Volunteer Medics in Iraq
(Source: JEMS Patient Care)
Source: JEMS Patient Care - November 7, 2016 Category: Emergency Medicine Tags: Slideshow Patient Care Source Type: news

Medic One Ambulance Discovers a Safer Way Lift
Location: Medic One Ambulance – Jonesboro, AR Provider:  Charles Jones, CCEMT-P, FP-C, AHLS Patient Event: Obese patient lying supine and in need of lift assistance > The Situation Immediately after training with the Binder Lift for the first time Charles Jones and his partner were dispatched on a 9-1-1 call that may have resulted in a much different outcome if dispatched an hour earlier. The patient was found lying supine on a bed located in the back room of an old mobile home. Three narrow doorways and three sharp turns stood between the patient and the stretcher. The patient had several comorbidi...
Source: JEMS Patient Care - November 4, 2016 Category: Emergency Medicine Tags: Industry News Patient Care Source Type: news

Police, Protesters Clash in Indonesian Capital
JAKARTA, Indonesia (AP) — Police in the Indonesian capital clashed with hard-line Muslim protesters refusing to disperse after a massive protest Friday to demand the arrest of the city's minority-Christian governor for alleged blasphemy. Police in the area of the presidential palace and national monument in central Jakarta fired tear gas and water cannons as they faced off with protesters angry that President Joko "Jokowi" Widodo had not met with them. AP reporters saw two vehicles on fire and protesters setting alight rubbish left behind from the massive protest. Protesters retreated after running clashes ...
Source: JEMS Patient Care - November 4, 2016 Category: Emergency Medicine Authors: ALI KOTARUMALOS, Associated Press Tags: News Major Incidents Patient Care Source Type: news

As Seizures Top 400 in U.S., China Carfentanil Trade Thrives
SHANGHAI (AP) — Seizures of the deadly chemical carfentanil have exploded across the United States, with more than 400 cases documented in eight states since July alone, The Associated Press has found. Fueled by a thriving trade out of China, the weapons-grade chemical is suspected in hundreds of drug overdoses in the U.S. and Canada. An AP investigation last month showed how easily carfentanil can be purchased online from China. Of the 12 companies that initially offered to export carfentanil around the world, just three have stopped since the report was released. Nine continue to offer carfentan...
Source: JEMS Patient Care - November 4, 2016 Category: Emergency Medicine Authors: ERIKA KINETZ, Associated Press Tags: News Patient Care Source Type: news

Are AED Shocks Safe During Hands-On Compressions?
The Research Wampler D, Kharod C, Bolleter S, et al. A randomized control hands-on defibrillation study—Barrier use evaluation. Resuscitation. 2016;103:37–40. The Science The authors of this study decided to test previous research that indicated there's no leakage of energy through the gloved hand compressing on the chest during defibrillation in a more scientific manner. They placed a partition between the CPR provider and two automated external defibrillators (AEDs), one of which was connected to non-embalmed fresh cadavers with standard AED pads and the other connected to a test load. The CPR provider was ra...
Source: JEMS Patient Care - November 1, 2016 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Cardiac & Resuscitation Columns Source Type: news

Patient with 108-Degree Fever Shows Seriousness of Early Recognition & Treatment of Hyperthermia
Medic 35 is dispatched to a local subdivision for an obese 62-year-old woman with syncope. The responding unit is a fire-based ALS unit staffed by two paramedics. Patient Assessment It's approximately 2:30 p.m., with outside temperatures reaching 95 degrees F and the humidity is at 65%.The patient is lying in the grass next to a picnic blanket and paper plates with half eaten sandwiches. Her husband crouches over her. He says his wife started to complain she felt unwell, and then passed out. Upon evaluation, she's unresponsive to sternal rub. Her airway is patent. Her breaths are rapid and shallow with rales bilaterally. H...
Source: JEMS Patient Care - November 1, 2016 Category: Emergency Medicine Authors: Christine M. Brent, MD Tags: Patient Care Source Type: news

