Allegation of Assault inside North Providence Ambulance
  NORTH PROVIDENCE, Rhode Island (NBC 10) - A local woman turned to the NBC 10 I-Team for answers after she captured a confrontation inside a North Providence ambulance on cell phone video. The video shows an EMT lashing out at her, appearing to slap her in the face and swearing at her several times. “He then smacked me across my face,” Jessica Kane said of the July 30 incident. North Providence officers were responding to a domestic disturbance call when they came into contact with Kane, who is epileptic. (Source: JEMS Patient Care)
Source: JEMS Patient Care - August 29, 2016 Category: Emergency Medicine Tags: News Videos Patient Care Source Type: news

Mylan Creates Generic Version of EpiPen
NEW YORK (AP) — Mylan says it will make available a generic version of its EpiPen, as criticism mounts over the price of its injectable medicine. The company said Monday that its U.S. subsidiary will put out a generic version of the EpiPen that will have a list price of $300 for a two-pack — about half the current price. It will be available in both 0.15 mg and 0.30 mg strengths. EpiPens are used in emergencies to treat severe allergies to insect bites and foods like nuts and eggs that can lead to anaphylactic shock. People usually keep a number of EpiPens handy at home, school or work. The syringes, p...
Source: JEMS Patient Care - August 29, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

CDC Releases Studies on Fentanyl
From 2013 to 2014, law enforcement encounters (drug submitted for analysis) testing positive for fentanyl sharply increased in a growing number of states, according to two new articles published today in Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. Synthetic opioid-involved overdose deaths including fentanyl have also increased in multiple states. Recent investigations in Ohio and Florida provide strong evidence that increases in fentanyl deaths do not involve prescription fentanyl but are primarily related to illicitly-made fentanyl. Illicitly-made fentanyl is often mixed with o...
Source: JEMS Patient Care - August 26, 2016 Category: Emergency Medicine Tags: Industry News Patient Care Source Type: news

EMS, Police Responding to Spike in K2 Cases in Downtown Austin
    Since 7 a.m. Thursday, Austin-Travis County EMS have treated at least 28 people who experienced adverse reactions to the synthetic drug known as K2, Austin-Travis County EMS officials said. That’s not counting the people they treated for adverse K2 reactions Wednesday night, which is when medics started seeing a dramatic uptick in cases, officials said. “I don’t have an exact number (of patients) but I’m sure our department is going to get something out like dozens and dozens (of cases) between the last 48 hours,” EMS Cmdr. Mark Karonika said. (Source: JEMS Patient Care)
Source: JEMS Patient Care - August 26, 2016 Category: Emergency Medicine Authors: Austin American-Statesman Tags: News Videos Patient Care Source Type: news

From Headlines to the Emergency Department: Today ’s Top Issues Investigated at ACEP16
WASHINGTON — Simply put, what happens in Las Vegas this fall- saves lives. Nearly 8,000 emergency physicians from across the country will gather at the Mandalay Bay Convention Center October 15-19 for ACEP 16, the nation’s largest annual gathering and educational venue for emergency medicine. Hundreds of seminars and research presentations will cover the vast array of issues facing emergency medicine professionals today including new drugs of abuse, transgender issues, the Zika virus and the ramifications of the presidential election. If an issue is in the news, it’s in the nation’s emergency depart...
Source: JEMS Patient Care - August 26, 2016 Category: Emergency Medicine Tags: Administration and Leadership Industry News Patient Care Source Type: news

EMS Asia 2016 Seeks to Increase Bystander CPR in OHCA
The 4th annual Asian EMS conference is underway in Seoul, South Korea, with special educational seminars presented by key members of the new JEMS International Editorial Board. In addition to serving on the JEMS board, Prof. Sang Do Shin, MD, PhD, of South Korea is chairman of the EMS Asia 2016 Organizing Committee and is also involved with the Global Resuscitation Alliance. His Thursday presentation, Future Strategy of Bystander CPR and PAD Program, focused in on specific strategies to improve out-of-hospital cardiac arrest resuscitation rates. According to Shin, despite recent scientific research proving that hands-only...
Source: JEMS Patient Care - August 25, 2016 Category: Emergency Medicine Authors: Kristina Ackermann Tags: Cardiac & Resuscitation Administration and Leadership Source Type: news

