Prehospital Assessment for Stroke Isn ’t Perfect
Prehospital assessment tools for neurological deficits aren’t perfect An approximately 30-year-old male answers the door to let you and your partner into the house you’ve been called to. Hank introduces himself and thanks you for coming, quickly adding that he’s concerned about his mother who’s “acting weird.” Hank tells you he stopped by his mom’s house for lunch and found her using paper plates to heat food on the stove. He stopped her before the plate ignited. His mother seemed confused and so he called 9-1-1. Patient Assessment Margaret, Hank’s 53-year-old mot...
Source: JEMS Patient Care - May 1, 2018 Category: Emergency Medicine Authors: Dennis Edgerly, EMT-P Tags: Patient Care Cardiac & Resuscitation Columns Source Type: news

Teen Delivers a Baby Days After Learning About Childbirth in School
EDEN, Utah (AP) — A northern Utah high school student delivered her aunt's baby Saturday, days after learning about childbirth in her child development class. Morlie Hayes, 16, was at home in Eden over the weekend while her mom was out running errands and a surprise visitor showed up: her pregnant aunt Laura Creager, who was going into early labor. "My mom's outside. She's going to have her baby!" Creager's 7-year-old daughter said through tears, the teenager told the Deseret News. The baby wasn't due until May 19. Creager thought she had another hour before she would make it to the hospital, but her baby w...
Source: JEMS Patient Care - May 1, 2018 Category: Emergency Medicine Authors: Associated Press Tags: Patient Care News Source Type: news

National Trauma Awareness Month
More than 199,800 Americans die annually as a result of traumatic injuries and injuries are the leading cause of death among people ages 1-44 years of age in the U.S. - that is more deaths than non-communicable diseases and infectious diseases combined. Injury prevention has been a core value of the American Trauma Society since the Society was founded in 1968 and drives the organization's activities, resource development and advocacy. The American Trauma Society (ATS) was instrumental in having May of each year designated as National Trauma Awareness Month by President Ronald Reagan and Congress in 1988. Since then, th...
Source: JEMS Patient Care - April 27, 2018 Category: Emergency Medicine Authors: The American Trauma Society Tags: Trauma Industry News Administration and Leadership Source Type: news

A Team of Two: EMS And Epidemiology
“What’s an epidemiologist?” is usually the first question I get asked when people inquire about my career. If someone happens to know what an epidemiologist is, they usually ask if I work with viruses like Ebola or the flu. They might even reference a few movies like Outbreak, Contagion, or World War Z. I must admit, I wouldn’t mind single-handedly saving the world from a rare and horrific disease, but in the real world, epidemiology is a little less glamorous. Epidemiology is “the study of the distribution and determinants of health-related states or events in specified populations, and ...
Source: JEMS Patient Care - April 26, 2018 Category: Emergency Medicine Authors: Morgan K. Anderson, MPH Tags: Documentation & Patient Care Reporting Source Type: news

Portable Test Helps Identify Refugees at Risk of Outbreaks
WASHINGTON (AP) — Call it a lab in a box: Researchers created a device about the size of a toaster that can test a drop of blood to tell, in about half an hour, who's immune to certain infections and who's not. The goal is to find groups of people at risk of outbreaks, especially in impoverished and remote parts of the world, in time to save lives. Wednesday, Canadian researchers reported their novel tool worked pretty well at identifying people vulnerable to measles and rubella in a refugee camp in Kenya. "We're very excited about the potential for this technology," said epidemiologist Aimee Summers of the...
Source: JEMS Patient Care - April 26, 2018 Category: Emergency Medicine Authors: Lauren Neergaard, Associated Press Tags: Patient Care News Source Type: news

Physio-Control Launches Newest Version of LUCAS Chest Compression System in United States
REDMOND, Wash.--(BUSINESS WIRE)--(Product Bulletin) Today Physio-Control, now part of Stryker, announced its newest version of the LUCAS 3 Chest Compression System, version 3.1. The latest version provides powerful new capabilities for tailored device functionality, wireless reporting and device status notifications sent over email. The latest LUCAS 3.1 version allows professional users to tailor setup options for compression rate/depth, pauses, alerts, timer, and ventilation features to meet local emergency care protocols. LUCAS 3.1 now includes Wi-Fi® connectivity with a LIFENET® Syst...
Source: JEMS Patient Care - April 25, 2018 Category: Emergency Medicine Authors: Physio-Control Tags: Cardiac & Resuscitation Patient Care Industry News Source Type: news

