Hospital Cases - Philadelphia Police Department

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PHILADELPHIA POLICE DEPARTMENT
Issued Date: 06-07-12
Effective Date: 06-07-12
DIRECTIVE 3.14
Updated Date: 05-28-10
SUBJECT: HOSPITAL CASES
______________________________________________________________________________
INDEX
SECTION
TITLE
PAGE NUMBER
1
Policy
1
2
Procedure
1
3
Medical Treatment of Prisoner
3
4
Aeromedical Transport of Trauma Emergencies 4
Appendix “A” Accredited Trauma Centers and Trauma Receiving
Hospitals
Appendix “B” Automated External Defibrillator (A.E.D.)
Example Memorandum for Reporting A.E.D. Usage
Appendix “C” Protective Services for Older Adults
Appendix “D” Heat Emergencies
Appendix “E” Duty of Police Officer to Identify and Facilitate Medical
Care for Persons Found in Semi-Conscious or Unconscious
Condition as a Result of Epilepsy, Diabetes or Other Illness
PHILADELPHIA POLICE DEPARTMENT
Issued Date: 03-08-96
SUBJECT:
1.
Effective Date: 03-08-96
DIRECTIVE 3.14
Updated Date: 12-17-01
HOSPITAL CASES
POLICY
A. Police personnel will consider the assignment of a hospital case an emergency unless
advised otherwise by a medically competent person. First aid will be rendered and the
person transported to the nearest hospital. However, any person with a serious
penetrating wound or a blunt trauma to the body will be transported to the nearest
accredited trauma center.
B. Police personnel assigned to radio patrol cars will, whenever possible, without
detriment to the person, handle hospital cases to ensure availability of emergency patrol
wagons for other assignments.
C. The Philadelphia Police Department will not dispatch police officers to the scene of
hospital cases when Fire/Rescue responds except in the following circumstances:
1. When requested by Fire Communications.
2. Hospital cases arising from criminal acts, auto accidents or any other instances in
which a police investigation / action is required.
______________________________________________________________________________
2.
PROCEDURE
A. Police personnel will transport:
1. Persons suffering from a serious penetrating wound, e.g., gunshot, stab wound, and
similar injuries of the head, neck, chest, abdomen, and groin to the nearest
accredited trauma center. Transportation of such cases will not be delayed to await
the arrival of Fire Department paramedics.
NOTE: Persons suffering from blunt trauma or a violent injury to the body (e.g.
closed trauma to the head or chest as may result from a motor vehicle
accident or a fall) should be transported to the nearest accredited trauma
center by Fire Department paramedics because of the level of treatment that
can be provided by the Fire Medics.
DIRECTIVE 3.14 - 1
2. Police/Fire Personnel as follows:
a. On duty emergency - to appropriate treatment facility
b. On duty non-emergency - to closest Compensation Clinic
c. Off duty injury/illness - to appropriate treatment facility
B. Police personnel will:
1. Exercise safety precautions as per Directive 3.15, "Communicable Disease
Patients."
2. Permit family members or friends to accompany the person to the hospital.
3. Use handcuffs when transporting prisoners (unless otherwise directed by a
supervisor).
4. Ride in the rear of an Emergency Patrol Wagon with the person unless:
a. The person is a prisoner.
b. The injury/illness is not serious.
c. The person is accompanied by family or friend.
5. Notify Police Radio of type of injury and hospital destination.
6. After the arrival at a trauma center with the person having a serious penetrating
wound or a blunt trauma to the body, notify Police Radio Operations Desk and
Operations Room Supervisor of district of occurrence by phone with the pertinent
facts of the assignment.
a. Notify Detective Division Supervisor if the injury is undetermined, suspicious
or a crime has been committed.
7. Prepare a Complaint or Incident Report (75-48) on all hospital cases in compliance
with Directive 12.11.
C. Patrol Supervisor will:
1. Make the final determination for hospital cases requiring specialized treatment at a
hospital other than an accredited trauma center.
DIRECTIVE 3.14 - 2
D. Police Radio will:
1. Notify Fire Department Paramedics to respond to serious injuries/illnesses.
2. Notify the receiving hospital of the person's condition and expected time of arrival.
3. Maintain a log on all trauma cases.
E. Fire Department Paramedics will:
1. Respond to serious injuries/illnesses such as seizures chest pains, strokes,
overdoses, diabetic problems, unconsciousness, poisoning, broken bones, or back
injuries.
