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This page shows you the most recent publications within this specialty of the MedWorm directory.

Community Tensions in Jersey City, NJ, Force Body Armor and Protective Issues for EMS into the Spotlight
The summer of 2014 started like any other summer in many large American cities. As the weather turned warm, street violence increased. Yet, as the summer progressed, community tensions increased as well. The first sign of difficulties arose when a local teenager was shot and killed by a Jersey City (N.J.) police officer during an altercation. For an area that normally enjoys positive community/law enforcement relations, this incident raised tensions. As the community awaited the results of an investigation, the stakes were raised when a rookie Jersey City police officer was ambushed and killed in his patrol car while respo...
Source: JEMS Operations - April 28, 2016 Category: Emergency Medicine Authors: Robert Luckritz, JD, NREMT-P Tags: Equipment & Gear WMD Terrorism Source Type: news

Hands On Product Reviews May 2016
Feature-Packed AED Trainer There are two things that save lives during cardiac arrest: high-quality CPR and rapid defibrillation. AED training often slows CPR classes down due to a limited supply of AED trainer devices. The Prestan Professional AED Trainer offers a number of features usually found on more expensive models. There's an impressive pad sensing system that allows the AED trainer to determine when the pads are placed on the manikin, followed by an AED voice that prompts users to the next step. This feature works on all manikins without the need for manikin modifications. An instructor can easily change the lang...
Source: JEMS Operations - April 28, 2016 Category: Emergency Medicine Authors: Fran Hildwine, BS, NREMT-P Tags: Columns Equipment & Gear Source Type: news

Portraits of EMS Help Countless Responders
Practicing medicine is an art, but for one firefighter/paramedic, practicing art is also medicine. Daniel Sundhal uses art to work through the emotional tolls of a career in EMS, and he's helped countless others along the way. His new book Portraits of an Emergency is a collection of gripping images that show the emotional aftermath of a responder in an emergency's wake. Looking at the pieces begs the question, could art save the world? Or maybe a few EMTs' and paramedics' lives? Sundahl's photo-based pieces are recreated scenes of actual calls he's been on. After meticulously staging and photographing the scene, the image...
Source: JEMS: Journal of Emergency Medical Services News - April 28, 2016 Category: Emergency Medicine Authors: Loralee Olejnik, EMT-B Tags: News Administration and Leadership Source Type: news

Using Double Sequential Defibrillation to Help Cardiac Arrest Patients
A 19-year-old male is a known heroin abuser to his friends and family, and after much encouragement he successfully completes rehab and comes home. In honor of his return, his friends invite him to a house party to celebrate. Initially, the night is going well, but soon his friends become concerned when no one can find him. Someone mentions that he left about an hour ago to "get something from his car." His friends go outside to investigate, and find him slumped over in the back seat. He appears blue and is cold to the touch. There's drug paraphernalia next to him. Someone at the house party calls 9-1-1 in respon...
Source: JEMS Patient Care - April 28, 2016 Category: Emergency Medicine Authors: David Neubert, MD Tags: Cardiac & Resuscitation Source Type: news

Philadelphia Crews Comfort Patient After Train Derailment
Emergency personnel work the scene of a train wreck in Philadelphia after an Amtrak train headed to New York City derailed and tipped over. Of the 243 people on board, eight were killed and more than 200 were injured, 11 critically. Some passengers who were able to walk off the train assisted first responders during the rescue. Here, responders treat and comfort a female patient. (Source: JEMS Patient Care)
Source: JEMS Patient Care - April 28, 2016 Category: Emergency Medicine Authors: JEMS Staff Tags: Mass Casualty Incidents Patient Care Source Type: news

