Maricopa county ems protocols. Provided to Participants: $17.

Maricopa county ems protocols Jun 5, 2024 · Officials in Maricopa County were stunned earlier this year when final numbers showed 645 heat-related deaths in Arizona’s largest county, a majority of them in Phoenix. Northwest Region Protocols Tamarah Hoffman 2022-08-30T13:22:33-07:00 Click the picture for a link to current protocols. Under A. m. There will be a mid-morning break and a mid-afternoon break each day so that the parties can expect to be allocated five hours of trial time per day of trial. • Provide law enforcement and Department of Child Safety (DCS) contact information. It is specifically recognized that there are acceptable documented regional or local variations from these procedures and protocols, which may also satisfy the standard of care. Our commitment to excellence drives us to create efficient processes that empower our team to respond effectively. Please note effective dates of these protocols. Our duty is to protect and preserve human life in the event of a trauma-related incident or serious medical condition. Kent County Emergency Medical Services 678 Front Avenue NW Suite 410 Grand Rapids, MI 49504. 503-988-3220 503-988-4017 fax Mar 3, 2024 · COVID-19 (coronavirus disease 2019) is a disease caused by a virus named SARS-CoV-2. 00 EMT Provider Policy MCAO Policies and Procedures covering essential topics such as charging, trial preparation, plea agreements, and diversion programs, including specific chapters on video evidence review, sentencing enhancements, drug offenses, domestic violence, and veteran diversion programs. 1610 n. 5 Corrosive Agents 2020 11. 00 Naloxone Use by Law Enforcement Policy; 1017. Under Florida law, e-mail addresses are public records. GUIDANCE FOR FULLY VACCINATED INDIVIDUALS: To stay updated on the most current recommendations, visit the CDC website for details. mcsomr. Written Patient Care Reports Policy (MPD PCR) MCI Plan - 2023 . FOR SECTIONS 1-10 PLEASE SEE 2024 PROTOCOL TAB Sec. to noon and/or 1:30 to 4:30 p. PREHOSPITAL PROCEDURES Airway Management Central Line Access & Maintenance Chest Decompression Continuous Positive Airway Pressure (CPAP) Crash Airway Cricothyrotomy - Pertrach Cricothyrotomy - Surgical Difficult Airway Electrical Therapy Failed Airway Field Spinal Evaluation Intranasal Medication Administration Intraosseous Access (EZ-IO) Medication Combination Therapy Methods of Opening the Prehospital Protocols. How can we serve your medical transport needs? care protocols should be considered dynamic and will thus be continually evolving. The System Clinical and Operational Performance Evaluation (SCOPE) program contains monthly EMS System metrics: SCOPE Data Dashboard. Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. 00 Metro-Kern Hospital Redirect Policy; 1019. If your computer does not have the ability to read PDF files, click on the icon below to download the free Adobe Acrobat Reader. S. 1. 3 days ago · Snohomish County EMS/TC Council SCEMS Protocols 2025 Update Education Presentation Final. pdf. Collaborate with various populations in public safety systems. Provided to Participants: $17. Feb 14, 2024 · CLARK COUNTY EMS SYSTEM EMERGENCY MEDICAL CARE PROTOCOLS EFFECTIVE: February 14, 2024 (Replaces June 21, 2023 Version) PO BOX 3902 – LAS VEGAS, NV 89127 Jul 1, 2023 · The Tidewater EMS Council Regional Medical Protocols and regional medical policies are available for viewing and downloading in PDF format. THE VALLEY’S BEST CHOICE FOR PATIENT CARE Our mission is to provide Maricopa County communities, hospitals and health care facilities with a better choice in medical transport services and to set the standard of excellence for pre-hospital care. Children’s Justice Project . Scottsdale Emergency Services 8401 East Indian School Road, Scottsdale, AZ The Scottsdale Fire Department Administrative Office provides general information and emergency services to the Scottsdale community. Created July 1995 . Revised July 1999, September 2003, June 2004, August 2008, March 2016 Our Location: 1221 Fulton Street, 5th Floor PO Box 11867 Fresno, CA 93775-1867 Phone: (559) 600-3387 Fax: (559) 600-7691 Email: ccemsa@fresnocountyca. 