Hennepin County (Minn.) EMS Sees Highest Number of Overdoses in the State
MINNEAPOLIS (WCCO) — The people on the front lines of the opioid epidemic see the crisis daily. It’s become typical for a crew in Hennepin County to respond to an opioid-related overdose on every shift. In Minnesota, that’s where the highest number of overdoses occur. (Source: JEMS Patient Care)
Source: JEMS Patient Care - April 23, 2018 Category: Emergency Medicine Authors: Jennifer Mayerle, WCCO Tags: News Videos Patient Care Source Type: news

Patient Thanks Ada County (Idaho) Paramedics Who Saved His Life
BOISE, Idaho – On a chilly November night, Ada County Paramedics responded to a 9-1-1 call after a vehicle struck Robert Savage on his motorcycle, propelling him 35 feet down a hill and into a fence. Ada County Paramedics arrived on scene to find Savage with a broken leg, having a grand mal seizure. After a lengthy physical and emotional healing process, Savage is finally at a place where he can tell his story—and he wants to thank the paramedics who saved his life that night. “I am very excited to meet them,” Savage said. “There are a lot of gaps in my mind that I hope they can fill for me.&r...
Source: JEMS Patient Care - April 19, 2018 Category: Emergency Medicine Authors: Ada County Paramedics Tags: Patient Care Industry News Source Type: news

New Data Suggests Americans Filling Fewer Opioid Prescriptions
TRENTON, N.J. (AP) — New data show that the number of prescriptions for opioid painkillers filled in the U.S. fell dramatically last year. They showed their biggest drop in 25 years. The decline comes amid increasing legal restrictions and public awareness of the dangers of addiction. A health data firm released a report Thursday showing a 9 percent average drop nationwide in the number of prescriptions for opioids filled by retail and mail-order pharmacies. All 50 states and the District of Columbia had declines of more than 5 percent. The U.S. is estimated to consume roughly 30 percent of all opioids used worldwid...
Source: JEMS Patient Care - April 19, 2018 Category: Emergency Medicine Authors: Linda A. Johnson, Associated Press Tags: Patient Care News Source Type: news

Powell County (Ky.) EMS Crew Delivers Baby in Back of Ambulance
POWELL COUNTY, Ky. (WKYT) - It's not a place you expect to give birth, but one woman in Powell County ended up giving birth to a baby girl in the back of an ambulance Sunday. Two Powell County paramedics and one emergency medical technician successfully delivered the baby girl while they were rushing the parents to the hospital. "She already had her clothes partially pulled off," said EMT Terri Patrick, "I told her, 'ma'am I'm going to have to take a look.' She said 'this baby is coming.'" The baby was coming out feet first, which sometimes requires a c-section. "One little purple foot stickin...
Source: JEMS Patient Care - April 19, 2018 Category: Emergency Medicine Authors: Chelsea Jones Tags: News Videos Patient Care Source Type: news

Organs from Drug Overdoses May Help Transplant Shortage
WASHINGTON (AP) — Fatal drug overdoses are increasing organ donations, and researchers reported Monday that people who receive those transplants generally fare as well as patients given organs from more traditional donors. The findings could encourage more use of organs from overdose victims. Researchers from Johns Hopkins University found those transplants have jumped nearly 24-fold since 2000. That was before overdoses were making headlines or most transplant centers considered accepting such organs. In 2016, there were 3,533 transplants using overdose-related donated organs, up from just 149 such transplants in 20...
Source: JEMS Patient Care - April 17, 2018 Category: Emergency Medicine Authors: Lauran Neergard, Associated Press Tags: Patient Care News Source Type: news

FUJIFILM Sonosite Unveils Full Suite of IVIZ Point-of-Care Transducers
Amsterdam, the Netherlands – FUJIFILM SonoSite Inc., specialists in developing cutting-edge, point-of-care ultrasound solutions, today announced the launch of two new transducers for the SonoSite iViz point-of-care ultrasound, now connecting a total of four to their powerful, hand-held diagnostic tool. Built-from-the-ground-up, iViz is a lightweight, miniaturized ultrasound system that fits right into your pocket. It can be taken anywhere, from a patient’s bedside to first response at a car accident. Now with the addition of the L25v and C60v transducers to its portfolio, the iViz enables clinicians the ability...
Source: JEMS Patient Care - April 16, 2018 Category: Emergency Medicine Authors: FUJIFILM Sonosite Tags: Patient Care Industry News Equipment & Gear Source Type: news