Prehospital Management of Difficult Airways
LEARNING Objectives Understand what makes management of an airway difficult. Learn the different mnemonics and acronyms to help determine when an airway will be difficult. Know which tools to use for different airway difficulties. KEY Terms Cricothyrotomy: An emergency incision into the larynx, performed to open the airway of a person who's unable to be ventilated. Denitrogenation: The elimination of nitrogen from the lungs and body tissues during a period of ventilation with pure oxygen. Patent: Open and unblocked. A difficult airway is one in which the EMS provider identifies pot...
Source: JEMS Patient Care - April 28, 2016 Category: Emergency Medicine Authors: Keith Widmeier, BA, NRP, FP C Tags: Airway & Respiratory Source Type: news

Prehospital Rescue Organization During the November 2015 Paris Terrorist Attacks
On Nov. 13, 2015, the heart of Paris was struck by terrorism. With 130 dead and 352 wounded, it was the deadliest disaster in France since World War II. EMS was once again at the frontline to evacuate the wounded who were exposed to persistent threat and ensure their survival as they were transported to the hospital. The Paris emergency medical system is a two-tiered response system. The first tier involves BLS and is served by 200 teams of 3-5 professional rescuers each; these teams are deployed to 77 stations of the Firefighting Brigade of Paris. The ALS tier is served by 44 ambulance teams, each comprising an emergency ...
Source: JEMS Patient Care - April 28, 2016 Category: Emergency Medicine Authors: Benoit Frattini, MD, MSc Tags: Trauma Administration and Leadership WMD & Terrorism Source Type: news

Implementing Protocols to Administer Blood Products in the Prehospital Setting
Ground EMS units are dispatched to a rural portion of northern Minnesota for a single vehicle accident. North Memorial Air Care is auto-launched and responds to the scene. On arrival, EMS units find a female patient unconscious in her vehicle after crashing into a tree. The patient is found to be hypotensive, tachycardic and tachypneic. Her abdomen is bruised and warm. She's packaged for transport to the nearest trauma center. En route, she receives 1 unit of packed red blood cells (PRBCs) in addition to standard fluid resuscitation and 1 gram of tranexamic acid (TXA) with improvement to her blood pressure, mentation and p...
Source: JEMS Patient Care - April 28, 2016 Category: Emergency Medicine Authors: Alexander L. Trembley, NREMT-P Tags: Trauma Source Type: news

Junior EMS Education, Combatting Opioid Addiction & Helping the Homeless
 TRAINING THE FUTURE OF EMS New Jersey's Freehold First Aid & Emergency Squad held a day-long Disaster Preparedness Exhibit January, which gave high school students an invaluable opportunity to learn more about emergency response. More than 90 student volunteers from 10 different fire and EMS cadet squads across the county attended the event. The day began with a trip to the Monmouth County Sheriff's Office 9-1-1 Communications Center, where the junior first responders learned more about the critical role dispatchers play during emergencies, including how calls are dispatched and to what agencies. The teens also g...
Source: JEMS Patient Care - April 28, 2016 Category: Emergency Medicine Authors: JEMS Staff Tags: News Administration and Leadership Patient Care Source Type: news

Rockland County, N.Y.’s Innovative Response Team Works to Treat Mental and Physical Health Issues in the Community
Rockland Paramedic Services (RPS) is a not-for-profit EMS agency that operates a mobile mental health response team called the Behavioral Health Response Team (BHRT). This new, innovative program for EMS takes mobile integrated healthcare to a new level. Although these programs aren't new, their integration by an EMS agency is a modern advancement. For more than 25 years, RPS has provided 9-1-1 response services to Rockland County, N.Y.-a suburb of New York City with a population of about 350,000. In 2015, the RPS responded to over 25,000 calls, 645 of which included an emotionally disturbed person (EDP). As with most EMS ...
Source: JEMS Patient Care - April 28, 2016 Category: Emergency Medicine Authors: Raymond Florida, BA, MPH, EMT-P Tags: Mobile Integrated Healthcare Patient Care Source Type: news

