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: Journal of Emergency Medical Services News - Category: Emergency Medicine Authors: Tags: News Administration and Leadership Source Type: news

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ConclusionOur results suggest that neuroinflammation mediated by elevated IL-8 concentrations in CSF and IL-8 mediated periphery-to-CNS inflammatory cross-talk contributes to pain in LDH patients and suggest a link between TSPO expression in discs and low back pain.
Source: Brain, Behavior, and Immunity - Category: Neurology Source Type: research
No abstract available
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: Editorial Source Type: research
Conclusions The clinical effect of ESP and retrolaminar blocks can be explained by epidural and neural foraminal spread of local anesthetic. The ESP block produces additional intercostal spread, which may contribute to more extensive analgesia. The implications of these cadaveric observations require confirmation in clinical studies.
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Brief Technical Reports Source Type: research
Background and Objectives Despite the observation that select nicotine receptor agonists have analgesic effects, smokers report higher pain scores and more functional impairments than lifelong nonsmokers, attributable to exaggerated stress responses, receptor desensitization, and altered pharmacokinetics compounded by accelerated structural damage resulting from impaired bone healing, osteoporosis, and advancement of disk disease. We hypothesized that smoking diminishes the analgesic response to spinal cord stimulation (SCS) in patients with chronic spine–related pain conditions. Methods A retrospective cohort s...
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: Chronic and Interventional Pain: Original Articles Source Type: research
Conclusions MILD showed excellent long-term durability, and there was no evidence of spinal instability through 2-year follow-up. Reoperation and spinal fracture rates are lower, and safety is higher for MILD versus other lumbar spine interventions, including interspinous spacers, surgical decompression, and spinal fusion. Given the minimally invasive nature of this procedure, its robust success rate, and durability of outcomes, MILD is an excellent choice for first-line therapy for select patients with central spinal stenosis suffering from neurogenic claudication symptoms with hypertrophic ligamentum flavum. Clinical ...
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: Chronic and Interventional Pain: Original Articles Source Type: research
Authors: Mazer-Amirshahi M, Ladkany D, Mullins PM, Motov S, Perrone J, Nelson LS, Pines JM Abstract OBJECTIVE: To examine recent trends in and predictors of hydromorphone administration in US emergency departments (EDs) compared with other opioids. DESIGN: Retrospective review of data from the National Hospital Ambulatory Medical Care Survey from 2007 to 2014. PARTICIPANTS: All adult ED visits where an opioid analgesic was administered were included. MAIN OUTCOME MEASURES: Trends in and predictors of hydromorphone administration were assessed using survey-weighted logistic regression, comparing hydromor...
Source: Journal of Opioid Management - Category: Addiction Tags: J Opioid Manag Source Type: research
How long do you think it will take for authoritarian governments, dictatorships or tyrannies until they realize the vast potential in digital health technologies and until they learn how to harness their powers? Twenty years? Ten years? We have to warn you, the era of 24/7 surveillance and intrusion into the innermost secrets of human life is even closer than that. Watch out! Dystopic worst case scenario-alert! Digital technologies are double-edged swords: they promised social change… On 17 December 2010, a Tunisian vegetable vendor set up his cart on the street in Sidi Bouzid to sell goods that he obtained the day ...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Bioethics Future of Medicine Security & Privacy AR artificial intelligence big data biotechnology black mirror dystopia genes genetics genomics Health health sensors Healthcare insurance MR Personalized medicine scifi Source Type: blogs
Conclusions: Pedicled VBG of the distal radius was shown to be a reliable and effective alternative for the treatment of recalcitrant atrophic nonunions of the distal humerus, when other methods have failed. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Source: Journal of Orthopaedic Trauma - Category: Orthopaedics Tags: Original Article Source Type: research
Condition:   Back Pain Intervention:   Device: HF10 Therapy Sponsor:   Nevro Corp Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
The objective of the current study was to evaluate the efficacy and safety of PKP in the treatment of patients with Kümmell disease and to explore the association between cement injection volume and pain relief. A total of 50 patients were enrolled in the present study and follow-up was 2 years. Efficacy was evaluated using the Visual Analog Scale (VAS), the Oswestry Disability Index (ODI) and the kyphotic angle (Cobb's angle). VAS and ODI were determined at the initial evaluation (prior to surgery), at 3 days, 3 months, and 1 and 2 years post surgery. Cobb's angle was measured prior to and 3 months, 1 year and 2 year...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
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