The Ethics of Treating Patients in Pain
Discussion On the surface this call may appear to be a simple back strain or a potential drug seeker. There are multiple points to be considered. First, we should always consider our patients to be critical and let them prove us wrong. In other words, rather than seeing this patient as having just a back problem or seeking drugs, life-threatening conditions such as an abdominal aneurysm must be considered. A thorough evaluation should be completed to help determine the cause of the pain. When the exact cause of pain isn't identifiable in the prehospital setting, treatment should focus on symptoms. This patient doesn't...
Source: JEMS Patient Care - November 1, 2016 Category: Emergency Medicine Authors: Dennis Edgerly, EMT-P Tags: Columns Patient Care Source Type: news

Examining When to Provide Pain Management for Patients
Eradicating pain has been a focus of medicine throughout history, from the early use of cocaine to the current use of fentanyl. As a prehospital provider in 2016, the standard of care for EMS is to provide interventions that control patients' pain. The patient suffering from chest pain or an acute myocardial infarction (AMI) is a prime target for pain mitigation. Without it, many patients get extremely anxious and can present with tachycardia, tachypnea, hypertension and premature ventricular contractions, all of which aren't good for a patient already in distress. Nitroglycerine helps reduce chest pain by increasing ...
Source: JEMS Patient Care - November 1, 2016 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Columns Patient Care Source Type: news

Ketamine Considerations for Prehospital Use
At 3 a.m. you're toned out to a single vehicle accident with one passenger who slid off the road and wrapped his car around a light pole. A 44-year-old male is alert, rates his pain a 13 on a 1–10 scale, and reports he has asthma. Vital signs include a heart rate of 70, blood pressure of 90/60, and a respiration rate of 25. Extrication will be at least 30 minutes and the patient has multiple fractures. What drug will you consider that can manage this patient's pain, improve his cardiovascular state, and sedate him for extrication? Have you considered ketamine? History For 63 years ketamine has been administered acros...
Source: JEMS Patient Care - November 1, 2016 Category: Emergency Medicine Authors: Lindsay Henderson, MD, EMT-P Tags: Patient Care Source Type: news

A Guide to Prehospital Pain Management
EMS providers routinely treat patients with pain; it's the most common reason patients seek medical attention in the ED.1 Providers who understand the physiologic mechanism that causes pain, the physiologic response to pain and the methods with which to control it are best equipped to care for these patients. Pain control is as much an art as a science. Appropriately titrated doses and careful patient monitoring minimize the risk of harmful side effects from pain medications. However, studies show that patients consistently receive inadequate doses or no pain control during their interaction with the medical community.2 Th...
Source: JEMS Patient Care - November 1, 2016 Category: Emergency Medicine Authors: Paul E. Phrampus, MD Tags: Patient Care Source Type: news

Fentanyl Presents Need for New Strategies for Combatting Opioid Abuse
In 2014, more Americans died of drug overdoses than any other year on record. There were more than 47,000 deaths, with roughly two-thirds of those deaths linked to opioids. This opioid epidemic includes synthetic opioids, such as fentanyl, which are responsible for the rise in death rates. Fentanyl analogs and carfentanil potent opioid receptor agonists can cause a toxidrome characterized by significant central nervous system and respiratory depression. Fentanyl has been implicated in multiple outbreak of poisonings.1 (See Figure 1, below.) Acetyl fentanyl, an analog similar to the Schedule II (i.e., a classification of dr...
Source: JEMS Patient Care - November 1, 2016 Category: Emergency Medicine Authors: Steven H. Linder, MD Tags: Patient Care Source Type: news

Lee County EMS Revisits Naloxone Guidelines
Medic 1 and Engine 1 are dispatched to a man down in a parked automobile at a local pharmacy. Law enforcement is on scene and has rendered the scene safe. Forced entry into the vehicle is made and the providers make contact with an adult male slumped over the steering wheel. The patient's primary assessment reveals he's a 45-year-old male, 80 kg, unconscious and ill-appearing. He has snoring respirations and is bradypneic with retractions. He's cyanotic and unresponsive, with a Glasgow coma score of 1/1/1 = 3. The patient is immediately removed from the auto, placed in a semi-Fowlers position on the stretcher with a head-t...
Source: JEMS Patient Care - November 1, 2016 Category: Emergency Medicine Authors: Michael G. Hamel, NREMT-P, CCEMT-P, FP-C Tags: Operations Patient Care Source Type: news