Several Killed in Drug-Induced Rage in Alabama House
CITRONELLE, Ala. (AP) — A man accused of slaying five people at an Alabama home brought an ax to attack his victims, striking one who had been sleeping in a reclining chair, and also used guns he took from the house to shoot them, an Alabama sheriff said Tuesday. Derrick Dearman entered the house in Citronelle before dawn Saturday, Mobile County Sheriff Sam Cochran told The Associated Press. "They were down for the night sleeping, and he had enough familiarity with the house when he entered — I guess you could say in a rage — and he's disabling people as he's in there," Cochran said. "...
Source: JEMS Patient Care - August 24, 2016 Category: Emergency Medicine Tags: News Trauma Source Type: news

Taxi Strikes Crowd in San Francisco
SAN FRANCISCO (AP) — A cab driver and two other people suffered critical injuries when the taxi jumped a curb and plowed into an advertising kiosk and a shoeshine stand at a busy corner in downtown San Francisco. Police officer Grace Gatpandan said the three were rushed to San Francisco General hospital with life-threatening injuries after Tuesday's crash in the city's Financial District. "The cab came barreling down Market Street, hit the newspaper stand and then the next thing I saw was the old man flying over the shoeshine stand," Susan Giammona, who sells shawls and scarves near the crash site, to...
Source: JEMS Patient Care - August 24, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Emergency Crews Respond to Dozens of Illnesses Caused by Tainted Synthetic Marijuana
For the second time in less than a week, dozens of people in downtown's Skid Row area fell ill Monday after smoking a tainted batch of fake marijuana, prompting another massive emergency response, taxing paramedic crews and leading police to scour through homeless encampments. Eighteen people were evaluated at the scene, where 14 of them were transported to hospitals, fire officials said. The department received the call at 10:21 a.m., and paramedic units lined up at 429 E. Fifth St., not far from where a similar event occurred on Friday. That's when the Los Angeles Fire Department initially reported th...
Source: JEMS Patient Care - August 23, 2016 Category: Emergency Medicine Authors: Dakota Smith and Susan Abram > > The Daily News of Los Angeles via LexisNexis Tags: News Patient Care Source Type: news

Building the Infrastructure for the 'EMS-to-Balloon' Era of STEMI Treatment
For a number of years EMS organizations have transported patients suffering acute myocardial infarction with a diagnostic ECG showing ST-segment elevation directly to primary coronary intervention, thus bypassing the emergency department.1 Protocol for activating the cath lab in STEMI patients varies from one organization to another, but the primary methods used are: Utilization of automated ECG/computer interpretation of the ECG ECG transmission to the on-call cardiologist Diagnosis by trained paramedics2 However, few organizations combine all three of these methods. EMS activation of the cath lab has been proven to sho...
Source: JEMS Patient Care - August 22, 2016 Category: Emergency Medicine Authors: Eli Jaffe, PhD, EMT-P Tags: Cardiac & Resuscitation Documentation Patient Care Reporting Source Type: news

EMS Crews Train to Respond to Carfentanil Overdoses
    CARLISLE, Pa. -- A dangerous drug making its way across Pennsylvania, has some emergency medical services workers on alert. Crews prepared to handle a Carfentanil overdose may help save the lives of patients and protect EMS workers from danger. Cumberland Goodwill EMS crews are on the lookout for the drug, which is 10,000 times more powerful than morphine. (Source: JEMS Patient Care)
Source: JEMS Patient Care - August 19, 2016 Category: Emergency Medicine Authors: Fox43.com Tags: News Videos Patient Care Source Type: news

Elderly Alabama Man Killed, Set on Fire by Teen
BIRMINGHAM, Ala. (AP) — An Alabama teenager is charged in the slaying of an 85-year-old man who was doused with gasoline and set on fire. Birmingham police spokesman Lt. Sean Edwards said in a statement Thursday that 18-year-old Thomas Sims was arrested and charged with capital murder in Gene Dacus's death. Police said Dacus and the suspect had some type of encounter Wednesday, when witnesses reported a fire in a backyard and saw the suspect running down an alley with a red gas jug. Dacus was found severely burned lying on the ground in the backyard and pronounced dead at the scene. The suspect was captured ...
Source: JEMS Patient Care - August 19, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Patients Treated by EMS in Puerto Rican Cruise Ship Fire
(Source: JEMS Patient Care)
Source: JEMS Patient Care - August 17, 2016 Category: Emergency Medicine Tags: Slideshow Patient Care Source Type: news