2. Assume full responsibility for the medical welfare of the person.
______________________________________________________________________________
3.
MEDICAL TREATMENT OF PRISONER
A. When a prisoner is taken to an emergency facility, the transporting officers will:
1. A brief description of the injury and the physician's name. If the prisoner refuses
medical treatment, request the physician sign the 75-48.
a. Prior to removing a prisoner from the hospital, the transporting officers will
contact the pertinent Detective Division/Unit Supervisor for instructions.
*2
b. The Operations Room Supervisor will ensure that a separate set of district
control numbers will be requested for the hospital case. This set of district
control numbers will be in addition to those issued for the original incident.
c. The 75-48 will be coded “3017” (Hospital Case in Police Custody). The
district control number of the original incident will be placed in the
description of incident section of the hospital case 75-48.
d. The ORS will ensure that the IAB Incident Notification Screen is filled in
completely. The Incident Notification Screen will now require both the
original DC# and the hospital case DC#. (Access to screen –
SEND/IA1A/901).
B. Distribution of the 75-48 for a prisoner receiving medical treatment:
Original…………. Reports Control and Review
Yellow Copy …… District File
DIRECTIVE 3.14 - 3
Pink Copy……….. To accompany the prisoner
*1
C. Notification of Internal Affairs:
1. When the cause for the medical treatment results in death or serious life threatening
injury a supervisor will immediately notify his/her commanding officer or
Command Inspections Bureau (CIB) commander. That commander will then
immediately notify Internal Affairs by phone. Police Radio will be notified on the
12 – 8 tour or on weekends.
2. The Operations Room Supervisor (ORS) will also ensure that the IAB Incident
Notification Screen is filled in completely and accurately. (Access the screen
using computer code - SEND/IA1A/901).
3. When the cause for the medical treatment results in only minor injury or complaint
of pain, only the IAB notification screen need be completed, no phone call to
Internal Affairs from a commander is necessary.
______________________________________________________________________________
4.
AEROMEDICAL TRANSPORT OF TRAUMA EMERGENCIES
A. Patients who should be considered for aeromedical transport include:
1. Critically ill patients needing immediate intensive care.
2. Victims of serious, life-threatening trauma.
3. Patients with life-threatening, neonatal, obstetrical or pediatric emergencies.
4. Patients in need of rapid diagnostic testing and highly specialized medical
attention.
B. Fire Department Emergency Medical Technicians, when at the scene, will determine
when to contact the aeromedical transport.
C. When Fire Department Emergency Medical Technicians are not at the scene, the
highest-ranking supervisor at the scene will determine when to contact the aero medical
transport.
D. Patients will be taken to Hahnemann University Hospital's Trauma center in all cases
when aero medical transport is used.
DIRECTIVE 3.14 - 4
BY COMMAND OF THE POLICE COMMISSIONER
______________________________________________________________________________
*FOOTNOTE#
GENERAL #
DATE SENT
REVISION
*1
1915
06-19-01
Addition
*2
6505
12-17-01
Addition
*3
9061
10-12-04
Change & Addition
Appendix “C”
2773
05-21-10
Addition
Appendix “D”
4440
05-27-10
Addition
Appendix “E”
5975
05-28-10
Addition
DIRECTIVE 3.14 - 5
PHILADELPHIA POLICE DEPARTMENT
DIRECTIVE 3.14
APPENDIX "A"
Issued Date: 03-08-96
SUBJECT:
1.
Effective Date: 03-08-96
Updated Date:
ACCREDITED TRAUMA CENTERS AND TRAUMA RECEIVING
HOSPITALS
POLICY
1. The following hospitals have trauma treatment capabilities. When within 10 minutes
transport time, transport to accredited trauma hospital (*asterisked hospitals).Transport
to closest hospital on list.
HOSPITAL
LOCATION
POLICE
DIVISION
* Hahnemann
* Jefferson
** St. Christopher's
* Temple
* Einstein (Northern)
* Aria (Torresdale)
** Children's Hospital
* University of Pennsylvania
* Penn Presbyterian
Broad & Vine Sts.
11th & Walnut Sts.
Erie Ave. at Front St.
