To summarize: These protocols establish current recommendations of pre-hospital care in South Carolina, these protocols are a consensus document, and these protocols will be frequently revised and updated. Off-line medical control physicians are required to attend a half-day medical control physician workshop within one year of accepting a position as a service's off-line medical control physician. These protocols have been developed and implemented through the combined efforts of the S.C. DHEC Bureau of EMS, the S.C. EMS Advisory Committee, the S.C. Trauma Advisory Committee, the S.C. Stroke Advisory Committee, the S.C. EMS for Children's Committee, and other specialty groups and providers. Create and maintain a nurturing environment that recognizes the unique contributions of its employees; Pursue excellence in our profession through state of the art training, technology and leadership; Recognize human rights, dignity and diversity; Be responsive to the needs of a growing and changing community; Advocate health and safety through education and involvement in the community; Support the mission of Dorchester County. All front line ambulances at Dorchester County EMS are Type I extended or crew cab chassis and all are equipped with Stryker Power Pro XT cots and Stryker Power Load Systems. For Out-of-State Criminal Background Checks, download the non-resident instructions. In the span of only about five years, the Committee has coordinated the growth of a few designated Level I trauma centers using adapted ACS criteria to a full-fledged, regionally based voluntary trauma system with 24 designated trauma centers, a comprehensive written state trauma plan and four regional trauma plans. Of all the elements of S.C.'s EMS system development, the Medical Control Committee and the medical control system itself are one of our greatest success stories. Please callthe DHEC EMS Officeif you need assistance withthis form at (803) 545-4204. These then are consensus protocols. Currently, you must ONLY include, utilize, and report the S.C. R.A.C.E. Criminal Background Check Privacy Rights : Q. In addition, Protocol 20b SC R.A.C.E. In addition, Command Staff in Quick Response Vehicles (QRV's), andFire Servicerescue vehiclesprovidefirst response and Automated External Defibrillator (AED)capability when ambulances are far from the scene. COVID-19 Community Levels & Data Dashboards, Making Your Emergency Survival Supply Kit, Individuals with Functional Needs How to Prepare for Emergency, State Statistics on Family Planning & Pregnancy, Women, Infants, & Nutrition Program (WIC), Child & Adolescent Immunizations and Vaccines, Manufactured Food Safety in South Carolina, Oil & Natural Gas and Terminal Facility Registration, Beachfront Jurisdictional Lines Stakeholder Workgroup, Regulation - Small Business Assistance Program, Disaster Preparedness for Healthcare Facilities, Medicare Provider Emergency Preparedness Information From CMS, Get Help with Health Care System Preparedness, Health Care Preparedness Staff Contacts State and Local, Health Care System Preparedness Program: Overview and Mission, Training Opportunities and Exercises for Health Care Professionals, Zika Virus Information for Health Care Providers, Electronic Health Records: Meaningful Use, Health Facilities: How to File a Complaint, Residential Treatment Facilities for Children & Adolescents, Radioactive Material Licensing and Compliance, Emergency Medical Technician (EMT) Certification Requirements, Hospital-Based Crisis Stabilization Units, Applying for a Permit, License, Certification or Registration from DHEC, FORMS: Applications, Registration, Reporting, Etc. Document#1: Tips when Using Elie Field stream 926 stream IV infused medications are controlled by Nimbus infusion pumps and the pediatric patient population are cared for using the Handtevy Pediatric System. Epi will conduct a further risk assessment to determine what, if any, actions are necessary for disease containment or monitoring and assist in determining resources needed, Dashboard represents data from all submitting states This revision cycle, the protocols were done in editable PDF versions, Vice Visio so that they are a bit easier to access and modify for most agencies. 