One Paramedic's Perspective on Civilian Naloxone Distribution
The U.S. surgeon general, Dr. Jerome Adams, recently issued the first national public health advisory in 13 years. He wants more civilians to start carrying naloxone “to help combat the nation’s opioid crisis and save lives.” Since 2010, the number of Americans who die from opioid overdoses annually has more than doubled, and in 2016 there were more than 42,000 deaths. The need for a multifaceted strategy to combat this deadly epidemic is clear. Among many EMS providers, there’s a great deal of angst directed at civilian naloxone distribution programs, as well as at opioid overdoses in general. If y...
Source: JEMS Patient Care - April 16, 2018 Category: Emergency Medicine Authors: Simon Taxel, NREMT-P Tags: Patient Care Administration and Leadership Source Type: news

On His Day Off, Roanoke County (Va.) Paramedic Saves An Infant's Life
Roanoke, Va. (WSLS) - Being a hero has no boundaries. We tell you the story of this year's Red Cross Emergency Responder Hero. He's a Roanoke County paramedic and firefighter, and even on a day off, he saved a life. Andrew Goodpasture has worked on an ambulance in Roanoke County for eight years, helping save numerous lives. But an incident that happened during an out-of-town hunting trip in January 2017 was unlike any other. "So I was in the middle of nowhere, out of town. I do a lot of hunting,” Goodpasture said. “Me and a couple of buddies went on a goose hunt.” It was supposed to be a fun day...
Source: JEMS Patient Care - April 14, 2018 Category: Emergency Medicine Authors: Lindsey Ward, WSLS Tags: News Videos Patient Care Administration and Leadership Source Type: news

New Way of Defining Alzheimer's Aims to Find Disease Sooner
Government and other scientists are proposing a new way to define Alzheimer's disease — basing it on biological signs, such as brain changes, rather than memory loss and other symptoms of dementia that are used today. The move is aimed at improving research, by using more objective criteria like brain scans to pick patients for studies and enroll them sooner in the course of their illness, when treatments may have more chance to help. But it's too soon to use these scans and other tests in routine care, because they haven't been validated for that yet, experts stress. For now, doctors will still rely on the tools the...
Source: JEMS Patient Care - April 9, 2018 Category: Emergency Medicine Authors: Marilynn Marchione, Associated Press Tags: Patient Care News Source Type: news

In Iowa, Teachers Learn How to 'Stop The Bleed'
PLEASANT HILL, Iowa (AP) — As she learned the basics of applying direct pressure, packing a wound with gauze and tying a tourniquet, sixth-grade math and social studies teacher Kari Stafford shook her head at the thought that this may now be an essential skill for her profession. Stafford didn't like it, but with school shootings now a regular occurrence, she and her colleagues have reluctantly accepted that the attacks won't stop and that teachers must know how to keep the victims from bleeding to death. "Learning to help and not just stand there is important," said Stafford, who joined about a dozen other...
Source: JEMS Patient Care - April 9, 2018 Category: Emergency Medicine Authors: Scott McFetridge, Associated Press Tags: Training Trauma News Source Type: news

New Drug Mixtures Cause Surge in Ohio Overdose Deaths
CINCINNATI (AP) — New surges in use of methamphetamine and cocaine mixed with a powerful synthetic opioid are contributing to rising drug overdose death tolls in already hard-hit Ohio. As county coroners have begun releasing their 2017 tallies, a trend has emerged of more deaths involving meth or cocaine mixed with fentanyl, the painkiller blamed for increasing U.S. fatalities in recent years as authorities focused on reducing heroin overdoses. U.S. authorities say illicit fentanyl made in China has flooded in while there is increased availability of meth and a rebound in cocaine. All have been contributing to the na...
Source: JEMS Patient Care - April 2, 2018 Category: Emergency Medicine Authors: Dan Sewell, Associated Press Tags: Patient Care News Source Type: news

The Psychology of Prehospital Pediatric Emergencies
This article will present an overview of psychological factors that affect children, parents and EMS providers. The focus will be on children less than or equal to 10 years old, because cognition and understanding start to approach those of adults after age 10. The term “younger children” will be used to refer to children less than or equal to 6 years old. No other differentiation along developmental stages will be presented in this article because this would usually require some form of developmental or psychological testing and may be unreliable in an emergency since regression to an earlier stage might occur...
Source: JEMS Patient Care - April 2, 2018 Category: Emergency Medicine Authors: Harald Karutz, PhD, EMT-P Tags: Patient Care Source Type: news

