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FDA Approves New, Cheaper Rival to EpiPen Allergy Shot
There are now several cheaper alternatives to the exorbitantly priced EpiPens that should please EMS agencies. ABC News has shared this story:   U.S. regulators have approved new competition for EpiPen, the emergency allergy medicine that made Mylan a poster child for pharmaceutical company greed. The Food and Drug Administration on Thursday approved Adamis Pharmaceuticals Corp.'s product, which should go on sale later this year. Read more... This month’s cover story on the King County Washington EMS system (click here for a link to the article) focuses on their system’s move away from Mylan’s exorb...
Source: JEMS Patient Care - June 21, 2017 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Patient Care News Source Type: news

Zamboni Driver Saves Hockey Player in Cardiac Arrest
  Canton, Mass. (CBS Boston) – A quick-thinking Zamboni driver helped save a Dorchester man who suffered a heart attack while playing hockey. “I came out of the compressor room and I noticed a man down on the ice,” said Eric Baker who drives the Zamboni at the Canton Sportsplex. Baker was working on Saturday as a group of forty-somethings, all friends who grew up together in Dorchester, had their yearly reunion and hockey game when 46-year-old Chris Gracia suffered cardiac arrest. (Source: JEMS Patient Care)
Source: JEMS Patient Care - June 20, 2017 Category: Emergency Medicine Authors: CBS Boston Tags: News Videos Patient Care Source Type: news

Read About H & H Medical Corp. ’s New Hydrogel Seal Packaging to Expedite Trauma Treatment
H&H Medical Corp.’s new DualSeal occlusive chest dressing pack has been covered in a June 12 article on Qmed, “Trauma Care Eased with New Package,” by Daphne Allen. Corina Bilger, director of global sales, H&H Medical, told Qmed that “The DualSeal occlusive dressing pack is geared towards military and civilian users, primarily in emergency medicine and public safety (e.g., police, fire, EMS). We have seen interest in the product from wilderness/adventure customers for adding this to their first aid kits. There are needs in the field to respond to a casualty with multiple puncture injuries su...
Source: JEMS Patient Care - June 20, 2017 Category: Emergency Medicine Authors: H & H Medical Tags: Patient Care Industry News Source Type: news

Colo. Crews Rescue Climber After 100-Foot Fall
  DOUGLAS COUNTY, Colo. (Fox 31 Denver) - Crews rescued an injured climber from Devil's Head mountain in Pike National Forest on Sunday afternoon, the Douglas County Sheriff's Office said. The man suffered a back injury and head trauma, and is in critical condition, officials said. He was transported to a hospital. The sheriff's office, Douglas County Search and Rescue, firefighters and paramedics assisted in the rescue. Officials said the man was rock climbing when something went wrong with the rope he was using and he fell 100 feet, landing on a ledge around 30 to 40 feet high. Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - June 19, 2017 Category: Emergency Medicine Authors: Anica Padilla, Fox 31 Denver Tags: News Videos Patient Care Source Type: news

Man Sues City After Jumping Out of Ambulance While Intoxicated
NEW YORK (AP) — A New York City man who says the city didn't do enough to keep him from drunkenly jumping out of the back of a moving ambulance has filed a lawsuit. Yaugeni Kralkin says he was intoxicated last June when he was picked up by EMTs. Court documents show police were needed to put the 54-year-old in an ambulance because he was being uncooperative. On the way to the hospital, he was able to unbuckle the straps on his stretcher and open the back door of the moving ambulance to jump out. The lawsuit says officials then found him unconscious in the street with severe injuries. Kralkin is suing the city, the fi...
Source: JEMS Patient Care - June 19, 2017 Category: Emergency Medicine Authors: Associated Press Tags: Patient Care News Source Type: news

Point-of-Care Ultrasound Helps Streamline Management of Cardiac Arrest
Point-of-care ultrasound plays an important role in the management of cardiac arrest, as Dr Matthew Reed, an Emergency Medicine consultant at the Royal Infirmary of Edinburgh, explained: “We know that the prognosis for a patient with a beating heart is far better than for someone in cardiac standstill. Using ultrasound, we can see whether or not a patient remains in cardiac standstill following a period of intensive resuscitation, and may also be able to identify a previously undetected pathology – such as cardiac tamponade or ventricular fibrillation – that was not visible on the ECG. Ultrasound can also...
Source: JEMS Patient Care - June 13, 2017 Category: Emergency Medicine Authors: FujiFilm SonoSite, Inc. Tags: Patient Care Industry News Source Type: news