How EMS Managers Should Approach Task Management
The fourth pillar of the Supervising EMS Officer (SEMSO) competencies is task management. A significant amount of a supervisor's job revolves around executing tasks, solving problems, managing information and material resources, managing human resources and enhancing performance. Executing Tasks A competent SEMSO has task-relevant knowledge of practices and procedures that facilitates prioritization, defines timelines and completes tasks in a single effort if possible (with follow-up as needed). Competency in delegation is important and has several tricky components. You must select a person who's capable of completing a g...
Source: JEMS Administration and Leadership - April 28, 2016 Category: Emergency Medicine Authors: Michael Touchstone, BS, EMT-P Tags: Columns Administration and Leadership Source Type: news

Elevate Your Care & Operations
If you were at the JEMS EMS Today Conference and Exposition in Baltimore, Md., this February, you were treated to an up-close look at the recently refurbished Heartmobile--a Cortez motorhome mobile ICU (MICU)-used in Columbus, Ohio, in the late '60s and one of the first MICUs in the world. What struck me as I lavished its beauty and design was how innovative and functional it was, with easy access to the patient on all sides and, more importantly, the ability to care for a patient at waist level. Way back then, they'd bring a patient into the double doors on the side, place them onto a surgical platform retrofitted to hold...
Source: JEMS Administration and Leadership - April 28, 2016 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Administration and Leadership Columns Source Type: news

Portraits of EMS Help Countless Responders
Practicing medicine is an art, but for one firefighter/paramedic, practicing art is also medicine. Daniel Sundhal uses art to work through the emotional tolls of a career in EMS, and he's helped countless others along the way. His new book Portraits of an Emergency is a collection of gripping images that show the emotional aftermath of a responder in an emergency's wake. Looking at the pieces begs the question, could art save the world? Or maybe a few EMTs' and paramedics' lives? Sundahl's photo-based pieces are recreated scenes of actual calls he's been on. After meticulously staging and photographing the scene, the image...
Source: JEMS Administration and Leadership - April 28, 2016 Category: Emergency Medicine Authors: Loralee Olejnik, EMT-B Tags: News Administration and Leadership Source Type: news

Prehospital Rescue Organization During the November 2015 Paris Terrorist Attacks
On Nov. 13, 2015, the heart of Paris was struck by terrorism. With 130 dead and 352 wounded, it was the deadliest disaster in France since World War II. EMS was once again at the frontline to evacuate the wounded who were exposed to persistent threat and ensure their survival as they were transported to the hospital. The Paris emergency medical system is a two-tiered response system. The first tier involves BLS and is served by 200 teams of 3-5 professional rescuers each; these teams are deployed to 77 stations of the Firefighting Brigade of Paris. The ALS tier is served by 44 ambulance teams, each comprising an emergency ...
Source: JEMS Administration and Leadership - April 28, 2016 Category: Emergency Medicine Authors: Benoit Frattini, MD, MSc Tags: Trauma Administration and Leadership WMD & Terrorism Source Type: news

Patients’ Dying Declarations May Be Legal Evidence
You're charged with treating a critically injured patient who, according to law enforcement officials, was a victim of multiple gunshot wounds. During the course of your treatment, your patient utters, "Johnny Smith shot me." Despite your best resuscitative efforts, your patient soon dies. In the legal vernacular, this statement made in extremis is called a "dying declaration." Specifically, a dying declaration is made by a conscious individual who believes death is imminent and communicates information regarding the cause or circumstances surrounding their death. This information can be admitted as evi...
Source: JEMS Administration and Leadership - April 28, 2016 Category: Emergency Medicine Authors: Kristin Spencer, MS, NREMT-P Tags: Documentation & Patient Care Reporting Source Type: news