Two Civilians and Several DC Fire and EMS Members to be Honored for Cardiac Save
(Washington, DC) – Two civilians and several members of the Fire and EMS Department will be honored with the Cardiac Arrest Save Coin for successfully resuscitating a heart attack victim at the Folger Theatre. The coins will be presented by DC FEMS Chief Gregory Dean. This is the second such group to receive these coins, in a program recently created by the Department to pay tribute to individuals whose knowledge of CPR and associated life saving techniques has saved lives. The incident in question took place in June, when a retired Montgomery County doctor suffered cardiac arrest while enjoying a show at the Fo...
Source: JEMS Patient Care - August 16, 2016 Category: Emergency Medicine Tags: Cardiac & Resuscitation Industry News Patient Care Source Type: news

Two Civilians and Several DC Fire and EMS Members to be Honored for Cardiac Save
(Washington, DC)– Two civilians and several members of the Fire and EMS Department will be honored with the Cardiac Arrest Save Coin for successfullyresuscitating a heart attack victim at the Folger Theatre. The coins will be presented by DC FEMS Chief Gregory Dean.This is the second such group to receive these coins, in a program recently created by the Department to pay tribute to individuals whose knowledge of CPR and associated life saving techniques has saved lives.The incident in question took place in June, when a retired Montgomery County doctor suffered cardiac arrest while enjoying a show at the Folger...
Source: JEMS Patient Care - August 16, 2016 Category: Emergency Medicine Tags: Cardiac & Resuscitation Industry News Patient Care Source Type: news

Explosion Kills Three Soldiers at South Korean Submarine Base
SEOUL, South Korea (AP) — An accidental explosion at a South Korean naval base on Tuesday left three soldiers dead and another injured, South Korea's Defense Ministry said. Military authorities are investigating the blast that occurred during repair work of a submarine at the base in the southeastern port town of Jinhae, but the possibility of an attack was considered very low. The explosion occurred when the soldiers opened the hatch of the docked submarine and was strong enough to blow one of the dead soldiers into the sea, said a ministry official, who didn't want to be named, citing official rules. Copyr...
Source: JEMS Patient Care - August 16, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Explosion Kills Three Soldiers at South Korean Submarine Base
SEOUL, South Korea (AP) — An accidental explosion at a South Korean naval base on Tuesday left three soldiers dead and another injured, South Korea's Defense Ministry said. Military authorities are investigating the blast that occurred during repair work of a submarine at the base in the southeastern port town of Jinhae, but the possibility of an attack was considered very low. The explosion occurred when the soldiers opened the hatch of the docked submarine and was strong enough to blow one of the dead soldiers into the sea, said a ministry official, who didn't want to be named, citing official rules. Copyright 2...
Source: JEMS Patient Care - August 16, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Fentanyl Linked to 26 Overdoses Reported in 6 Hours in W. Va. Town
HUNTINGTON - Around 3:30 p.m. Monday, reports of overdoses started pouring into Cabell County 911 Dispatch. By 9 p.m., 26 overdoses had been reported, more than Cabell County EMS responds to in a week. Fentanyl continues to plague emergency responders trying to get a grip on the opioid crisis. The widespread availability of narcan certainly helps in the fight against overdoses, but other communities have taken to prosecuting drug dealers as a way to curb the problem. Read More at The Herald Dispatch (Source: JEMS Patient Care)
Source: JEMS Patient Care - August 16, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Fentanyl Linked to 26 Overdoses Reported in 6 Hours in W. Va. Town
HUNTINGTON - Around 3:30 p.m. Monday, reports of overdoses started pouring into Cabell County 911 Dispatch. By 9 p.m., 26 overdoses had been reported, more than Cabell County EMS responds to in a week.Fentanylcontinues to plague emergency responders trying to get a grip on theopioidcrisis. The widespread availability of narcan certainly helps in the fight against overdoses, but other communities have taken toprosecuting drug dealers as a way to curb the problem.Read More at The Herald Dispatch (Source: JEMS Patient Care)
Source: JEMS Patient Care - August 16, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Olympic Fans Injured in Camera Fall
RIO DE JANEIRO (AP) — Seven people were injured Monday when an elevated television camera plummeted more than 60 feet to the ground Monday in the Olympic park outside the basketball venue in the latest in a string of mishaps at the Rio Games. The large camera is one of several suspended on cables to provide aerial views of the main Olympic Park. The Olympic Broadcasting Service said two guide cables on its camera snapped, causing it to fall to a lower concourse that feeds into the basketball stadium. Chris Adams, a gymnastics fan from Britain, said he heard a cable snap and then watched as the camera fell and h...
Source: JEMS Patient Care - August 16, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Olympic Fans Injured in Camera Fall
RIO DE JANEIRO (AP) — Seven people were injured Monday when an elevated television camera plummeted more than 60 feet to the ground Monday in the Olympic park outside the basketball venue in the latest in a string of mishaps at the Rio Games. The large camera is one of several suspended on cables to provide aerial views of the main Olympic Park. The Olympic Broadcasting Service said two guide cables on its camera snapped, causing it to fall to a lower concourse that feeds into the basketball stadium. Chris Adams, a gymnastics fan from Britain, said he heard a cable snap and then watched as the camera fell and hit t...
Source: JEMS Patient Care - August 16, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