June 15th is World Elder Abuse Awareness Day
As the elderly population continues to grow, so does the likelihood of elder abuse taking place in our communities.  June 15th is World Elder Abuse Awareness Day and JEMS is pleased to provide several resources for more information about a difficult topic that often goes unreported. This year’s focus is financial exploitation, which is becoming prevalent in the elderly community.  According to the United Nations, 5 to 10 per cent of older people globally may experience some kind of financial exploitation. JEMS is excited to share with you an excellent resource from MerckManuals.com.  The content, which...
Source: JEMS Patient Care - June 12, 2017 Category: Emergency Medicine Authors: JEMS Staff Tags: Patient Care News Source Type: news

Sacramento, Calif. Paramedic Charged With Sexual Battery After Alleged Inappropriate Behavior With Patient
.mcclatchy-embed{position:relative;padding:40px 0 56.25%;height:0;overflow:hidden;max-width:100%}.mcclatchy-embed iframe{position:absolute;top:0;left:0;width:100%;height:100%} A Sacramento firefighter was formally charged with misdemeanor sexual battery Monday after a citizen’s complaint was filed in April. An investigation into alleged misconduct by firefighter Jared David Evans, 32, is being conducted by the Sacramento Police Department and the Sacramento County District Attorney’s Office. “As soon as the complaint was received, we forwarded the complaint to local law enforcement,” said fire depar...
Source: JEMS Patient Care - June 7, 2017 Category: Emergency Medicine Authors: Walter Ko, Sacramento Bee Tags: News Videos Patient Care Source Type: news

First Responders Rescue Construction Worker from Collapsed Trench
Warren, Mich. (WXYZ) - In Warren, Mich., first responders rescued a 37 year old Howell, Michigan construction worker after he became trapped in a collapsed trench.  He was rushed to the nearest trauma hospital, Beaumont Hospital, in Royal Oak and was reported to be in serious condition with injuries from the impact of the clay as well as shock.  Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - June 7, 2017 Category: Emergency Medicine Authors: WXYZ Detroit Tags: News Videos Patient Care Source Type: news

Cardiac Arrest Survivor Reunites With EMS Providers Who Saved Her
  Speedway, Ind. (Fox59) – A Speedway woman is crediting CPR and first responders for saving her life after she experienced cardiac arrest last month. “It was a lot of people who had to do a very special thing and they all did their job at just the right time so I could come home to my family,” cardiac arrest survivor Debbie Dowell said. Dowell was on her way home to Speedway after having dinner with her husband, Keith, in Plainfield when he noticed she was slumped over in the car. Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - June 4, 2017 Category: Emergency Medicine Authors: Brian Bondus, Fox 59 Tags: News Videos Patient Care Source Type: news

Dayton, Ohio Addresses Opioid Crisis
The Greater Dayton Area Hospital Association is leading an effort to create a one-stop crisis care center in Montgomery County to ease the current burden on hospital emergency rooms and the jail, which are overloaded with opioid addicts and those in need of mental health services. It was one of many projects tackling the opioid epidemic presented Friday at a meeting of the Montgomery County Community Overdose Action Team (COAT). "The numbers in our community are not getting better," County Commissioner Dan Foley said in opening the meeting. Ninety-eight people died from accidental overdoses in...
Source: JEMS Patient Care - June 4, 2017 Category: Emergency Medicine Authors: Katie Wedell, Dayton Daily News Tags: Patient Care News Source Type: news

Jersey City CBEC Volunteer Saves A Life at Former Employer ’s Office
Jersey City, N.J. - Susan Paul is a remarkable resident of Jersey City. She loves the city that she calls home and the people in it, so much so that she signed up to train and volunteer as a community-based emergency caregiver (CBEC) in order to help her neighbors, friends, and family who live near her. As a CBEC, Susan is alerted to all emergency calls that take place in her vicinity and is trained to provide first aid response to anyone who needs it. Susan is part of a program, together with another 100 volunteers known as United Rescue, a community-based first response program that works with the Jersey City Medica...
Source: JEMS Patient Care - June 3, 2017 Category: Emergency Medicine Authors: Raphael Poch, United Hatzalah Tags: Cardiac & Resuscitation News Source Type: news