EMS Data Can Help Stop the Opioid Epidemic
In 2014, the Centers for Disease Control and Prevention (CDC) reported the noteworthy and sobering fact that the United States recorded the highest number of opioid overdose deaths in the nation's history, following a steady increase during the previous decade. More than 1.5 times as many people died from overdoses than motor vehicle collisions (MVCs) in 2014; from 2001 to 2014, nearly half a million people died from an overdose. Opioids caused nearly two-thirds of those deaths—meaning 78 people in the U.S. are dying every day from an opioid overdose.1 These are staggering numbers that reflect a cost to individuals, ...
Source: JEMS Patient Care - November 1, 2016 Category: Emergency Medicine Authors: Alex Garza, MD, MPH Tags: Operations Patient Care Source Type: news

Louisville EMS Sees Increase in Demand and Prices for Naloxone
  LOUISVILLE, Ky. (WDRB) -- Demand is skyrocketing for a drug that counteracts heroin, and Louisville EMS says prices have also gone up in recent years. The city uses Naloxone, a generic version of Narcan, on overdosing patients.        “Naloxone administrations have really skyrocketed," said Mitchell Burmeister a spokesperson with Louisville Emergency Services. "When you look at those same years, we’re looking probably around an 85, 86 percent increase." (Source: JEMS Patient Care)
Source: JEMS Patient Care - October 31, 2016 Category: Emergency Medicine Authors: WDRB Tags: Cardiac & Resuscitation News Videos Source Type: news

West End Ambulance Delivers Reality Messages to Overdose Victims
The heroin problem in Johnstown is getting worse and the West End Ambulance service is trying to do their part to help. They started a new program aiming to educate the public about the consequences of drug overdoses by using a morbid yet realistic approach. Read More at www.abc23.com (Source: JEMS Patient Care)
Source: JEMS Patient Care - October 31, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Reedsburg Ambulance Receives Life-Saving Technology
Reedsburg Area Ambulance Service has a new tool to help treat cardiac arrest patients. The group purchased a ZOLL Autopulse Resuscitation System to deliver automated chest pumps. It won't completely remove CPR from ambulances but will give paramedics an extra hand. Read More at Wiscnews (Source: JEMS Patient Care)
Source: JEMS Patient Care - October 28, 2016 Category: Emergency Medicine Tags: News Cardiac & Resuscitation Source Type: news

Emergency Medical Groups Unite to Help Haiti in Wake of Hurricane Matthew ’s Destruction
Jerusalem, October 27th, 2016 - Air Ambulance Company Jet911 has been putting together a team of medical professionals to help provide medical relief to Haiti following the destruction left on the island by Hurricane Matthew. Eli Rowe, CEO of Jet911, who is a highly experienced pilot and paramedic with over 25 years of experience, has requested logistical help as well as medical supplies from a number of organizations and hospitals in the U.S. He has also requested that doctors and medics with specialization in disaster relief join the mission. Among the organizations that Rowe contacted was Israel’s United Hatzalah....
Source: JEMS Patient Care - October 27, 2016 Category: Emergency Medicine Tags: News Major Incidents Patient Care Source Type: news