16 Injured in Fire at Refugee Camp in Germany
BERLIN (AP) — German authorities say 16 asylum seekers suffered from smoke inhalation after a fire broke out at a container housing facility in the central city of Kassel. The Kassel fire department told the dpa news agency the fire started inside one of the residences Sunday and that an anti-migrant attack had been ruled out. About 200 firefighters battled for several hours to control the fire, which burned more than a dozen of the temporary housing units, sending thick smoke billowing into the air that was visible for kilometers (miles) around. Around 120 asylum-seekers live in the facility at the former K...
Source: JEMS Patient Care - August 15, 2016 Category: Emergency Medicine Tags: News Airway & Respiratory Source Type: news

16 Injured in Fire at Refugee Camp in Germany
BERLIN (AP) — German authorities say 16 asylum seekers suffered fromsmoke inhalation after a fire broke out at a container housing facility in the central city of Kassel. The Kassel fire department told the dpa news agency the fire started inside one of the residences Sunday and that an anti-migrant attack had been ruled out. About 200 firefighters battled for several hours to control the fire, which burned more than a dozen of the temporary housing units, sending thick smoke billowing into the air that was visible for kilometers (miles) around. Around 120 asylum-seekers live in the facility at the former Kassel a...
Source: JEMS Patient Care - August 15, 2016 Category: Emergency Medicine Tags: News Airway & Respiratory Source Type: news

Webcast: How EMS Can Reduce Opioid Overdoses
The NTHSA Office of EMS is hosting a webcast on Thursday, August 25th titled "How EMS Can Reduce Opioid Overdoses." The United States is in the midst of an opioid overdose epidemic, affecting communities across the nation every day. EMS is often the first to arrive on the scene of an overdose, which gives providers an important responsibility in providing timely, appropriate care - but also presents EMS with opportunities to provide valuable information to public health and other partners to play a role in preventing overdoses before they occur. The panelists will discuss: Why New Orleans EMS partnered with publ...
Source: JEMS Patient Care - August 15, 2016 Category: Emergency Medicine Tags: Training Patient Care Industry News Source Type: news

Prosecution Trend: Charging Opioid Dealers in Overdose Deaths
  LITTLETON, N.H. (AP) — He knew he was in trouble even before he read the text message: "Did u hear what hapnd 2 ed?" Ed Martin III had been found dead in the bathroom of a convenience store, slumped over on his knees with a needle and a residue-stained spoon in his pocket. He'd mainlined fentanyl, an opioid up to 50 times more powerful than heroin. A pink plastic bag of white powder sat on the sink. Michael Millette had heard. The overdose death of his friend, just 28, brought tears to his eyes. But he was scared, too. He was Martin's dealer, the man who'd sold him his final fix. In panic, Millette f...
Source: JEMS Patient Care - August 14, 2016 Category: Emergency Medicine Authors: SHARON COHEN, AP National Writer Tags: News Patient Care Source Type: news