3400 North Broad St.
Old York & Tabor Rds.
Knights & Red Lion Rds.
34th & Civic Center Blvd.
3400 Spruce St.
3800 Market St
Central
Central
East
East
Northwest
Northeast
Southwest
Southwest
Southwest
* Accredited trauma centers for adult and pediatric multi-system patients. (Note: Temple- adults only.)
** Accredited trauma center for pediatric (16 years and under) multi-system patients.
BY COMMAND OF THE POLICE COMMISSIONER
DIRECTIVE 3.14 - 1
APPENDIX “A”
PHILADELPHIA POLICE DEPARTMENT
DIRECTIVE 3.14
APPENDIX “B”
Issued Date: 03-24-04
Effective Date: 03-24-04
Updated Date: 10-12-04
SUBJECT: AUTOMATED EXTERNAL DEFIBRILLATOR (A.E.D.)
1.
PURPOSE
A. To establish guidelines for the use of the Automated External Defibrillator (A.E.D.) by
members of the Philadelphia Police Department including placement of units, provider
training, documentation of use, equipment maintenance, interface with the Philadelphia
Fire Department Emergency Medical Services (PFD EMS), Medical Oversight and the
responsibility of the Philadelphia Police Department A.E.D. coordinator.
2.
POLICY
A. Sudden cardiac arrest is a major cause of death in the United States. A critical step in
treating victims suffering from cardiac arrest is the delivery of an electrical shock
(defibrillation) to the heart with the use of an A.E.D. when indicated. In an attempt to
reduce mortality from sudden cardiac arrest, members of this department trained in
cardiopulmonary resuscitation (CPR) and trained in use of the A.E.D. will follow the
guidelines established by the certifying agency.
B. A.E.D providers will assess the circumstances and follow the A.E.D protocol for
delivering shocks, as trained. An A.E.D unit will not be used in any situation
precluding safe use such as the patient being immersed in water or lying on a metal
surface.
NOTE:
Anytime an A.E.D. is applied to a patient, a Complaint or Incident Report
(75-48) for a hospital case will be prepared along with an A.E.D. Incident
Memorandum. (See example format). In the event that an A.E.D. is used
other than that assigned to the Philadelphia Police Department, officers will
abide by the reporting procedures pertinent to that device (e.g. Public
Access Device’s (PAD’s) such as those located at the Philadelphia
International Airport).
DIRECTIVE 3.14 - 1
APPENDIX “B”
C. The placement of the Medtronic Physio-Control Life-Pak 500 series A.E.D. will be at
fixed locations and secured inside the assigned A.E.D. wall cabinet in the Operations
Room of the districts and units where designated. Placement at other locations will be
determined on a case by case basis.
1. Each unit will contain two sets of electrodes, First Responder Kit and an
A.E.D./CPR instructional card.
2. The A.E.D. Coordinator will be responsible for the replacement of electrodes and
First Responder Kit after each use.
*3
D. The Operations Room Supervisor/Detective Supervisor/Building Security Supervisor
will be responsible for checking the A.E.D. at the beginning of each tour of duty
ensuring the LCD (liquid crystal display) “O.K.” indicator is displayed on the handle of
the unit.
E. In the event of a malfunctioning unit, the Advanced Training Unit (A.T.U.) will be
notified via computer message for a replacement unit and/or repair of the unit.
F. The A.T.U. will be notified via computer message anytime an AED is used and an
entry will be made on the district/unit’s Daily Complaint Summary (75-67). A copy of
the 75-48 and the A.E.D. incident memo will be picked up by A.T.U. personnel.
*3
G. The Operations Room Supervisor/Detective Supervisor/Building Security Supervisor
will have the overall responsibility for timely and appropriate A.E.D. usage, EMS
notification and departmental reporting.
3.
A.E.D. PROGRAM MEDICAL DIRECTOR
A. The medical oversight for the Philadelphia Police Department A.E.D. program will be
provided by the P.F.D. EMS Medical Director.
4.
A.E.D. PROGRAM COORDINATOR
A. A member of the Training and Education Services Bureau will be assigned as the
A.E.D. Program Coordinator between the A.E.D. Program Medical Director and the
Philadelphia Police Department.
B. Responsibilities of the A.E.D. Coordinator will include assuring that the requirements
of the A.E.D. policy are met.