Boston EMS Launches New Team of EMTs to Address Overdoses, Minor Emergencies
Boston, Mass. - First responders being buried in non-lethal calls that delay ambulances for residents elsewhere in the city could get relief from a new pilot program targeting the Hub’s notorious “Methadone Mile” and homeless hot spots. The Walsh administration is set to launch a team of EMTs in a marked SUV equipped with Narcan, oxygen and defibrillators later this year to treat minor calls in downtown and along Massachusetts Avenue to free up vital resources. Daniel Koh, Mayor Martin J. Walsh’s chief of staff, said on Boston Herald Radio’s “Morning Meeting” show yesterday the ide...
Source: JEMS Patient Care - June 3, 2017 Category: Emergency Medicine Authors: Dan Atkinson, Boston Herald Tags: Patient Care News Source Type: news

Is Epinephrine Safe for Older Patients with Anaphylaxis?
This study aimed to determine the clinical value, and potential cardiovascular harm, on elderly patients with anaphylaxis who received intramuscular (IM) and IV epinephrine. Over a five-year period, the researchers examined the ED record of anaphylactic patients over the age of 50 who were transported to two urban EDs. They compared the clinical outcome and cardiovascular complications between younger and older adults who received epinephrine for anaphylaxis. Of the 2,995 patients with allergy-related complaints, 492 were treated for anaphylaxis. Of them, 122 (24.8%) were older adults. Only 36.1% of the older patients rece...
Source: JEMS Patient Care - June 1, 2017 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Patient Care Columns Source Type: news

Study Examines Effectiveness of Acute Care Coordination Medical App
Stop Stroke Dickson R, Nedelcut A, Nedelcut MM. Stop stroke: A brief report on door-to-needle times and performance after implementing an acute care coordination medical application and implications to emergency medical services. Prehosp Disaster Med. 2017;32(3):1-5. High-acuity EMS patients, such as those suffering traumatic injuries, stroke or acute myocardial infarction, often benefit from timely administration of definitive care. Optimizing systems of care between out-of-hospital and in-hospital practitioners is one method of ensuring patients receive needed emergency care as expeditiously as possible. Kudos to these...
Source: JEMS Patient Care - June 1, 2017 Category: Emergency Medicine Authors: Sean J. Britton, MPA, NRP Tags: Cardiac & Resuscitation Columns Source Type: news

Progressive Dyspnea
Medic 15 is called to a residential address for an 81-year-old female with shortness of breath. You and your partner arrive on scene at a single-story house. The patient is with her daughter, and both are able to provide you with a history-recurrent breast cancer, currently on chemotherapy and congestive heart failure. The patient notes she's developed worsening shortness of breath over the past 2-3 days. She denies having chest pain, upper back pain, cough, upper respiratory symptoms, fevers, chills or lower extremity swelling. You place the patient on the monitor and find her to be in sinus tachycardia with a pulse of 12...
Source: JEMS Patient Care - June 1, 2017 Category: Emergency Medicine Authors: Elizabeth K. Powell, MD Tags: Airway & Respiratory Columns Source Type: news

A Reunion With a Patient - 27 Years Later
Every provider has pivotal moments in their career when they feel they made a difference, made a decision that saved a life or learned important lessons that they can pass on to others. I recently had the rare opportunity to be reunited with a 27-year-old that I, my partner and a police officer resuscitated in May 1990 when he was born prematurely at just 27-weeks of gestation. He was born on a stairway, weighed only 2 lbs., 13 oz., and wasn't breathing. I wrote about the survival of "Baby Rodney" in the July 2015 issue because I thought the story was over, but it wasn't.1 I now write the latest chapter in this i...
Source: JEMS Patient Care - June 1, 2017 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Cardiac & Resuscitation Columns Source Type: news

Improving Care & Response in Nigeria
The journey of EMS care in Nigeria has been a long and challenging one. Before 1995, ambulances in Nigeria were known for undertakers' services and not for carrying live patients.1 That year an oil company operating in the Niger Delta area of Nigeria kicked off a rudimentary ambulance system by engaging an ambulance for rescue and conveying of their emergency staff to the hospital. In the early 90s, Tokaro Emergency Medical Services, a division of an Israeli business group, introduced EMS in Lagos State. Due to low patronage and failed attempts to train some doctors in prehospital care, Tokaro EMS was disbanded a few years...
Source: JEMS Patient Care - May 31, 2017 Category: Emergency Medicine Authors: Nnamdi Nwauwa, EMT, CCEMTP, MBBS, MPH, MMSCEM Tags: Ambulances & Vehicle Ops Cardiac Resuscitation Communications Dispatch Source Type: news