Paramedic Loses Eye to Rare Infection
Campaigners are raising awareness of a rare infection caused by waterborne microscopic amoebae after a paramedic lost his eye to the condition. Andrew Carthew assumed he had conjunctivitis when he woke up with a sore eye one morning in June 2015.However, the pain and sensitivity to light continued to get worse, and after a week of tests and several hospital visits he was diagnosed with acanthamoeba keratitis. Read More at Plymouthherald (Source: JEMS Patient Care)
Source: JEMS Patient Care - October 27, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Pulsara Offers Mobile Software to Improve EMS-Hospital Communications and Patient Safety at No Cost
BOZEMAN, MT -- OCTOBER 22, 2016 Pulsara, the mobile software application that streamlines communication between EMS and hospitals ultimately improving patient care, recently launched its new Prehospital Alerting Package. Pulsara is offering the package at no cost to EMS agencies and at no cost temporarily to hospitals in the United States who sign up through April, 2017. The Prehospital Package expands on Pulsara’s previous STEMI and stroke patient features by including the ability for EMS providers to alert emergency rooms from the field for any patient type. When a medic transports a patient, she can transmit infor...
Source: JEMS Patient Care - October 26, 2016 Category: Emergency Medicine Tags: Equipment & Gear Industry News Patient Care Source Type: news

1 Killed, 5 Injured as Haiti Hurricane Victims Receive Aid
PORT-AU-PRINCE, Haiti (AP) — A young woman in Haiti was killed and five others injured when a fight broke out while authorities were distributing food to hurricane victims, government officials said Wednesday. Looters apparently threw stones and conch shells at police and U.N. peacekeepers, who responded with tear gas and projectiles as a crowd gathered around a boat delivering supplies on Tuesday, officials said. It was unclear how the 18-year-old woman died and how the other injuries occurred. Officials say one person was seriously injured. The incident occurred in the small coastal village of Dame Marie, west of t...
Source: JEMS Patient Care - October 26, 2016 Category: Emergency Medicine Authors: Associated Press Tags: News Patient Care Source Type: news

Prehospital Recognition of Wounding Patterns in Blast Injuries
This article presents an overview of the specific wounding patterns of blast to better inform medical responders of the constellations of injury patterns following blast, as to be able to manage not only the obvious, but also the unseen life-threatening injuries. (Source: JEMS Patient Care)
Source: JEMS Patient Care - October 25, 2016 Category: Emergency Medicine Authors: Dan Pronk Tags: Major Incidents Patient Care Source Type: news

Family of Former NFL Player Sues Gym where he Suffered Cardiac Arrest
OCEANSIDE, Calif. -- Relatives of a well-known Oceanside High School football coach and former San Diego Charger are suing 24 Hour Fitness, blaming its employees for his Pulu Poumele's death. Pulu Poumele died on June 4 at an Oceanside 24 Hour Fitness after a basketball game with friends. A wrongful death lawsuit allegest that staff members of the 24-Hour Fitness could not initially locate the facility's AED, and when they finally did the device was not charged and would not work. Read More at KGTV 10 San Diego (Source: JEMS Patient Care)
Source: JEMS Patient Care - October 24, 2016 Category: Emergency Medicine Tags: News Cardiac & Resuscitation Source Type: news

Ada County Paramedics Launches Safe Sleep Campaign to Protect Babies from Preventable Deaths
Boise, October 24, 2016 – In light of October’s SIDS Awareness Month, Ada County Paramedics recently unveiled “The ABCs of Safe Infant Sleep Campaign” to offer safe sleep education to parents and childcare providers in an effort to protect Ada County babies from Sudden Infant Death Syndrome (SIDS) and Sudden Unexpected Infant Death (SUID). Ada County Paramedics Battalion Chief, Bart Buckendorf, who proposed the campaign in partnership with the Idaho Department of Health and Welfare, said it was his thirty-year tenure as a paramedic that prompted his push for ABC education—a simple acronym that...
Source: JEMS Patient Care - October 24, 2016 Category: Emergency Medicine Tags: Industry News Patient Care Source Type: news

