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Runner Collapses During Marathon, Nurse Rushes to Help
PORTLAND, Ore. (KGW) — It was the right place at the right time. A man running in the Portland Marathon found himself in a scary, life-threatening situation. Fortunately for him, a nurse running in the opposite direction jumped in to help. On Sunday, he got to meet her for the first time and thank her in person for saving his life. Dave Brenner has run more than 130 marathons. But as he waited for his turn to run in this year's Portland Marathon, he had no idea what would happen around mile 13. “Felt really good and felt a little light headed, and then it's like,' Oh, this isn't normal.’ I mean I've ...
Source: JEMS Patient Care - October 16, 2017 Category: Emergency Medicine Authors: Christine Pitawanich, KGW Tags: News Videos Patient Care Cardiac & Resuscitation Source Type: news

H & H Medical Introduces the H*VENT Vented Chest Dressing
H&H Medical Corporation, a leading provider of emergency trauma products, is proud to announce the introduction of our newest product in our chest seal line, the H*VENT vented chest dressing. Open chest wounds that develop into a tension pneumothorax, commonly referred as a sucking chest wound, can be life threatening if not treated immediately by the first responder. The H*VENT from H&H Medical Products is an innovative chest seal that treats not only the presence of air in the chest (pneumothorax) but also allows fluids such as blood to be released from the chest (hemothorax). The unique six-port design of the H*...
Source: JEMS Patient Care - October 16, 2017 Category: Emergency Medicine Authors: H & H Medical Tags: Patient Care Industry News Equipment & Gear Source Type: news

ZOLL Showcases New Ventilator Capabilities at AMTC 2017
CHELMSFORD, MASS.—ZOLL Medical Corporation, an Asahi Kasei Group Company that manufactures medical devices and related software solutions, will offer Air Medical Transport Conference 2017  (AMTC) attendees the opportunity to experience the new capabilities of its mechanical ventilation devices in booth 901 October 16-18 at the Fort Worth Convention Center in Fort Worth, Texas. Respiratory Care—Launching New Capabilities Using ZOLL’s EMV+ Ventilator, participants will experience firsthand how lungs adapt to each ventilator mode. With its unique Smart HelpT technology, ZOLL ventilators provid...
Source: JEMS Patient Care - October 13, 2017 Category: Emergency Medicine Authors: ZOLL Tags: Airway & Respiratory Cardiac Resuscitation Equipment Gear Operations Source Type: news

Flirtey Partners with Pioneering Ambulance Service to Launch First Emergency Drone Delivery Program in United States
RENO, Nev. -- Flirtey, the leading drone delivery service, and REMSA, a community-integrated emergency medical services provider, today announced a partnership to launch the first automated external defibrillator (AED) drone delivery service in the United States. Cardiac arrest is the leading cause of natural death in America, with more than 350,000 out-of-hospital cases each year, according to the American Heart Association. For every minute that a victim of cardiac arrest waits to receive defibrillation, their odds of survival decrease by about 10 percent. By using drones to deliver AEDs, Flirtey's technology will i...
Source: JEMS Patient Care - October 13, 2017 Category: Emergency Medicine Authors: Flirtey Tags: Ambulances & Vehicle Ops Cardiac Resuscitation Patient Care Operations Industry News Source Type: news

Get Ahead of Stroke Campaign Debuts App to Help EMS Assess Stroke Severity
Fairfax, Va. — The Get Ahead of Stroke campaign has debuted an app to help EMS first responders transport and triage patients quickly to stroke centers equipped to treat severe strokes. Called Stroke Scales for EMS, the app is designed to assist first responders in assessing stroke severity in emergency situations and, in cases of severe stroke, transport patients to neuroendovascular-ready stroke facilities. “Stroke is a leading cause of death and disability nationwide. This app will help first responders quickly and accurately identify cases of severe stroke so they can transport patients to appropriate treat...
Source: JEMS Patient Care - October 13, 2017 Category: Emergency Medicine Authors: Get Ahead of Stroke Campaign Tags: Cardiac & Resuscitation Patient Care Communications Dispatch Industry News Source Type: news

Texas EMS System Saves Gunshot Patient with Blood Transfusion in the Field
CYPRESS, Texas (KTRK) -- Paramedics with Cypress Creek EMS most likely saved a gunshot patient's life over the weekend. But it was the groundbreaking technique that they used that not only set a milestone, but could also save countless lives across the country. Eyewitness News spoke with Wren Nealy this afternoon. He's the special operations manager for Cypress Creek EMS. Nealy said his agency is now one of only two EMS systems in the country to carry whole blood in the field at all times. "It's a true game changer," said Nealy. "You can bleed out and die within three to five minutes, depending on t...
Source: JEMS Patient Care - October 12, 2017 Category: Emergency Medicine Authors: KTRK/ABC 13 Tags: Trauma News Videos Patient Care Source Type: news