King County (Wash.) EMS Saves $334,000 Annually by Switching to IM Delivery of epi by EMTs
Anaphylaxis is a severe allergic reaction to an allergen, which can become life-threatening if not treated immediately with epinephrine. Epinephrine acts as a bronchodilator and vasoconstrictor to reduce the symptoms of anaphylaxis and maintain blood pressure. Patients with known anaphylaxis are typically prescribed epinephrine automatic injectors (EAIs) for personal use in the case of an anaphylactic reaction. Due to the need for rapid treatment, and because of the ease of administration, virtually all states authorize administration of epinephrine via auto-injections as part of emergency medical technician (EMT) scope of...
Source: JEMS Patient Care - May 31, 2017 Category: Emergency Medicine Authors: Sofia Husain, MPH Tags: Patient Care Operations Source Type: news

Paramedics, EMTs Save Pregnant Woman and her Unborn Baby
AIKEN COUNTY, S.C. (WJBF) – The lifesaving work of 4 local First Responders is the reason an Aiken County woman and her unborn baby are still breathing. Mandy Poole tracked down the heroes who revived her and gave her future son a chance at life. “My family will forever be grateful, forever.” Poole said.  Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - May 26, 2017 Category: Emergency Medicine Authors: Stefany Bornman, WJBF Tags: News Videos Patient Care Source Type: news

Former NFL Player Reunites with Paramedics Who Saved His Life
  Spokane, WA - Recently, Ricardo Lockette -- now retired from football -- met with paramedics at the Washington Fire Chiefs convention in Spokane, Washington. There, he spoke about how his life was saved by paramedics in Arlington, Texas. Lockette knew full well that he wouldn't be standing there if it wasn't for their life-saving actions. What Lockette didn't know was that the paramedics who saved him were actually in the audience, having made the trek from Texas. When Lockette realized they were in attendance, he teared up, gave them a hug, and thanked them.  Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - May 26, 2017 Category: Emergency Medicine Authors: Sean Wagner-McGough, CBS Sports Tags: News Videos Patient Care Source Type: news

Stroke Survivor Reunited With EMS Crew Who Saved Her
ROCHESTER, N.Y. (WROC-TV) - A stroke survivor reunited with EMS crew that helped save her life. Karen Reel met up with the EMS crew at Rochester General Hospital Thursday in conjunction with Stroke Awareness Month and EMS Week. Reel's husband recalls what he was thinking as his wife was rushed to the hospital. "The part that got me the most was the ride to the emergency room because then I had time to think," said Larry Reel. "My thinking was God, please do not take my wife away from me."  Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - May 26, 2017 Category: Emergency Medicine Authors: WROC-TV Tags: News Videos Patient Care Source Type: news

Idaho Man Rescued From Canyon
    TWIN FALLS, Idaho (KMVT/KSVT) — A man walked away unharmed after being rescued from the canyon just before 10 p.m. Tuesday in Twin Falls. Crews responded to the area just outside of Sportsman's Warehouse a little after 7 p.m. A call came into dispatch for a man who had climbed down into the canyon and couldn't get back up. Twin Falls Fire Department, along with Twin Falls County Sheriffs, Search and Rescue, and Magic Valley Paramedics all responded. Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - May 24, 2017 Category: Emergency Medicine Authors: Zack Rickens, KMVT/CBS 11 Tags: News Videos Patient Care Source Type: news

CertaDose, the Revolutionary Children ’s Syringe Can Prevent Accidental Overdoses, Launches on Indiegogo
Denver, Colo. - CertaDose, an innovative syringe that addresses the most common type of medical error in children - medication dosing errors - launched today on Indiegogo. CertaDose is a fast, accurate and safe way to measure children’s medication and helps eliminate dosage errors, which medical experts believe to be the number one killer of children. Emergency Room Doctor Caleb Hernandez developed the CertaDose Syringe to provide a simple method to measure and confirm the correct dose for any infant or child. “Each year, 140,000 children are harmed and about 7,000 children die needlessly due to dosing err...
Source: JEMS Patient Care - May 23, 2017 Category: Emergency Medicine Authors: CertaDose Tags: Patient Care Industry News Source Type: news

Teen's Death Linked to Caffeine Overdose
SPRINGFIELD, Mo. (KY3) - A shocking case out of South Carolina has a lot of parents rethinking caffeine, especially for children and teenagers. A coroner in Anderson, S.C., ruled high doses of caffeine killed an otherwise healthy 16-year-old boy last month. "It wasn't a car crash that took his life. Instead it was an energy drink," said Sean Cripe, the father of the teenager. Davis Cripe was an aspiring rock drummer who had no use for drugs or alcohol, according to friends and family. However, the teen was okay with caffeine and unaware too much could be dangerous.  Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - May 19, 2017 Category: Emergency Medicine Authors: Emily Wood, KY3 News Tags: News Videos Patient Care Source Type: news