16 0 obj There is no single way to provide good medicine. This recertification can be accomplished in several ways, including attending the annual medical control physician's workshop, reading and commenting on the minutes of two Medical Control Committee meetings (minutes available for review on the SC EMS Educators Association website), attending one of the four regional informational meetings or other EMS committee meetings such as the Trauma System Committee, Training Committee or EMS Advisory Council or watching a video which will be available which contains summary information on the Medical Control Committee meetings for the past year. The model guidelines project has been led by the NASEMSO Medical Directors Council in collaboration with six national EMS physician organizations, including: American College of Emergency Physicians (ACEP), National Association of EMS Physicians (NAEMSP), American Academy of Emergency Medicine (AAEM), American Academy of Pediatrics, Committee on Administrative and Operational staff includes the EMS Coordinator, two Deputy Chiefs, two Assistant Chiefs, eightShift Supervisors andeight Lieutenant Paramedics, an Administrative Assistant,two Billing Clerks and a Logistics Coordinator. Protocols are updated on an annual basis using a committee of field paramedics and EMT's. Additionally, field providers serve on regional and state level patient care . As befits this delegation of authority, it is the physician's obligation to be involved in all aspects of the patient care system. Please for more information or to help update the list. Some changes will be discussed briefly as to clinical additions and subtractions, but one of the most requested modifications was provided and we are hearing some great feedback from the community on it. Without their support and guidance you would not have access to the extremely comprehensive set of protocols we have assembled for you. The organization receiving appropriated funds from DHEC is required to submit the following information: Once DHEC receives the completed Disbursement Request Form (see attachment) and the signed agreement that was mailed to recipients, funds will be disbursed. When called to render emergency medical services, EMS personnel must not use any resuscitative treatment if the patient has a "do not resuscitate order for emergency services" and the document is presented to the EMS personnel upon their arrival. Q. Marion County Emergency Medical Services: Marion County EMS currently operates three advanced life support ambulances everyday staffed with two. For example, why does the South Carolina protocol on Asystole/Pulseless Electrical Activity not follow the AHA/ECC Protocol of similar title exactly? Lexington County EMS was first organized in 1974 with 16 employees working 24-hour shifts on a total of four ambulances. These are all utilized in the practical real-world scenario and within the Emergency Medicine specialty. Monday - Friday The first state medical director was appointed in 1981. Marion County EMS has five licensed ambulances. Prehospital Impact In South Carolina,. They assist the local medical control physicians in developing training and quality assurance programs and they coordinate all regional requests for additions or changes to the state drug lists. A. Each licensed emergency medical services provider must establish a stroke assessment and triage system that incorporates the department approved stroke-triage assessment tool.] There has been some confusion on Protocol 20b, as some agencies believe they must follow this protocol and the enclosed transport guidelines verbatim. These medical treatment protocols are established to ensure safe, efficient and effective interventions to relieve pain and suffering and improve patient outcomes without inflicting harm. Forward thinking medical direction and partnerships with local hospitals allow us to provide the best clinical care to our patients. Through all of the above, support the regional concept for EMS. "Do not resuscitate bracelet" or "bracelet" means a standardized identification bracelet that: endobj Today the service employs over 150 full and part-time employees working 12-hour shifts on up to eighteen ambulances, answering nearly 50,000 calls per year. . Its membership includes chairmanship by the state medical control physician (currently Dr. Ed DesChamps, who is also one of the Committee's original members), each of the four regional medical control physicians, a representative of the state Committee on Trauma, an ACEP representative, a representative of the Medical Association, and representatives from each of South Carolina's two Schools of Medicine, one of which is a pediatric specialist. Our ambulances provide transport to local hospitals, to include Beaufort Memorial Hospital, Coastal Carolina Hospital, and Hilton Head Hospital. Entry form for South Carolina 2022 Paramedic Competition. EMT candidates who successfully complete a South Carolina-approved EMT Education course that uses the National EMS Education Standards developed by NHTSA; successfully pass the National Registry EMT-Education Requirements, and receive subsequent South Carolina certification as an EMT, are authorized to perform the following skilled activities (all skills can be used on adult, child, and infant patients unless otherwise stated). A. Link. The EMS Instructor Training Program focuses on those skills necessary to successfully present any of the Certificate EMS courses. South Carolina ODMAP FAQ 