Kids-Only Ambulance to Enter Service in Kalamazoo
While 1-year-old Devin Shedd happily played at the step of a new ambulance, his mom knew what it was like to have send children off in one. In Ashley Shedd's case, it was her twin sons who, six years ago, were born about eight weeks early. Read More at Battle Creek Inquirer (Source: JEMS Patient Care)
Source: JEMS Patient Care - March 1, 2017 Category: Emergency Medicine Tags: Ambulances & Vehicle Ops News Patient Care imported Operations Source Type: news

Bringing Ambulance Service to Millions in Pakistan
I met a wonderful gentleman this summer. He would not want me to focus this column on him, so as you read imagine hundreds of people who share the goal of saving lives in Pakistan. Ahsan Jamil, CEO of Aman Networks, and his colleagues are committed to providing better health care access for millions living (and dying) in the slums and neighborhoods of Karachi, Pakistan. Read More at Thepublicopinion (Source: JEMS Patient Care)
Source: JEMS Patient Care - March 1, 2017 Category: Emergency Medicine Tags: Patient Care News imported Source Type: news

EMS in Action on the Racetrack
(Source: JEMS Patient Care)
Source: JEMS Patient Care - February 28, 2017 Category: Emergency Medicine Tags: Patient Care Slideshow Source Type: news

Several Injured in Fire at Migrant Center in Sweden
HELSINKI (AP) Swedish police say at least 15 people have been injured when a fire broke out overnight at one of the country's largest refugee centers outside of Vanersborg in southwestern Sweden. Police spokesman Tommy Nyman says two people were taken to the hospital to be treated for injuries after jumping out of a second-floor window to escape the blaze and 15 people in all were treated for smoke inhalation. He said police received the alarm at 4:15 a.m. Sunday and all 158 people in the building were evacuated. Firefighters extinguished the flames. The cause of the fire was not immediately known. Nyman said poli...
Source: JEMS Patient Care - February 27, 2017 Category: Emergency Medicine Tags: Patient Care News Mass Casualty Incidents Source Type: news

Pickup Truck Plows into Mardi Gras Parade Crowd
NEW ORLEANS (AP) — The man who allegedly plowed into a crowd enjoying a Mardi Gras parade in New Orleans had a blood alcohol level nearly three times the legal limit, police said Sunday. The New Orleans Police Department issued a statement identifying the man as 25-year-old Neilson Rizzuto. He's being held at the city's jail on charges of first-degree negligent vehicular injuring, hit-and-run driving causing serious injury and reckless operation of a vehicle. The accident happened Saturday during one of the busiest nights of Mardi Gras when thousands of people throng the streets of Mid-City to watch the elabora...
Source: JEMS Patient Care - February 27, 2017 Category: Emergency Medicine Tags: Major Incidents Trauma News Mass Casualty Incidents Patient Care Source Type: news

Air Force Pararescue Team Saves Sick Baby 1,000 Miles Out at Sea
As members of the world's most specialized combat and civilian search and rescue team, the men had performed dozens of missions around the world, but this rescue was different. The voice on the radio wanting help hadn't changed multiple times as it often did in war—meaning the caller had been tragically killed or injured—nor were pararescuemen (PJs) being inserted from a helo on a hoist line while taking fire; there weren't any injured soldiers on the ground needing tourniquets, chest decompressions to relieve a tension pneumothorax or ketamine for the pain, but, despite this, the pucker factor on this mission ...
Source: JEMS Patient Care - February 27, 2017 Category: Emergency Medicine Authors: Kevin Grange, EMT-P Tags: Rescue & Vehicle Extrication Patient Care Source Type: news

An Overview of EMS Pediatric Airway Management
You arrive on scene, walk into the home and find a mother sitting on the couch with a 1-year-old child on her lap. She explains her daughter has been sick for several days, but today it was much harder than usual to wake her up from a nap and, “She just isn’t acting like herself.” The girl appears limp in her mother’s arms and doesn’t look up at you. She appears diaphoretic and her respiratory rate is approximately 8 breaths per minute. You look at your partner, who appears just as worried about the patient as you are, and quickly begin taking action. Your partner hooks up the small patient to...
Source: JEMS Patient Care - February 27, 2017 Category: Emergency Medicine Authors: Dorothy A. Habrat, DO Tags: Airway & Respiratory Source Type: news