Recovering Addict Thanks EMS Crews Who Saved His Life
Washington Twp., Ohio - While the Miami Valley — and the country as a whole — continues to deal with its heroin epidemic, one man took time today to say thanks to those he credit with saving his life from the deadly drug. Recovering heroin addict Mark Bracken of Dayton thanked Washington Twp. EMS crews today for using Narcan to save him from a potentially fatal overdose. Narcan is a medication that reverses an overdose caused by an opiod drug such as heroin or prescription pain drugs. Bracken said he awoke last July to several EMS members “hovering” over him after having been administered Narcan. Al...
Source: JEMS Patient Care - May 19, 2017 Category: Emergency Medicine Authors: Tremayne Hogue, Dayton Daily News Tags: News Videos Patient Care Source Type: news

New Report Uses EMS Data to Shed Light on the Response to the Opioid Overdose Crisis
The Centers for Disease Control and Prevention (CDC) first labeled the rise in opioid overdoses in the U.S. an "epidemic" five years ago. Since then, the percentage of patients receiving multiple naloxone administrations (MNAs) and the number of opioid-related deaths has only continued to increase.  Emergency medical services are often the first healthcare providers to treat opioid overdose patients and can provide valuable data to aid in determining the severity and scope of the epidemic, at the national level but also in local communities. The CDC, the Food and Drug Administration (FDA) and the National Hi...
Source: JEMS Patient Care - May 18, 2017 Category: Emergency Medicine Authors: ems.gov Tags: Patient Care News Source Type: news

Florida Paramedic Offers Comfort to Family During Crisis
  Panama City, Florida  - Paramedic Leah Denmark offers comfort and reassurance to a family dealing with loss and guilt.  (Read more...) (Source: JEMS Patient Care)
Source: JEMS Patient Care - May 15, 2017 Category: Emergency Medicine Authors: Kelsey Peck, WMBB Tags: News Videos Patient Care Source Type: news

VORTRAN Medical Has Been Granted FDA 510K and CE Certification Approval for The New and Improved Automatic Resuscitator called the GO2VENT
VORTRAN Medical has been granted FDA 510K and CE certification approval for the new and improved automatic resuscitator called the GO2VENT (Gas Operated Ventilator). The latest addition to their product line offers an option for ventilation of patients during an MRI or CT scan. The GO2VENT has been tested per FDA regulations by Dr. Frank Shellock to meet the MRI compatibility testing and has been approved as a MR Conditional device and is perfect for use during a scan. The new model uses Copper springs to remove the chance of artifacts in the MRI picture. The GO2VENT can be used on a wide patient population from 10kg and a...
Source: JEMS Patient Care - May 14, 2017 Category: Emergency Medicine Authors: VORTRAN Medical Tags: Cardiac & Resuscitation Industry News Source Type: news

New Study Finds ER Visits for Kids More Than Quadrupled Since Colorado Legalized Marijuana
This study highlights the negative consequences we've been seeing in Colorado since the state legalized marijuana, and now more teens are suffering from the harmful effects of highly potent pot products," said SAM President Dr. Kevin Sabet. "The costs for Coloradans keep mounting while the marijuana industry keeps getting richer. We need to wake up to the fact that the commercialization of marijuana in Colorado has been a disaster for public health and safety."   (Source: JEMS Patient Care)
Source: JEMS Patient Care - May 14, 2017 Category: Emergency Medicine Authors: Smart Approaches to Marijuana (SAM) Tags: Patient Care Industry News Source Type: news

The Cost of Overdose Reversal
    CHRISTIANSBURG, Va. (WDBJ) -- When EMS crews in Roanoke, Virginia respond to opioid overdoses, they pull the lifesaving drug, naloxone, from kits on their trucks. The drugs on board are provided to them free, often starting at a Carilion Clinic pharmacy in Roanoke. Naloxone is just one of the supplies Carilion provides at an estimated cost of $3,000 a month, money that comes out of their charitable care budget. But administrators hope a more proactive approach can drive EMS-administered doses down.  Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - May 11, 2017 Category: Emergency Medicine Authors: Sara Machi Tags: News Videos Patient Care Source Type: news