DIRECTIVE 3.14 - 2
APPENDIX “B”
______________________________________________________________________________
5.
REPORTING
A. It is the responsibility of the A.E.D. Coordinator to forward A.E.D. usage reports to the
P.F.D. EMS Medical Director within five days of occurrence; this will include the
A.E.D. data printout. In addition, a quarterly report will be forwarded by the A.E.D.
Coordinator to the P.F.D. EMS Director, which will include a summary of A.E.D.
usage, the number of trained personnel, and any changes to include the location of the
A.E.D.’s and changes to the program.
6.
TRAINING
A. Members are required to successfully complete initial A.E.D. training before using the
A.E.D.
B. Members must undergo retraining on the use of the A.E.D. as required by the certifying
agency.
BY COMMAND OF THE POLICE COMMISSIONER
______________________________________________________________________________
DIRECTIVE 3.14 - 3
APPENDIX “B”
EXAMPLE FORMAT
POLICE
MEMORANDUM
CITY OF PHILADELPHIA
DATE:
TO
: A.E.D. Coordinator, Training and Education Services Bureau
FROM
: P.O. xxxxx xxxxx # xxxx, District/Unit
SUBJECT : A.E.D. USAGE / DC#XX-XX-XXXXXX
1. Date and time of incident:
2. Location of incident:
3. Name of patient:
4. Age of patient:
5. Gender of patient:
6. Was EMS activated?
7. Was CPR initiated?
8. Was the patient transported to the hospital?
9. Which medic unit transported the patient?
10. To which hospital was the patient transported?
11. Did the A.E.D. restore the patient’s heartbeat?
12. Were there any problems in using the A.E.D.?
13. Summary of the incident:
Submitted,
____________________________
Name
Rank / Badge #
District/Unit
82-S-1 (Rev. 3/59)
Response to this
MEMORANDUM may be made hereon in longhand
DIRECTIVE 3.14 - 4
APPENDIX “B”
PHILADELPHIA POLICE DEPARTMENT
DIRECTIVE 3.14
APPENDIX “C”
Issued Date: 05-21-10
Effective Date: 05-21-10
Updated Date:
SUBJECT: PROTECTIVE SERVICES FOR OLDER ADULTS
1.
BACKGROUND
A. The Older Adults Protective Services Act (Act 79) is designed to protect the abused,
neglected, exploited, and abandoned elderly in Pennsylvania. This Act gives the local
area agency on aging (Philadelphia Corporation for Aging) responsibility for
developing and maintaining a protective services plan for vulnerable older adults age
60 and above.
B. The Older Adults Protective Services Act (79) reads (in part):
“It is declared the policy of the Commonwealth of Pennsylvania that older adults who
lack the capacity to protect themselves and are at imminent risk of abuse, neglect,
exploitation or abandonment, shall have access to and be provided with services
necessary to protect their health, safety, and welfare. It is not the purpose of this Act to
place restrictions upon the personal liberty of incapacitated older adults, but this Act
should be liberally constructed to assure the availability of protective services to all
older adults in need of them. Such services shall safeguard the rights of incapacitated
older adults while protecting them from abuse, neglect, exploitation, and
abandonment.”
2.
POLICY
A. Whenever police personnel are aware of a person who is at least 60 years of age and is
at risk of abuse, neglect, exploitation or abandonment pursuant to the Protective
Services Act, the Philadelphia Corporation for Aging (PCA) will be contacted and
police assistance will be provided upon request.
1. The Philadelphia Corporation for Aging can be contacted at (215) xxx-xxxx on a
24-hour basis, and is located at 642 North Broad Street, Philadelphia, PA 19130.
There is always an investigator and supervisor on-call.
DIRECTIVE 3.14 - 1
APPENDIX “C”
3.
PROCEDURE
A. Whenever an officer is made aware of a situation requiring PCA intervention where
self-neglect is evident, he/she will:
1. When necessary take immediate police action.
EXAMPLE:
Render first aid and notify the Fire Department for a Medic Unit to
have the complainant transported to the hospital.
2. Notify the Philadelphia Corporation for Aging.
3. Record on the Complaint or Incident Report (75-48) the person contacted, and the
time the call was made, in addition to the description of the incident.
