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

B.C. Paramedic has Secret to Showing Compassion for Every Overdose Patient
Veteran paramedic Brian Twaites has his own way of coping with the unrelenting volume of traumatic drug overdose calls in B.C. On a recent shift, where he dealt with a record 22 overdoses, he paused after a particularly emotional call after a young woman was found not breathing on the floor of a public washroom. Read More at CBC (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 27, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

Medical Trauma Team Performs Field Amputation on Crash Victim's Leg in Idaho Rescue
ROSE LAKE - A three-semi accident on icy Interstate 90 in North Idaho near the Rose Lake interchange on Thursday resulted in an "unprecedented" rescue for Kootenai County. After three semis collided early in the morning, a medical team from Kootenai Health that included two trauma surgeons, a nurse and an anesthesiologist was called upon to assist first responders. For more from JEMS on field amputation, read: EMS Field Amputation Gives Trauma Patient a Second Chance at Life EMS Field Amputation Protocols for Urban & Non-Urban Environments Field Amputation Protocols Useful When Man Gets Trapped...
Source: JEMS Patient Care - January 25, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

National Association of EMS Physicians Annual Meeting
(Source: JEMS Patient Care)
Source: JEMS Patient Care - January 24, 2017 Category: Emergency Medicine Tags: Patient Care Administration and Leadership Slideshow Source Type: news

Austin-Travis County EMS Treats More than 20 Patients during Women's March
Austin-Travis County EMS officials are reporting an unexpected increase in people seeking medical attention during the Women's March in downtown Austin. Around 2 p.m. Saturday, calls to EMS from people at the march began to increase, said EMS Capt. Darren Noak. "All of a sudden, we started getting inundated with patients," he said. Read More at Austin American-Statesman (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 23, 2017 Category: Emergency Medicine Tags: Patient Care News Source Type: news

Police Use Pepper Spray, Tear Gas on Inauguration Protesters
(Source: JEMS Patient Care)
Source: JEMS Patient Care - January 20, 2017 Category: Emergency Medicine Tags: Major Incidents Image Gallery Slideshow Patient Care Source Type: news

Boston Healthcare for the Homeless Program Will Open a Safe Room for Heroin Users
The Boston Health Care for the Homeless Program (BHCHP) has a new strategy to combat the opiate epidemic: a supervised safe room for heroin highs. The small, unassuming space, located at the corner of Massachusetts Avenue and Albany Street, an area... Read More at Bostonmagazine (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 19, 2017 Category: Emergency Medicine Tags: News imported Patient Care Source Type: news

Backpack Full of Books Saves Life of Girl Struck by Cab
NEW YORK (AP) — The father of a 13-year-old New York City girl struck by a livery cab when its driver suffered a heart attack says her backpack full of books saved her life. Police say the crash occurred Thursday morning as the teen was standing on a street corner near her home in the Borough Park section of Brooklyn. Officials say the cab driver had a heart attack at the wheel. Street surveillance video shows the runaway car jumping the curb at a high rate of speed and hitting the girl from behind as she tried to get out of the way. The impact sent her onto the hood. She suffered a...
Source: JEMS Patient Care - January 16, 2017 Category: Emergency Medicine Authors: Associated Press Tags: News Patient Care Source Type: news

Police Officer Drives Surgeon, Liver to Emergency Transplant After Crash
DENVER, Pa. (AP) — A police officer responding to a crash wound up driving a surgeon, an assistant and a donated liver to a Philadelphia hospital for an emergency transplant. East Cocalico Township police Sgt. Darrick Keppley says he came upon a disabled vehicle Saturday afternoon that had skidded off the icy road. The team was transporting a liver from York to Thomas Jefferson University Hospital, where a patient already was in the operating room. Keppley says he offered to help. The doctor and assistant piled into his vehicle, he switched on his lights and sirens and navigated the snowy 60 miles east to Philadelphi...
Source: JEMS Patient Care - January 16, 2017 Category: Emergency Medicine Authors: Associated Press Tags: News Patient Care Source Type: news