New EMS Tech Shifts Focus Away from Responders
Over the past 25 years, I've realized a truth about EMS in the United States--we love to buy stuff! We yearn for new devices that make our jobs easier. EMS has become a hotbed for device manufacturers of everything from stretchers that load themselves into an ambulance, to miraculous adjuncts to stop massive hemorrhage. New technology that transmits data directly to the ED, for example, allows the physician a five-minute head start on what's coming through the door. Although it's clear some of these items improve the care of our patients and the safety of our workforce, many are simply looking for a reason to exist. Post 9...
Source: JEMS Administration and Leadership - April 28, 2016 Category: Emergency Medicine Authors: Mark E.A. Escott, MD, MPH, FACEP Tags: Columns Administration and Leadership Source Type: news

Junior EMS Education, Combatting Opioid Addiction & Helping the Homeless
 TRAINING THE FUTURE OF EMS New Jersey's Freehold First Aid & Emergency Squad held a day-long Disaster Preparedness Exhibit January, which gave high school students an invaluable opportunity to learn more about emergency response. More than 90 student volunteers from 10 different fire and EMS cadet squads across the county attended the event. The day began with a trip to the Monmouth County Sheriff's Office 9-1-1 Communications Center, where the junior first responders learned more about the critical role dispatchers play during emergencies, including how calls are dispatched and to what agencies. The teens also g...
Source: JEMS Administration and Leadership - April 28, 2016 Category: Emergency Medicine Authors: JEMS Staff Tags: News Administration and Leadership Patient Care Source Type: news

Program Manual: Radiological Emergency Preparedness
Federal Emergency Management Agency. 01/01/2016This 342-page manual serves as the principal source of policy and guidance for the FEMA Radiological Emergency Preparedness (REP) Program, and is an update of the 2015 version. It provides additional detail to offsite response organizations (OROs) on what FEMA expects them to include in their radiological emergency response plans, and the demonstration criteria that FEMA uses to evaluate the ability of the OROs to implement their radiological emergency response plans. (PDF) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - April 28, 2016 Category: Global & Universal Authors: The U.S. National Library of Medicine Source Type: news

Accidental oral administration of povidone iodine in a newborn: case report - Alarcon Martínez T, Bozkaya D, Yurdakök M.
Iodine solutions are widely used as antiseptic for treating and preventing wound infections. Povidone iodine, one of the most common topical iodine solutions in emergency kits, can lead to several abnormalities as thyroid dysfunction. Povidone iodine poiso... (Source: SafetyLit)
Source: SafetyLit - April 28, 2016 Category: Global & Universal Tags: Age: Infants and Children Source Type: news

Majority of California veterans who need mental health care receive inadequate or no treatment
Seventy-six percent of California veterans in need of mental health care from 2011 to 2013 either didn’t receive treatment or received inadequate care, according to a new study by the UCLA Center for Health Policy Research. But the share of veterans who needed mental health care was no greater than that of the general population, despite common perceptions that veterans are more likely than others to need care.  Using data from the California Health Interview Survey for 2011 to 2013, researchers found that 90,000 California veterans who had served in the military for at least a year, or 3.5 percent of the state’s vete...
Source: UCLA Newsroom: Health Sciences - April 28, 2016 Category: Universities & Medical Training Source Type: news

Seven Emergency Surgeries Tied to Most Deaths, ComplicationsSeven Emergency Surgeries Tied to Most Deaths, Complications
Seven emergency surgeries were responsible for most surgeries, deaths, complications, and inpatient costs in a recent study. Medscape Medical News (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - April 27, 2016 Category: Surgery Tags: General Surgery News Source Type: news

Colorado Lt. Gov. nominee clears 1st hurdle, with one Republican backer
Business executive and lieutenant-governor nominee Donna Lynne said Wednesday that she supports the effort to enterprise the hospital provider fee, believes the state needs to crack down on free-standing emergency rooms and feels she can leverage the Medicaid program to cut health-care costs — and she won a small bit of bipartisan support from a Colorado legislative committee for it. Gov. John Hickenlooper’s pick to succeed exiting Lt. Gov. Joe Garcia will be debated next on the House floor… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - April 27, 2016 Category: Pharmaceuticals Authors: Ed Sealover Source Type: news