4. The pink copy of the 75-48 will be forwarded to the district Victims Assistance
Officer (VAO) for information.
B. Whenever an officer is made aware of a situation requiring PCA intervention, where
abuse, neglect, or abandonment is evident, he/she will:
1. When necessary take immediate police action.
2. Contact the detective division of occurrence.
3. Notify the Philadelphia Corporation for Aging.
4. Record on the 75-48 the person contacted, and the time the call was made, in
addition to the description of the incident.
5. Fax a copy of the 75-48 to the Crimes Against the Retired and Elderly Unit
(CARE) at (215) xxx-xxxx.
6. The pink copy of the 75-48 will be forwarded to the district VAO (sexual assaults
will also be forwarded to the Special Victims Unit VAO).
C. Whenever the Police Department receives a request for assistance from the PCA, the
district VAO or the Crime Prevention Officer (CPO) will:
1. Accompany PCA personnel for protective services.
2. Notify a police supervisor when there is a potential for danger.
DIRECTIVE 3.14 - 2
APPENDIX “C”
3. Record on the 75-48 the name of the PCA employee assisted, in addition to the
description of the incident, and any action taken.
4. Forward the pink copy of the 75-48 to the district VAO for information.
NOTE: District personnel will provide necessary services when the Victims
Assistance Officer or Crime Prevention Officer is unavailable.
______________________________________________________________________________
BY COMMAND OF THE POLICE COMMISSIONER
______________________________________________________________________________
DIRECTIVE 3.14 - 3
APPENDIX “C”
PHILADELPHIA POLICE DEPARTMENT
DIRECTIVE 3.14
APPENDIX “D”
Issued Date: 05-27-10
Effective Date: 05-27-10
Updated Date:
SUBJECT: HEAT EMERGENCIES
1.
POLICY
A. The plan is designed to provide identification, outreach, and intervention to those most
at risk of heat stress. Age, chronic disease, housing, physical condition, substance
abuse, and medication usage are variables used to select the most vulnerable
populations.
2.
PURPOSE
A. The Philadelphia Department of Public Health (DPH), Division of Health Promotion
has lead responsibility for implementing and monitoring emergency summer heat
intervention and outreach activities. The Health Promotion Division will have primary
responsibility for over-seeing and responding to Summer Heat Emergency (SHE)
operational issues. The Philadelphia Police Department’s role in these situations are
limited.
3.
TARGET POPULATION
A. The Philadelphia and Pennsylvania Heat Wave Task Forces and the Centers for Disease
Control and Prevention have identified the following as risk factors which help us
define the target population:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Elderly
Chronic disease, particularly cardiovascular
People who are culturally, socially, or geographically isolated
People who live alone
Lack of increased fluid intake
High heat environment or increased physical activity
People who are homeless
People who do not speak English
People who cannot read
No air conditioning in the home
Not being able to care for oneself (infants left in wrong environment)
No time spent in air conditioning other than their home
DIRECTIVE 3.14 - 1
APPENDIX “D”
13. No reduction in activity
14. Substance abuse and alcoholism
15. Maintaining normal activity level
B. The group most at risk is older people, living alone in non-air conditioned structures
and who have cardiovascular disease.
1. Heart disorders are often caused by the inability of the body to keep up with the
demands on its circulatory system and the resulting chemical imbalance caused by
too much sweating. The inner core of the body's temperature begins to rise and
heat-related illnesses develop.
2. Since an older persons’ natural cooling system has been altered through the process
of aging, they are at greater risk. They are also more likely than the rest of the
population to be taking medications that alter the body's ability to cool down.
C. Children are also at risk because they produce more metabolic heat per pound of body
weight, perspire less and direct less blood flow to their proportionally greater surface
area than adults. Infants are more easily dehydrated and are not able to drink liquids on
their own. Additionally, every year children die because they are in an automobile with
the windows closed.
D. People with low incomes are often more vulnerable to heat illness because they have
reduced access to good housing, air conditioning, transportation, medical care, and
other supportive services. They are also unlikely to use fans or air conditioners, even
when they are available, because they feel they cannot afford higher utility bills.
4.
HOT WEATHER – HEALTH WATCH WARNING SYSTEM
A. Philadelphia has field-tested and instituted a new Hot Weather-Health Watch/Warning
System (PWWS), to alert the city's residents of potentially oppressive weather
situations which could negatively affect health.