Addressing Boston's 'Methadone Mile' and Other Drug Havens
BOSTON (AP) — A young woman crouches on a dusty strip of grass alongside a busy Boston thoroughfare and plunges a needle into her arm. Around the corner, a couple stands zombie-like in the middle of the sidewalk, oblivious to passing pedestrians on a muggy morning. Farther down the road, a man injects heroin into another man's hand beside a gas station convenience store. "It's hard to be out here and not be high, you know," said Jamie Allison, a 36-year-old woman with telltale black needle marks on her arms, shrugging as she took in the milieu from her curbside perch. "You need something just to get th...
Source: JEMS Patient Care - October 5, 2017 Category: Emergency Medicine Authors: Philip Marcelo, Associated Press Tags: Patient Care News Administration and Leadership Source Type: news

Former EMT Jumps Into Action, Treats Victims at Las Vegas Shooting
Snohomish, Wash. (KIRO) - As a former firefighter and an EMT in Snohomish County, Scott Pettersen thought he'd seen nearly every kind of emergency. (Source: JEMS Patient Care)
Source: JEMS Patient Care - October 4, 2017 Category: Emergency Medicine Authors: Gary Horcher, KIRO Tags: Major Incidents Mass Casualty Incidents News Videos Patient Care Source Type: news

New Resuscitation Device Provides Continuous Oxygen Delivery During CPR
"No pause should be your cause," or so French medical device manufacturer Vygon believes. In March, JEMS Editor-in-Chief A.J. Heightman and I traveled to Paris to attend a one-day emergency symposium titled, Alveolar Ventilation by Continuous Chest Compression: b-card, a new device designed for use during cardiac arrest management. During the symposium, current cardiac arrest guidelines, the Boussignac Cardiac Arrest Resuscitation Device (b-card) and how the two are interconnected were discussed. The b-card is available and in use in Europe and Canada; however, it's not available or approved for sale in the Unite...
Source: JEMS Patient Care - October 4, 2017 Category: Emergency Medicine Authors: W. Scott Gilmore, MD, EMT-P Tags: Patient Care Source Type: news

Firefighters Help Develop Innovative New Patient Lifting Device
This article tells the story of recent innovations in patient lifting and transport that were designed in partnership with, and specifically for, emergency responders. (Source: JEMS Patient Care)
Source: JEMS Patient Care - October 4, 2017 Category: Emergency Medicine Authors: Chuck Marble Tags: Patient Care Operations Source Type: news

Fresh Perspectives on Safer Patient Lifting and Moving
Lifting and moving are among the most important but dangerous endeavors in which EMS providers engage. The consequences of a misstep can be devastating and long-lasting. Consider the case of a healthy paramedic in a large municipal service. He was a former kickboxer and avid weightlifter at the time of his injury. On the day he was injured, he was taking a patient down a flight of stairs on a flexible Reeves stretcher. As he and his partner were descending the stairs, the patient moved, causing the EMS crew and patient to fall. The paramedic sustained a serious injury to his back. Due to the typical "I don't need help...
Source: JEMS Patient Care - October 4, 2017 Category: Emergency Medicine Authors: Niklavs Eglitis, BS, NRP Tags: Patient Care Operations Source Type: news

Why Do Family Members Choose to Stay or Leave During Resuscitation?
This study is a result of the PRESENCE trial which randomized 570 French family members, who were present in the home of a person in cardiac arrest, into either the intervention or control group. In the intervention group, the resuscitation team routinely asked the family members if they wanted to be present at the side of the patient being resuscitated. The control group didn't actively ask family members, but allowed them to independently decide their presence. They then categorized the family member's perception of their reason to be present or absent during the resuscitation. Four themes emerged: 1. Choosing to be acti...
Source: JEMS Patient Care - October 4, 2017 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP, FAEMS Tags: Columns Patient Care Source Type: news

Complicated Recovery Awaits Victims Injured in Vegas Attack
LAS VEGAS (AP) — Their concert turned into a siege, and now their lives may become a battle. The staggering count of people injured in the shooting at a Las Vegas music festival means their recoveries are likely to be as varied as the victims themselves. Some injuries are as simple as broken bones, others gunshot wounds involving multiple surgeries and potential transplants, and all come with the added emotional scars of enduring the deadliest shooting in modern U.S. history, with 59 killed. At least 130 people remained hospitalized Tuesday, with 48 listed in critical condition. Hospitals said 185 others had already ...
Source: JEMS Patient Care - October 4, 2017 Category: Emergency Medicine Authors: Amanda Lee Myers and Mat Sedensky, Associated Press Tags: Major Incidents News Mass Casualty Incidents Patient Care Source Type: news