Colorado Lt. Gov. nominee clears 1st hurdle, with one Republican backer
Business executive and lieutenant-governor nominee Donna Lynne said Wednesday that she supports the effort to enterprise the hospital provider fee, believes the state needs to crack down on free-standing emergency rooms and feels she can leverage the Medicaid program to cut health-care costs — and she won a small bit of bipartisan support from a Colorado legislative committee for it. Gov. John Hickenlooper’s pick to succeed exiting Lt. Gov. Joe Garcia will be debated next on the House floor… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - April 27, 2016 Category: Biotechnology Authors: Ed Sealover Source Type: news

Resurgence of Vocational Education Shows Public Safety Careers to U.S. Students
ANTIOCH, Calif. (AP) — There was an emergency in Room 14. Three girls injured, one with a broken thighbone and maybe something more serious. Snapping on sterile gloves and kneeling before the worst-off patient, two 17-year-olds went to work. The pair cut open the girl's pant leg, pinched her toes to see if she had feeling and fit her with a neck brace. Sweat flecked their faces by the time they had the patient — a perfectly healthy classmate — strapped to a back board 12 minutes later. "You are acting like professionals and you haven't even finished this class yet!" Gretchen Medel, an EMT who oversaw the ...
Source: JEMS Administration and Leadership - April 27, 2016 Category: Emergency Medicine Tags: News Administration and Leadership Source Type: news

Resurgence of Vocational Education Shows Public Safety Careers to U.S. Students
ANTIOCH, Calif. (AP) — There was an emergency in Room 14. Three girls injured, one with a broken thighbone and maybe something more serious. Snapping on sterile gloves and kneeling before the worst-off patient, two 17-year-olds went to work. The pair cut open the girl's pant leg, pinched her toes to see if she had feeling and fit her with a neck brace. Sweat flecked their faces by the time they had the patient — a perfectly healthy classmate — strapped to a back board 12 minutes later. "You are acting like professionals and you haven't even finished this class yet!" Gretchen Medel, an EMT who oversaw the ...
Source: JEMS: Journal of Emergency Medical Services News - April 27, 2016 Category: Emergency Medicine Tags: News Administration and Leadership Source Type: news

Video: Car Strikes Florida Medical Helicopter
ORLANDO, Fla. (AP) — Police say a medical helicopter was hit by a car and disabled as it prepared to transport an injured pedestrian, and the car's driver now faces drunken driving charges. The Florida Highway Patrol says the helicopter landed in the middle of U.S. Highway 192 near Walt Disney World early Wednesday morning to pick up the patient who'd been hit by a car. An arrest report says 20-year-old Cameron Sunderly drove his car around emergency vehicles blocking the road and crashed into the helicopter's rear rotor. Sunderly told troopers he'd been at an Applebee's restaurant. A breath test measured his blood al...
Source: JEMS: Journal of Emergency Medical Services News - April 27, 2016 Category: Emergency Medicine Tags: News Operations Source Type: news

Video: Car Strikes Florida Medical Helicopter
ORLANDO, Fla. (AP) — Police say a medical helicopter was hit by a car and disabled as it prepared to transport an injured pedestrian, and the car's driver now faces drunken driving charges. The Florida Highway Patrol says the helicopter landed in the middle of U.S. Highway 192 near Walt Disney World early Wednesday morning to pick up the patient who'd been hit by a car. An arrest report says 20-year-old Cameron Sunderly drove his car around emergency vehicles blocking the road and crashed into the helicopter's rear rotor. Sunderly told troopers he'd been at an Applebee's restaurant. A breath test measured his blood al...
Source: JEMS Operations - April 27, 2016 Category: Emergency Medicine Tags: News Operations Source Type: news

Revealed, the most dangerous emergency operations
Researchers at Brigham and Women's Hospital in Boston looked at patients receiving emergency general surgery, involving the most acutely ill and highest risk people. (Source: the Mail online | Health)
Source: the Mail online | Health - April 27, 2016 Category: Consumer Health News Source Type: news