5. As always, we recommend you transport your patients to the closest appropriate facility for their specific malady, but understand that may not be accomplished 100 percent of the time. 2019 South Carolina Department of Health and Environmental Control. No group is infallible and we certainly do not claim to be. A. score/tool in your protocol. On July 1, 2022, Governor Henry McMaster issuedExecutive Order 2022-19, which directs state agencies to disclose online detailed information about the entities who are receiving appropriations from the FY 2022-23 General Appropriations Act. % EMS Certifications Questions EMS Complaints Under the South Carolina Code of Laws Sections 44-78-20 and 44-78-50 a patient in receipt of an EMS DNR must be diagnosed with a terminal condition AND be at least eighteen (18) years of age. A. Protocols are updated on an annual basis using a committee of field paramedics and EMTs. Tool (Rapid Arterial oCclusion Evaluation Scale) is mandated per statute [The Department shall adopt and distribute a nationally recognized, standardized stroke-triage assessment tool. These Protocols? STATE ID CARDS FOREVER ID Beginning on Monday, April 16, 2018, the Division of EMS will begin issuing the State ID (Forever ID) Card with all new certifications and recertification. Persuant to S.C. 44-78-30(B) the following link goes to the Department approved vendor for a Do Not Resuscitate Bracelet which meet the requirements in S.C. 44-78-15(1) Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. 12/29/2021. More Objective (number value) vs. Less Subjective (+ or -) Review and revise the drug list on a regular basis (currently done annually), To review and advise on all present and future procedures used by ALS Systems, Suggest and support certain areas of research (e.g. 6 0 obj Embedded within each protocol is a fillable page for you or your Medical Control Physician (MCP) to add some more guidance, PEARLS, etc. This does not equate to the statement that the intervention will not work or is harmful only that to date, evidence is lacking to support its use. APPLY HERE. (a) meets the specifications established under Section 44-78-30(B) or that is approved by the department under Section 44-78-30(B); All certifications must have, at a minimum, a criminal background check, BLS card for EMTs or ALS card for Paramedics and National Registry. We recommend using the available resources to learn about Elite Field. (c) signifies that the wearer is a patient who has obtained a do not resuscitate order which has not been revoked. Use our detailed instructions to fill out and eSign your documents online. http://nemsis.org/reportingTools/reports/nationalReports/documents/V2PediatricCauseofInjuryDashboard.pdf. 201 Cell: (843) 468-4088 Fax: (843) 662-9444. A. <> For more information, email trauma@dhec.sc.gov. to be implemented. . A history of dynamic leadership in medical control has kept physicians on the front line in the development of the EMS system. (Rev: 20170401 Introduction Authors Statement (Page AS 2 of 3) 2017 the AHA/ECC National Guideline.) Send forms to: mself@pdrems.com Thanks, Mark T. Self, Executive Director Pee Dee Regional EMS, Inc. Office: (843) 662-5771 ext. There does not appear to be any data on whether or not TXA can cause issues in patients on Coumadin who also must receive other agents at the hospital to reverse the anticoagulation caused by Coumadin. Marion, SC 29571. He or she must establish educational programs and continuing education programs for the service's EMTs, dispatchers, educational coordinators and on-line medical control physicians. We utilize Zoll X Series Cardiac monitors and Zoll Eagle II Ventilator for non-invasive and invasive ventilator support. Our protocols are continuously reviewed, and formal revisions are made on an annual basis or more frequently as required. Dorchester County EMS uses modern technology to provide the best clinical care for our patients. Please enable JavaScript in your browser for a better user experience. The department is a county operated EMS agency with 98 employees that respond to approximately 24,000 calls annually. Please direct your inquiries to PROTOCOLS@DHEC.SC.GOV. Q. We are serving food, so please RSVP to Crystal Youmans xY_wo~7HWkH,-b. Positions available year round. Quality assurance of patient care including the development of protocols, standing orders, training, policies and procedures; and approval of medications and techniques permitted for field use by direct observation, field instruction, in-service training or other means including, but not limited to: Off-line medical control physicians must establish standing orders and/or protocols. A copy of the Standard Level of Evidence Nomogram is attached to the protocols to help you understand the medical literature as you review it. We use the South Carolina State EMS protocols to include