Pit Crew CPR Saving Lives in Washington County, Ark.
FAYETTEVILLE -- When hearts stop in Washington County, emergency responders are ready with a plan, Central EMS Chief Becky Stewart said. "It's the simplest thing we can do," Stewart said. "It doesn't cost any money -- it's just focusing on teamwork. It's just like a pit crew -- everybody has a job, and it gets done." Read More at Nwaonline (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 27, 2017 Category: Emergency Medicine Tags: Patient Care Cardiac & Resuscitation News Source Type: news

Anti-Overdose Program Bars EMS from Getting Naloxone Kits
HUNTINGTON - Cabell EMS Director Gordon Merry expressed his frustration Thursday during a Cabell County Commission meeting over state guidelines that prohibit EMS departments from receiving naloxone kits distributed to the Cabell-Huntington Health Department through a federal grant. "It's very frustrating. Read More at The Herald Dispatch (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 27, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

Research Analysis of Using tPA to Treat Cardiac Arrest
James and his friend Brandon, a 41-year-old male with an initially unknown past medical history, are hanging out when Brandon goes into cardiac arrest just outside of his house. James calls 9-1-1 and begins CPR until EMS arrives. James tells the arriving crew his friend could be hypoglycemic, so the lead paramedic administers an ampule of D50. A supraglottic airway is placed and compressions are continued, with end-tidal carbon dioxide (EtCO2) through the supraglottic device noted to be in the 30s. The crew also sees Brandon is in v fib, so they shock him with 200 joules and administer 3 mg epinephrine. He's transported to...
Source: JEMS Patient Care - February 26, 2017 Category: Emergency Medicine Authors: Amanda Polsinelli, MD Tags: Cardiac & Resuscitation Source Type: news

Know When Airway Discomfort is Indicative of Something Serious
Discussion Coughing is a normal response that protects the airway. Typically, when an irritant enters the airway, the body responds by drawing in a quick breath and then closes the glottis as the air is forced out. This increases the pressure in the airways, which helps move the irritant out of the air passages. As the air is forced out past the closed glottis, the recognizable coughing sound is made. A cough that persists for several days or increases in its intensity and frequency can be a sign of a serious condition. (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 26, 2017 Category: Emergency Medicine Authors: Dennis Edgerly, EMT-P Tags: Airway & Respiratory Columns Source Type: news

Prehospital Ventilation is in the Bag with Proper Technique and Appreciation
As a 16-year-old observer on the ambulance with my father, I wasn't allowed to ventilate unconscious patients, but I watched and learned a great deal by just observing how they used their "football," an early Puritan Manual Resuscitator (PMR) bag-valve mask (BVM). They nicknamed it the "football" not just because it was brown and resembled a football, but because it was easier to tell the firefighters or police officers assisting them to "go get the football" than "go get the BVM." I was curious why my dad placed rolled towels or a blanket under the patient's shoulder blades and neck...
Source: JEMS Patient Care - February 26, 2017 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Airway & Respiratory Columns Source Type: news

Pediatric Opioid Pain Management Lacks Improvement
This study and outcome have me intrigued. It's a perfect example of measurement before and after training and education. Most often we see a move toward a more favorable outcome, but this study showed that even after educating EMS providers, they were still likely to withhold pain medication to pediatric patients. The reason certainly isn't lack of caring on the part of these providers. I am personally familiar with one of these three services and I can tell you they're patient advocates and their medical direction is quality-based. (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 26, 2017 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Columns Patient Care Source Type: news

Zygowicz and Wayne Discuss EMS Implications of Marijuana Legalization at EMS Today 2017
In their EMS Today 2017 presentation, Rocky Mountain High: Legalization of Marijuana and its EMS Implications, Marvin Wayne, MD, FACEP, FAAEM, FAHA, and Division Chief Wayne M. Zygowicz, MA, EFO, EMT-P, shared lessons learned from two states that were at the epicenter of the marijuana legalization movement, Washington and Colorado. Soon, EMS and public safety agencies in four other states that recently legalized recreational marijuana, will also learn to cope with the after-effects of this budding “green industry.”  This session provided an overview of the history and economics of the marijuana industry. I...
Source: JEMS Patient Care - February 24, 2017 Category: Emergency Medicine Authors: JEMS Staff Tags: Patient Care Administration and Leadership EMS Today Source Type: news