NIH Releases New Online Tool to Support Alcohol Abuse Treatment
WASHINGTON (AP) — The phone calls come — from fellow scientists and desperate strangers — with a single question for the alcohol chief at the National Institutes of Health: Where can my loved one find good care to get sober? Tuesday, the government is releasing a novel online tool to help — directories of alcohol treatment providers paired with key questions patients should ask for a better shot at high-quality care. "Most people think treatment is detox for 28 days or Alcoholics Anonymous. There's a vast in-between," said George Koob, director of NIH's National Institute on Alcohol Abuse ...
Source: JEMS Patient Care - October 3, 2017 Category: Emergency Medicine Authors: Lauran Neergaard, Associated Press Tags: Patient Care News Administration and Leadership Source Type: news

Las Vegas Hospitals See Impact of Mass Shooting
LAS VEGAS (AP) — The victims just kept coming. In cars, in ambulances waiting four or five deep, from the walking wounded to the barely alive, they arrived in droves. "I have no idea who I operated on," said Dr. Jay Coates, a trauma surgeon whose hospital took in many of the wounded after a gunman opened fire from his 32nd-floor hotel suite Sunday night on a country music concert below. "They were coming in so fast, we were taking care of bodies. We were just trying to keep people from dying." It was the deadliest mass shooting in modern U.S. history, with at least 59 killed and 527 injured, some...
Source: JEMS Patient Care - October 3, 2017 Category: Emergency Medicine Authors: Amanda Lee Myers, Associated Press Tags: Major Incidents News Mass Casualty Incidents Patient Care Operations Source Type: news

Helicopter Rescue in Nepalese Jungle
It's the middle of the day and the Grande International Hospital (GIH) EMS hotline receives a call from a group of travelers who had been out trekking in a remote jungle near Pokhara, Nepal, and had overturned their vehicle. The GIH-based helicopter EMS (HEMS) air ambulance team is activated. With three sets of jump bags always ready to go, responders go through their checklist as a call back is made to the patient party for additional details: two French citizens were injured after a brake failure overturned their vehicle. Once the team is fully prepared to tackle their condition, responders quickly make their way from th...
Source: JEMS Patient Care - October 2, 2017 Category: Emergency Medicine Authors: Sanjaya  Karki, MD, MBBS Tags: International Patient Care Columns Source Type: news

Nine Tips for Making a Good Impression with Your Patient
Making a good first impression is essential to establishing positive rapport with your patient. Within the first few seconds of that encounter, most patients will make a value judgment about whether they like you and whether they think you're competent to care for them. You don't get a second chance to make a great first impression! Studies show that people, including patients, are most likely to remember the beginning and the end of an encounter. This is called the "serial positioning effect." That's why, in addition to a positive first impression, a positive ending encounter with the patient is also very i...
Source: JEMS Patient Care - October 1, 2017 Category: Emergency Medicine Authors: Stephen R. Wirth, Esq., EMT-P Tags: Columns Patient Care Administration and Leadership Source Type: news

Firefighters Rescue Five Cats After Receiving Animal Oxygen Masks
TAYLOR, Pa. (WDAF-TV) – Newly donated oxygen masks helped save five pet cats after a fire Thursday morning in the Pennsylvania borough of Taylor, according to WNEP. The fire broke out after 10 a.m. in a building on Union Street, forcing seven people and several animals out of their homes. The Nykaza family told WNEP their badly-burned home has been in the family for generations, but now it's not clear if they'll ever be able to move back in again. Five family members were home when a stranger spotted smoke from the outside. Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - September 29, 2017 Category: Emergency Medicine Authors: WDAF-TV Tags: News Videos Patient Care Source Type: news

In Mexico, Survivors Recount Amazing Escapes From Quake
MEXICO CITY (AP) — A tree branch saved a maintenance mechanic from the collapsing building where a dozen co-workers died when last week's earthquake rocked central Mexico. A slap across the face startled a dazed father back to his senses, spurring him to carry his critically injured daughter to safety. Neighbors, co-workers and passers-by pulled people from the jaws of death, while taxis, private cars and even buses rushed them to hospitals. Amid the endless tragedies from the magnitude 7.1 quake that killed more than 300 people, there were incredible stories of survival. Conrad Vazquez Martinez, a 67-year-old mechan...
Source: JEMS Patient Care - September 28, 2017 Category: Emergency Medicine Authors: Mark Stevenson, Associated Press Tags: Major Incidents Patient Care News Source Type: news