Identification and Treatment of Exertional Heat Stroke in the Prehospital Setting
A 15-year-old football player collapses during practice on a day when the heat index is 114 degrees F. Bystanders move the patient to the shade and EMS is called. Upon arrival, paramedics jump in to assist the bystanders, who are removing the boy's pads, uniform and equipment. The transport of the patient to the hospital took 15 minutes. In the ED, the patient's Glasgow coma scale was 5, and his rectal temperature was 107.3 degrees F. He is cooled with IV fluids and cool water misting. The patient died on the fourth day of hospitalization as a combined consequence of the effects of an exertional heat stroke (EH...
Source: JEMS Patient Care - May 9, 2017 Category: Emergency Medicine Authors: Neha Raukar, MS, MD Tags: Patient Care Cardiac & Resuscitation Source Type: news

The How, What and Why of EMS Pulse Oximetry
I think it was in 1986 that I first encountered a new technology called pulse oximetry. I was called in for a two-hour transfer of a patient with chronic obstruction pulmonary disease (COPD) from a small rural hospital to a large tertiary center in a larger city. I was an experienced paramedic and fairly confident in my skills and knowledge. The patient was pretty sick as best I can remember. I took a report from the nurse and the doctor came up to me and said he was sending this patient with a machine called a "pulse ox." "What does it do?" I asked. "It measures their oxygen levels," he respo...
Source: JEMS Patient Care - May 9, 2017 Category: Emergency Medicine Authors: Bob Page, AAS, NREMT-P, CCEMT-P, NCEE Tags: Patient Care Source Type: news

Facebook Responds to Livestreamed Suicide Attempts
ATLANTA (AP) — The alarming video of a Georgia teenager livestreaming her own suicide attempt stayed up long enough on Facebook Live for sheriff's deputies to find and save her — a repeat phenomenon that has prompted mental health experts and Facebook's CEO to further investigate how they can use social media as a possible platform to help save lives. The 15-year-old girl took pills and put a plastic bag over her head during her suicide attempt May 2, officials from the Bibb County Sheriff's Office said. A sheriff's sergeant found the girl unresponsive - but with a pulse - and she's expected to recover. In Apri...
Source: JEMS Patient Care - May 8, 2017 Category: Emergency Medicine Authors: Jeff Martin, Associated Press Tags: Patient Care News Source Type: news

The Importance of Complete, High-Quality Patient Handoff Reports
This study occurred in a large, busy inner-city ED that sees more than 100,000 patients annually. Over the course of a few months, the bedside patient handoff (report) of critically ill and injured patients was recorded by anonymous scribes and audio recorded for later review. Neither the medical staff nor the EMS providers were aware that the handoff was being monitored. Ninety patient handoffs were evaluated. EMS providers relayed the patient's chief complaint 78% of the time. The patient's initial presentation was reported in 57% of handoffs and a complete set of vital signs in 47% of reports. EMS providers gave an ...
Source: JEMS Patient Care - May 4, 2017 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Patient Care Columns Source Type: news

Study Examines Optimal Epinephrine Delivery Time in Cardiac Arrest Patients
This study included a total of 2,794 patients; 1,510 were in the early epi group and 1,284 were in the late epi group. Results: Their results showed that those who received epinephrine early (before the second shock) had a decreased rate of ROSC (67% vs. 79%), a decreased rate of survival (31% vs. 48%), and a decrease in good functional outcome (25% vs. 41%). (Source: JEMS Patient Care)
Source: JEMS Patient Care - May 4, 2017 Category: Emergency Medicine Authors: Corey Slovis, MD Tags: Patient Care Cardiac & Resuscitation Columns Source Type: news

Appropriate Selection of Corticosteroids in Treating Asthma and COPD
You're dispatched to the scene of a residential facility for a patient with difficulty breathing. You and your partner arrive to find an elderly male on his living room couch in clear respiratory distress as indicated by tripod positioning with accessory muscle use, pursed lip breathing, and paradoxical chest wall/abdominal movements (positive Hoover sign). Initial impression of your patient reveals he has difficulty speaking due to his increased respiratory effort and explains that recently he's unable to catch his breath. He says he recently ran out of his home DuoNeb (ipratropium bromide/albuterol sulfate) treatments. F...
Source: JEMS Patient Care - May 4, 2017 Category: Emergency Medicine Authors: William Heuser, PharmD, AEMT-CC Tags: Airway & Respiratory Patient Care Source Type: news

Surfer Recalls Near-Drowning, Rescue
Ventura, CA (Ventura County Star) - More than a dozen names are on a list Ryan Johnson has compiled of the people who saved his life. Near the top of that list is the 17-year-old St. Bonaventure High School student who first saw him floating unconscious in the ocean off Silver Strand Beach and pulled him to shore. Another is the name of the off-duty Los Angeles County lifeguard-paramedic who started CPR on him that afternoon. The 38-year-old husband and father would eventually make a full recovery, but numerous tests and visits with medical professionals have not made it clear what caused Johnson to lose consciousness whil...
Source: JEMS Patient Care - May 4, 2017 Category: Emergency Medicine Authors: Megan Diskin, Ventura County Star Tags: News Videos Patient Care Source Type: news