New transport teams provide intensive-care unit services inside ambulances
Tena Leich survived several potentially fatal pulmonary embolisms in the arteries of her lungs last fall.The 56-year-old Florida resident gave some of the credit for her survival and relatively rapid recovery to a specially trained team of professionals.But these specialists weren't at a hospital or doctor's office. Are specialized care untis the boon they are often made out to be? Read more at  Mobile Stroke Units: A Device in Search of an Indication Read More at Sj-r (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 16, 2017 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Does EMS Intubation Success Improve with Video Laryngoscopy?
Video vs. Direct Larygoscopy Jarvis JL, McClure SF, Johns D. EMS intubation improves with King Vision video laryngoscopy. Prehosp Emerg Care. 2015;19(4):482–489. Williamson County EMS, a suburban and rural Texas EMS system, reviewed its endotracheal intubation (ETI) success rates after adding the King Vision video laryngoscope to ALS units. Considering the county’s suburban and rural settings allow few intubation attempts per provider on an annual basis, researchers believed video laryngoscopy would be advantageous. Overall ETI success rate before the interventions was 64.9%. Background: The King Vision was cho...
Source: JEMS Patient Care - January 16, 2017 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Airway & Respiratory Columns Patient Care Source Type: news

Paramedic assaulted by patient in ambulance
A man tried to sexually assault a Chicago Fire Department paramedic who was taking him to a hospital after he crashed a car into a pole on the South Side Wednesday night, officials said. Read More at Chicago Tribune (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 13, 2017 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Mobile Stroke Units: A Device in Search of an Indication
If you've been to any regional or national EMS conference in the last two years, you've seen these mobile stroke units. They are beautiful large ambulances with the latest and greatest in modern technology including mobile CT scanners. Often, the name of a hospital is blazoned on the side. There is usually a staff member present to tell you how great these will be for your community. But are they? Where's the science? What's the cost? These are important questions that should be asked and answered before these devices are deployed on a widespread basis. Although still somewhat controversial, therapies are now available to ...
Source: JEMS Patient Care - January 12, 2017 Category: Emergency Medicine Authors: Bryan Bledsoe, DO, FACEP, FAEMS Tags: Patient Care Source Type: news

Multiple Injuries in Explosion at Minnesota Truck Plant
DODGE CENTER, Minn. (AP) — A truck plant explosion in a small southeastern Minnesota town injured six people Wednesday but many more employees could have been hurt, authorities said. Many employees at McNeilus Truck & Manufacturing Inc. in Dodge Center who would have been in the area of the paint shop explosion were off-site at a training exercise when the blast happened around 10:30 a.m., Dodge County Sheriff Scott Rose said. Emergency responders talk outside McNeilus Truck and Manufacturing after a possible explosion Wednesday, Jan. 11, 2017, in Dodge Center, Minn. (Andrew Link/Rochester Post Bulletin via AP) ...
Source: JEMS Patient Care - January 12, 2017 Category: Emergency Medicine Authors: Associated Press Tags: News Patient Care Source Type: news

Thomas Jefferson EMS Council to Offer Stroke Course for First Responders
  CHARLOTTESVILLE, Va. (WVIR) - First responders in central Virginia are set to get new training to help them treat stroke victims. It’s a program that's first-of-its-kind in the commonwealth. Doctors, nurses, and first responders across the region hope this new training will help them save lives and keep more lives normal. In the long run, they think it may even save money. (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 9, 2017 Category: Emergency Medicine Authors: WVIR Tags: News Videos Patient Care Training Source Type: news

Eleven Injured in Bus Collision at Frankfurt Airport
FRANKFURT, Germany (AP) — A passenger bus has collided with a vehicle towing luggage at Frankfurt's international airport, injuring 11 people, three of them seriously. The dpa news agency, citing police, reported that 75 passengers from a Lufthansa flight from Barcelona were being taken by bus Friday morning from the plane to the terminal when the bus collided with an electrically powered vehicle transporting luggage. The bus then hit a construction barrier. Authorities say the two drivers and one passenger were seriously hurt. The 45-year-old bus driver was pinned in the vehicle and had to be freed by rescuers. Earl...
Source: JEMS Patient Care - January 6, 2017 Category: Emergency Medicine Authors: Associated Press Tags: News Patient Care Source Type: news

Prehospital Care for Palliative Care Patients Provided by EMS in Germany
Emergencies often occur in palliative care patients and in end-of-life situations. Because of deficient palliative care structures, EMS is frequently sent to these situations even though it is not their core competency and they cannot provide the required care in the domestic surrounding. In addition, EMS is often not sufficiently educated in the field of palliative emergencies. This can lead to hospitalization and direct conflict with the patient's wishes. We believe the answer is in the establishment of palliative care team, as outlined in the case example that follows. The Call The prehospital emergency medical team is...
Source: JEMS Patient Care - January 5, 2017 Category: Emergency Medicine Authors: Christoph Wiese Tags: International Patient Care Source Type: news