Dozens of Patients Treated Following Chemical Incident in London City Airport
LONDON (AP) — More than two dozen people were treated for breathing difficulties in a suspected chemical incident that sparked the evacuation of London City Airport Friday, fire and ambulance services said. After a three-hour investigation by police and firefighters in protective clothing, the terminal was declared safe. Police were not treating the incident as terrorist-related, and said they were investigating whether a canister of tear gas discarded by a passenger was the cause. Police and the fire brigade said they were called just after 4 p.m. (1500GMT) Friday to reports of passengers at the airport feeling unwe...
Source: JEMS Patient Care - October 21, 2016 Category: Emergency Medicine Authors: JILL LAWLESS, Associated Press Tags: News Patient Care Source Type: news

Responders Reunite with Traumatic Cardiac Arrest Patient and Simple Thoracostomy Surviver
On February 24, 2016, Jonathan Arteaga was helping out with the family business moving mobile homes when something went terribly wrong. While leveling the mobile home, the building fell on top of him, pinning him, knee to chest under the 37,000 pound structure. The call went out to responders as an “inaccessible incident,” and had it not been for the quickness of the series of events to follow, Jonathan would have died underneath there. The 911 call was answered by a new dispatcher to the agency. Danielle of Montgomery County Hospital District “couldn’t forget” forget this call when she had t...
Source: JEMS Patient Care - October 20, 2016 Category: Emergency Medicine Tags: Cardiac & Resuscitation Industry News Source Type: news

App helps save Seattle cardiac patient
SEATTLE (AP) — If your heart is going to stop, right outside a hospital is not a bad place for it. And if 41 people within a 330-yard radius have a cellphone app alerting them to your distress, so much the better. That's what happened in Seattle last week when Stephen DeMont collapsed at a bus stop in front of University of Washington Medical Center. While a medical student rushed over and began chest compressions, a cardiac nurse just getting off her shift was alerted by her phone, sprinted outside and assisted until paramedics arrived. Five days later, DeMont, 60, is walking, smiling and talking about how...
Source: JEMS Patient Care - October 20, 2016 Category: Emergency Medicine Authors: Associated Press Tags: News Cardiac & Resuscitation Source Type: news

Parents Name Son In Honor of Paramedics Who Delivered Him
Selecting a name for a new baby can be a daunting task for many new parents. Some select names that have been in their family for generations, while others name children in honor of favorite historical figures or literary characters. But one new arrival in St. Charles County has a very unique meaning behind his moniker - an Ambulance District. After being sent home from the hospital earlier in the evening, Alexa Lamm realized just after midnight that her baby was coming very soon. Knowing they did not have time to make it from their home in O'Fallon back to hospital where she'd planned to deliver, her husband, Justin, d...
Source: JEMS Patient Care - October 19, 2016 Category: Emergency Medicine Tags: Patient Care Industry News Source Type: news

Baby Born in Back of Boston EMS Ambulance on Turnpike
RAMINGHAM, Mass. (AP) — A woman has given birth to a baby boy on the Massachusetts Turnpike. State police say they received a call Sunday night from a Framingham couple, saying the woman was in labor. The couple had been driving east and pulled into a parking lot near Exit 18. State police say troopers and Boston EMS responded. They were unable to get the woman to the hospital before she gave birth. State police say she delivered a baby boy in the back of an ambulance around 7:35 p.m. The woman and baby were then taken to Massachusetts General Hospital. State police say it was "excellent work by all in...
Source: JEMS Patient Care - October 18, 2016 Category: Emergency Medicine Authors: Associated Press Tags: News Patient Care Source Type: news

Man Killed After Jumping Out of Moving Ambulance
MEMPHIS, Tenn. -- Police have released more information after a man jumped out of a moving ambulance and was struck by a car. The man was reportedly being transported by ambulance when he suddenly unstrapped his restraints from the gurney, opened the back door and jumped onto I-240 at Highway 385. Read More at WREG (Source: JEMS Patient Care)
Source: JEMS Patient Care - October 17, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Coworkers Save New Mexico Firefighter Suffering a Stroke
    SANDOVAL COUNTY, N.M. (KRQE) - A new-to-New Mexico treatment is being credited with helping to save a local firefighter's life. His colleagues say there was no warning. He was young, fit and healthy. Sandoval County Firefighters never thought one of their coworkers would become one of their patients. That is, until they spotted the classic signs of a silent killer. (Source: JEMS Patient Care)
Source: JEMS Patient Care - October 17, 2016 Category: Emergency Medicine Authors: KRQE Tags: News Videos Patient Care Source Type: news