Corey Slovis Presents Important Clinical Articles at EMS Today 2017
Keeping up with the ever-increasing medical literature that is directly applicable to EMS is growing more difficult each day. More and more journals in more and more specialties are publishing articles that affect our care in the field. At EMS Today 2017, Dr. Corey Slovis—who chairs the department of emergency medicine at Vanderbilt University Medical Center and is medical director of the Nashville fire department and international airport—presented a number of potentially practice-changing articles in his session, The Most Important Published Articles for EMS Providers. Slovis discussed the recent New England ...
Source: JEMS Patient Care - February 23, 2017 Category: Emergency Medicine Authors: JEMS Staff Tags: Patient Care EMS Today Source Type: news

Kentucky Children Injured in Bus Crash
LONDON, Ky. (AP) — Authorities say 12 children were taken to the hospital after a church bus crashed in southern Kentucky. Laurel County Sheriff John Root says in a statement that the crash happened about 8:30 p.m. Wednesday on a road near London when the driver lost control of the Lick Fork Missionary Baptist Church bus in a curve and hit an embankment. Root says a female passenger had to be extricated and was flown to the University of Kentucky Medical Center with serious injuries. He said 11 other child passengers were taken to the hospital to be checked for possible injures. Two children weren't injured. ...
Source: JEMS Patient Care - February 23, 2017 Category: Emergency Medicine Tags: Major Incidents News Mass Casualty Incidents Patient Care Source Type: news

State Lawmakers Push Fight against Opioids
ST. PAUL, Minn. (AP) — In statehouses across the country, lawmakers with loved ones who fell victim to drugs are leading the fight against the nation's deadly opioid-abuse crisis, drawing on tragic personal experience to attack the problem. A Minnesota state senator whose daughter died of a heroin overdose in a Burger King parking lot — a friend hid the needles instead of calling for help — spearheaded a law that grants immunity to 911 callers. In Wisconsin, a state representative has introduced more than a dozen opioid-related bills in the years since his daughter went from painkillers to heroin to pr...
Source: JEMS Patient Care - February 23, 2017 Category: Emergency Medicine Tags: News Patient Care Source Type: news

NASCAR Starts 2017 Season with Concussion Testing
DAYTONA BEACH, Fla. (AP) — Dale Earnhardt Jr. was confident NASCAR took the right step Friday when it beefed up its concussion protocol by adding a consistent screening rule at all venues. "Good to see progress being made and implemented. Health and safety is top priority," Earnhardt tweeted . Earnhardt, long NASCAR's most popular driver, was sidelined for the second half of last season with a concussion. Earnhardt missed the final 18 races with nausea, vision and balance issues after at least the fifth concussion of his career following a June wreck. In the 16 years since his father's death at Day...
Source: JEMS Patient Care - February 22, 2017 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Patient Smashes Ambulance Windows with Scissors; Assaults EMTs
VICTORVILLE, Calif. (VVNG.com) A patient was pepper sprayed after he became combative with emergency medical technicians during transport to the hospital. The intoxicated man was picked up by the San Bernardino County Fire Medic Ambulance #305, which was forced to pull over when the EMTs feared for their safety. Read More at www.vvng.com (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 21, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

New CPR Protocol in Providence Means EMS will Treat Patients Longer Before Going to Hospital
EMS personnel will now stay on site with patients for as long as 30 minutes -- so CPR isn't interrupted -- before the ambulance heads for the hospital. WARWICK, R.I. - Not too long ago, Fire Lt. Henrik Dunlaevy and emergency medical services personnel came to the rescue of a young man who went into cardiac arrest. Read More at Providencejournal (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 21, 2017 Category: Emergency Medicine Tags: Patient Care Cardiac & Resuscitation News Source Type: news

Medics Rescue Ohio Woman Molded to Chair
SPRINGFIELD TOWNSHIP, OH (WTOL) - A 75-year-old woman had to be rescued from her Springfield Twp. home on Thursday night, after being unable to leave her living room chair for possibly close to a year. Toledo News Now, News, Weather, Sports, Toledo, OH According to a Lucas County Sheriff’s report, the fire department arrived at her home on Burnham Green around 6:30 p.m. on Thursday night to find Barbara Foster surrounded by feces and urine and her skin molded to her chair. (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 20, 2017 Category: Emergency Medicine Tags: News Videos Rescue & Vehicle Extrication Patient Care Source Type: news