Prosecution Trend: Charging Opioid Dealers in Overdose Deaths
 LITTLETON, N.H. (AP) — He knew he was in trouble even before he read the text message:"Did u hear what hapnd 2 ed?"Ed Martin III had been found dead in the bathroom of a convenience store, slumped over on his knees with a needle and a residue-stained spoon in his pocket. He'd mainlined fentanyl, an opioid up to 50 times more powerful than heroin. A pink plastic bag of white powder sat on the sink.Michael Millette had heard. Theoverdose death of his friend, just 28, brought tears to his eyes. But he was scared, too. He was Martin's dealer, the man who'd sold him his final fix.In panic, Millette fled to...
Source: JEMS Patient Care - August 14, 2016 Category: Emergency Medicine Authors: SHARON COHEN, AP National Writer Tags: News Patient Care Source Type: news

A Paradigm Shift in EMS Evaluation Of Stroke
Background Montgomery County Hospital District EMS (MCHD) is collaborating with the South East Texas Regional Advisory Committee (SETRAC) to validate their existing prehospital suspected neurological event guideline for stroke assessment and transport. MCHD is a non-fire based EMS service in Montgomery County, Texas. We respond to approximately 58,000 calls to service and identify stroke in more than 500 patients per year. Our EMS system covers an estimated 1,100-square-mile service area and has 190 medics, 900 EMTs and 15 first responder (FR) organizations. Acute ischemic stroke (AIS) is a debilitating and costly disease ...
Source: JEMS Patient Care - August 12, 2016 Category: Emergency Medicine Authors: Robert L. Dickson, MD, FAAEM, FACEP, FACEM Tags: Patient Care Source Type: news

A Paradigm Shift in EMS Evaluation Of Stroke
BackgroundMontgomery County Hospital District EMS (MCHD) is collaborating with the South East Texas Regional Advisory Committee (SETRAC) to validate their existing prehospital suspected neurological event guideline for stroke assessment and transport.MCHD is a non-fire based EMS service in Montgomery County, Texas. We respond to approximately 58,000 calls to service and identify stroke in more than 500 patients per year. Our EMS system covers an estimated 1,100-square-mile service area and has 190 medics, 900 EMTs and 15 first responder (FR) organizations.Acute ischemic stroke (AIS) is a debilitating and costly disease wit...
Source: JEMS Patient Care - August 12, 2016 Category: Emergency Medicine Authors: Robert L. Dickson, MD, FAAEM, FACEP, FACEM Tags: Patient Care Source Type: news

Responsive Respiratory Introduces MRI Product Offering
St. Louis, Missouri – August 12, 2016 – Responsive Respiratory expands its high pressure offering to include MRI compatible oxygen products. RRI’s new MRI compatible offering includes an MR conditional regulator, non-magnetic E oxygen cylinder, and MRI D/E cylinder cart, featuring a bright orange MRI identifier label for easy identification.  The products are constructed of non-magnetic materials to ensure compliance with standard MRI safety policies.   The MRI products are also available as an all-in-one kit for Provider convenience.  “The introduction of new MRI products demon...
Source: JEMS Patient Care - August 12, 2016 Category: Emergency Medicine Tags: Airway & Respiratory Product Announcements Source Type: news

Responsive Respiratory Introduces MRI Product Offering
St. Louis, Missouri – August 12, 2016 –Responsive Respiratory expands its high pressure offering to include MRI compatibleoxygen products.RRI ’ s new MRI compatible offering includes an MR conditional regulator, non-magnetic E oxygen cylinder, and MRI D/E cylinder cart, featuring a bright orange MRI identifier label for easy identification.  The products are constructed of non-magnetic materials to ensure compliance with standard MRI safety policies.  The MRI products are also available as an all-in-one kit for Provider convenience. “ The introduction of new MRI products demonstr...
Source: JEMS Patient Care - August 12, 2016 Category: Emergency Medicine Tags: Airway & Respiratory Product Announcements Source Type: news

Wake Forest Baptist Researchers Successfully Test Modified Stun Gun with Heart Monitoring Capability
WINSTON-SALEM, N.C. – Aug. 12, 2016 – Researchers at Wake Forest Baptist Medical Center have successfully tested a prototype conducted electrical weapon (CEW) capable of recording a subject’s heart rate and rhythm while still delivering incapacitating electrical charges. The study is published in the current online edition of the Journal of Forensic and Legal Medicine. CEWs, best known by the brand name Taser – have proved to be a generally safe and effective way for law-enforcement officers to subdue criminal suspects and threatening individuals in non-lethal situations. Cases of serious inju...
Source: JEMS Patient Care - August 12, 2016 Category: Emergency Medicine Tags: Cardiac & Resuscitation Industry News Patient Care Source Type: news

