just log in to see the streams of incoming triage information; EMTs, on their end, take pictures and send messages via the Twiage smartphone app. They are now rolling out a Google Glass version of Twiage smartphone app, with the added benefit of being hands-free. While you are trying to stabilize a patient, your hands are probably not free to operate a smartphone, says Yu. Google Glass allows you to voice-activate taking the pictures and sending messages.

No other triage platforms currently use photos; Rhode Island has a text messaging system and several telemedicine platforms offer video technologies, but Yu says not all cases need to be live-streamed to the emergency room doctor. Twiage allows paramedics to take short videos of relevant details, rather than steaming the entire episode. For instance, stroke victims sometimes have fleeting symptoms that later change; Twiage allows a first responder to capture a short episode so that the attending neurologist can make better decision treatments.

The Twiage team is now exploring other emergency scenarios where this technology could be useful. Twiage was designed to be incredibly lightweight and agile: were completely web and cloud-based, with no significant software installment, says Yu. Were just starting in emergency medicine, but we could expand to any other first responders, like those in fire departments, who could alert home base about how many alarms they should call.

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Emergency Room Communication Sucks. Could This Twitter-Like Tech Save Lives?

TORONTO -- Minor hockey players in Ontario are now able to choose a dressing room based on whether they see themselves as male or female following settlement of a human rights complaint against Hockey Canada.

The agreement, which also includes an educational component, is aimed at protecting young transgender players from discrimination and harassment.

Jesse Thompson, 17, of Oshawa, Ont., who filed the complaint in August last year, said he was pleased with the result.

"I just hope that kids can see this and know that they don't have to hide any more," Thompson told The Canadian Press.

"They can come out and play their sport that they love, and they don't have to stop playing it just because of how they are or who they are."

The new policy, which applies to all minor players in Ontario under the auspices of Hockey Canada, also calls for the organization to educate its trainers and coaches on discrimination and harassment as well as on gender identity and expression.

In addition, players are entitled to be addressed by their preferred name, as well as by the pronoun that corresponds to their self-identified gender.

For Thompson, an avid hockey player now in Grade 12, the issue became acute about four or five years ago when he hit puberty.

"I'm just a boy. I'm just like any other kid out there growing up. I'm just a teenager," he said.

"(But) once you get to a certain age, you are forced off into a different room, or basically a closet -- sometimes they didn't even have change rooms for girls."

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Transgender players win right to choose dressing room after human rights complaint

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Abu Dhabi: Lack of awareness about the dangers of a pesticide popularly known as bomb leads to its illegal use that risks poisoning and death, a senior official told Gulf News on Sunday.

Many people still are not aware of the dangers of banned aluminium phosphide [known as bomb for its severity] and accept offers from illegal pest control operators to use it in residential units, Engineer Othaibah Alqaydi, Director of Chemicals Department at the Ministry of Environment and Water, said.

People should be careful as some illegal operators convince ignorant people that it [aluminium phosphide] is the cheapest and best solution to eradicate all insects and pests from residential and commercial buildings. If people are aware of its dangers, its misuse can be stopped, she said.

As part of raising the awareness, the ministry reissued a general warning against aluminium phosphide on Sunday. We have to continuously educate the people about this, Alqaydi said.

Moreover, its legal use for agricultural purposes rises during summer and the ministry wants to prevent its misuse, she said.

Aluminium phosphide is classified as a severely restricted agricultural pesticide for indoor fumigation of raw agricultural commodities in silos and grain warehouses only.

But this use is on a very small scale and only a few companies are allowed to import this chemical to the UAE under strict supervision, Alqaydi said. Its use is restricted under the supervision of qualified specialists and agricultural engineers. The authorised pest control companies should submit a monthly report to the ministry about the used pesticides.

Although currently there are no internationally declared alternatives for its agricultural use, the ministry is working on finding safer alternatives. It is under study, the official said.

The ministrys warning said that aluminium phosphide turns from solid state to gas once the package is opened, spreading the deadly phosphine (PH3) that causes poisoning and death.

Those who use it could face prosecution.

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Pesticide bomb not for home use, UAE official says

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