San Diego Fire-Rescue Teams Up to Escort Mexican Ambulance Carrying Infant from Border to Rady Hospital
A 7-day old infant girl was transported from Mexico to Rady Children’s Hospital Tuesday night to receive treatment not available in her home country. A San Diego Fire-Rescue (SDFD) crew and a Rady ambulance helped escort the Mexican ambulance from the border to the hospital. Read More at KNSD San Diego (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 4, 2017 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Over 100 Suffer Injuries in NYC Train Accident
NEW YORK (AP) — New York City authorities say more than 100 people suffered minor injuries when a Long Island Rail Road train hit a bumping block at a Brooklyn station. Fire officials at the scene Wednesday said metal that appeared to be from a rail pierced the bottom of the train and the wheels lifted up. They said the crash also damaged a work area beyond the tracks. Gov. Andrew Cuomo said the train was moving very slowly. He said it "wasn't really a derailment." Eleven of the injured were taken to hospitals. Officials at the scene estimated that 600 to 700 people were on the train. They said many passeng...
Source: JEMS Patient Care - January 4, 2017 Category: Emergency Medicine Authors: Associated Press Tags: News Patient Care Source Type: news

Over 100 Patients Treated in Brooklyn Train Derailment
(Source: JEMS Patient Care)
Source: JEMS Patient Care - January 4, 2017 Category: Emergency Medicine Tags: Major Incidents Slideshow Patient Care Source Type: news

One Dead, One Critically Injured in Hawaii after Fireworks Explosion
    (KHON) It was tragic start to the New Year—a woman is dead and a man is critically injured after an illegal aerial firework exploded in Kapolei. It happened just after midnight on Komohana Street in Campbell Industrial Park. According to police, they were lighting the fireworks for a New Year’s gathering. It’s not clear how many people were present. “First unit arrived on scene and reported bystander CPR in progress on a female in her 30s and there was also another male patient with injuries,” said Capt. Kevin Mokulehua with the Honolulu Fire Dept. (Source: JEMS Patient Care)
Source: JEMS Patient Care - January 3, 2017 Category: Emergency Medicine Authors: KHON Tags: News Videos Patient Care Source Type: news

Four Children Die in Texas Gas Poisoning
AMARILLO, Texas (AP) — A poisonous gas believed to have been released when someone tried to wash away a pesticide that had been sprayed under a Texas home killed four children and left six other people hospitalized, officials said Monday. Phosphine gas was likely released when water mixed with the pest control chemical, Amarillo fire officials said. A specific cause of death had not been released for the four children Monday afternoon. The other six people who were in the home are "not out of the woods yet," fire officials said. Crews who responded to a 5 a.m. call to the home originally thought it was...
Source: JEMS Patient Care - January 3, 2017 Category: Emergency Medicine Authors: Associated Press Tags: News Patient Care Source Type: news

60 Injured in Crowd Crush at Australian Music Festival
MELBOURNE, Australia (AP) — Sixty people were injured at an Australian music festival in the crush of a crowd trying to leave a performance, police said Saturday. None of the injuries at the Falls Music and Arts Festival in Victoria state were life-threatening, but 19 people were taken to the hospital with serious injuries, Victoria police said in a statement. The incident began on Friday night when fans were trying to leave a performance by the Australian band DMA's. Several people at the front of the crowd then lost their footing and fell, police said. Paramedics assessed around 60 people hurt in the ensuing crush,...
Source: JEMS Patient Care - January 3, 2017 Category: Emergency Medicine Authors: Associated Press Tags: News Patient Care Source Type: news

Medics Treat Victims of New Year's Attack on Istanbul Nightclub
(Source: JEMS Patient Care)
Source: JEMS Patient Care - January 3, 2017 Category: Emergency Medicine Tags: Mass Casualty Incidents Major Incidents Slideshow Patient Care Source Type: news