Next Life Medical Acquires Emergent Respiratory
Carlsbad, CA (August 11, 2016) – Next Life Medical, a patient focused Medical Device Company, has acquired Emergent Respiratory, known for its’ world class emergency CPAP product line, the Porto2Vent. The company’s patented positive pressure ventilation platform incorporates proprietary “on-demand” pressure-balanced patient valves, single-use breathing circuits, and a line of proprietary masks for use as an early intervention to treat all forms of dyspnea (difficulty breathing) including CHF (Congestive Heart Failure). PortO2Vent, is an advanced respiratory device that provides CPAP (Continuou...
Source: JEMS Patient Care - August 11, 2016 Category: Emergency Medicine Tags: Airway & Respiratory Industry News Source Type: news

Next Life Medical Acquires Emergent Respiratory
Carlsbad, CA (August 11, 2016) – Next Life Medical, a patient focused Medical Device Company, has acquired Emergent Respiratory, known for its ’ world class emergency CPAP product line, the Porto2Vent. The company ’ s patented positive pressure ventilation platform incorporates proprietary “ on-demand ” pressure-balanced patient valves, single-use breathing circuits, and a line of proprietary masks for use as an early intervention to treat all forms of dyspnea (difficulty breathing) including CHF (Congestive Heart Failure).PortO2Vent, is an advanced respiratory device that providesCPAP (Contin...
Source: JEMS Patient Care - August 11, 2016 Category: Emergency Medicine Tags: Airway & Respiratory Industry News Source Type: news

Will Artificial Intelligence Help Paramedics Successfully Intubate?
Promising Technology Carlson JN, Das S, De la Torre F, et al. A novel artificial intelligence system for endotracheal intubation. Prehosp Emerg Care. Mar 17, 2016. [Epub ahead of print.] In the 1983 science-fiction film WarGames, Matthew Broderick believed he was going head-to-head with a random simulation program. However, he soon learned he’d accidentally hacked into a government artificial intelligence (AI) computer system programmed to repeatedly run thermonuclear simulations until it learned the best strategy for winning a war. Over 30 years later, AI is no longer the stuff of science fiction. In fact, AI algori...
Source: JEMS Patient Care - August 11, 2016 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Airway & Respiratory Columns Training Patient Care Source Type: news

Will Artificial Intelligence Help Paramedics Successfully Intubate?
Promising TechnologyCarlson JN, Das S, De la Torre F, et al. A novel artificial intelligence system for endotracheal intubation.Prehosp Emerg Care.Mar 17, 2016. [Epub ahead of print.]In the 1983 science-fiction filmWarGames, Matthew Broderick believed he was going head-to-head with a random simulation program. However, he soon learned he ’ d accidentally hacked into a government artificial intelligence (AI) computer system programmed to repeatedly run thermonuclear simulations until it learned the best strategy for winning a war.Over 30 years later, AI is no longer the stuff of science fiction. In fact, AI algorithms...
Source: JEMS Patient Care - August 11, 2016 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Airway & Respiratory Columns Training Patient Care Source Type: news

Tactical EMS Treatment of High-Velocity Gunshot Wound
This case study is of a good friend of mine (written with his consent) who sustained a through-and-through gunshot wound from an AK47 round from a range of approximately 200m. The operator who was shot belonged to a US Government Agency, and my element and his were on a combined counter-narcotic job in Southern Afghanistan at the time.  As with any casualty in a tactical or high-threat environment the highest priorities are to control the threat situation if possible, minimise the likelihood of sustaining further casualties, or becoming a casualty yourself, and only then move on to casualty assessment and treatment. T...
Source: JEMS Patient Care - August 10, 2016 Category: Emergency Medicine Authors: Dan Pronk Tags: Trauma Patient Care Source Type: news