'Superbug' Fungus Outbreak in NY, NJ Hospitals
NEW YORK (AP) — A 'superbug' fungus is emerging as a new menace in U.S. hospitals, mostly in New York and New Jersey. First identified in Japan in 2009, the fungus has spread to more than a dozen countries around the globe. The oldest of the 66 cases reported in the U.S. dates back to 2013, but most were reported in the last year. The fungus called Candida auris is a harmful form of yeast. Scientists say it can be hard to identify with standard lab tests. U.S. health officials sounded alarms last year because two of the three kinds of commonly used antifungal drugs have little effect. "It's acting like a superbu...
Source: JEMS Patient Care - April 28, 2017 Category: Emergency Medicine Authors: Mike Stobbe,  AP Medical Writer Tags: News Patient Care Source Type: news

Video: JEMS Editor-in-Chief Reunites With Man He Saved 27 Years Ago
      (ABC News) - A.J. Heightman, 62, and Rodney Barron Jr., now 26, met face-to-face Sunday--the first time since the incident that occurred on May 24, 1990.  That night, Heightman, who was then a 37-year-old command officer, answered a call to a home in Bethlehem Township, Pennsylvania, to assist a woman who was giving birth.  (Read more...) (Source: JEMS Patient Care)
Source: JEMS Patient Care - April 26, 2017 Category: Emergency Medicine Authors: Nicole Pelletiere, ABC News Tags: News Videos Patient Care Source Type: news

Where in the World of EMS is A.J. Heightman? The 2017 Leading Edge Conference in Camden, NJ
On Monday April 24, A.J. delivered the keynote address at the 2017 Leading Edge Conference sponsored by the ALS agencies in Camden, NJ. A.J. and other EMS innovators discussed key issues and answers in EMS, including sepsis and the need for thermometers in med kits, the pressure  variants  (and proper generation and use of them) to save patients, skill decay in the field, the need to reinforce BLS care and skills, the merits and value of mechanical CPR, impedance threshold devices (ITDs) for cardiac (ResQ-Pod) and trauma cases (ResQ-Guard) and ultrasound by field providers. Look for important follow-up articles i...
Source: JEMS Patient Care - April 25, 2017 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Editor in Chief Tags: News Patient Care Source Type: news

JEMS Editor-in-Chief Reunites With Baby He Helped Revive 27 Years Later
A.J. Heightman calls it nothing short of a miracle 27 years ago when he made a split, gut decision to begin resuscitation on a premature baby not breathing. Heightman, with the help of other medics, in May 1990 eventually got the baby breathing again on his own while en route to the hospital.  (Read more...) Perhaps the greatest honor of my career – the chance to meet a patient that challenged all my training, my senses and my emotions. To finally meet Rodney Barron II and hold his son Rodney III was magical.  I could feel the “life forces” in Rodney the III telling me that I had contributed to ...
Source: JEMS Patient Care - April 24, 2017 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Editor in Chief, JEMS Tags: News Patient Care Administration and Leadership Source Type: news

Local EMS, Law Enforcement Collaborate to Combat Opioid Addiction
It will take a joint effort by law enforcement, health care providers, social workers and addiction recovery professionals to combat the opioid crisis. What do you get when you put together two recovering opioid users, two police chiefs, a narcotics officer, an EMS supervisor and a social worker? The answer is not a punch line or a crime drama. The answer is solutions. You get solutions. Those participants met last week at a remarkable panel discussion, presented by Triad Behavioral Resources & New Vision Therapy, to talk about addressing opioid addiction. "I'm very exited to have this conversation," said Cha...
Source: JEMS Patient Care - April 19, 2017 Category: Emergency Medicine Authors: Susan Ladd, Greensboro News & Record Tags: Patient Care News Administration and Leadership Source Type: news

Houston Paramedics Reunited with 12-Year-Old Saved After Allergic Reaction at School
  HOUSTON (KAGS-TV) - A local boy who had a severe allergic reaction at his school two months ago, was finally able to meet with the men and women who saved his life. In February, Kenyan Bernard, 12, was in school at Westbrook Intermediate when he had an allergic reaction while eating a snack. Within minutes, he began having trouble breathing. (Read more...) (Source: JEMS Patient Care)
Source: JEMS Patient Care - April 18, 2017 Category: Emergency Medicine Authors: Emily Reaux, KHOU Tags: News Videos Patient Care Source Type: news