Disturbing Overdose Numbers Released from Metro EMS
LOUISVILLE, Ky. (WHAS11) -- Metro EMS says the use of Narcan by EMTs is up 143 percent compared to this time last year. The holiday season is another place where there's usually a spike in overdoses. We're told this year during the week of Christmas there were 131 dispatched runs for overdoses compared to 64 during that time in 2015. Read More at WHAS (Source: JEMS Patient Care)
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Midlands Air Ambulance Blood Trial Takes Off
A new study has been launched to see whether giving blood rather than clear fluid to air ambulance patients before they reach hospital saves more lives. Currently major trauma patients either receive one or the other to replace lost blood while airborne, with the choice varying by region as, according to participant Midlands Air Ambulance Charity, universal blood provision poses logistical and cost implications. Read More at BBC (Source: JEMS Patient Care)
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Tags: News Trauma Patient Care Source Type: news

Resuscitation Outcomes Consortium (ROC) Studies Dig Deep into the Science of Resuscitation
It's been 50 years since the famous white paper "Accidental death and disability: The neglected disease of modern society" was prepared and released by the Committee on Trauma and Committee on Shock of the National Research Council of the United States National Academies of Sciences. This watershed document opened the eyes of the American public to the 52 million accidental injuries that killed 400,000 Americans, referred as an "epidemic of modern society," uncovered serious deficiencies in the nation's emergency response system and called for corrective measures to stem what it referred to as "the...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Keith Lurie, MD Tags: Cardiac & Resuscitation Source Type: news

Improving Systems of Care in Time-Sensitive Emergencies
This report paved the way for modern EMS by recommending the creation of standards for ambulance services, training and oversight in prehospital medicine.1 Legendary physician R Adams Cowley is credited with creating and popularizing the concept of a "golden hour" in trauma, underscoring the need for coordination from the moment trauma occurs to the time to definitive care. Deficiencies in trauma care were recognized and trauma systems of care were developed with EMS playing a central role. As EMS evolved, so did the need to include EMS when developing systems of care for other time-sensitive emergencies. Cardiov...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Robert L. Dickson, MD, FAAEM, FACEP, FACEM Tags: Patient Care Communications & Dispatch Source Type: news

The Perfusing Cadaver Model and Head-Up CPR
What do the high-rises in Seoul, South Korea, have to do with the hemodynamics of CPR? You'll be amazed. Seoul has a very dense population and many of their apartment buildings are 40 stories or more, with very small elevators that have always presented challenges to EMS crews. In fact, the elevators are so small that when a cardiac arrest occurs, the patient can't be loaded and transported in a flat position. Instead, the patient must be put in the elevator diagonally with the head up or down. On a visit to the Twin Cities, Sang Do Shin, a physician from Seoul, told Keith Lurie, MD—a highly respected cardiac arrest ...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Ralph J. Frascone, MD, FACEP, FAEMS Tags: Cardiac & Resuscitation Source Type: news

The Five Deadly Causes of Chest Pain Other than Myocardial Infarction
Calls for chest pain are exceedingly common in EMS and result in more than 8 million ED visits yearly in the United States.1 Of these, almost 1 million may have an acute coronary syndrome (ACS) and about a third of these will have a myocardial infarction (MI).2 Although the vast majority of chest pain patients don't have either ACS or another emergency, EMS providers must be experts in recognizing all of the potential lethal causes of chest pain. In this article we'll discuss common presentations of ACS and then review the five other acute deadly causes of chest pain: aortic dissection, pericarditis with tamponade, esopha...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Ashley Brown, MD Tags: Cardiac & Resuscitation Source Type: news

Thoracic Pressure Changes Show Impact of Bundles of Care
I'm not a physician or EMS researcher, but as editor-in-chief of JEMS, I'm often afforded the opportunity to observe the work of pioneers in our field who are conducting research and advancing the science and practical applications that can help us improve our prehospital care.  I had one such opportunity when I joined some of the most prominent physicians and researchers in the field of resuscitation at a special innovations summit with pig and human cadaver labs in Minneapolis as a part of the Take Heart America (THA) initiative. The human cardiac system is similar to the way an engine works. CanStockPhoto/archy13 ...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Cardiac & Resuscitation Columns Source Type: news

Nebraska First Responders Work Together To Save One of Their Own
The 2015 American Heart Association (AHA) updated guidelines for CPR and emergency cardiovascular care remind us that only 10.8% of non-traumatic adult out-of-hospital cardiac arrests (OHCA) patients who receive resuscitative interventions from EMS survive to hospital discharge.1 This is concerning because 70% of out-of-hospital cardiac arrests occur at home, and 50% are unwitnessed and therefore less likely to receive bystander CPR than arrest victims in public spaces.1,2 With these sobering reminders the AHA separated the chain of survival, identifying one for OHCA patients and another for in-hospital cardiac arrests (IH...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: William Leggio, EdD, NRP Tags: Training Patient Care Source Type: news

