MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'JEMS Columnists' source. Tue, 29 Jun 2010 06:36:13 +0100 http://www.medworm.com/index.php?rid=3516786&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Fprogress_isnt_always_popular.html I've been doing quite a bit of reflective thinking lately. Not sure why. Perhaps it's the passing of my 55th birthday. Perhaps it's a growing sense of frustration. I've spent 36 years of my life involved... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3516786 Fri, 30 Apr 2010 13:24:33 +0100 3516786 http://www.medworm.com/index.php?rid=3505956&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHaskell%2Flittle_laceration_miracles.html Before my four-year stint at a children's hospital, I held the same misconceptions about plastic surgery that most people probably hold, conflating the specialty of cosmetic surgery with the larger field... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3505956 Tue, 27 Apr 2010 13:16:03 +0100 3505956 http://www.medworm.com/index.php?rid=3495586&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fcervical_collars_can_result_in_vertebrae_separation.html Review of: Ben-Galim P, Dreiangel N, Mattox KL, et al. Extrication collars can result in abnormal separation between vertebrae in the presence of a dissociative injury. J Trauma. 2010;68(1). [Epub ahead... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3495586 Fri, 23 Apr 2010 13:16:46 +0100 3495586 http://www.medworm.com/index.php?rid=3445389&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FEdgerly%2Fmanaging_the_obstetrics_call.html As you arrive on scene, dispatch calls with additional information; "Caller states the patient is 34 weeks pregnant." Your abdominal pain call just became an obstetrics call. In addition to your EMS kit,... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3445389 Thu, 08 Apr 2010 13:25:47 +0100 3445389 http://www.medworm.com/index.php?rid=3400751&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Ftake_time_outs_to_avoid_mistakes.html Not long ago I read a story about a competent surgeon, at a well-respected hospital, who operated on the wrong extremity. Similarly, in EMS, there have been numerous reports where experienced paramedics... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3400751 Thu, 25 Mar 2010 14:18:38 +0100 3400751 http://www.medworm.com/index.php?rid=3344059&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FMaggiore%2Fdestination_decisions.html Are there ever times when EMS should deviate from taking patients to the facility of their choice? The answer to this question is definitely "yes." In some situations, it may actually be negligent to take... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3344059 Tue, 09 Mar 2010 14:23:18 +0100 3344059 http://www.medworm.com/index.php?rid=3245266&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FEdgerly%2Ftreating_myocardial_infarction.html Dispatch has sent you to care for a 66-year-old male with chest pain and shortness of breath. Mr. Sackett is clutching his chest as you enter the room. Turning on the bedroom light, you note the ashen... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3245266 Sat, 06 Feb 2010 14:17:43 +0100 3245266 http://www.medworm.com/index.php?rid=3245265&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHaskell%2Fcold_turkey.html "What's wrong with you?" My wife, aka She Who Must Be Obeyed, asked the question with something between concern and annoyance. She was on the couch watching TV. I had been pacing around behind the couch... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3245265 Sat, 06 Feb 2010 14:17:43 +0100 3245265 http://www.medworm.com/index.php?rid=3233173&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Fthe_patient_report.html Not long ago, I saw one of our emergency medicine resident physicians furiously looking through papers at the nursing station. I watched him for a bit and finally asked, "What are you looking for?" He... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3233173 Wed, 03 Feb 2010 14:21:41 +0100 3233173 http://www.medworm.com/index.php?rid=3214042&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FMack%2Fmci_management_since_9-11.html Just as the world defines dates as B.C. or A.D., the world of EMS could describe part of our historical time-line as being B9 (Before 9/11) or A9 (After 9/11). The use of Sept. 11, as a pivotal reference... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3214042 Thu, 28 Jan 2010 14:20:31 +0100 3214042 http://www.medworm.com/index.php?rid=3199190&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Feffect_of_intubation_on_cpr.html Review of: Wang HE, Simeone SJ, Weaver MD, et al. Interruptions in Cardiopulmonary Resuscitation from Paramedic Endotracheal Intubation. Ann of Emerg Med. 2009:54(5):645–652. The Science Emergency guidelines... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3199190 Sat, 23 Jan 2010 14:07:36 +0100 3199190 http://www.medworm.com/index.php?rid=3177230&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FAcosta%2Fthe_science_of_self_healing.html Before Morton's discovery of anesthesia in the mid-1800s, those who were unfortunate enough to require surgery were left to a bottle of whiskey and their own devices. Although many suffered horribly, the... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3177230 Sat, 16 Jan 2010 14:08:36 +0100 3177230 http://www.medworm.com/index.php?rid=3169004&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHaskell%2Ffecal_matters.html Somehow I think even Mike Rowe of Discovery Channel's "Dirty Jobs" would shudder if asked to do some of the things we have to do. Take this call, for example. There's no doubt in my mind Sigmund would've... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3169004 Thu, 14 Jan 2010 14:10:47 +0100 3169004 http://www.medworm.com/index.php?rid=3165213&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fpassive_oxygen_insufflation_and_bvm.html Review of: Bobrow BJ, Ewy GA, Clark L, et al. Passive Oxygen Insufflation Is Superior to Bag-Valve-Mask Ventilation for Witnessed Ventricular Fibrillation Out-of-Hospital Cardiac Arrest. Ann Emerg Med.... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3165213 Wed, 13 Jan 2010 14:09:22 +0100 3165213 http://www.medworm.com/index.php?rid=3116779&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FMaggiore%2Fthe_way_it_was.html I took my paramedic refresher course last week. Considering that my state requires a refresher every two years, it was my 14th paramedic refresher. I realized that I know hardly anyone in the classes any... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3116779 Thu, 24 Dec 2009 14:07:58 +0100 3116779 http://www.medworm.com/index.php?rid=3112749&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FMaggiore%2Fthe_way_it_was.html I took my paramedic refresher course last week. Considering that my state requires a refresher every two years, it was my 14th paramedic refresher. I realized that I know hardly anyone in the classes any... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3112749 Wed, 23 Dec 2009 14:08:26 +0100 3112749 http://www.medworm.com/index.php?rid=3098062&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FEdgerly%2Fdiabetic_emergencies_part_2.html Editor's Note: This is a follow-up article to "Diabetic Emergencies." The dispatch information sounds like another case of the flu. "Respond to care for a patient complaining of abdominal pain and general... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3098062 Fri, 18 Dec 2009 14:09:13 +0100 3098062 http://www.medworm.com/index.php?rid=3080673&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FAcosta%2Fuse_magic_when_treating_children.html A four-year old boy is wheezing and barely able to get a breath. He doesn't speak English, but looks to you to help him while you race him to the hospital. Having been trained in Verbal First Aid, you... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3080673 Sat, 12 Dec 2009 14:05:27 +0100 3080673 http://www.medworm.com/index.php?rid=3076971&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fcan_medics_make_transport_decisions.html Review of: Brown LH, Hubble MW, Cone DC, et al: "Paramedic determinations of medical necessity: A meta-analysis."Prehospital Emergency Care. 13(4):516–527, 2009. The Science This is a meta-analysis study... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3076971 Fri, 11 Dec 2009 14:04:21 +0100 3076971 http://www.medworm.com/index.php?rid=3076970&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fstudy_shows_before_and_after_of_additional_air_ambulance.html Review of: Schiller J, McCormack JE, Tarsia V, et al. "The effect of adding a second helicopter on trauma-related mortality in a county-based trauma system." Prehospital Emergency Care. 13:437–443, 2009. The... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3076970 Fri, 11 Dec 2009 14:04:21 +0100 3076970 http://www.medworm.com/index.php?rid=3058160&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fshould_you_change_your_deployment_methods.html Review of: Blackwell TH, Kline JA, Willis JJ, et al: "Lack of association between prehospital response times and patient outcomes." Prehospital Emergency Care. 13(4):444–450, 2009. The Science This prospective... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3058160 Sat, 05 Dec 2009 14:05:33 +0100 3058160 http://www.medworm.com/index.php?rid=3046031&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Fwhy_family_is_different.html One of my favorite Christmas songs is a relatively unknown ballad by Jackson Browne, titled "The Rebel Jesus." This song fairly accurately depicts my feelings about the holiday season. Take a listen. Although... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3046031 Wed, 02 Dec 2009 14:06:23 +0100 3046031 http://www.medworm.com/index.php?rid=3024181&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHeightman%2Fgroup_warns_cpr_performance_poor.html This past week, a new CPR Improvement Working Group, formed to help improve CPR skill performance, announced the results of the first-ever, multi-national attitudinal survey concerning the performance... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3024181 Wed, 25 Nov 2009 14:03:11 +0100 3024181 http://www.medworm.com/index.php?rid=3024180&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fthe_truth_about_in_naxolone.html Review of: Robertson TM, Hendley GW, Stroh G, et al: "Intranasal naloxone is a viable alternative to intravenous naloxone for prehospital narcotic overdose." Prehospital Emergency Care. 13(4):512–515,... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=3024180 Wed, 25 Nov 2009 14:03:11 +0100 3024180 http://www.medworm.com/index.php?rid=2982690&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Freviewers_disagree_about_studys_value.html Review of: Baker TW, King W, Soto W, et al: "The efficacy of pediatric advanced life support training in emergency medical service providers." Pediatric Emergency Care. 25(8):508–512, 2009. The Science This... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2982690 Thu, 12 Nov 2009 14:09:09 +0100 2982690 http://www.medworm.com/index.php?rid=2956302&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Fnew_emt.html It's 6:15 a.m. on a warm autumn morning, and Michael Wills pulls his 2000 Ford F-150 pickup into the ambulance station parking lot. His shift doesn't start until 7 a.m., but he wants to make sure he's... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2956302 Wed, 04 Nov 2009 14:16:10 +0100 2956302 http://www.medworm.com/index.php?rid=2945251&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fprehospital_intubation_and_mortality.html Review of: Cobas MA, De la Peña MA, Manning R, et al: "Prehospital Intubations and Mortality: A Level 1 Trauma Center Perspective." Anesthesia and Analgesia. 109(2):489-493, 2009. The Science In this... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2945251 Sat, 31 Oct 2009 14:05:44 +0100 2945251 http://www.medworm.com/index.php?rid=2928665&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FTravis%2Fmiami_dade_fire_rescue_at_a_glance.html It has truly been a good year for Miami-Dade Fire Rescue (MDFR). Florida's largest fire department and EMS provider was selected as the state's 2009 EMS provider of the year. You may have seen their ALS... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2928665 Tue, 27 Oct 2009 14:11:43 +0100 2928665 http://www.medworm.com/index.php?rid=2921686&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FEdgerly%2Fdont_assume_wheezing_means_asthma.html As you enter the house your patient looks at you anxiously. He's sitting upright, leaning forward. You note circumoral cyanosis and obvious respiratory distress as he attempts to speak. As you approach,... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2921686 Sat, 24 Oct 2009 13:04:39 +0100 2921686 http://www.medworm.com/index.php?rid=2921685&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fare_c_spine_precautions_for_everyone.html This study was undertaken to determine... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2921685 Sat, 24 Oct 2009 13:04:39 +0100 2921685 http://www.medworm.com/index.php?rid=2884119&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHaskell%2Ftrading_puke.html Warning: You should not read this column if you have a sensitive gastrointestinal (GI) tract, are pregnant, have a compromised immune system, or have just inhaled a three-quarter pounder in 30 seconds... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2884119 Tue, 13 Oct 2009 13:12:45 +0100 2884119 http://www.medworm.com/index.php?rid=2873531&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FEagles%2Fanswering_the_call.html In late 2004, firefighters at Houston Fire Department (HFD) Station 6 had a casual conversation that providers across the country would likely recognize: "If only Ms. Johnson had someone to look in on... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2873531 Fri, 09 Oct 2009 09:23:34 +0100 2873531 http://www.medworm.com/index.php?rid=2870229&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FRoss%2Fhow_to_diagnose_patients_with_altered_mental_status.html Police officers were called to the home of a 73-year-old for a welfare check. Upon arrival, they found an unresponsive male lying on a bed. A neighbor had noted that the patient had not responded to the... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2870229 Thu, 08 Oct 2009 09:21:10 +0100 2870229 http://www.medworm.com/index.php?rid=2863878&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Ffrozen_dead_or_alive.html I have to warn you from the outset that this month's column will be a little different -- kind of a Halloween tale. However, unlike most Halloween tales, this one is true. Listen, my children, and you... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2863878 Tue, 06 Oct 2009 16:36:17 +0100 2863878 http://www.medworm.com/index.php?rid=2840124&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHeightman%2Fnbcs_trauma_fails_to_deliver.html The new series Trauma premiering Monday night is being billed by NBC as "the first high-octane medical drama series to live exclusively in the field." The show's Website says it's "like an adrenaline shot... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2840124 Tue, 29 Sep 2009 16:35:43 +0100 2840124 http://www.medworm.com/index.php?rid=2840123&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHeightman%2Fiaemsc_holds_inaugural_leadership_summit.html The International Association of Emergency Medical Services Chefs (IAEMSC) held its Inaugural Leadership Summit in Washington, D.C., Sept 26–28, 2009. IAEMSC's mission is advocate for improved EMS and... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2840123 Tue, 29 Sep 2009 16:35:43 +0100 2840123 http://www.medworm.com/index.php?rid=2783516&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Ftime_for_a_change.html Yesterday, I went to Wal-Mart to get some things we routinely use around the house. Any given Wal-Mart is certainly a microcosm of society. But, there was something about this trip that was different.... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2783516 Fri, 11 Sep 2009 16:29:02 +0100 2783516 http://www.medworm.com/index.php?rid=2767315&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FAcosta%2Fspeaking_of_emergencies_0909.html It's been about 20 years since my first workshop on therapeutic communication with a small volunteer firehouse, and I still get the same questions at my seminars: "What do I say when there's nothing to... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2767315 Sat, 05 Sep 2009 16:29:22 +0100 2767315 http://www.medworm.com/index.php?rid=2749059&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fflight_crew_use_of_king_lt_versus_combitube.html Review of: Tumpach EA, Lutes M, Ford D, et al: "The King LT versus the Combitube: Flight crew performance and preference." Prehospital Emergency Care. 13(3):324–328, 2009. The Science This interesting... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2749059 Tue, 01 Sep 2009 12:04:29 +0100 2749059 http://www.medworm.com/index.php?rid=2749058&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fare_vital_signs_vital.html Review of: Chen L, Reisner AT, Gribok A: "Exploration of prehospital vital sign trends for the prediction of trauma outcomes." Prehospital Emergency Care. 13(3):286–294, 2009. The Science The authors... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2749058 Tue, 01 Sep 2009 12:04:29 +0100 2749058 http://www.medworm.com/index.php?rid=2742638&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHaskell%2Fa_tale_of_two_airways.html It was so frustrating. You'd get a call from a parent wanting simple advice, and you had to say, "I'm sorry, we're not allowed to give advice over the phone. But if you'd like to bring Johnny in to the... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2742638 Sat, 29 Aug 2009 12:01:58 +0100 2742638 http://www.medworm.com/index.php?rid=2735743&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FMaggiore%2Fno_for_an_answer.html A 2008 Kansas Court of Appeals case again demonstrates that the courts will uphold a patient's refusal -- and provide immunity for EMS -- when EMS properly assesses a patient's decisional capacity and... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2735743 Thu, 27 Aug 2009 12:04:22 +0100 2735743 http://www.medworm.com/index.php?rid=2731861&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FEdgerly%2Fcroup_and_epiglottitis.html It's an early October evening, and the tones sound. Dispatch resonates, "Respond to a child in respiratory distress." En route, potential causes of pediatric dyspnea run through your head. On entering... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2731861 Wed, 26 Aug 2009 12:04:01 +0100 2731861 http://www.medworm.com/index.php?rid=2689737&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fbattle_of_the_sexes.html Review of: Lord B, Cui J, Kelly A: "The impact of patient sex on paramedic pain management in the prehospital setting." American Journal of Emergency Medicine. 27(5):525-529, 2009. The Science The Metropolitan... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2689737 Wed, 12 Aug 2009 10:25:33 +0100 2689737 http://www.medworm.com/index.php?rid=2669061&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHaskell%2Fbroken_promises.html My first few weeks working as a medic in the emergency department (ED) of a children's hospital were intense. The hospital was a regional medical center attached to a major university, and this was my... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2669061 Wed, 05 Aug 2009 10:54:51 +0100 2669061 http://www.medworm.com/index.php?rid=2659081&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Fi_am_hipaa_hear_me_roar.html I'll bet that in some time in your career you have encountered the HIPAA police. These people tend to cite HIPAA as a reason for virtually everything. One of my pet peeves is the tendency of some people... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2659081 Sat, 01 Aug 2009 10:55:05 +0100 2659081 http://www.medworm.com/index.php?rid=2655194&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FEagles%2Fthe_stemi_care_race.html Most people who appreciate high forms of achievement, regardless of their field, quickly recognize Englishman Roger Bannister as the first runner to break through the barrier of the four-minute mile. When... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2655194 Fri, 31 Jul 2009 10:54:15 +0100 2655194 http://www.medworm.com/index.php?rid=2627997&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FRoss%2Flightning_strikes_out.html A 36-year-old male was standing on a baseball diamond, coaching his son's team on a July afternoon, when he was struck by lightning. He immediately went into cardiac arrest. Lightning continued nearby... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2627997 Thu, 23 Jul 2009 10:54:34 +0100 2627997 http://www.medworm.com/index.php?rid=2623272&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fhazards_of_providing_care_in_ambulances.html Review of: Slattery DE, Silver A: "The hazards of providing care in emergency vehicles: An opportunity for reform." Prehospital Emergency Care. 13(3):388-397, 2009. The Science This review of the literature... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2623272 Wed, 22 Jul 2009 10:54:57 +0100 2623272 http://www.medworm.com/index.php?rid=2607576&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fdo_you_have_that_in_writing.html Review of: Albright KC, Schott TC, Boland DF: "Acute stroke care in a neurologically underserved state: Lessons learned from the Iowa stroke survey." Journal of Stroke and Cerebrovascular Diseases. 18(3):203-207.... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2607576 Fri, 17 Jul 2009 10:53:07 +0100 2607576 http://www.medworm.com/index.php?rid=2564804&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Fthe_emperors_clothes.html For reasons I don't understand, I spent the past hour looking at comments on various online EMS lists and bulletin boards. Interestingly, I saw the same moaning and complaining that we did in the '70s... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2564804 Sun, 05 Jul 2009 10:54:43 +0100 2564804 http://www.medworm.com/index.php?rid=2524762&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHaskell%2Ftale_of_two_bobs.html Once upon a time, in the big northeastern city of Megalopolis, there were two paramedics, both named Bobby, who worked out of the busiest firehouse in the city, if not the Western hemisphere. This firehouse... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2524762 Sat, 27 Jun 2009 10:44:36 +0100 2524762 http://www.medworm.com/index.php?rid=2489209&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fshould_ems_education_involve_customer_service.html Review of: Campeau A: "Introduction to the 'space-control theory of paramedic scene management'" Emergency Medicine Journal. 26(3):213-216, 2009. The Science The study from Ontario, Canada was a survey... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2489209 Thu, 25 Jun 2009 07:36:00 +0100 2489209 http://www.medworm.com/index.php?rid=2489208&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fairway_management_in_denver.html Review of: Denver Metro Airway Study Group: "A Prospective Multicenter Evaluation of Prehospital Airway Management Performance in a Large Metropolitan Region." Prehospital Emergency Care. 13(3):304-310,... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2489208 Thu, 25 Jun 2009 07:36:00 +0100 2489208 http://www.medworm.com/index.php?rid=2489207&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FZigmont%2Fvolunteers_speak_out.html A small but vocal group of individuals (usually paid providers) seems to go out of their way to put volunteer EMS down. I recently wrote an article about this, and even non-volunteers had a reaction. Here... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2489207 Thu, 25 Jun 2009 07:36:00 +0100 2489207 http://www.medworm.com/index.php?rid=2479563&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FEdgerly%2Fdiabetic_emergencies.html You're responding to an unconscious person. On arrival, you find the patient in the driver's seat of a parked car, slumped over the wheel. He is breathing and opening his eyes. He responds to touch, and... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2479563 Wed, 17 Jun 2009 01:13:51 +0100 2479563 http://www.medworm.com/index.php?rid=2477751&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FTravis%2Fat_home_on_the_forefront.html Known for its induced hypothermia protocols, Advanced Practice Paramedics and conspicuous vehicles, innovation is truly a hallmark of the Wake County Department of Emergency Medical Services, based in... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2477751 Tue, 16 Jun 2009 10:39:25 +0100 2477751 http://www.medworm.com/index.php?rid=2465274&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Farticles%2Fi_miss_jim_page.html.html My 8-year-old grandson, Andrew, likes to come into my office and look at the thousands of books on the shelves. His favorite is one called "Weird Texas," which details various ghost stories and urban legends... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2465274 Tue, 09 Jun 2009 16:45:56 +0100 2465274 http://www.medworm.com/index.php?rid=2449356&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fhow_common_is_death_from_agitated_delirium.html Review of: Bozeman WP, Hauda WE 2nd, Heck JJ, et al: "Safety and Injury Profile of Conducted Electrical Weapons Used by Law Enforcement Officers Against Criminal Suspects." Annals of Emergency Medicine.... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2449356 Tue, 02 Jun 2009 23:37:19 +0100 2449356 http://www.medworm.com/index.php?rid=2434331&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FEagles%2Fon_diversion_.html We all look for that ideal world where our emergency departments would be ready, willing, able and even happy to receive new arrivals from EMS 24 hours a day, seven days a week, with EMS turn-around times... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2434331 Wed, 27 May 2009 00:49:18 +0100 2434331 http://www.medworm.com/index.php?rid=2434330&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FAcosta%2Fspeaking_of_emergencies.html You all know what to do as EMS providers, but it can be so hard to know precisely what to say. In this four-part series, we're going to explore the power of the spoken word during medical emergencies.... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2434330 Wed, 27 May 2009 00:49:18 +0100 2434330 http://www.medworm.com/index.php?rid=2429455&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fwhat_time_is_it.html Review of: Frisch AN, Dailey MW, Heeren D, et al: "Precision of time devices used by prehospital providers." Prehospital Emergency Care. 13(2):247-250, 2009. The Science This Albany, N.Y. study is a... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2429455 Sat, 23 May 2009 03:52:57 +0100 2429455 http://www.medworm.com/index.php?rid=2425085&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHaskell%2Fwhite_shirt_and_no_pants.html The company was growing. Two unlikely partners had gotten together, and they had purchased the old, mom-and-pop ambulance service in town, which had two hoopty trucks and a garage in the back of a house... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2425085 Thu, 21 May 2009 01:53:49 +0100 2425085 http://www.medworm.com/index.php?rid=2418814&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Feffective_stemi_triage_by_ems.html Review of: Trivedi K, Schuur JD, Cone DC: "Can paramedics read ST-segment elevation myocardial infarction on prehospital 12-lead electrocardiograms?" Prehospital Emergency Care. 13(2):207-214, 2009. The... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2418814 Tue, 19 May 2009 16:50:42 +0100 2418814 http://www.medworm.com/index.php?rid=2400261&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Fwhy_dont_we_have_that.html I've been fortunate to be able to travel to various parts of the world and see novel and interesting EMS devices or practices. When I see them, I think many seem like a logical tool or practice for American... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2400261 Sun, 10 May 2009 16:30:07 +0100 2400261 http://www.medworm.com/index.php?rid=2400260&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fto_thump_or_not_to_thump.html The authors of this study prospectively reviewed the effect, if any, of the precordial thump (PT) on out-of-hospital cardiac arrest victims in a rural system in Italy. The EMTs weren't specifically trained... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2400260 Sun, 10 May 2009 16:30:07 +0100 2400260 http://www.medworm.com/index.php?rid=2360273&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FRoss%2Fgetting_to_the_bottom_of_a_difficult_case.html A 29-year-old man with a history of diabetes was found unresponsive by family members at his home. One hour prior to noting the patient's condition, he appeared to have been alert and seemed normal. There... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2360273 Fri, 24 Apr 2009 13:12:14 +0100 2360273 http://www.medworm.com/index.php?rid=2357822&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FHaskell%2Fa_helmet_can_come_in_handy.html Everyone in public safety knows that the amount of stuff you have strapped to your belt or body is inversely proportional to the sum of your years of service multiplied by your average run volume. So the... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2357822 Thu, 23 Apr 2009 00:46:05 +0100 2357822 http://www.medworm.com/index.php?rid=2350368&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fthe_myth_of_the_trendelenburg_position.html Review of: Johnson S, Henderson SO: "Myth: The Trendelenburg position improves circulation in cases of shock." Canadian Journal Emergency Medicine. 6(1):48-49, 2004. The Science and The Street Following... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2350368 Tue, 21 Apr 2009 08:21:20 +0100 2350368 http://www.medworm.com/index.php?rid=2350367&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FBledsoe%2Fpums_and_als_at_risk.html As the economy falls, EMS is one of the first public entities to get the shaft. A simple review of recent news articles illustrates this. For example, a few weeks ago the city council of Kansas City, Mo.,... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2350367 Tue, 21 Apr 2009 08:21:20 +0100 2350367 http://www.medworm.com/index.php?rid=2350366&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FChapleau%2Ftrauma_in_disney_world.html I'd like to share with you my experiences at a couple of conferences I recently attended. The first is the Eastern association for the Surgery of Trauma annual scientific assembly held at Walt Disney World... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2350366 Tue, 21 Apr 2009 08:21:20 +0100 2350366 http://www.medworm.com/index.php?rid=2350365&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FWesley%2Fmeasuring_the_value_of_als_care_for_the_urban_seizure_patient.html This study examined the... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2350365 Tue, 21 Apr 2009 08:21:20 +0100 2350365 http://www.medworm.com/index.php?rid=2350364&cid=s_38461_14_f&fid=38461&url=http%3A%2F%2Fwww.jems.com%3A80%2Fnews_and_articles%2Fcolumns%2FEdgerly%2Fems_care_for_compartment_syndrome.html You're dispatched to an "ankle pain" call. Upon walking into the house, you see a young male sitting on the couch with his leg elevated. He tells you he twisted his ankle yesterday while skateboarding.... (Source: JEMS Columnists) JEMS Columnists info http://www.medworm.com/rss/comments.php?id=2350364 Tue, 21 Apr 2009 08:21:20 +0100 2350364