Newly Unsealed Documents Highlight Prince's Struggle with Opioids
Before his death, Prince abused opioid pain pills, suffered withdrawal symptoms and received at least one opioid prescription under his bodyguard's name, according to search warrants and affidavits unsealed Monday. Prince was 57 when he was found alone and unresponsive in an elevator at Paisley Park on April 21. Nearly a year after his accidental overdose death at his suburban Minneapolis studio and estate, investigators still don't know how he got the fentanyl that killed him. The newly unsealed documents give the clearest picture yet of Prince's struggle with opioid painkillers. What Do Authorities Say Happened? Investig...
Source: JEMS Patient Care - April 18, 2017 Category: Emergency Medicine Authors: CARLA K. JOHNSON, AP Medical Writer Tags: Patient Care News Source Type: news

Hero paramedic saves 'miracle baby' Poppy
THE parents of a toddler have expressed their gratitude to the paramedic who saved her life. Poppy Palmer was just 14 months old when she suffered a heart attack and cardiac arrest at her home in Hull Road in February. Her parents John Palmer and Elaine Smith said Poppy was lifeless when paramedic Lisa Derbyshire - who was parked just minutes away - arrived and performed CPR. Read More at The Press (Source: JEMS Patient Care)
Source: JEMS Patient Care - April 17, 2017 Category: Emergency Medicine Tags: Patient Care Operations Category Source Type: news

Do Marathons Delay Medical Care?
Marathons can be risky for hearts, but not necessarily those of the runners. It takes longer for nearby residents to get to a hospital for emergency heart care on the day of a race and they're less likely to survive, a U.S. study finds. Any event that draws a crowd and causes traffic detours — parades, ball games, concerts, fairs — may cause similar problems, researchers warn. It's more than inconvenience: For every 100 people suffering a heart attack or cardiac arrest, three to four more died within a month if they had sought care on a marathon day versus another time, the study found. It was published Wednesd...
Source: JEMS Patient Care - April 13, 2017 Category: Emergency Medicine Authors: MARILYNN MARCHIONE, AP Chief Medical Writer Tags: Cardiac & Resuscitation News Source Type: news

Important Strategic Partnership Announced Between Priority Dispatch & Pulse Point
Priority Dispatch Corp. (“PDC”) and the PulsePoint Foundation (“PulsePoint”) today announced a global, strategic partnership that will optimize the way Emergency Medical Dispatchers (EMD) pinpoint and communicate the location of automated external defibrillators (AED) during time-critical cardiac emergencies. Through this partnership, the organizations unveiled integration plans that allow EMDs to inform callers of the exact location of nearby AEDs directly within existing medical dispatch protocols and with no changes to workflow. The announcement was made at Navigator, the annual premier confere...
Source: JEMS Patient Care - April 11, 2017 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Trauma News Cardiac & Resuscitation Category Patient Care Operations Source Type: news

13-Year-Old Boy Dies of Drug Overdose
Teen who OD'd had 'big heart'; Death of Dayton schools 7th-grader prompts regrets. By Mark Gokavi and Katie Wedell, Dayton Daily News (Ohio) Robert Wylie is currently in jail on an earlier drug-related case. His 13-year-old son Nathan died April 1. Police and Montgomery County Children Services were called to this Valley Street residence in February. Evidence of drug use was found in the home. Nathan Wylie was a happy, bighearted boy, "the type of kid who didn't have much and he was so happy with anything he got." Nathan was excited even if his "crispy shoes" were a friend's hand-me-downs, according to ...
Source: JEMS Patient Care - April 11, 2017 Category: Emergency Medicine Authors: Mark Gokavi and Katie Wedell, Dayton Daily News (Ohio); Inside Edition (Video) Tags: News Videos Patient Care Source Type: news

Guidelines for Treatment of Prolonged Seizures in Children and Adults
An actively seizing patient is a relatively common prehospital emergency, and all EMS providers need to be expert at caring for patients with seizures. Although most seizures stop spontaneously, it's essential to have a well-planned strategy when a patient with active seizures is encountered. The American Epilepsy Society has recently released its evidence-based guidelines for the treatment of actively seizing children and adults, and this article incorporates its treatment recommendations. Many terms are used to describe seizure duration. In general, "brief seizures" are self-limited seizures which last less tha...
Source: JEMS Patient Care - April 10, 2017 Category: Emergency Medicine Authors: H. Evan Dingle, MD Tags: Patient Care Source Type: news