Patient With Chest Pain and Shortness of Breath Shows Standardized Treatment Doesn't Work for All Patients
John, a 65-year-old male, is sitting in a chair in the corner of the room as you and your partner enter his house. John tells you he's the only one home and called 9-1-1 because he can't breathe and his chest is killing him. His skin is ashen and his breathing is rapid. You can palpate a weak irregular pulse and you note his skin is warm and diaphoretic. He describes his shortness of breath as increasing in severity over the last couple of hours with the chest discomfort. With a pulse oximetry reading of 78% on room air, you apply oxygen via a non-rebreathing mask. Physical exam reveals bibasilar crackles on pulmonary ausc...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Dennis Edgerly, EMT-P Tags: Columns Patient Care Source Type: news

Concurrent Disabilities Can Complicate EMS Assessment and Treatment in Emergency Situations
Nearly 20% of the population of the United States has some form of disability—that's about 56.7 million people. Of those, more than 12 million need help with daily living.1 It can be a challenge, sometimes, to sort out if the reason for the 9-1-1 call is related to a patient's disability or not. Although it's not practical to provide guidance on every possible disability, what follows are some general suggestions for working with patients who have special needs or disabilities, and who are experiencing either an unrelated medical or traumatic emergency or an exacerbation/complication of their current condition. The B...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Katherine Koch, PhD, NRP Tags: Patient Care Source Type: news

A Case Review of the Use of Ketamine to Emergently Reduce a Fracture
The call comes over your radio: "Rescue 12, respond with Engine 8 to male injured in a motorcycle crash 12 miles west of Route 7. More details to follow." You and your partner get into the ambulance and head toward the area. As you're driving, your partner recalls that there's a motocross track somewhere near Route 7. She also recalls that there are no paved roads around the area. "Rescue 12, the patient is located approximately 14 miles east of Route 7. The patient is a male injured in a motocross race and is reported to have severe lower extremity injuries. He's conscious and breathing." Dispatch prov...
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Marshall A. Frank, DO, MPH, FACEP Tags: Patient Care Source Type: news

Is Intubation Success Rate Higher With Two-Medic Crews
The Research Myers LA, Gallet CG, Kolb LJ, et al. Determinants of success and failure in prehospital endotracheal intubation. West J Emerg Med. 2016;17(5):640–647. The Science The documentation of 200 intubation attempts on 150 patients cared for by a multisite EMS agency was reviewed by the authors to determine what factors were associated with success and failure of prehospital intubation. They defined an attempt as the laryngoscope blade entering the mouth. Overall success rate was 75%. The use, on an adult, of an endotracheal (ET) tube size
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Airway & Respiratory Columns Source Type: news

Building Evacuated After Fire at Frankfurt Airport
BERLIN (AP) — A flight simulator has caught fire in an office building at the Frankfurt airport, forcing some 200 people to evacuate. The fire service says one person was taken to a hospital suffering from the effects of smoke inhalation. The blaze on Thursday was extinguished within 45 minutes. Police told German news agency dpa that a technical fault likely was to blame for the fire at the building belonging to German airline Condor. Firefighters say the simulator, much of which burned out, contained a replica passenger cabin.   Copyright 2016 The Associated Press. All rights reserved. This material may not b...
Source: JEMS Patient Care - December 29, 2016 Category: Emergency Medicine Authors: Associated Press Tags: News Major Incidents Patient Care Source Type: news

Elephant Herd Attacks Nepal Village, Killing 1, Injuring 2
KATHMANDU, Nepal (AP) — A herd of elephants attacked a village in southwest Nepal on Wednesday, killing one person and wounding two others, officials said. Government official Dilli Ram Acharya said the elephants attacked Praseni village at dawn, when there was not much light and poor visibility due to winter fog. Acharya said the villagers did not see the elephants coming and did not have a chance to run. Security forces were sent to the area to chase the elephants back to the forest. The injured people were taken to a nearby town for treatment. Acharya says the vill...
Source: JEMS Patient Care - December 28, 2016 Category: Emergency Medicine Authors: Associated Press Tags: News Trauma Patient Care Source Type: news