EMS Crews in St. Louis Area Compete in Warrior Challenge
St. Louis, Mo. (KSDK) - It was one part training exercise, one part friendly competition. Dozens of first responders from the St. Louis area competed in the second annual EMS Warrior Challenge, hosted by their supervisors through SSM Health. “It’s a skills challenge where we are testing not only physical, but mental abilities, and obstacles and different training aspects,” explained Dr. Justin Rapoff, who oversees the regional SSM Health EMS teams. Rapoff designed the course for the competition, which was held at Hidden Valley Ski Resort earlier this month. Teams of two from different ambulance distr...
Source: JEMS Patient Care - September 25, 2017 Category: Emergency Medicine Authors: Jennifer Meckles, KSDK Tags: Training News Videos Patient Care Source Type: news

Sepsis Alliance Launches New Community Education Kit to Raise Sepsis Awareness Across America
Nearly half of Americans haven’t heard of sepsis, the body’s life-threatening response to infection that kills more than a quarter million people every year in the U.S. Sepsis Alliance, the nation’s leading sepsis advocacy organization, just launchead a new Sepsis 911 Community Education Kit that empowers sepsis advocates across the country to make a difference in their local community by spreading the word about sepsis. “There are passionate sepsis advocates in every corner of this country and Sepsis Alliance is excited to offer a new tool to help these leaders share their stories and raise sepsis ...
Source: JEMS Patient Care - September 21, 2017 Category: Emergency Medicine Authors: Sepsis Alliance Tags: Training Patient Care Source Type: news

Law Enforcement, State Attorneys Review 10 Patients who Died in Sweltering Nursing Home
HOLLYWOOD, Fla. (AP) — Ten elderly patients died after being kept inside a nursing home that turned into a sweatbox when Hurricane Irma knocked out its air conditioning for three days, even though just across the street was a fully functioning and cooled hospital. From the perspective of Florida Gov. Rick Scott and relatives of those at the Rehabilitation Center at Hollywood Hills, criminal charges are warranted. But under Florida law, a prosecution might be difficult. Two of three ex-state prosecutors contacted by The Associated Press had doubts as to whether Dr. Jack Michel, the home's owner, or any of his employee...
Source: JEMS Patient Care - September 21, 2017 Category: Emergency Medicine Authors: Terry Spencer, Associated Press Tags: Patient Care News Source Type: news

Rapid Response Saves Veteran Firefighter and Paramedic Having Heart Attack
TUCKER, Ga. (Fox5 Atlanta) - The day that changed everything for Dave Galbraith began like any other. It was March 22,  2017.  Captain Galbraith was at his desk at DeKalb County Fire Rescue headquarters in Tucker. About 11 in the morning,  the then 46-year old veteran firefighter/paramedic began to feel off. "And started having a full, heavy, almost a pressure feeling in my torso, up into my shoulders, and down my arms," Galbraith says. So he got up and tried to walk off the pressure.Galbraith had spent years as a paramedic, working to save heart attack patients. Now, the paramedic w...
Source: JEMS Patient Care - September 21, 2017 Category: Emergency Medicine Authors: Beth Galvin, Fox 5 Atlanta Tags: News Videos Cardiac & Resuscitation Operations Source Type: news

FDA Issues Warning About Mixing Opioid Addiction Treatments With Other Meds
TRENTON, N.J. (AP) — The Food and Drug Administration issued new warnings Wednesday about the dangers of combining medication for opioid addiction with anti-anxiety medicines and other drugs that also slow breathing and brain activity. The FDA warned that mixing such drugs can cause difficulty breathing, coma or death, so it should be done with caution. The agency said a growing number of people fighting opioid addiction with methadone or buprenorphine also take other prescription drugs that slow action of the central nervous system. The warning lists several dozen brand-name and generic drugs that could be risky, in...
Source: JEMS Patient Care - September 20, 2017 Category: Emergency Medicine Authors: Linda A. Johnson, Associated Press Tags: Patient Care News Source Type: news

H & H Medical Announces Acquisition of Rights to SWAT-T Tourniquet
H&H Medical Corporation, a leading provider of emergency trauma products, is proud to announce the acquisition of the right to produce the SWAT-T elastic tourniquet from TEMS Solutions, LLC. The addition of this product will expand H&H Medical’s line of “Stop The Bleed” products available to military and civilian customers worldwide. The SWAT-T was developed by a former Operator/Medic with 14 years’ experience in Operational Medicine - former USAF Pararescue Journeyman (Para-Jumper or PJ), Contractor DoJ/FBI SWAT Operations, National Registry Paramedic, and Emergency Medicine Physician. The ...
Source: JEMS Patient Care - September 18, 2017 Category: Emergency Medicine Authors: H & H Medical Tags: Trauma Industry News Equipment & Gear Source Type: news