Tactical EMS Treatment of High-Velocity Gunshot Wound
This case study is of a good friend of mine (written with his consent) who sustained a through-and-through gunshot wound from an AK47 round from a range of approximately 200m. The operator who was shot belonged to a US Government Agency, and my element and his were on a combined counter-narcotic job in Southern Afghanistan at the time. As with any casualty in a tactical orhigh-threat environment the highest priorities are to control the threat situation if possible, minimise the likelihood of sustaining further casualties, or becoming a casualty yourself, and only then move on to casualty assessment and treatment. The...
Source: JEMS Patient Care - August 10, 2016 Category: Emergency Medicine Authors: Dan Pronk Tags: Trauma Patient Care Source Type: news

Evidence Supports Using End-Tidal Carbon Dioxide to Detect Prehospital Sepsis
The term sepsis was originally used over 2,700 years ago in the poems of Homer and in the writings of Hippocrates to describe the processes of “rotting” or “decaying.”1,2 Sepsis is a major cause of emergency department (ED) visits and results in significant morbidity and mortality.3 With over a million Americans suffering from sepsis per year, the annual total treatment costs exceed $20 billion,4,5 making septicemia the most expensive inpatient condition to treat in the United States.5 Sepsis is caused by systemic inflammation that results from the release of enormous quantities of cytokines and che...
Source: JEMS Patient Care - August 10, 2016 Category: Emergency Medicine Authors: David Arroyo, MBS, BA, EMT-B Tags: Patient Care Source Type: news

Evidence Supports Using End-Tidal Carbon Dioxide to Detect Prehospital Sepsis
The termsepsis was originally used over 2,700 years ago in the poems of Homer and in the writings of Hippocrates to describe the processes of “ rotting ” or “ decaying. ”1,2Sepsis is a major cause of emergency department (ED) visits and results in significant morbidity and mortality.3With over a million Americans suffering from sepsis per year, the annual total treatment costs exceed $20 billion,4,5 making septicemia the most expensive inpatient condition to treat in the United States.5Sepsis is caused by systemic inflammation that results from the release of enormous quantities of cytokines and che...
Source: JEMS Patient Care - August 10, 2016 Category: Emergency Medicine Authors: David Arroyo, MBS, BA, EMT-B Tags: Patient Care Source Type: news

Children fall from Ferris Wheel at Tennessee County Fair
NASHVILLE, Tenn. (AP) — Government investigators have not yet determined how a Ferris wheel seat flipped over at a Tennessee county fair, sending three children plummeting 30 to 45 feet to the ground. But the accident that left a 6-year-old girl with a traumatic brain injury sharpened the focus Tuesday on how carnival ride operators are regulated. After a 2014 audit found shortcomings in Tennessee's regulatory program for rides at fairs and amusement parks, state officials decided to get out of the inspection business altogether. Now, the state relies on private inspectors hired by operators and other states' regu...
Source: JEMS Patient Care - August 10, 2016 Category: Emergency Medicine Tags: News Trauma Source Type: news

Children fall from Ferris Wheel at Tennessee County Fair
NASHVILLE, Tenn. (AP) — Government investigators have not yet determined how a Ferris wheel seat flipped over at a Tennessee county fair, sending three childrenplummeting 30 to 45 feet to the ground. But the accident that left a 6-year-old girl with atraumatic brain injury sharpened the focus Tuesday on how carnival ride operators are regulated. After a 2014 audit found shortcomings in Tennessee's regulatory program for rides at fairs and amusement parks, state officials decided to get out of the inspection business altogether. Now, the state relies on private inspectors hired by operators and other states' regulato...
Source: JEMS Patient Care - August 10, 2016 Category: Emergency Medicine Tags: News Trauma Source Type: news

Florida Woman Fatally Shot in Police Training Exercise
PUNTA GORDA, Fla. (AP) — A woman was fatally shot by an officer while participating in a "shoot-don't shoot" exercise during a two-hour citizens academy hosted by the Punta Gorda Police Department in southwest Florida. Police Chief Tom Lewis said the shooting happened Tuesday night as two of the 35 participants were randomly selected to take part in a live roleplaying scenario "in which they make decisions on using simulated lethal force." Lewis said Mary Knowlton, a librarian, was "mistakenly struck with a live round." "I am devastated for everyone involved in this unimagi...
Source: JEMS Patient Care - August 10, 2016 Category: Emergency Medicine Tags: News Trauma Source Type: news