Florida IDs New Miami Neighborhood as Zika Zone
MIAMI BEACH, Fla. (AP) — Health officials announced Thursday a new Zika zone in Miami — a setback less than a month after declaring the nearby Wynwood neighborhood cleared of the virus following aggressive mosquito spraying. Five people have been infected with Zika in a 1-square-mile area of the city just north of the Little Haiti neighborhood and about 3 miles north of Wynwood, according to a statement released Thursday by Gov. Rick Scott's office. It is the third Miami-area neighborhood identified where mosquitoes have transmitted the virus to people, after Wynwood and a touristy section of Miami Beach, which...
Source: JEMS Patient Care - October 14, 2016 Category: Emergency Medicine Authors: JENNIFER KAY, Associated Press Tags: News Patient Care Source Type: news

European Resuscitation Council Presents Educational Congress on Prehospital Resuscitation
The European Resuscitation Council (ERC) held its annual conference, Resuscitation 2016, Sep. 24–25 at the Hilton Reykjavik Nordica in Reykjavik, Iceland. The focus of this year's program was resuscitation education. Following the release of new ERC Guidelines for resuscitation in 2015, the big question at this year's conference was how to implement the new guidelines and teach them to providers in the field. Experts from Europe and the rest of the world discussed convened at the two-day conference to discuss education strategies and share ideas. The goal of the Resuscitation conference is not only to search ou...
Source: JEMS Patient Care - October 14, 2016 Category: Emergency Medicine Authors: Siegfried Weinert, MSc, EMT-I Tags: International Cardiac & Resuscitation Source Type: news

Resuscitation 2016, Hosted by the European Resuscitation Council (ERC)
(Source: JEMS Patient Care)
Source: JEMS Patient Care - October 13, 2016 Category: Emergency Medicine Tags: Cardiac & Resuscitation Slideshow Source Type: news

Boston Officers in Critical Condition after Shooting
BOSTON (AP) — A man wearing body armor and armed with an assault rifle shot two Boston police officers who were responding to a report of a domestic disturbance, before being shot and killed by other officers, police said. The two wounded officers were hospitalized in "extremely critical condition" early Thursday morning. "Domestic calls, as you know, are probably the most volatile. You never really know what you're walking into," said Police Commissioner William Evans. "And I think we see right now the dangers of our job." Evans said the suspect fired at the officers late Wednesday nigh...
Source: JEMS Patient Care - October 13, 2016 Category: Emergency Medicine Authors: Associated Press Tags: News Trauma Source Type: news

Emergency Patient Care in Syria Airstrikes
(Source: JEMS Patient Care)
Source: JEMS Patient Care - October 13, 2016 Category: Emergency Medicine Tags: Trauma Slideshow Patient Care Source Type: news

Cholera Rises in Southern Haiti in Wake of Hurricane Matthew
LES CAYES, Haiti (AP) — Hurricane Matthew first took the home of Sonette Crownal in a town on Haiti's southern coast. Then cholera came for her baby. The 25-year-old market vendor and her family were still taking stock of their losses after the storm when she noticed that Peter James, just 10 months old, was showing symptoms of a disease that health authorities say is surging in the wake of the storm. "When I saw the symptoms and knew what was really going on, then I got scared," Crownal said as she cradled the boy in her arms at a Les Cayes cholera treatment center on Tuesday. About 20 people, some still l...
Source: JEMS Patient Care - October 12, 2016 Category: Emergency Medicine Authors: BEN FOX, Associated Press Tags: News Major Incidents Patient Care Source Type: news