team based cardiac arrest care, rapid sequence intubation, and prehospital administration of broad-spectrum antibiotics. endobj To look up a licensee, click on the Lookup link in the left-hand navigation pane. All Forms, Applications, Registrations, Reporting EMS Pre-Hospital Protocol Release Memo (pdf), Pediatric Trauma Triage and Transport Protocols, Interfacility Transport Form: Part A - Drug Report; Part B - Device Report (DHEC 3485) (pdf), EMT Background Checks Application Form (doc). South Carolina has 268 EMS agencies and 11,272 emergency personnel that includes first responders, EMTs, and paramedics. Please submit all forms, additional information, and any questions toEMSGIA@DHEC.SC.GOV, Enc 01A EMT Training Institution Application-Renewal - 2016 Form, Enc 01B AEMT & Paramedic Training Institution Application - Renewal - 2016 Form. The Official Web Site of the State of South Carolina. EMS Memorial: 1736 Old State Rd 29053 (Exit 125 off of I-26) The regional medical control physicians oversee regional advanced training courses and are responsible for the actions of advanced training candidates during class and clinical. Menu. This made South Carolina the 14th state to enact the EMS Compact. In developing these protocols input was sought from all the committees listed above, EMS field personnel, as well as private and academic specialists in areas related to specific protocols. Stay Connected, Get News, View Updates & Insights, Created By Vision - Where Communities & Government Meet. Information on CDBG, HOME, ESG, Disaster Recovery/Mitigation, Covid-19. 26 (8:30 a.m. - 5:00 p.m.) FOR INFORMATION ABOUT HOW TO APPLY AND REGISTER FOR DISASTER ASSISTANCE DUE TO THE LOSS OR DAMAGE TO PROPERTY DUE TO THE EFFECTS OF HURRICANE FLORENCE, PLEASE CLICK ( HERE ). They also serve to ensure a structure of accountability for Medical Directors, EMS agencies, pre-hospital providers and facilities to provide continual performance improvement. ODMAP Final Opinion- AG office 3. How do I apply for an Initial or Reciprocity South Carolina Certification? He or she may withdraw medical direction from any EMT under his authority so that the EMT will not be able to perform advanced life support procedures while working for that service. This presentation includes a short training video. ODMAP Integration Fact Sheet 4. The Medical Control Committee provided leadership in the development of S. C.'s trauma system. The 2017 update expands on the 2010 version and continues to incorporate evidence-based guidelines, expert opinion and historically proven practices meant to ensure that the nearly five million citizens and 12 million visitors to South Carolina will continue to be provided the highest quality pre-hospital patient care available. Summerville, SC 29483, 8:30 AM - 5:00 PM For more detailed information for EMT, AEMT, and Paramedic education requirements, click the links below. The EMS documentation of a Patient Care Report (PCR) is based on the appropriate and complete documentation of the EMS data elements as required and defined within the South Carolina EMS Standards. The question often arises as to why a specific protocol does not follow verbatim a similar protocol published by a national body. A scale based on the NIHSS that is more user-friendly for prehospital field usage, You are invited to the Memorial Service to honor our EMS fallen EMS medical personnel observe South Carolina state field triage protocol. The list of available protocols is a work in progress. Specific areas of involvement include the following: * planning and protocols * on-line medical direction and consultation * audit and evaluation of patient care. *8oKdq|FdlO06AcPZ1#GfQQ R3~Bn I'$ZN'G+gk]vP~j%: _U\oIM = +Y-&:hu kE$cl[B)0^ZN;WC9q$SAW|m6Og$9&xtdkeA+uW${9Jm\0umvcc!ML++b$'>K~gw&[rs?qRq=:[+\MsUQ>V:|VyD./}6&]Q=w(\"8)_Ghb3A.!o)MT>a[k/aH!`gS a yF#cWGeHt 6ge&4Aoa5E,n2i3ap2?M4F,)ei0rU!EMf0;r*MD_iGVt-|2endstream scemsmemorialbikeride@gmail.com South Carolina Do Not Resuscitate Bracelet, 2020 Emerging Diseases: COVID-19 Guidance, 2020 COVID-19 Infographic English Language, 2020 COVID-19 Infographic Spanish Language, COPE: Paramedics link to long term recovery for overdose survivors, Covid 19 Immunization Protocol Information, Entry form for South Carolina 2022 Paramedic Competition. The governors executive order also requires compliance withFY 2022-23 state budget Proviso 117.21, which requires agencies to disclose how the taxpayer funds are spent, prohibits the practice of providing funds in advance to legislators for personal delivery, and requires additional measures designed to increase transparency and accountability. Like STEMI and Trauma, sepsis is a time-critical diagnosis where early screening and intervention can impact outcome [3-6]. DHEC Form Number 3462 (Do Not Resuscitate) (pdf) is a document made to prevent EMS personnel from employing resuscitative measures or any other medical process that would only extend the patient's suffering with no viable medical reason to perform the procedure. This is a reasonable question and has been much debated. His first tasks were to develop a quality assurance program for EMS services that would assist them in maintaining the competency levels of their personnel through in-service training programs and reviews of skills. 