Israeli Team Assisting Florida Keys Residents Save Dozens on Tuesday, To Continue Rescue Operations in the Area For the Duration of Mission  
Jerusalem - On Tuesday, the Israel Rescue Coalition and United Hatzalah first response teams divided up into two groups with one headed to Key West, and the other headed to Naples. In Naples, the team walked into pandemonium. Houses were completely destroyed and people were without food, water and electricity. The team was warned by local officials that there were groups of looters who had no hesitation to shoot at first responders. Luckily, the group did not encounter any of these groups. They worked with community centers that were taking in displaced people who had stayed in the city during the hurricane but were f...
Source: JEMS Patient Care - September 14, 2017 Category: Emergency Medicine Authors: United Hatzalah Tags: Major Incidents Patient Care News Source Type: news

After Natural Disasters, Risk of Death and Injury Rises
ATLANTA (AP) — Irma's deadly rampage is over but authorities say the risk of deaths and injuries rises significantly after natural disasters. The U.S. Centers for Disease Control and Prevention says all kinds of hazards can endanger storm survivors, returning evacuees, emergency responders and cleanup crews. "The aftermath of disasters such as Hurricanes Harvey and Irma can be just as dangerous as the storms themselves," notes CDC Director Brenda Fitzgerald. And Orlando Fire Department Lt. Aaron Rhodes, notes stress and fatigue can lead to trouble after a disaster: "For one, people get tired, people ge...
Source: JEMS Patient Care - September 14, 2017 Category: Emergency Medicine Authors: Associated Press Tags: Major Incidents Patient Care News Source Type: news

Deaths from Carbon Monoxide, Power Outages Reported After Irma
HOLLYWOOD, Fla. (AP) — Florida residents struggling to put their lives back together in Hurricane Irma's wake fell victim to new hazards, including oppressive heat, brush-clearing accidents, house fires and deadly fumes from generators. Five residents of a Hollywood nursing home that lost power in the storm died, authorities said Wednesday. They gave no immediate details on the cause. Police and fire crews began evacuating Rehabilitation Center at Hollywood Hills after the deaths there. In the Miami area, a Coral Gables apartment building was evacuated after authorities determined a lack of power made it unsafe for e...
Source: JEMS Patient Care - September 13, 2017 Category: Emergency Medicine Authors: Terry Spencer and Jason Dearen, Associated Press Tags: Major Incidents Patient Care News Source Type: news

Do You Listen to Heart Sounds? This May be Another Reason Why You Should.
I’m not sure about you, but when I went to school to become a paramedic (and a nurse for that matter), one thing I never really understood was heart sounds, or heart tones, depending on who taught you. My attempt at learning resorted to scouring textbooks, journals, online editorials, watching clips on YouTube and listening… lots of listening to sound bites from CDs. You know the ones, they come free when you buy a new stethoscope. Instead of turning to digital media, I should’ve been listening to the hearts of my patients. Hindsight is 20/20, especially in this case. All my self-guided education yielded...
Source: JEMS Patient Care - September 12, 2017 Category: Emergency Medicine Authors: Bruce Hoffman, MSN,BSN-RN, NR-P, CFRN Tags: Patient Care Cardiac & Resuscitation Source Type: news

The Tourniquet Gap
The 2016 White House Stop The Bleed (STB) initiative was created to address specific medical issues surrounding the alarming increase in U.S. mass casualty Incidents (MCIs). Supported by recommendations from the Hartford Consensus1and lessons learned during military combat,2,3 the STB initiative seeks to: 1) train laypersons to provide hemorrhage control; and 2) strategically place hemorrhage control supplies in public spaces at highest risk for an MCI. National health organizations and industry leaders have embraced this well-constructed initiative. From this effort, there’s been some i...
Source: JEMS Patient Care - September 11, 2017 Category: Emergency Medicine Authors: Elliot M. Ross, MD, MPH Tags: Patient Care News Source Type: news