Prince George ’s County Fire/EMS Brings Lifesaving Technology to Region via 9-1-1 Integrated Smartphone App
UPPER MARLBORO, MD, October 12, 2016 - Today, the Prince George’s County Fire/EMS Department (PGFD) joined the PulsePoint Foundation and CTIA Wireless Foundation to bring life-saving technology to the county via the PulsePoint Respond app. At an event at the Prince George's Sports & Learning Complex in Landover, County Executive Rushern Baker was joined by PGFD Fire Chief Marc Bashoor, and CTIA Wireless Foundation Executive Director Athena Polydorou highlighting the benefits of this mobile app that alerts CPR-trained citizens of cardiac events in their vicinity so they may administer aid.  The app also notif...
Source: JEMS Patient Care - October 12, 2016 Category: Emergency Medicine Authors: Mark Brady, PGFEMS PIO Tags: Cardiac & Resuscitation Industry News Source Type: news

Saving More than Double the Cardiac Arrest Victims Now Possible
Take Heart America, a national cardiac arrest survival initiative, will unveil its expanded 2016 Bundle of Care on October 20th in Minneapolis, MN at a national meeting that will be attended by over 50 national leaders in resuscitation medicine, science and industry. Take Heart America, a national non-profit organization, works with communities across the United States to implement the lifesaving continuum of treatments necessary to save their friends, families, and loved ones who experience cardiac arrest. The organization works with communities who choose to proactively implement the training, equipment, and care needed ...
Source: JEMS Patient Care - October 12, 2016 Category: Emergency Medicine Tags: Cardiac & Resuscitation Industry News Source Type: news

Tourniquet Saves Shark Attack Victim in Oregon
PORTLAND, Ore. (AP) — A shark attacked a surfer north of Cannon Beach off the Oregon coast. But he survived after swimming to shore and instructing others how to tie a tourniquet around his injured leg, police said. Joseph Tanner, 29, of Portland, Oregon, was bitten in his upper thigh and lower leg while surfing Monday afternoon near Indian Beach at Ecola State Park, Oregon State Police spokesman Lt. Steve Mitchell said. After swimming to shore, Tanner was stabilized at the scene and flown to Portland's Legacy Emanuel Medical Center with injuries described as serious. A hospital spokesman, Brian Terrett, said Tuesday...
Source: JEMS Patient Care - October 12, 2016 Category: Emergency Medicine Authors: Associated Press Tags: News Trauma Source Type: news

Z-Medica Named Best Product at Meeting of the American Association for the Surgery of Trauma and Clinical Congress of Acute Care Surgery
Wallingford, CT, September 27, 2016-- Z-Medica, LLC, a leading developer and marketer of hemostatic devices, announces today that they were chosen best product at the 75th Annual Meeting of the American Association for the Surgery of Trauma and Clinical Congress of Acute Care Surgery in Waikoloa, Hawaii. “We are honored to be chosen,” said Z-Medica’s President and CEO Stephen J. Fanning. “This would not be possible if not for the hard work of our entire team, who is dedicated to creating bleeding control products that save lives. We share this honor with all the trauma surgeons w...
Source: JEMS Patient Care - October 11, 2016 Category: Emergency Medicine Tags: Trauma Industry News Source Type: news

'Warrior Dash' Participants Hospitalized after Climbing Obstacle Collapses
NEW ORLEANS (AP) — A climbing obstacle with more than 20 people on it collapsed during a 5K obstacle race near Baton Rouge, and four people — including a 10-year-old child — remained hospitalized Sunday, the State Fire Marshal's Office said. "We don't know exactly how many were injured," but do know 12 were taken to hospitals by ambulance or helicopter, Chief Deputy State Fire Marshal Brant Thompson said Sunday. He said he believed the child was a girl, but he wasn't certain. "We do know ... we had broken bones, lacerations, back injuries, neck injuries, arms, legs, feet. There wa...
Source: JEMS Patient Care - October 10, 2016 Category: Emergency Medicine Authors: JANET McCONNAUGHEY, Associated Press Tags: News Patient Care Source Type: news