6 HazMat Cyanide Exposure 2020 88 Maricopa Hospital jobs available in Maricopa County, AZ on Indeed. gov (EMCTs, Ambulance Services, and Training Centers) or emshospitals. For the past 20 years, our Hunt County operation has provided both 911 and non-emergency ambulance services to an area of 840 square miles and a population base of over 85,000 citizens. 1-888-SOS-CHILD 1-888-767-2445) II. NO. AO 2025-002: lmmediate change to EMS Policy 602 - 911 EMS PATIENT DESTINATION regarding patients on Welfare and lnstitutions Code (WIC) 5150-5185 Apply current technology to specific tasks related to emergency medical services. This For more information, visit ems. Tel: +1 (979) 865 GJ-19, Emergency Medical Services Program; GJ-20, Service of Protective Orders; GJ-21, Office Duties and Responsibilities for Superior Court Building Security; GJ-23, Firearms; GJ-24, Community Relations and Youth Programs; GJ-25, Canine Unit Operations; GJ-26, Sheriff's Reserve Deputy Program; GJ-27, Sheriff's Posse Program To view and/or download REMSA's current policies, protocols, and forms, please visit our Google Drive, found HERE. At Maricopa Ambulance, our EMS professionals are trained in the latest technology and pre-hospital medical protocols to always support the comfort and safety of our patients. Public Outreach CERT believes that a resilient community is an informed community. Phone: 616. October 7th, 2024 - 09:32am 2025 Regional EMS Protocol. 3 Asphyxiants 2020 11. Multidisciplinary-Protocol-on Mar 31, 2019 · All EMTs and paramedics assigned to the City of Glendale EMS system completed extensive training this week on equipment, medical protocols and orientation to the new 9-1-1 system, which included setting the vision and expectations for EMS personnel and system performance by the Glendale Fire Department and Maricopa Ambulance leadership. More Information: the Maricopa County Sheriff’s Office in Arizona, assigned to Air Support. We adhere to the highest standards of ethics in the EMS profession and are committed to delivering the best care to our patients and the communities we serve. com. Thurston County EMS Field Protocols . Feb 25, 2015 · “The Domestic Violence Protocol is a work in progress that reflects the latest and best practices for breaking the cycle of abuse and ensuring successful prosecutions to protect domestic violence victims from harm,” said Maricopa County Attorney Bill Montgomery. Over one million people have died from COVID-19 in the United States. pptx The EMS provides support and resources to emergency medical services providers, regulated by the Arizona Department of Health Services. When the Intelligent Transportation System (ITS) National Architecture was being developed in the mid-1990s, it identified the need to archive the large quantity of data produced by various ITS systems for transportation planning and performance monitoring purposes, namely Regional User Data Services (RUDS). Each year Maricopa County averages 1,000 reported sex assaults. 910-893-7563. Re:Maricopa County Attorney's Office FY 2024 Annual Activity Report on the Multidisciplinary Protocol for the Investigation of Child Abuse Dear Elizabeth: Arizona Revised Statute (A. gov Hours of Operation: Monday - Friday 8:00 am - 4:00 pm Oct 24, 2014 · Important Note: These videos were recorded on Dec. The presenters will also explain how partnerships with other disciplines, such as forensic nurse examiners, help in enhancing the documentation and investigation of these crimes. Healthcare Provider Guidance for COVID-19. Cuyahoga County, Ohio Study with Quizlet and memorize flashcards containing terms like What abdominal pain conditions require an IV?, What is the minimum SBP for opiate administration for abdominal pain?, Which part of the abdomen warrants a 12 lead ECG in patients over 40 y/o? and more. Ref 100; Los Angeles County Emergency Medical Services Agency - 600189 Jan 1, 2025 · Contact Us. Physician Order for Life Sustaining Treatment (POLST) Washington State POLST forms can be obtained at the following links: Information on the San Diego County EMS Office's prehospital policies, All policies and protocols take effect July 1, 2024. Size: 51. These comprehensive clinical practice guidelines, utilized by Southwest Ohio Fire/EMS departments, will now also be adopted for Kentucky and Indiana EMS with the aim of providing No matter if your EMS career is just starting, or you’re a seasoned professional in the industry, there’s a place at Maricopa Ambulance for those who are dedicated to serving others. These guidelines are designed to be a resource document for use by Medical Direction Authorities, as defined by A. 451. Puckett EMS partnered with Cobb County to design and implement a high-performance public-private EMS system to ensure the emergency demands of the community were met, improve the quality of patient care, and decrease response times. . 