Resuscitation Ventilation with CCSV – Experience the Innovation at ERC Congress in Freiburg
(Hamburg) – Medical device manufacturer WEINMANN Emergency has developed a ventilation mode specially designed for resuscitation, Chest Compression Synchronized Ventilation (CCSV). CCSV applies a pressure-controlled mechanical breath synchronously with each chest compression, avoiding the disadvantages of conventional ventilation forms during resuscitation, while simultaneously improving gas exchange and hemodynamics. For the first time, mechanical breaths with a regulated peak pressure are delivered synchronously with chest compressions – a revolution that could replace volume-controlled ventilation as the gol...
Source: JEMS Patient Care - September 8, 2017 Category: Emergency Medicine Authors: Weinmann Medical Technology Tags: Patient Care Industry News Source Type: news

EMS: What ’s Our Mission?
What's the mission? This is a simple question, but one that's quite challenging to answer for EMS systems across the world. In the 1970s through the 1990s, the answer was relatively clear: We sent crews to the location of the emergency whenever called. We provided on-scene care, and then transported the patient to the hospital to be seen by a physician. This was the expectation from the community as well. We developed this buy-in through public service announcements after the development of an easy three-digit calling system. "If you have an emergency, dial 9–1–1." This was our slogan. W...
Source: JEMS Patient Care - September 7, 2017 Category: Emergency Medicine Authors: Mark E.A. Escott, MD, MPH, FACEP Tags: Patient Care Columns Source Type: news

Study Examines Factors that Influence Patient Satisfaction
The Research Bogomolova S, Tan PJ, Dunn SP, et al. Understanding the factors that influence patient satisfaction with ambulance services. Health Mark Q. 2016;33(2):163–180. The Science This paper comes from data collected by the Council of Ambulance Authorities Inc., the professional organization representing 11 statewide ambulance services across Australia, New Zealand and Papua New Guinea. They send annual surveys to a patientand/or their family who had emergent requests for EMS over a randomly selected two-month period. The response rate averages 30%. The satisfaction questions ask the re...
Source: JEMS Patient Care - September 7, 2017 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Patient Care Administration and Leadership Source Type: news

Pediatric Medication Dosage Errors and Paramedic Training Needs
Dosage Errors Hoyle JD Jr, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: A national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185–191. Pediatric patients can be among the most challenging faced by EMS practitioners. Background: Recent research has found that pediatric patients transported by ambulance have a higher severity of illness and require more medications and procedures than children brought to an ED by a private vehicle.1 Calculating medication doses for pediatrics is known to be difficult, as evidenced by a recent study which found only 51% of seizing pediatric pati...
Source: JEMS Patient Care - September 7, 2017 Category: Emergency Medicine Authors: /content/jems/en/authors/q-t/sean-britton-nrp-cph-cem.html Tags: Patient Care Columns Source Type: news

BLS Crews in Paris Detect Atypical STEMI via 12-Lead ECG
By Jonathan Gonzva, MD; Laure Alhanati, MD; Stéphane Dubourdieu, MD; Daniel Jost, MD; Hugues Lefort, MD; Benoît Frattini, MD & Jean-Pierre Tourtier, MD A 61-year-old man calls the Paris Fire Brigade dispatch center with a complaint of dental pain. He reports feeling pain in the jaw for the past 35 minutes, which he says now extends to the armpits. He also reports that he experienced the same feeling the day before. The patient's age and hyperlipidemia were his only cardiovascular risk factors with atorvastatine and budesonide as the usual treatments. The physician stationed at the dispatch cen...
Source: JEMS Patient Care - September 7, 2017 Category: Emergency Medicine Tags: International Cardiac & Resuscitation Columns Patient Care Source Type: news

Mentally Surviving a Hurricane
There's one belief I hold to be true: It's always reassuring to set out on a mission, and then achieve that mission. As a member of  Israel Rescue Coalition’s (IRC) mission which sent members of United Hatzalah’s (UH) Psychotrauma and Crisis Response Unit to Houston last week, I think that's what happened with us.   Our Mission Looking at the pictures from the trip might give someone the mistaken impression that we were there just to listen to people tell their stories and to give the hugs afterward. We certainly did a fair amount of that, but any caring person can do that. Our job was to help pe...
Source: JEMS Patient Care - September 7, 2017 Category: Emergency Medicine Authors: Dr. Sharon Slater, United Hatzalah Psychotrauma Unit Tags: Major Incidents Patient Care Source Type: news

Chronic Traumatic Encephalopathy (CTE): What we Know
CHICAGO (AP) — Researchers are tackling fresh questions about a degenerative brain disease now that it has been detected in the brains of nearly 200 football players after death. The suspected cause is repeated head blows, an almost unavoidable part of contact sports. As a new NFL season gets underway, here's a look at what's known — and what still needs to be learned — about the condition: WHAT'S NEW? The largest report to date on chronic traumatic encephalopathy included 202 brains from football players at the youth, college and professional level, all donated post-mortem to a Boston brain bank. CTE was...
Source: JEMS Patient Care - September 7, 2017 Category: Emergency Medicine Authors: Lindsey Tanner, Associated Press Tags: Patient Care News Source Type: news