1:Vehicle Entrance Map . PUBLIC LOOKUP. COVID-19 Community Levels & Data Dashboards, Making Your Emergency Survival Supply Kit, Individuals with Functional Needs How to Prepare for Emergency, State Statistics on Family Planning & Pregnancy, Women, Infants, & Nutrition Program (WIC), Child & Adolescent Immunizations and Vaccines, Manufactured Food Safety in South Carolina, Oil & Natural Gas and Terminal Facility Registration, Beachfront Jurisdictional Lines Stakeholder Workgroup, Regulation - Small Business Assistance Program, Disaster Preparedness for Healthcare Facilities, Medicare Provider Emergency Preparedness Information From CMS, Get Help with Health Care System Preparedness, Health Care Preparedness Staff Contacts State and Local, Health Care System Preparedness Program: Overview and Mission, Training Opportunities and Exercises for Health Care Professionals, Zika Virus Information for Health Care Providers, Electronic Health Records: Meaningful Use, Health Facilities: How to File a Complaint, Residential Treatment Facilities for Children & Adolescents, Radioactive Material Licensing and Compliance, Emergency Medical Technician (EMT) Certification Requirements, Hospital-Based Crisis Stabilization Units, Applying for a Permit, License, Certification or Registration from DHEC, FORMS: Applications, Registration, Reporting, Etc. Deadline is December 29th. The department operates ten ambulances each staffed with a paramedic and an EMT, working 12 hour shifts, from seven EMS stations strategically located throughout the county. the risks of the intervention outweigh the benefits). A. The Level of Certainty of the recommendation varies from Level A, where large populations have been studied in randomized clinic trials, to Level C, where there is very limited populations which have been studied. x[[o7~_iC%&GBH%Uj_xBHZH[xv?6)qssW?c@/3j|jlm|| %Z;R!N/gBUf8Q&uoL<=>"d1#E]IB#Y]+K]nmeXD)Jqv>{`n>QxSIR^`cj4' RQZ5 S8$$eW5dUSCZnaR] :@J%QP EMT candidates who successfully complete a South Carolina-approved EMT Education course that uses the National EMS Education Standards developed by NHTSA; successfully pass the National Registry EMT-Education Requirements, and receive subsequent South Carolina certification as an EMT, are authorized to perform the following skilled activities The on-line physician assists the off-line physician in development of standards and protocols, accepts responsibility for orders issued over the radio, assumes a lead role in development of training programs for EMS personnel, assists the off-line physician in the design and implementation of EMS system audits and may assist in certification and recertification training of EMS personnel. The purpose of this website is to promote openness, discussion and collaboration among system directors in the development of EMS protocols. Thank you to everyone who stopped by our booth to pick up some literature, had a question answered, or to just say Hey! We love interacting with the fire and EMS community at these conferences and we are just as excited as you are to see the newest gadgets, widgets, ambulances and fire apparatus at the vendor booths as you all are. Documenting Overdoses: Crew List 2. endobj The ambulances are staffed withParamedics andEmergency Medical Technicians. Information on specific processes can be found in the Downloads & Links section. 2: EMS Announcement, Here is some information to get you started with using Elite Field. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612.75 792.75] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> For more information, email stroke@dhec.sc.gov. Minutes from Medical Control Committee meetings (pdf), State Approved Protocols - Adult and Children. The purpose of the Committee is "to delineate medical practice standards for Emergency Medical Services in S.C. and to provide regular review, advice and revision regarding those standards and to make recommendations to the state EMS Advisory Council and its subcommittees.". The process has evolved since 2007 and continues with input from Medical Directors, EMS Administration, EMS field personnel and members of specialty organizations. Another important amendment grants authority to the medical control physicians to "oversee the quality of patient care for all EMS personnel and retain other responsibilities as may be negotiated by agreement with the service.". %PDF-1.4 Please note, this is contingent upon receiving all the required documents and is also based upon the order in which your application was received by our department. Please call the DHEC EMS Office if you need assistance with this form at (803) 545-4204 Tags Facilities Health Protocols Requirements Anaphylaxis Emergency Kit for EMTs and AEMTs, The current Paramedic program follows the official National Highway Traffic Safety Administration (NHTSA) Paramedic National Curriculum, Policy Manual EMT Training Administrative Policy Manual 10 - 2016, First Time NREMT Exam Pass Rates Abstract, South Carolina Emergency Medical Services Law Updated, EMS adventure into vaccination extending the full range of our capacity. 