00 Emergency Medical Services Inappropriate Use Policy; 1015. Contact Learn more about the policies and procedures for Ryan White Part A including contract policies, grievance polices, and service category policies. Access video tutorials on how to claim or create an account here. It can be very contagious and spreads quickly. Evidence of extreme shock or un-manageable airway--> Nearest hospital for stabilization Abnormal Vital Signs: GCS<13 or intubated, SYS<90mmHg or <100mmHg age 55+, SpO2 <90% w/chest injury, EtCO2 <26mmHg, RR <10 or >29breaths per min,<20 in infant aged <1year Trauma:Penetrating injury to head, neck, torso, or extremities proximal to elbow and knee, Flail chest or Pneumothorax, 2 or more Rib . Trial Practice and Protocol Trial Schedule Hearings and Trials run from 9:30 a. FR administration must be monitored by the EMS Systems peer review program. NEO Regional EMS Protocol Feedback Form. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. The Protocols in the "Approved/Pending Implementation" folder are for the use of the organization training personnel only. The Maricopa County Attorney’s Office (MCAO) believes in collaborative partnerships with First Responders1 in the investigation and management of critical incidents occurring in Maricopa County. Apply to Custodian, Medical Assistant, Surgery Scheduler and more! Nov 1, 2006 · Developed by the . Provider certification/registry number look up on DOH/EMS website . 8438 Fax: 888-505-6813 Email: Click to Reveal Email 1/31/2024 OCMCA EMS Advisory 060 2024 Protocol Clarification; 12/13/2023 OCMCA EMS Advisory 059 2024 Protocol Implementation; 3/3/2022 OCMCA EMS Advisory 057 Suspending the use of Ketamine for Oakland County; 6/21/2021 OCMCA EMS Advisory 054 Update on COVID-19 Emergency Protocols; 12/2/2021 OCMCA EMS Advisory 056 Emergency Protocol Update CLARK COUNTY EMS SYSTEM EMERGENCY MEDICAL CARE PROTOCOLS EFFECTIVE: January 6, 2025 (Replaces July 1, 2024 Version) PO BOX 3902 – LAS VEGAS, NV 89127 Snohomish County EMS/TC Council 2025 Protocols: Posted On: Dec 17, 2024 : Download: Approved Snohomish Co Protocols 2025. During this webinar, the presenters will discuss protocols developed in Maricopa County for handling IPV strangulation cases. Demonstrate critical thinking through written, oral, and visual formats in various environments to manage diverse situations specific to an emergency response. We have a shared legal responsibility to ensure compliance with state laws in our jurisdiction. Osceola County Fire Rescue & EMS protocols. We will do our best to fulfill requests Maricopa County Joint Investigation Protocol - Multidisciplinary; Maricopa County Joint Investigation Protocol - Multidisciplinary. us Oct 14, 2013 · BoCo Protocol Changes_Oct 2024. Dec 17, 2024 · Snohomish County EMS/TC Council 2025 Protocols: Posted On: Dec 17, 2024 : Download: Approved Snohomish Co Protocols 2025. rebecca street spokane, washington 99217. Pierce County EMS Office 2501 S. Jul 23, 2021 · clark county ems system emergency medical care protocols effective: july 23, 2021 (replaces july 15, 2021 version) po box 3902 – las vegas, nv 89127 Doses and Administration Learn with flashcards, games, and more — for free. telephone: (509) 625-7122 Field Assessment & Treatment Protocols. 10. reported to the police. Our promise to you is that we will treat our patients, customers and teams with respect. Domestic Violence Protocol - Revised 2015 (PDF) Critical Incident Response Protocol - Revised 03-2021 (PDF) MCAO Deferred Prosecution Program Annual Report FY 2024 (PDF) Maricopa County Attorney’s Office Reporting of Public Funding for Public Communications - 2023 Report (PDF) Tweets by Maricopa County Emergency Management Twitter en Español JOIN OUR TEAM Emergency Management protects communities by coordinating and integrating all activities necessary to build, sustain, and improve the capability to mitigate against, prepare for, respond to, and recover from threatened or actual natural disasters, acts