1. Media announcements: The media (television, radio stations, and the newspapers)
are contacted and informed of all declarations by the Health Commissioner and are
provided with information on how to avoid heat-related illnesses during oppressive
weather. Press releases and notifications of warnings will be issued to the media
in advance of the Commissioner’s Health Warning.
2. Activation of the “Heat Line”: When the Health Commissioner declares a warning,
the Heat Line, a hotline operated in conjunction with the Philadelphia Corporation
for Aging (PCA) is activated to provide information and counseling to the general
public on avoidance from heat stress (telephone (215) xxx-xxxx).
DIRECTIVE 3.14 - 2
APPENDIX “D”
5.
RESPONSIBILITIES OF POLICE
A. Check on the well-being of the most at-risk individuals as described above.
B. Anyone in need of, or requesting transportation to a medical facility will be taken
to the nearest hospital.
C. Police districts with air conditioning will open their facilities to citizens seeking a
cool environment. If a person seeks shelter at a police district, the Department of
Human Services (DHS) will be notified at (215) xxx-xxxx or xxxx to provide the
location of the nearest “cooling center.”
D. Requests for electric fans can directed to the PCA Senior help line (business hours
only) at (215) xxx-xxxx.
E. When beat officers are not on an assignment, they will make visits to senior citizens
they know are living alone to check on their well-being.
F. Any death as a result of the heat emergency will be reported to the Philadelphia
Medical Examiner’s Office at (215) xxx-xxxx.
G. In all cases where an officer encounters a young child left inside a vehicle in the
extreme heat and are unable to quickly remove the child, Fire Department Medics and
a street supervisor should be notified. DHS and Special Victims Unit should also be
contacted.
H. A computer message will be sent by Police Radio upon notification from DPH or the
Office of the Managing Director. The message will contain information that the Health
Watch Warning system has been activated. This information as well as other
instructions relating to the heat emergency will be sent to all police terminals on an
updated basis. Police Radio will also broadcast on “J” band the information that a
“Code Red” has been declared and the above outlined procedures will be in effect.
I. Close open fire hydrants.
______________________________________________________________________________
BY COMMAND OF THE POLICE COMMISSIONER
______________________________________________________________________________
DIRECTIVE 3.14 - 3
APPENDIX “D”
PHILADELPHIA POLICE DEPARTMENT
DIRECTIVE 3.14
APPENDIX “E”
Issued Date: 05-28-10
Effective Date: 05-28-10
Updated Date:
SUBJECT: DUTY OF POLICE OFFICERS TO IDENTIFY AND FACILITATE
MEDICAL CARE FOR PERSONS FOUND IN SEMI-CONSCIOUS
OR UNCONSCIOUS CONDITION AS A RESULT OF EPILEPSY,
DIABETES OR OTHER ILLNESS
1.
PURPOSE
A. An act of the Pennsylvania General Assembly, (35 P.S. S.10011, et seq.) imposes
certain obligations on both police officers and citizens in relation to the above.
2.
PROCEDURE
A. Persons found in semi-conscious or unconscious condition or exhibiting symptoms due
to epileptic or diabetic illness shall immediately be transported to the nearest hospital
for treatment by a physician.
B. This action shall include the specific inferences outlined in Directive 5.6
“Intoxicated Persons in Police Custody” as well as requirements for “Hospital
Cases” specified in this directive.
1. One method by which the officer, supervisor or turnkey can make a determination
as to an individual’s condition is to check for an identification bracelet, card or tag
which contains the type of illness, persons name, physician’s name, and medication
requirements. This information is either engraved, stamped or imprinted thereon
and may be in possession of the individual at the time of occurrence.
C. Any person who willfully and knowingly falsifies such identification or deliberately
misrepresents an illness as described above shall be guilty of a Misdemeanor of the
3rd degree, “Unsworn Falsification to Authorities” PCC 4904, and upon conviction
thereof, shall be sentenced to pay a fine of not more than one thousand dollars ($1,000)
or to undergo imprisonment for not more than one (1) year or both.
______________________________________________________________________________
BY COMMAND OF THE POLICE COMMISSIONER
______________________________________________________________________________
DIRECTIVE 3.14 - 1
APPENDIX “E”

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