Mylan to Pay $465M Settlement over Medicaid EpiPen Rebates
Drugmaker Mylan will pay $465 million to settle allegations that it overbilled Medicaid for its life-saving EpiPen, ending one of the controversies over the soaring price of the emergency allergy injection. The settlement with the Department of Justice follows news that EpiPen has been incorrectly classified since late 1997 as a generic product under the Medicaid health program for the poor and disabled. However, the federal government says EpiPen is a branded drug, meaning Mylan should have been paying Medicaid a far higher rebate under the government's complex pricing rules. Drugmakers are required to pay Medicaid rebate...
Source: JEMS Patient Care - October 10, 2016 Category: Emergency Medicine Authors: LINDA A. JOHNSON, AP Medical Writer Tags: News Patient Care Source Type: news

Opioid Epidemic Fueled by Carfentanil Imported from China
SHANGHAI (AP) — For a few thousand dollars, Chinese companies offer to export a powerful chemical that has been killing unsuspecting drug users and is so lethal that it presents a potential terrorism threat, an Associated Press investigation has found. The AP identified 12 Chinese businesses that said they would export the chemical — a synthetic opioid known as carfentanil — to the United States, Canada, the United Kingdom, France, Germany, Belgium and Australia for as little as $2,750 a kilogram (2.2 pounds), no questions asked. Carfentanil burst into view this summer, the latest scourge in an epidemic o...
Source: JEMS Patient Care - October 7, 2016 Category: Emergency Medicine Authors: ERIKA KINETZ, Associated Press Tags: News Patient Care Source Type: news

BURL Concepts Closes $3 Million B Round to Bring Innovative SONAS Portable Stroke Detection Device to the Global Market
San Diego, CA - October 4, 2016 - BURL Concepts, Inc., the innovative medical device start-up that created the SONAS portable ultrasound device for pre-hospital stroke detection, today announced a $3 Million Series B funding round led by Acquipharma with participation from multiple high net-worth individuals. The latest round brings the company’s total money raised to $7.5 million and will be used to support product development and sales efforts as the SONAS device leaves the testing phase and prepares to enter an initial set of clinical trials. Dr. Thilo Hoelscher, MD and Dr. Jim Brailean, PhD founded BURL Concepts,...
Source: JEMS Patient Care - October 5, 2016 Category: Emergency Medicine Tags: Equipment & Gear Industry News Patient Care Source Type: news

Medical Directors Discuss Prehospital Treatment for Injured Athletes at Emergency Medicine Today 2016
JEMS editor-in-chief A.J. Heightman, MPA, EMT-P, traveled to Greensboro, N.C., for Emergency Medicine Today 2016, held Sep. 30–Oct. 5. The 43rd annual conference was presented by the North Carolina Office of Emergency Medical Services and provided valuable opportunities for education in both emergency medicine and disaster preparedness. Medical directors from across the state meet each year at the conference for three hours (over two sessions) to discuss their issues and provide clinical updates to EMS providers and managers. One of the key discussion points was the treatment of injured athletes. The directors a...
Source: JEMS Patient Care - October 5, 2016 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Patient Care Training Source Type: news

Palestinian Man Shot by Israeli Police
(Source: JEMS Patient Care)
Source: JEMS Patient Care - September 30, 2016 Category: Emergency Medicine Tags: Slideshow Patient Care Source Type: news

Anticipating and Treating the Most Common Complications of Prehospital Intubation
There's one specific psychomotor skill that still carries more clout than almost anything else in EMS. It's the skill that's too often used as a means of measuring adequacy, expertise, competence and ability: endotracheal intubation (ETI). As a profession, EMS affords ETI some bizarre form of idolatry. The ability, opportunity and permission to place a piece of plastic into someone's mid-trachea is, for whatever reason, considered the gold standard of practice. The actual skill itself can be successfully performed in a few simple steps, but it's by no means easy. After all, there are a host of circumstances that make ETI a...
Source: JEMS Patient Care - September 30, 2016 Category: Emergency Medicine Authors: Robert P. Girardeau, BS, NREMT-P, FP-C Tags: Airway & Respiratory Source Type: news