10 Questions: Leana Wen, MD
(MedPage Today) -- Health Commissioner and ER physician says most of what impacts patient's health happens outside the hospital (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - April 27, 2016 Category: Emergency Medicine Source Type: news

The 7 Deadliest Emergency General Surgeries
Gastrointestinal and bowel operations top the list because they're often done without planning or preparation, experts say (Source: WebMD Health)
Source: WebMD Health - April 27, 2016 Category: Consumer Health News Source Type: news

Mercy Northwest Arkansas Plans $247M Expansion Over 5 Years
Mercy Northwest Arkansas on Wednesday announced a five-year, $247 million expansion project it said will create 1,000 new jobs. The expansion comes has the system's hospitals and clinics are at "very high capacity," according to Eric Pianalto, Mercy Hospital's president. The new jobs will come as a result of the expansion of the Rogers hospital and the addition of new clinics in Benton and Washington counties. The jobs include physicians, advanced practitioners and nurses, according to the hospital. Elements of the expansion include: A new 190,000-SF patient tower on its Rogers campus that will add more than 100 beds...
Source: Arkansas Business - Health Care - April 27, 2016 Category: American Health Source Type: news

The 7 deadliest emergency general surgeries
Dennis Thompson, HealthDay News Seven operations, including appendectomy and gall bladder removal, account for four out of five emergency general-surgery deaths in the United States. (Source: Health News - UPI.com)
Source: Health News - UPI.com - April 27, 2016 Category: Consumer Health News Source Type: news

Enthusiasm for Prehospital Use of TXA May Be Premature
Tranexamic acid (TXA), an antifibrinolytic drug, has been used by clinicians since 1986 when it was first approved by the Food and Drug Administration for the reduction and prevention of hemorrhage in patients with hemophilia undergoing tooth extraction. Since then, it's been used as an "off-label" medication in cardiac and orthopedic surgery as a means to reduce intraoperative blood loss. Recently this off-label use has expanded to trauma patients based on enthusiasm from two studies known as CRASH-2 and MATTERS (discussed later). Today TXA is used in some hospitals in the United States, and there's been in...
Source: JEMS Patient Care - April 27, 2016 Category: Emergency Medicine Authors: Adam Fox, DPM, DO Tags: Trauma Source Type: news

‘Looming catastrophe’: These 7 emergency surgeries account for 80 percent of deaths and costs
Chances are that even the lucky among us will see the inside of an emergency room at some point, for ourselves or our loved ones. More than 3 million such patients undergo a surgical procedure each year in the United States, and the costs of this care are soaring to the point where they have […] (Source: Washington Post: To Your Health)
Source: Washington Post: To Your Health - April 27, 2016 Category: Consumer Health News Authors: Ariana Eunjung Cha Tags: newsletter Source Type: news

Austin-Travis County EMS Swift Water Training
  KXAN - Local paramedics on a Special Operations team took part in the training.     (Source: JEMS Operations)
Source: JEMS Operations - April 27, 2016 Category: Emergency Medicine Tags: News Videos Rescue & Vehicle Extrication Source Type: news

Real-Time Medical Communication Revolutionizes Treatment and Transport in Florida
A major hurricane threatens the Gulf Coast-evacuations clog roads and strain resources as first responders rush to prepare for the destruction and injuries to come. A commuter plane crashes on takeoff, igniting jet fuel into a fireball that engulfs the wreckage. Casualties, many severely burned, are rushed to the area's trauma center. Resources during these incidents become spread out and strained. Key facts are lost in translation. The needs of the patients rapidly overwhelm available healthcare professionals and supplies. These are the trials and tribulations facing first responders and first receivers since before "...
Source: JEMS Patient Care - April 27, 2016 Category: Emergency Medicine Authors: Peter A. Pappas, MD, FACS Tags: Patient Care Communications & Dispatch Source Type: news