Train, Car Collision Kills One Person in North Carolina
FAYETTEVILLE, N.C. (AP) — Authorities say one person has died after a car broke down on train tracks in North Carolina and was hit by an oncoming train. Fayetteville Police said in a news release that two other people in the car were able to get out before the train struck. A fourth person who could not escape was seriously injured. Police Sgt. Shawn Strepay told WRAL-TV the car stalled just a few blocks from the police station and officers rushed to help and dispatches tried to warn CSX. But Strepay says the train struck the car less than two minutes after it got stuck. Police say 50-year-old passenger C...
Source: JEMS Patient Care - February 20, 2017 Category: Emergency Medicine Tags: Rescue & Vehicle Extrication Trauma News Source Type: news

Missouri Man Thanks First Responders Who Helped After a Heart Attack
A Cole County man got to say thank you to the team of emergency responders whose actions saved his life. "It feels so good to be able say thank you," Roger Baston said. "You guys rock." Roger and his wife, Bev, came to the Cole County Ambulance Service Base on Friday afternoon to express their gratitude. Read More at Newstribune (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 20, 2017 Category: Emergency Medicine Tags: Cardiac & Resuscitation News Patient Care imported Source Type: news

Paramedic Lied about Helping Victims of Boston Marathon Bombing
A paramedic with the St. Louis Fire Department apologized Tuesday after lying about helping victims at the scene of the Boston bombing in 2013, according to the department. Paramedic Shawl Daniel told his supervisors he rushed to help bombing victims after the April 15, 2013, attack that injured hundreds, even going so far as to show them a photo that he claimed was him caring for a victim. Read More at Metro (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 15, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

Louisville EMS Slammed with 151 Overdose Calls in Four Days
Following a wave of 151 overdose calls in four days, EMS is slated to join Health Department and police officials Wednesday afternoon to give an update to a Metro Council committee. Starting midnight Thursday, EMS was slammed with calls for help - but haven't yet confirmed how many victims actually overdosed, said Mitchell Burmeister, spokesman for Louisville Metro Emergency Medical Service. Read More at Courier-Journal (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 15, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

Pilot Program Leverages Off-Duty Professional Firefighters, Technology and Defibrillators to Save Lives
Each year, approximately 350,000 cardiac arrests occur outside a hospital setting in the United States. Nearly 90 percent of these events prove fatal, and the chance of survival decreases by ten percent with every passing minute without CPR.* Though survival rates in the Northwest exceed the national average, a coalition of professional first responders, clinicians, researchers and a leading medical equipment manufacturer aim to make the region the frontrunner in cardiac arrest response and survival. The PulsePoint Foundation, Tualatin Valley Fire & Rescue, International Association of Firefighters Local 1660 and autom...
Source: JEMS Patient Care - February 15, 2017 Category: Emergency Medicine Tags: Patient Care Cardiac & Resuscitation Industry News Source Type: news

Pa. EMS Workers Take Extra Precautions after Recent Overdoses Linked to Carfentanil
  (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 13, 2017 Category: Emergency Medicine Authors: WPXI Tags: News Videos Patient Care Source Type: news

F-M Ambulance Hosts 'Save-a-Life Saturday' at Local Mall
FARGO, N.D. - F-M Ambulance says someone dies from cardiac arrest every 90 seconds. Save-A-Life Saturday at West Acres Mall taught people all about CPR. Read More at www.kvrr.com (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 13, 2017 Category: Emergency Medicine Tags: Patient Care Cardiac & Resuscitation News Source Type: news

Hazardous Material Causes Evacuation of Germany's Hamburg Airport
BERLIN (AP) — Hundreds of passengers at Hamburg Airport were evacuated and more than a dozen flights canceled after some 68 people were injured by a hazardous material that likely spread through the airport's air conditioning system. The airport said in a statement that police and firefighters had concluded from their initial investigation the substance most likely was pepper spray. Authorities still are working to determine how it got into the airport's air conditioning system, the statement said. The 68 injured people — both passengers and staff members — had complained about breathing problems, burning...
Source: JEMS Patient Care - February 13, 2017 Category: Emergency Medicine Authors: Associated Press Tags: Patient Care News Operations Source Type: news