Good Samaritan Saves Man's Life With Tourniquet
LINCOLN, Neb. (KOLN) - Brandon Wainwright said he heard people screaming for help near 41st and Huntington after a crash and then an assault left one man's leg was sandwiched between two cars. Immediately after his leg was barely attached and he was losing blood quickly. Just being a good Samaritan, Brandon Wainwright took the simple step of stopping. When he got out of his car and saw just how much was blood was coming out, he realized the man desperately needed help and he had a skill set that saved the man's life. Wainwright said, "It was pretty bad. He was losing blood pretty fast." Because of his milita...
Source: JEMS Patient Care - September 5, 2017 Category: Emergency Medicine Authors: Brandi B. Harris, KOLN Tags: News Videos Patient Care Source Type: news

Response Units from Israel Provide Support After Harvey
As of Sunday afternoon, some 2,500 evacuees from Houston and the surrounding towns of Beaumont and Port Arthur had made their way to the mega-shelter set up for them at the Dallas Convention Center. At the center, all the services that evacuees would need for their long-term stay until they could return home were being provided. Police, fire and rescue services, social services, EMS and hospital teams and even day care services were all on hand at the center. In the mix of the servicemen and women and multitudes of volunteers who were located at the center to provide a helping hand, were three volunteers from the Israel Re...
Source: JEMS Patient Care - September 5, 2017 Category: Emergency Medicine Authors: United Hatzalah Tags: Patient Care News Source Type: news

Hospital Officials Address Arrest of Nurse who Refused to Draw Blood
SALT LAKE CITY (AP) — Officials at a Utah hospital where a nurse was arrested after refusing to allow police to draw blood from an unconscious patient apologized that security officers didn't intervene and said Monday that they have implemented policy changes to prevent it from happening again. The announcements mark the latest fallout from nurse Alex Wubbels' release last week of July 26 video from a Salt Lake City police officer's body camera showing him dragging her from University of Utah Hospital and handcuffing her. The officer has been put on leave, and his agency has apologized. Hospital CEO Gordon Crabtree s...
Source: JEMS Patient Care - September 5, 2017 Category: Emergency Medicine Authors: Brady McCombs, Associated Press Tags: Patient Care News Source Type: news

Emergency Physician Rhiana Ireland Helps Hundreds in the Wake of Harvey
When Harvey hit, I found out that the small church near me had volunteered to take in 100 people. The church is an official Red Cross center, and the only one for League City, Texas. Initially, they were only able to send three volunteers to staff it. This city has over 100,000 people in it.  When people searched for a place to go, this church was the only one listed for the entire city and they poured in. So I decided to offer my services as an emergency physician. We had 200 cots, so the church agreed to take 200 people.   Like the rain, what started in drips turned into a torrent of people: soaking wet, clut...
Source: JEMS Patient Care - September 1, 2017 Category: Emergency Medicine Authors: Rhiana Ireland, MD Tags: Major Incidents Patient Care News Source Type: news

Emerging Technologies in EMS: Help or Hindrance?
We've seen some remarkable changes in the way EMS is provided around the country since its inception more than 50 years ago. We've gone from rudimentary first aid skills and rushing every patient to the hospital, to an expanded scope of practice that includes numerous treatment modalities and drugs, coupled with triaged response and selective, cautious transport. But we haven't always relied on science and evidence to make our decisions about new devices or protocols. Until recently, we've demonstrated a propensity to grab on to the latest gizmo or newest treatment fad based solely on assumptions. That's changing. Rapid Re...
Source: JEMS Patient Care - September 1, 2017 Category: Emergency Medicine Authors: Vincent D. Robbins, FACPE, FACHE Tags: Columns Patient Care Source Type: news

Three-Step Method for EMS Management of Bus Collisions
Every day in every community, large vehicles travel the road filled with potential patients: some children, some elderly, some with special medical issues—all are potentially your responsibility.1,2 These mass casualties on wheels present a host of problems for EMS responders. If you're the head of your agency, you may wonder how you can prepare your system. If you're a frontline supervisor you may wonder what tools you should have on hand to manage such an incident. If you're a field provider you may wonder what you can do to prepare yourself for response. Bus collision incidents may be inherently complex, b...
Source: JEMS Patient Care - September 1, 2017 Category: Emergency Medicine Authors: Rommie L. Duckworth, LP Tags: Major Incidents Rescue & Vehicle Extrication Trauma Mass Casualty Incidents Operations Source Type: news

