JEMS Columnists
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Study Evaluates Effectiveness of PALS Training - JEMS.com
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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)
Source: JEMS Columnists - November 12, 2009 Category: Emergency Medicine Source Type: info
The New EMT - JEMS.com
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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)
Source: JEMS Columnists - November 4, 2009 Category: Emergency Medicine Source Type: info
Study Compares Prehospital Intubation and Mortality - JEMS.com
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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)
Source: JEMS Columnists - October 31, 2009 Category: Emergency Medicine Source Type: info
Unique Programs Set Miami-Dade Fire Rescue Apart - JEMS.com
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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)
Source: JEMS Columnists - October 27, 2009 Category: Emergency Medicine Source Type: info
Don't Assume Wheezing Means Asthma - JEMS.com
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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)
Source: JEMS Columnists - October 24, 2009 Category: Emergency Medicine Source Type: info
Study Looks at C-Spine Motion during Extrication - JEMS.com
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This study was undertaken to determine... (Source: JEMS Columnists)
Source: JEMS Columnists - October 24, 2009 Category: Emergency Medicine Source Type: info
Guy Haskell Describes the Smells of EMS - JEMS.com
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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)
Source: JEMS Columnists - October 13, 2009 Category: Emergency Medicine Source Type: info
CareHouston Provides a New Approach to Frequent 9-1-1 Callers - JEMS.com
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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)
Source: JEMS Columnists - October 9, 2009 Category: Emergency Medicine Source Type: info
How to Diagnose Patients with Altered Mental Status - JEMS.com
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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)
Source: JEMS Columnists - October 8, 2009 Category: Emergency Medicine Source Type: info
Paramedic Freezes Ted Williams' Head - JEMS.com
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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)
Source: JEMS Columnists - October 6, 2009 Category: Emergency Medicine Source Type: info
No Heroes as NBC's 'Trauma' Fails to Deliver - a JEMS Review
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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)
Source: JEMS Columnists - September 29, 2009 Category: Emergency Medicine Source Type: info
IAEMSC Holds Inaugural Leadership Summit in D.C.
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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)
Source: JEMS Columnists - September 29, 2009 Category: Emergency Medicine Source Type: info
Time for a Change - JEMS.com
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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)
Source: JEMS Columnists - September 11, 2009 Category: Emergency Medicine Source Type: info
Speaking of Emergencies: What to say to concerned family members - JEMS.com
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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)
Source: JEMS Columnists - September 5, 2009 Category: Emergency Medicine Source Type: info
Flight Crew Use of King LT Versus Combitube - JEMS.com
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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)
Source: JEMS Columnists - September 1, 2009 Category: Emergency Medicine Source Type: info
Are Vital Signs Vital? Study determines whether vital signs successfully predict outcomes in trauma patients - JEMS.com
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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)
Source: JEMS Columnists - September 1, 2009 Category: Emergency Medicine Source Type: info
A Tale of Two Airways - JEMS.com
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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)
Source: JEMS Columnists - August 29, 2009 Category: Emergency Medicine Source Type: info
Court Backs EMS Providers Who Accept Patient Refusal - JEMS.com
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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)
Source: JEMS Columnists - August 27, 2009 Category: Emergency Medicine Source Type: info
Treating Children in Respiratory Distress - JEMS.com
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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)
Source: JEMS Columnists - August 26, 2009 Category: Emergency Medicine Source Type: info
Is There a Gender Bias in Pain Management? - JEMS.com
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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)
Source: JEMS Columnists - August 12, 2009 Category: Emergency Medicine Source Type: info
Broken Promises - JEMS.com
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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)
Source: JEMS Columnists - August 5, 2009 Category: Emergency Medicine Source Type: info
I am HIPAA, Hear Me Roar - JEMS.com
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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)
Source: JEMS Columnists - August 1, 2009 Category: Emergency Medicine Source Type: info
The STEMI Care Race: Gunder Hagg and Roger Bannister must surely be proud of EMS - JEMS.com
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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)
Source: JEMS Columnists - July 31, 2009 Category: Emergency Medicine Source Type: info
Patient Survives Direct Lightning Hit Thanks to EMS and Hospital - JEMS.com
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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)
Source: JEMS Columnists - July 23, 2009 Category: Emergency Medicine Source Type: info
Breaking Down the Hazards of Providing Care in Ambulances - JEMS.com
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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)