Z-Medica to Provide New York City Police Department with QuikClot Belt Trauma Kits
Wallingford, CT, December 28, 2016-- Z-Medica, LLC, a leading developer and marketer of hemostatic devices, announces today that they have signed a three-year agreement to equip the New York City Police Department with life-saving QuikClot Belt Trauma Kits (BTK). The BTK is designed to fit on an officer’s duty belt and contains Z-Medica’s QuikClot Combat Gauze, a tourniquet, compression bandage and gloves which can be used by a police officer to administer emergency first aid to control bleeding until medical attention can be sought. According to the Hartford Consensus III, a set of guidelines established...
Source: JEMS Patient Care - December 28, 2016 Category: Emergency Medicine Tags: Trauma Industry News Source Type: news

Emergency Response App a Crucial Tool for Hardin County EMS
  ELIZABETHTOWN, Ky. (WDRB) -- An app that can bring help in an emergency is already seeing more people in Hardin County using it than expected. The PulsePoint app alerts users of a cardiac emergency in their area. It then guides them to the location so they can administer CPR before emergency responders arrive. The phone application can also lead users to the nearest AED. (Source: JEMS Patient Care)
Source: JEMS Patient Care - December 23, 2016 Category: Emergency Medicine Authors: WDRB Tags: Cardiac & Resuscitation News Videos Patient Care Source Type: news

Patients Treated in Manhattan High-Rise Fire
(Source: JEMS Patient Care)
Source: JEMS Patient Care - December 23, 2016 Category: Emergency Medicine Tags: Slideshow Patient Care Source Type: news

Top 10 JEMS Articles of 2016
Another year is coming to a close and 2016 has certainly brought its share of newsworthy moments, clinical breakthroughs, technological innovations and occupational hazards for EMS providers. From recognizing life-threatening conditions in the field to EMTs behaving badly, from protecting yourself on the job to shiny new ambulances, our most-heavily trafficked articles reflect the issues that matter most to the JEMS community of readers. Below, we revisit the top 10 most popular articles from JEMS.com in 2016. Thank you for reading! 10) Rapid Deployment of Tourniquets in the Field, on Yourself and on Others The response t...
Source: JEMS Patient Care - December 23, 2016 Category: Emergency Medicine Authors: Kristina Ackermann Tags: Patient Care Source Type: news

Dozens Injured in Manhattan High Rise Fire
NEW YORK (AP) — Dozens of people were injured in a fire at a high-rise building on Manhattan's Upper West Side. The blaze broke out in a third floor apartment just before 5 p.m. Thursday and spread to the fourth floor before it was extinguished at about 6:30 p.m. New York Fire Department officials said of the 24 people who were hurt, two people were critically injured and four had potentially serious injuries. The others, including several firefighters, had minor injuries. Among the injured was a 7-year-old girl who was in cardiac arrest on the 21st floor, according to FDNY Chief of Department James Leonard. He said...
Source: JEMS Patient Care - December 23, 2016 Category: Emergency Medicine Authors: Associated Press Tags: News Patient Care Source Type: news

Life-Saving Hemorrhage Control by Tactical Police Using Tourniquets and the iTClamp
The White House and Department of Homeland Security considers rapid control of bleeding so critical to survival in trauma that they initiated the national "Stop The Bleed" campaign a year ago.1 The campaign's purpose is to provide non-medical first responders and even bystanders with tools and strategies to control bleeding,2 allowing them to fill the gap between the incident and the arrival of medical personnel, and reinforcing the recommendations of the Hartford Consensus. The application of tourniquet(s) and direct pressure are actively promoted in the campaign in continuance with tried-and-true techniques.2 H...
Source: JEMS Patient Care - December 22, 2016 Category: Emergency Medicine Authors: Joshua Hood Tags: Trauma Patient Care Source Type: news

Georgia EMT Sued in Taser Death
ATLANTA (AP) — The parents of a Destin, Florida, man who died after Georgia sheriff's deputies repeatedly used stun guns on him have filed a federal civil rights lawsuit. Kevin and Mary Ann Sherman's suit says Coweta County sheriff's deputies Joshua Sepanski and Samuel Smith, as well as EMT Daniel Elliot, violated the civil rights of their son, 32-year-old Chase Sherman. Mary Ann Sherman called 9-1-1 on Nov. 20, 2015, from Interstate 85. She said her son was "freaking out" and had taken a synthetic drug known as spice. Video from the deputies' body cameras shows them struggling with Sher...
Source: JEMS Patient Care - December 21, 2016 Category: Emergency Medicine Authors: KATE BRUMBACK, Associated Press Tags: News Patient Care Source Type: news