Maryland Resuscitation Academy Opens Registration for Spring Academy
The Maryland Resuscitation Academy (RA) along with the Maryland Institute of Emergency Medical Services Systems (MIEMSS) is pleased to announce our 2017 two-day Maryland RA will be held Thursday and Friday May 18-19, at Howard County’s Public Safety Training Center in Marriottsville, MD. The Maryland RA is a two-day, intensive course dedicated to improving survival rates of patients suffering pre-hospital cardiac arrest, and is suitable for EMS supervisors, medical directors, Fire/EMS chiefs, EMS personnel of all levels and hospital staffs across the state of Maryland and surrounding regions. Based on the curriculum ...
Source: JEMS Patient Care - February 10, 2017 Category: Emergency Medicine Tags: Patient Care Cardiac & Resuscitation Industry News Source Type: news

Firefighter Adopts Baby He Delivered in Ambulance
MYRTLE BEACH, S.C. - An emergency call resulted in a first responder bringing a baby home to keep as his own. "I will never forget that day. It was a day when a lot of things came full circle," Marc Hadden told CNN. Someone had called 911. A woman was suffering severe abdominal pain. When he ... Read More at Fox 13 Now (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 10, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

Hamilton County EMS Medics Re-Unite with Patient
Chattanooga, TN (2/8/2016) On February 8, 2017, after almost two months following a serious medical emergency call to the Hamilton County 9-1-1 Center, Robert Bean reunited with Hamilton County Emergency Medical Services Paramedic Myron Shroepfer and Advanced EMT Scott Garrison to say, “Thank you for saving my life.” On December 22, 2016 Robert Bean hiked a mile into a wooded area in the northern part of Hamilton County hunting for deer when he suddenly became weak and unable to continue to move onward.  Feeling the signs and symptoms of a heart attack, he sat down trying to regain his strength. When no re...
Source: JEMS Patient Care - February 10, 2017 Category: Emergency Medicine Tags: Patient Care Cardiac & Resuscitation Industry News Source Type: news

Chicago's Rush University Medical Center Offers Mobile Stroke Treatment Unit
  The Rush University Medical Center stroke program is one of the few in the country to offer a mobile stroke treatment unit as a part of its emergency medical services. This year Rush will join Excellence Inc. at the International Stroke Conference 2017 where the RUSH mobile stroke treatment unit will make its debut. On display will be the unit’s state-of-the-art features, including the ability to diagnose patients for a stroke on-site with an onboard CT scanner. Rush University Medical Center’s stroke program was one of the first in Chicago to receive comprehensive certification fr...
Source: JEMS Patient Care - February 10, 2017 Category: Emergency Medicine Authors: Excellence Tags: News Videos Ambulances & Vehicle Ops Patient Care Source Type: news

Hong Kong Police Arrest Arson Suspect After 13 Injured in Subway Fire
HONG KONG (AP) — Hong Kong authorities have arrested a man for arson after a fire broke out in a subway car on Friday, injuring 13 people. Police said there was no evidence to indicate the fire was a terror attack. Police District Commander Kwok Pak-chung said the 60-year-old man told rescuers as he was being taken to a hospital that he was the one who set the fire, and that he had done so for an unspecified personal reason. Videos circulating on social media showed a chaotic scene of a fire inside the subway car and a man lying on the platform as people frantically used clothing to try to put out flames on his pant...
Source: JEMS Patient Care - February 10, 2017 Category: Emergency Medicine Authors: Associated Press Tags: Patient Care News Source Type: news

Burn Patients Treated in Hong Kong Subway Fire
(Source: JEMS Patient Care)
Source: JEMS Patient Care - February 10, 2017 Category: Emergency Medicine Tags: Patient Care Slideshow Source Type: news

Washington County EMS Saving Lives by Carrying Blood in Ambulances
"About 1% of the EMS departments in the country carry blood. We saw this as a real need in Washington County based on our 700 square miles of area that we cover," said Lt. Katie Podeszwa with Washington County EMS. The blood is kept in a refrigerator. When they receive an emergency call, paramedics make the decision on whether or not they need to take blood on board. If it's not used within 14 days, they send it back to the College Station Medical Center, where it can be used. Washington County EMS partnered with the College Station Medical Center three years ago to launch the blood program. Read More at KB...
Source: JEMS Patient Care - February 9, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

