Dawn of a New Era for JEMS: It's About 'Time'

Today, our industry is heavily data and technology driven, with CAD systems and EPCRs almost universally used. Emergency care practices are more dynamic than ever, with critical advances in patient care occurring more frequently than a monthly print publication can possibly allow. Because technology and the Web have advanced to a point that it is both instantaneous and reliable, we feel that we can better serve the EMS community by focusing our efforts on delivering JEMS content via our website www.JEMS.com and other digital platforms to allow for a more timely – and frequent – publication. So we’ve decided to advance with the times and discontinue printing JEMS in its traditional monthly magazine format, effective with our June 2018 issue, and use our web platform and mobile technology to get information to you sooner with our new digital approach. When I started at JEMS 23 years ago (in 1995), the Internet was in its infancy, having been introduced in 1991. It was a new phenomenon. It was clunky in its infancy and many thought it was just for national security purposes. Boy were they wrong. Back in 1995, JEMS received almost all of its articles and queries via the mail. We used to have to laboriously transfer written articles and documents to text to place in the magazine. Even though we had a Web page in the mid-1990s, it was not easy to upload documents and videos. JEMS and all of our newsletters were only available in print and it took weeks for interna...
Source: JEMS Administration and Leadership - Category: Emergency Medicine Authors: Tags: News Administration and Leadership Source Type: news

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In conclusion, the analgesic effect of dezocine on inflammatory pain induced by CFA may be associated with the inhibition of the spinal ERK1/2-COX-2 pathway. PMID: 29904426 [PubMed]
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
In conclusion, diagnosing HO is challenging for rheumatologists and physicians. Basic examinations of electrolyte balance and bone mineral density should be performed, as should tumor screening and a careful collection of patient medical history and drugs in young patients with unexplained thoracic or back pain and muscle weakness. Removing any secondary etiology, such as drugs may dramatically improve the patients clinical manifestations and result in an improved prognosis. PMID: 29904418 [PubMed]
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
As hard as it may sound to pull out of this stress reaction cycle, it is possible. The first step in creating any positive change is always raising your awareness of what the cycle is, how you participate in it, and what pains the cycle creates. Why? Because you can’t change a habit you don’t know you have. And if you don’t recognize the pain the habit is creating, you won’t have the motivation you need to make new choices and break out of the cycle that has become familiar despite the fact that it is destructive. The practice of mindfulness is an incredibly powerful tool to help you find that awa...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Agitation Anxiety and Panic General Habits Happiness Mindfulness Self-Help Stress Mindfulness Based Stress Reduction Stress Response Source Type: blogs
The systematic review by Coulter et  al. [1] suggests that manipulation reduces pain and improves function in chronic low back pain (CLBP). This contrasts sharply with the most recent Cochrane systematic review [2]. As physiotherapists who remain open to the use of manipulation in CLBP, we have several concerns about the review:
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Letters to the editor Source Type: research
The authors state that “Coulter et al suggests that manipulation reduces pain and improves function in chronic low back pain, which contrasts sharply with the most recent Cochrane systematic review” [1]. This Cochrane review is entitled, “Spinal manipulative therapy for acute low back pain.” Our review focused on chronic low back pain. Our review was not confined to spinal manipulation therapy alone but was inclusive of manipulation and mobilization in chiropractic settings and other non-invasive therapy settings.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Letters to the editor Source Type: research
AbstractObjectivesTo compare the efficacy and safety of novel percutaneous minimally invasive pedicle screw fixation and traditional open surgery for thoracolumbar fractures without neurological deficit.MethodsSixty adult patients with single thoracolumbar fracture between June 2014 and June 2016 were recruited in this study, randomly divided into open fixation group (group A) or minimally invasive percutaneous fixation group (group B). Clinical and surgical evaluation including surgery time, blood losses, radiation times, hospital stay, and complication were performed. The two groups of patients with pre-operative and las...
Source: International Orthopaedics - Category: Orthopaedics Source Type: research
Publication date: Available online 15 June 2018 Source:Pharmacology & Therapeutics Author(s): Tomić Maja, Pecikoza Uroš, Micov Ana, Vučković Sonja, Stepanović-Petrović Radica Inflammatory pain is the most common type of pain that is treated clinically. The use of currently available treatments (classic analgesics - NSAIDs, paracetamol and opioids) is limited by insufficient efficacy and/or side effects/tolerance development. Antiepileptic drugs (AEDs) are widely used in neuropathic pain treatment, but there is substantial preclinical evidence on their efficacy against inflammatory pain, too. In this review...
Source: Pharmacology and Therapeutics - Category: Drugs & Pharmacology Source Type: research
This study aimed to describe clinical outcomes in patients prescribed teriparatide and followed up for 18  months after stopping the drug in real-life conditions. The Extended Forsteo® Observational Study analysed incident clinical fractures in 6-month intervals using logistic regression with repeated measures. Changes in back pain (visual analogue scale) and health-related quality of life (HRQoL; EQ- 5D questionnaire) were analysed using mixed models for repeated measures. Patients were analysed if they had a post-baseline visit, regardless of whether and for how long they took teriparatide. Of 1531 patients anal...
Source: Calcified Tissue International - Category: Orthopaedics Source Type: research
Authors: Ross L, de Gruchy A, Phan UM, Warrender-Sparkes M, Wicks IP, Moi JH PMID: 29902394 [PubMed - in process]
Source: Medical Journal of Australia - Category: General Medicine Tags: Med J Aust Source Type: research
Conclusion: An anomalous VA rarely causes cervical radiculopathy induced by neck flexion. When it occurs, microvascular decompression effectively relieves pressure resulting in a resolution of symptoms. PMID: 29900031 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
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