Firefighters Deliver Baby in Ambulance, Two Minutes from Hospital
PORTLAND, MAINE (WGME) -- Scarboroughsay they bring a lot of people to Maine Medical Center, but it's not every day they drop off a newborn baby that they delivered. On Wednesday, the firefighters delivered a baby just minutes away from the hospital. On Wednesday night around 7:30,  they got a call about a woman in labor, at the intersection of Saco Street and County Road. An ambulance consisting of four fire fighters put the woman in the ambulance, and took off toward Maine Medical Center. They say that's when firefighters turned into obstetricians, and the ambulance turned into a delivery room. Read more... (Source: JEMS Patient Care)
Source: JEMS Patient Care - September 1, 2017 Category: Emergency Medicine Authors: WGME Tags: News Videos Patient Care Source Type: news

Israel Rescue Coalition Sending Psychological First Aid Team To Help in Houston
Jerusalem - On Wednesday evening, the Israel Rescue Coalition (IRC) will mobilize and dispatch a team comprised of elite members of United Hatzalah’s Psychotrauma and Crisis Response Unit to Houston, Texas in order to provide mental and emotional stabilization to people who need it. The team includes Psychologists, Psychiatrists, and therapists and will be arriving in Houston early Thursday morning, local time. While not yet confirmed, there is a succinct possibility that a military psychologist from the IDF will be joining the group. “People need help on the ground,” said Dov Maisel, Director of Internat...
Source: JEMS Patient Care - August 30, 2017 Category: Emergency Medicine Authors: United Hatzalah Tags: Patient Care News Operations Source Type: news

CCEMS & ESD 48 First in U.S. to Deploy Whole Blood
On August 24, 2017 at approximately 7:30 pm Cypress Creek EMS became one of only two ground EMS systems in the country to carry Whole Blood in the field 24/7/365. The other agency is our partner in the program, Harris County ESD 48 Fire Department/EMS which deployed whole blood on Friday August 18. Exactly one year ago, CCEMS deployed packed red blood cells and plasma for the first time. Since then 133 units have been administered to 72 patients. About 56% percent were medical in nature such as gastrointestinal bleeding and 44% were trauma patients. Here’s the breakdown on trauma. While we enjoyed great success wit...
Source: JEMS Patient Care - August 30, 2017 Category: Emergency Medicine Authors: Cypress Creek EMS Tags: Patient Care Industry News Source Type: news

No Need to Administer Tetanus Shots to Those Exposed to Flood Waters
Michael T. Osterholm, PhD, MPH, an advisor to the U.S. Metropolitan Medical Directors “Eagles” Coalition and an expert in the area of infectious diseases, has advised that there's no need to routinely administer tetanus shots to those exposed to flood waters. Dr. Osterholm notes that it's a long standing myth that there's an increased risk with such contact. The CDC recommendations further calcifies this issue. In watching the news coverage of Hurricane Harvey, Dr. Osterholm has seen and heard healthcare providers, emergency responders and public health officials in the impacted areas repeating the myth about t...
Source: JEMS Patient Care - August 29, 2017 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Major Incidents Patient Care News Source Type: news

Dayton International Airport Unveils CPR Training Kiosk
DAYTON, Ohio (WDTN) – The Dayton International Airport (DAY) unveiled a new amenity Thursday that could be life saving. It unveiled a Hands-Only CPR Training Kiosk at a ribbon cutting ceremony with local leaders and health care professionals. In a partnership between the airport and the Miami Valley Division of the American Heart Association, and sponsored by the Heart Institute of Dayton, the interactive kiosk, placed in a heavily trafficked area of Terminal A, will provide travelers an opportunity to learn hands-only CPR in fewer than five minutes. (Source: JEMS Patient Care)
Source: JEMS Patient Care - August 25, 2017 Category: Emergency Medicine Authors: WDTN/2News Tags: Training Cardiac & Resuscitation News Source Type: news

Student Attacks 4 With Bat at Australian University
CANBERRA, Australia (AP) — A student was detained after assaulting his teacher and three of his fellow students with a baseball bat on Friday in a classroom at the Australian National University, police said. Shortly after 9 a.m., the student stood up from his seat armed with a bat and approached the teacher at the front of the classroom, the Australian Federal Police said. Other students in the class intervened and tried to restrain the attacker, but he assaulted four people, including the teacher. They were hospitalized with serious but non-life threatening injuries, including broken bones. Police were called to th...
Source: JEMS Patient Care - August 25, 2017 Category: Emergency Medicine Authors: Rod McGuirk, Associated Press Tags: Patient Care News Source Type: news