Florida Woman Fatally Shot in Police Training Exercise
PUNTA GORDA, Fla. (AP) — A woman wasfatally shot by an officer while participating in a"shoot-don't shoot" exercise during a two-hour citizens academy hosted by the Punta Gorda Police Department in southwest Florida. Police Chief Tom Lewis said the shooting happened Tuesday night as two of the 35 participants were randomly selected to take part in a live roleplaying scenario"in which they make decisions on using simulated lethal force." Lewis said Mary Knowlton, a librarian, was"mistakenly struck with a live round." "I am devastated for everyone involved in this unimaginable event...
Source: JEMS Patient Care - August 10, 2016 Category: Emergency Medicine Tags: News Trauma Source Type: news

Children, Babysitter Drown in Colorado Pool
PUEBLO, Colo. (AP) — Two sisters, ages three and five, and their 17-year-old female baby sitter drowned in a swimming pool in a southern Colorado mobile home park, police said Monday. Pueblo police were investigating what led to the drownings but said no foul play was suspected, The Pueblo Chieftain reported (http://bit.ly/2b9ASTx ). "I think it's just a horrible tragedy," Capt. Joe Garcia said. The names of the victims weren't immediately released. Officers responding to an emergency call shortly after 2 p.m. tried to revive the victims at Pueblo Grande Village, a mobile home park located north...
Source: JEMS Patient Care - August 9, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Children, Babysitter Drown in Colorado Pool
PUEBLO, Colo. (AP) — Two sisters, ages three and five, and their 17-year-old female baby sitter drowned in a swimming pool in a southern Colorado mobile home park, police said Monday. Pueblo police were investigating what led to the drownings but said no foul play was suspected, The Pueblo Chieftain reported (http://bit.ly/2b9ASTx ). "I think it's just a horrible tragedy," Capt. Joe Garcia said. The names of the victims weren't immediately released. Officers responding to an emergency call shortly after 2 p.m. tried to revive the victims at Pueblo Grande Village, a mobile home park located north of downt...
Source: JEMS Patient Care - August 9, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Boy Suffered Neck Injury on Kansas City Waterslide
KANSAS CITY, Mo. (AP) — A Kansas waterslide billed as the world's tallest remained off-limits as authorities pressed to figure out how a state lawmaker's 10-year-old son died of a neck injury while riding it. Details remained murky about what happened Sunday to Caleb Thomas Schwab on the 168-foot-tall "Verruckt" — German for "insane" — that since its debut two years ago has been the top draw at Schlitterbahn Waterpark in Kansas City, Kansas. Kansas City, Kansas, police issued a statement late Monday afternoon saying that Caleb suffered a fatal neck injury around 2:30 p.m. while h...
Source: JEMS Patient Care - August 9, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Boy Suffered Neck Injury on Kansas City Waterslide
KANSAS CITY, Mo. (AP) — A Kansas waterslide billed as the world's tallest remained off-limits as authorities pressed to figure out how a state lawmaker's10-year-old son died of a neck injury while riding it. Details remained murky about what happened Sunday to Caleb Thomas Schwab on the 168-foot-tall"Verruckt" — German for"insane" — that since its debut two years ago has been the top draw at Schlitterbahn Waterpark in Kansas City, Kansas. Kansas City, Kansas, police issued a statement late Monday afternoon saying that Caleb suffered a fatal neck injury around 2:30 p.m. while he was r...
Source: JEMS Patient Care - August 9, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news

Rio Olympics Medics in Action
(Source: JEMS Patient Care)
Source: JEMS Patient Care - August 8, 2016 Category: Emergency Medicine Tags: Slideshow Patient Care Source Type: news

Drug Laced Candy Sends Ohio Concertgoers to Hospital
COLUMBUS, Ohio (AP) — Two dozen concertgoers in northeast Ohio suffered medical symptoms Saturday after they ate candy laced with a drug found in marijuana. No fatalities were reported at the Ohio Dreams sports camp complex in Butler, about 60 miles northeast of Columbus, where the weekend-long EST 2016 rap music festival was being held. The concert was dubbed "The Last Weekend on Earth." Maj. Joe Masi of the Richland County Sheriff's Department told the Mansfield News Journal someone began tossing out bags of the colorful candies Saturday at around 11 a.m. The packages contained about 20 pieces each ...
Source: JEMS Patient Care - August 8, 2016 Category: Emergency Medicine Tags: News Patient Care Source Type: news