of terrorism Page 4 of 167 – Version 22. Through public outreach, the team aims to increase awareness about disaster preparedness and emergency response protocols among Maricopa residents. Emergency Medical Services. Sexual violence impacts all socio-economic levels, ages, genders, and races. Some guidelines have specific notations for Indianapolis Emergency Medical Services (IEMS) personnel. Mar 31, 2019 · All EMTs and paramedics assigned to the City of Glendale EMS system completed extensive training this week on equipment, medical protocols and orientation to the new 9-1-1 system, which included setting the vision and expectations for EMS personnel and system performance by the Glendale Fire Department and Maricopa Ambulance leadership. 11: HazMat Team Protocols 11. More Information: EMS System SCOPE Indicators. </p><p>By designing new ways to deliver healthcare, whether in emergency situations or supplementing the home health care organizations, we are steadfastly patient focused and Mar 17, 2025 · At Snohomish County EMS, we prioritize reliability and respect in every interaction. 35th St. Together, we cultivate an environment where our providers feel valued, enabling them to deliver the highest quality of care to our community. ” Maricopa Ambulance provides emergency and non-emergency ambulance services in Maricopa County, including 9-1-1 services to the cities of Scottsdale The Maricopa County Multidisciplinary Protocol for the Investigation of Child Abuse (Protocol) addresses initial contacts with children, as well as subsequent interviews, and medical examinations. AMR in the Hunt County Community. • Understand mandatory reporter statutes associated with the Protocol. 1 General Hazmat 2020 11. 15. Most sexual violence is not . Harnett County EMS Protocols . Mesa County EMS Coordinator. We are caregivers, first and foremost. This document provides the process for prosecuting domestic violence felony cases. This protocol book does not replace the Policy and Procedures Manual and is provided as a tool for their reference. We're aiming for meaningful use of EMS data. Updated 2/6/2025. Home. Jul 1, 2023 · 1100 Quality Assurance Improvement 1200 EMS Incident Reports 1300 Base Hospital Designation 1400 Certification Review Process Nov 1, 2024 · Policies and Protocols ICEMA Policies and Protocols Manual Type Name Release Date Policies and Protocol Manual November 1, 2024 Table of Contents November 1, 2024 Administrative Policies 1000 Credentialing (EMT, Dec 21, 2023 · spokane county ems & trauma care council. § 36-2205, responsible for the administrative, organizational and on-line medical direction of pre-hospital Emergency Medical Care Technicians (EMCTs). 2024-2025 Protocol Changelog. National Model EMS Clinical Guidelines 2017. EMS Drug Formulary, Tab 400; Medical Procedures/Equipment, Tab 500; Pre-Hospital Patient Assessment, Tab 600; CPR Protocols,Tab 700; Cardiac Protocols, Tab 800; Medical Emergencies Protocol, Tab 900; Trauma Protocols, Tab 1000; Pediatric Protocols, Tab 1100; Abbreviations, Tab 1200; Special Protocol: Vaccination Administration by Ohio EMS Providers A critical incident is one in which a First Responder is directly involved in a shooting or in-custody death. Below are the Macomb County EMS Medical Control Authority State and Local Adopted Protocols as of 4/1/24. org) since 1983, has served as its Commander, and holds the field position of Operations Chief-Paramedic. write the first Sex Assault Protocol for Maricopa County. § 36-2205, the Department may authorize the testing and evaluation of a medical treatment, procedure, technique, practice, medication, or piece of equipment for possible use by an EMCT or an emergency medical services provider. Thank you, REMSA_Clinical Apr 27, 2016 · The use or possession of the protocol book does not exempt field personnel from the responsibility to know the information in the San Mateo County Policy and Procedures Manual. • Review the “Maricopa County Multidisciplinary Protocol for the Investigation of Child Abuse” (“Protocol”). 02 KB Last modified: Mon. SPECIALITY PROTOCOLS Austin County EMS: 800 E Wendt Street, Bellville, TX 77418. 11 Student Wage, Full-time Benefits, Tuition, Books, Uniforms, up to two sittings for National Registry Exam, Licensing Fees Dec 16, 2024 · Thanks to the huge volunteer efforts of our EDS and Protocol Committees and Academy staff, The Academy of Medicine of Cincinnati EMS protocols are updated for 2025. Maricopa County . 