Source: JEMS Columnists - July 22, 2009 Category: Emergency Medicine Source Type: info
Do You Have that in Writing? Some rural EDs lack written protocols for transferring stroke patients to definitive care - JEMS.com
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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)
Source: JEMS Columnists - July 17, 2009 Category: Emergency Medicine Source Type: info
The Emperor's Clothes – Complaining in EMS - JEMS.com
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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)
Source: JEMS Columnists - July 5, 2009 Category: Emergency Medicine Source Type: info
Let Me Write You a Prescription, or a Tale of Two Bobs - JEMS.com
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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)
Source: JEMS Columnists - June 27, 2009 Category: Emergency Medicine Source Type: info
Should EMS Education Involve Customer Service? Separating the Front and Back End in EMS - JEMS.com
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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)
Source: JEMS Columnists - June 25, 2009 Category: Emergency Medicine Source Type: info
Evaluating Airway Management in Denver - JEMS.com
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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)
Source: JEMS Columnists - June 25, 2009 Category: Emergency Medicine Source Type: info
EMS Volunteers Speak Out - JEMS.com
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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)
Source: JEMS Columnists - June 25, 2009 Category: Emergency Medicine Source Type: info
Diabetic Emergencies - JEMS.com
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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)
Source: JEMS Columnists - June 17, 2009 Category: Emergency Medicine Source Type: info
A System Profile of Wake County EMS - JEMS.com
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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)
Source: JEMS Columnists - June 16, 2009 Category: Emergency Medicine Source Type: info
I Miss Jim Page - JEMS.com
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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)
Source: JEMS Columnists - June 9, 2009 Category: Emergency Medicine Source Type: info
How Common is Death from Agitated Delirium? Report tracks injuries to criminal suspects from six U.S. agencies – JEMS.com
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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)
Source: JEMS Columnists - June 2, 2009 Category: Emergency Medicine Source Type: info
On Diversion: Dealing with ED overcrowding and requests for EMS to transport elsewhere - JEMS.com
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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)
Source: JEMS Columnists - May 27, 2009 Category: Emergency Medicine Source Type: info
Speaking of Emergencies: What to Say When It Really Counts - JEMS.com
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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)
Source: JEMS Columnists - May 27, 2009 Category: Emergency Medicine Source Type: info
Does Anyone Really Know What Time It Is? - Studying time devices and prehospital providers - JEMS.com
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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)
Source: JEMS Columnists - May 23, 2009 Category: Emergency Medicine Source Type: info
White Shirt and No Pants - JEMS.com
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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)
Source: JEMS Columnists - May 21, 2009 Category: Emergency Medicine Source Type: info
Can Paramedics Effectively Identify STEMIs on Prehospital ECGs? – JEMS.com
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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)
Source: JEMS Columnists - May 19, 2009 Category: Emergency Medicine Source Type: info
Why Don't We Have That? – International EMS – JEMS.com
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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)
Source: JEMS Columnists - May 10, 2009 Category: Emergency Medicine Source Type: info
To Thump or Not To Thump: The value of the precordial thump - JEMS.com
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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)
Source: JEMS Columnists - May 10, 2009 Category: Emergency Medicine Source Type: info
Using Physical Assessments to Develop Working Diagnoses in the Field - JEMS.com
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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)
Source: JEMS Columnists - April 24, 2009 Category: Emergency Medicine Source Type: info
Wackers R Us - JEMS.com
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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)
Source: JEMS Columnists - April 23, 2009 Category: Emergency Medicine Source Type: info
Myth of the Trendelenburg Position - Study attempts to determine science behind prehospital positioning of hypotensive patients – JEMS.com
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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)
Source: JEMS Columnists - April 21, 2009 Category: Emergency Medicine Source Type: info
PUMs and ALS at Risk - The economy affects EMS - JEMS.com
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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)
Source: JEMS Columnists - April 21, 2009 Category: Emergency Medicine Source Type: info
Trauma in Disney World and Ecuador - JEMS.com
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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)
Source: JEMS Columnists - April 21, 2009 Category: Emergency Medicine Source Type: info
Measuring the Value of ALS Care for the Urban Seizure Patient – JEMS.com
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This study examined the... (Source: JEMS Columnists)
Source: JEMS Columnists - April 21, 2009 Category: Emergency Medicine Source Type: info
EMS Care for Compartment Syndrome - JEMS.com
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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)
Source: JEMS Columnists - April 21, 2009 Category: Emergency Medicine Source Type: info