New Neonatal Ambulance Improves Care at University of Mississippi Medical Center
As a registered nurse, Morgan Strickland of Meridian knew having medical transport available was important. But when her son Jack needed life-saving care, she realized how vital an ambulance specializing in newborn care could be. Jack, now an active 3-year-old, was transferred to the University of Mississippi Medical Center in Jackson in the facility's ambulance customized to care for babies. Read More at Meridianstar (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 8, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

NASCAR Expands Emergency Response System with AMR Partnership
DAYTONA BEACH, Fla. (Feb. 8, 2017) – NASCAR announced today it is partnering with American Medical Response (AMR) to expand the capabilities of NASCAR’s medical support model and enhance on-track incident response. AMR, a recognized leader in the emergency medical services, will add a doctor and paramedic to the on-track safety team for each Monster Energy NASCAR Cup Series weekend. NASCAR’s industry-leading medical standards remain in place; Infield Care Centers will continue to be staffed with experienced local  emergency room physicians, maintaining the valuable connection with local medical ...
Source: JEMS Patient Care - February 8, 2017 Category: Emergency Medicine Tags: Patient Care Industry News Source Type: news

Missouri EMS Launches Anti-Heroin Campaign
The St. Charles County Ambulance District is teaming up with other first responders in a newly launched anti-heroin campaign. Part of the campaign features an 8-minute-long video that shows a re-enactment of a heroin overdose call. According to Kyle Gaines with the St. Read More at sunnewsreport.com (Source: JEMS Patient Care)
Source: JEMS Patient Care - February 6, 2017 Category: Emergency Medicine Tags: Patient Care News Administration and Leadership Source Type: news

Researchers Find Mobile Communication App Helps Deliver Stroke Treatments Faster
Currently in the United States someone suffers a stroke every 40 seconds, and each of those cases relies on getting treatment as fast as possible in order to assure best chances for recovery. Expediting care for these critical patients requires smooth communication between first responders in the field, the emergency room staff, and the specialty stroke team. Unfortunately, this delicate relay is not always well executed, as care teams are patching together archaic technologies such as pagers, faxes, emails, call lists, and other communication methods that do not integrate. Results from a study recently published in the Jo...
Source: JEMS Patient Care - February 3, 2017 Category: Emergency Medicine Tags: Patient Care Industry News Source Type: news

Programs in Israel & Jersey City Shift the Paradigm of the Community's Role in Medical Response & Disaster Preparedness
One of the newest innovations in emergency medical response is the implementation of community-based immediate medical response teams. Implemented in communities around the globe, this model has been fine-tuned by EMS organizations such as United Hatzalah of Israel and United Rescue of Jersey City, N.J. These organizations are training and empowering community members, providing citizens with the medical training and equipment needed to shave off precious minutes in first-aid medical response. Investment in Resources The history of this community-based model began in Brooklyn in the 1960s when a small group of people bega...
Source: JEMS Patient Care - February 1, 2017 Category: Emergency Medicine Authors: Dov Maisel, EMT-P Tags: International Patient Care Source Type: news

Fix Narcotic Abuse Cycle Before Throwing Naloxone at Every Overdose Patient
This past year, the National EMS Advisory Council (NEMSAC) recommended a change to the National Scope of Practice Model, whereby EMTs and EMS first responders would be allowed to administer the opiate antagonist naloxone to patients in cases of suspected overdose. A predictable Path Naloxone has been receiving a lot of attention lately, and while EMS leadership considers a change to BLS scope, the drug is already being administered by police officers in many locales. It's also currently available over the counter in pharmacies in several states, and many EMS systems have already made the leap to BLS naloxone by the intrana...
Source: JEMS Patient Care - February 1, 2017 Category: Emergency Medicine Authors: Neal Richmond, MD Tags: Columns Patient Care Administration and Leadership Source Type: news

Ketamine's Versatility Makes it a Powerful Tool for EMS
Ketamine was first developed in 1962 as a safer anesthetic and alternative to phencyclidine (PCP), which had numerous problematic side effects.1 It was then used on the battlefields of Vietnam and was approved by the FDA in 1970 for civilian use since it proved to be a safe and effective anesthetic for both human and veterinary applications.2 However, in the 1980s, concerns over misuse and the psychodysleptic effects eventually led to ketamine being classified as a schedule III controlled substance.3 In addition, concerns for adverse effects led to markedly reduced medical use in humans. Interestingly, in the late 1990s an...
Source: JEMS Patient Care - February 1, 2017 Category: Emergency Medicine Authors: Scott D. Hax, NRP, FP-C, C-NPT Tags: Patient Care Source Type: news