4 Chlorine and Related Compounds 2020 11. Interagency Council . 19 KB) Treatment Protocols Index: REF. pptx: 2024 Protocol Update education: Mar 19, 2024 EMS Protocols The purpose of this website is to promote openness, discussion and collaboration among system directors in the development of EMS protocols. pptx: File Size: 22762 kb 2024 MD Medical Protocols for EMS Release Memo – June 4, 2024; 2024 Protocols – Complete Manual (Online Version) (Effective 7/1/2024) – Updated: June 12, 2024; 2024 Protocols – Complete Manual (Print Version) (Effective 7/1/2024) – Updated: June 12, 2024; 2024 Research Protocol – Pediatric Prehospital Airway Resuscitation Trial The Maricopa County Attorney’s Office hosts the felony protocol model for domestic violence. R. Jan 31, 2022 · CLARK COUNTY EMS SYSTEM EMERGENCY MEDICAL CARE PROTOCOLS EFFECTIVE: January 31, 2022 (Replaces July 23, 2021 Version) PO BOX 3902 – LAS VEGAS, NV 89127 2024 Southwest Ohio Protocol Training (effective January 1, 2024) 2024 EMS Protocol Training PowerPoint. Online Inquiry Feb 6, 2025 · Protocols, clinical notifications, and other guides for responders 2025 Patient treatment protocols. The investigative procedures addressed in the Protocol will avoid concerns with the initial contact with children, any subsequent • Lack of baseline for host and network activity for approved programs, communications protocols and communications devices for voting systems Had Maricopa County chosen to cooperate with the audit, the majority of these obstacles would have easily been overcome. These guidelines are deemed by the Bureau of EMS and Trauma System to be within the acceptable standard of medical care. 00 Telehealth Policy; 1018. Responsibilities of School Personnel 1013. 00 Narcan Leave Behind Policy; 1016. If you have any questions, please contact the Solano EMS Agency. 2 THE GREATER INDIANAPOLIS AREA EMS MEDICAL DIRECTORS COUNCIL OUT-OF-HOSPITAL CARE GUIDELINES January 1st, 2023 [ Digital Signatures on File ] Jan 25, 2025 · Be sure to select City of Maricopa as the CERT organization when registering. While we can’t change the past, we can learn from it, and make Maricopa County a better place for all who live, work, and play here. azdhs. EMS Protocols Fire Dec 8, 2020 · “Our shared commitment to compassionate care, continuous quality improvement, training and education and advanced EMS protocols puts Scottsdale at the forefront of public safety agencies. gov (Trauma Centers and Base Hospitals). 2024 SWOH Protocol Updates. However, we're sharing these videos because we believe the information may be useful to anyone interested in learning about the vaccine. rowland@mesacounty. At Maricopa Ambulance Puckett EMS still holds this contract and provides ambulance coverage for approximately 350,000 citizens. 1005 Edwards Brothers Drive, Lillington, NC 27546. Jul 8, 2020 · 10 First Responders (FR) who administer Naloxone must do so under the medical oversight of the County EMS Medical Director, following protocols and procedures approved by the OEMS State Medical Director. CME Recertification Process . Research underscores the depth of the problem of sex assault in . 2 Ammonia FINAL 2020 11. 00 Kern County Annual Protocol Update Procedure; 1014. Suite D Tacoma, WA 98409 For emergencies: Call 9-1-1 Ph: (253) 798-7722 Snohomish County EMS/TC Council 2025 Protocol Update Education Presentation : Dec 17, 2024 Download: SCEMS Protocols 2025 Update Education Presentation Final. Emergency Medical Services (EMS) responds by assessing, treating, stabilizing, and transporting patients until definitive medical care is available at an appropriate facility. 