821 W. 5th. An EMS system involves a highly coordinated response for emergency medical care that relies on teamwork and camaraderie between multiple people and agencies. Second, often conclusions regarding the benefit (or lack of benefit) are gathered from large, combined meta-studies where the application of that particular intervention was not directly studied, but the results were inferred. Use caution in cases of known anticoagulation. The Rapid Arterial oCclusion Evaluation (RACE) scale was designed based on the National Institutes of Health Stroke Scale (NIHSS) the validated neuroscience gold standard: Deadline is December 29th. How do I submit a request for legal verification of my SC license to another state if I relocate? About South Carolina's EMS System In South Carolina, the REPLICA legislation was signed into law on May 18, 2017. %%+ -dAutoFilterGrayImages=true -dColorImageFilter=/FlateEncode -dGrayImageFilter=/FlateEncode -dCompressFonts=true -dColorImageResolution=150 -dGrayImageResolution=150 -dMonoImageResolution=150 -dNOPAUSE -dQUIET -dBATCH ? Should you review the protocols and have a specific question or comment, there is a dedicated email address for just such a purpose. It is contingent upon the Service Medical Control Physician in consultation with the Service Director to specify which facilities within their area meet the criteria for Trauma Centers and to determine to which of these facilities the EMS Service WILL transport patients who meet the appropriate criteria as outlined. EMS personnel must provide that degree of palliative care called for under the circumstances which exist at the time treatment is rendered. NWA Metropolitan Fire Chiefs' Association, Santa Rosa Junior College Paramedic Academy, Platteville-Gilcrest Fire Protection District, Sponsor Hospital Council of Greater Bridgeport, Space Coast Regional EMS-Doctor Williams Agencies, Area Ambulance Service / Cedar Rapids EMS, Baystate Medical Center Critical Care Transport, Cottonwood Ambulance Service/Granite Falls Ambulance, MJM Medical Direction Consortium Services, Emergency Medicine Associates of San Juan County, Rural Cass County Ambulance and Rescue Association, Lane County Sheriffs Ground Search And Rescue, Travis County Emergency Service District 5 - Manchaca Fire Dept, South Area Fire & Emergency Response District, Space Coast Regional EMS-Doctor McPherson Agencies, Illinois Region 9: Northwest Community EMS, NASEMSO National Model EMS Clinical Guidelines. Please click the following link for details: For additional information, contact the DHEC Bureau of EMS and Trauma at(803) 545-4204. These are situations where there is truly nothing to lose and a small chance of monumental life-restoring results. Information on upcoming Council meetings, Committee meetings and Public Hearings. Up to eighteen ambulances are available throughout the day, including staggered shift12-hour peak-time units available during the busiest times of the day. 4 0 obj Frequently Asked Questions - Obtaining an EMT Certification in South Carolina. All Rights Reserved. The picture must be the individual being certified. Today the service employs over 150 full and part-time employees working 12-hour shifts on up to eighteen ambulances, answering nearly50,000 calls per year. Information on specific processes can be found in the Downloads & Links section. However, many of the on-line medical control physician's duties overlap those of the off-line physician. Under the South Carolina Code of Laws Sections 44-78-20 and 44-78-50 a patient in receipt of an EMS DNR must be diagnosed with a terminal condition AND be at least eighteen (18) years of age. 201 Cell: (843) 468-4088 Fax: (843) 662-9444. Students who successfully complete the EMT courses will be eligible to take the National Registry examination. https://www.scemsportal.org/certifications/Certification-Detail?recordID=204 stream Also, on the pages where a medication is indicated for use, only the medication is listed; however, there is an editable field attached to it so that once you and your MCP agree to the dose of that medication to give in that particular situation, you can just plug it in and save it.
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