An Inside Look at a Hospital Stay From Chest Pain
As a boy, soon after my mom would drop me off at Scranton (Pa.) fire headquarters to ride a shift on the ambulance with my dad, the bell would hit and the fire crews would be sent to a big wreck or two-alarm fire. So, at the age of 13, I was nicknamed "Black Cloud" by the firefighters because s--- happened whenever I showed up. I've had people go into anaphylactic shock on a train as I rode it to work, and once a homeless gentleman wandering on the tracks had both of his legs amputated by a train entering San Diego's main station as I stood there watching. I call it coincidental, but my friends and the JEMS staff...
Source: JEMS Patient Care - February 1, 2017 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Cardiac & Resuscitation Columns Source Type: news

Patient in Compensatory Stage of Shock Found to Have Fecal Matter in Intercostal Space
Medic 61, a BLS ambulance with three personnel, and EMS 60, a rapid response vehicle staffed with a paramedic, are dispatched to a rural address for a male patient with difficulty breathing. A chief officer is added after the communication operator updates that the "patient is on the floor 'changing color,'" suggesting that the patient may be in cardiac arrest. The EMS crew finds the patient lying on the bathroom floor, mottled and trying to talk, but without enough tidal volume to speak. He's immediately moved to the living room floor and a nasopharyngeal airway is placed before a crew member begins assisting re...
Source: JEMS Patient Care - February 1, 2017 Category: Emergency Medicine Authors: David Hughes, MD Tags: Patient Care Source Type: news

Should Trauma Patients Be Transported by Police Officers?
The Research Wandling MW, Nathens AB, Shapiro MB, et al. Police transport versus ground EMS: A trauma system-level evaluation of prehospital care policies and their effect on clinical outcomes. J Trauma Acute Care Surg. 2016;81(5):931–935. The Science Data was drawn from the National Trauma Data Bank (NTDB) for adult patients with gunshot and stab wounds transported to a Level 1 or 2 trauma center in the 100 most populous U.S. cities from 2010–2012. The death rate was calculated for those who arrived by police transport compared to those transported by ground EMS. Researchers identified 88,564 patients, of whic...
Source: JEMS Patient Care - February 1, 2017 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Major Incidents Patient Care Columns Source Type: news

Mercer, Pa., First Responders Warned About Carfentanil Exposure
The growing heroin epidemic is posing health threats to more than just the drug abusers. New warnings are issued for emergency medical services. The concern is over the drug Carfentanil, which authorities say is being use to cut or mix with heroin. Carfentanil is ten thousand times stronger than morphine and 100 times more potent than fentanyl. Read More at Wfmj (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 31, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

Grateful Virginia Woman Wants to Donate to EMTs Who Helped Her
Carolyn Noel would like to recognize the efforts of the ambulance crew who took her to the hospital -- with a check. But she's unsure what station they came from, or where to send the donation. Read More at The Roanoke Times (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 30, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

High School Athletic Trainer Saves Man's Life in San Diego
A local high school trainer saved the life on an 81-year old man, who collapsed during a basketball game last week from a heart attack. Robbie Bowers is not only Rancho Bernardo High School's Head Athletic trainer, he also teaches in the Athletic training program at San Diego State University. Read More at KNSD San Diego (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 30, 2017 Category: Emergency Medicine Tags: Cardiac & Resuscitation Patient Care News Source Type: news

Pedestrians Killed, Injured when Drunk Driver Crashes into Crowd at Kentucky Food Truck
LOUISVILLE, Ky. (AP) — Two pedestrians were killed and seven others injured after police say a drunken driver whose blood-alcohol content was five times the legal limit lost control of his vehicle and plowed into a crowd standing near a food truck in a Kentucky parking lot. Louisville Metro police spokeswoman Alicia Smiley told news outlets that 37-year-old Chad Erdley was speeding when he struck a parked car and continued into the parking lot just before 1 a.m. Sunday, hitting nine people. Two unidentified pedestrians were pronounced dead at the scene. Seven others were hospitalized with injuries that do n...
Source: JEMS Patient Care - January 30, 2017 Category: Emergency Medicine Authors: Associated Press Tags: Patient Care News Source Type: news