2020 - Northwest Region Emergency Medical Services & Trauma Care Council 1 Clallam, Mason, Kitsap & Jefferson Counties MPD Approved March 2, 2020 Washington State DOH approvedMarch 2, 2020 Edits approved 5/6/2020 Northwest Region EMS Protocols The team at AMR has a single mission: making a difference by caring for people in need. Protocol books are designed to be printed in duplex format. Jul 15, 2021 · CLARK COUNTY EMS SYSTEM EMERGENCY MEDICAL CARE PROTOCOLS EFFECTIVE: July 15, 2021 (Replaces October 23, 2020 Version) PO BOX 3902 – LAS VEGAS, NV 89127 2024 MD Medical Protocols for EMS Release Memo – June 4, 2024; 2024 Protocols – Complete Manual (Online Version) (Effective 7/1/2024) – Updated: June 12, 2024; 2024 Protocols – Complete Manual (Print Version) (Effective 7/1/2024) – Updated: June 12, 2024; 2024 Research Protocol – Pediatric Prehospital Airway Resuscitation Trial Regional Archive Data System (RADS) Back to Projects & Initiatives. The Operational Guidelines Section contains guidelines for all affiliates. The Alameda County EMS Agency works continuously to assure that our Field Assessment and Treatment protocols are reviewed and updated with the latest evidence-based practices to provide those we serve with the best medical care possible. Subscribe to Policies & Procedures Updates; Email Subscription Service; Protocols for the El Dorado County prehospital care system are issued by the County of El Dorado Emergency Medical Services Agency with approval by the EMS Agency Medical Director and are designed for use within El Dorado County. 1300: Medical Control Guidelines: Prehospital Care Manual. Chris Rowland 215 Rice Street, Grand Junction, CO 81501 Office: 970-255-5078 Cell: 970-812-7151 Fax: 970-244-3503 email: christopher. 910-814-2570. He has been a member of the Maricopa County Sheriff’s Office Mountain Rescue, AKA: Central Arizona Mountain Rescue Association (www. Investigative agencies may also activate the protocol for a driving incident or where there is serious physical injury and the agency determines a First Responder may have violated State law. 0 Section 11 Table of Contents 11. our country. CLICK THE IMAGE BELOW TO BE DIRECTED TO SPECIALITY PROTOCOLS ONLY. Emergency Medical Services 619 NW 6th Ave, 6th Floor Portland, Oregon 97209. ALS to BLS Handoff Checklist (PDF 78. Riverside County Policies and Protocols: Policy Manual (link) Mobile App (link) Mobile App (QR Code) 2022 Pierce County EMS Patient Care Protocols. These IEMS guidelines are in addition to, Reports & Protocols. • Lack of baseline for host and network activity for approved programs, communications protocols and communications devices for voting systems Had Maricopa County chosen to cooperate with the audit, the majority of these obstacles would have easily been overcome. The Maricopa County Sheriff’s Office is committed to improving community relations and strengthening the relationship between MCSO and the Latino community. Routine Medical Care For protocols outside Maricopa County, ask your County Attorney’s Office for assistance. 14, 2020 to share information internally with Wake County EMS providers so that they could make an informed decision on receiving the vaccine. ) §8-817 requires each County Attorney to independently prepare and submit an Annual Report of Activity under the "Multidisciplinary Protocol for the If you are a person with a disability and require an accommodation to participate in a County program, service, or activity, requests may be made by calling 415-473-4381 (Voice), Dial 711 for CA Relay, or by submitting a Disability Accommodation Request at least five business days in advance of the event. Current 2022 Version of Northwest Protocols SC 3 Hospice or Palliative Care Patient Protocol NCCEP 2022; SC 4 Vaccination_Medication Protocol NCCEP 2021; SC 5 SARS CoV2 Monoclonal Antibody Infusion NCCEP 2021; SO 1 Scene Rehabilitation General Protocol Final 2017 Template; SO 2 Scene Rehabilitation Responder Protocol Final 2017 Template; Stroke EMS and Triage Destination Protocol NCCEP 2021 Policies, Procedures, and Protocols Effective November 1, 2024 Updates POLICY PUBLIC COMMENT FORM Current Policies, Procedures, and Protocols : 2025 Johnson County EMS Protocols Download the App! Johnson County EMS is an app that provides quick offline access to the Johnson county, KS EMS protocols and supporting materials. The model guides our work, as well as the interactions with our partners, to ensure smooth case transfers and successful convictions. This Protocol, initially developed in 1995, is offered to coordinate the involvement and interaction of each agency in Maricopa County involved with providing care, treatment, and assistance to all children, whether victims or witnesses, where criminal conduct is suspected. We proudly serve the Valley with an experienced team who are dedicated to exceptional care for our patients and customers. yuw limg wzvagq vkqen vsu obeah uvke tzt mwf hksb vsjd pziqgdd grbc snfwi rew