The BLAST Approach: Rethinking the Way We Approach MCI Triage
  I’ve studied and taught mass casualty incident (MCI) care and response for 40 years and have found that students often get confused when tasked with memorizing rarely used triage processes or algorithms. They easily grasp and master the difference between BLS and ALS, because they use these concepts daily. However, they often stumble when at the scene of a mass casualtyor active shooter incident, where they’re tasked with rapidly determining the category of seriously or mortally wounded patients. When I train students, I explain how to perform triage as a simple modification of the daily BLS/ALS decision...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Major Incidents Trauma Columns Mass Casualty Incidents Patient Care Source Type: news

A Modern Approach to Basic Airway Management
A modern approach to the essentials of ventilation & oxygenation Administering oxygen via nasal cannula while treating a patient with CPAP increases the fraction of inspired oxygen and doesn’t typically interfere with the mask seal. Photos courtesy Andrew Merelman You arrive on scene and find a 68-year-old man is lying on the couch with difficulty breathing. He’s obese and obtunded, with severe respiratory distress. His wife tells you he has a history of congestive heart failure. He appears pale and diaphoretic, with snoring, slow, shallow breaths and his initial oxygen saturation is 72%. What are the m...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Andrew Merelman, BS, NRP, FP-C Tags: Airway & Respiratory Patient Care Source Type: news

Evidence-Based Prehospital Lung Protective Ventilation Protocol Reduces Lung Injury
Protective mechanical ventilation strategies in the prehospital setting Montgomery County Hospital District EMS developed an evidence-based paramedic-initiated lung protective ventilation bundle to reduce ventilator-induced lung injury. Photo courtesy Montgomery County Hospital District Lowering tidal volumes in an effort to reduce lung injury following initiation of mechanical ventilation is far from a new idea, the original ARDSNet data are nearly 20 years old. Recent ED-based studies have shown decreased mortality when lower tidal volumes are used early in ventilated patient management.1 Montgomery County Hospital D...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Casey B. Patrick, MD, FACEP Tags: Airway & Respiratory Patient Care Source Type: news

Evidence-Based Prehospital Lung Protective Ventilation Protocol Reduces Lung Injury
Protective mechanical ventilation strategies in the prehospital setting Montgomery County Hospital District EMS developed an evidence-based paramedic-initiated lung protective ventilation bundle to reduce ventilator-induced lung injury. Photo courtesy Montgomery County Hospital District Lowering tidal volumes in an effort to reduce lung injury following initiation of mechanical ventilation is far from a new idea, the original ARDSNet data are nearly 20 years old. Recent ED-based studies have shown decreased mortality when lower tidal volumes are used early in ventilated patient management.1 Montgomery County Hospital D...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Casey B. Patrick, MD, FACEP Tags: Airway & Respiratory Patient Care Source Type: news

Optimize Patient Outcomes with Good Post-Intubation Management Methods
Methods to optimize patient outcomes When making a choice for both analgesics and sedatives, one should be guided by the patient’s clinical condition and anticipated clinical course. Photos courtesy Ryan Hodnick As EMS providers, we’re commonly called upon to transport the critically ill or injured intubated patient. It’s easy to focus on the intubation procedure, but pre- and post-intubation management are just as important. What we do before the actual act of intubation, resuscitation, pre-oxygenation really matters. The initial management of these patients can have a significant impact on both thei...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Ben Stone, FP-C Tags: Airway & Respiratory Patient Care Source Type: news

In the Bag or Out of Control? BVM Revisited
In the bag or out of control? A recent article highlighting new changes to the comprehensive 2015 European Research Council (ERC) Guidelines for Resuscitation states that there’s “little new in how we should manage the airway in 2017.”1,2 The article references two studies that demonstrate increased use of, and better success rates with, videolaryngoscopy for endotracheal intubation (ETI), as well as another study showing that inexperienced providers can successfully perform cricothyroidotomies on fresh cadavers using pocket knives and ballpoint pens. Although the increasing use of video technology may le...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Neal Richmond, MD, FACEP Tags: Airway & Respiratory Patient Care Columns Source Type: news

Tale of the Tape: How Accurate is the Broselow Tape for Weight Estimation and Drug Dosing?
In this study, the authors wanted to address questions regarding the Broselow tape’s accuracy in estimating pediatric weight, as well as examine its impact on drug calculations. They examined 1,318 studies and found 118 that met eligibility criteria for statistical review. Eighty-four studies addressed weight estimation, of which 58 met criteria for review based on the strength of the quantitative data. The studies spanned from the 1988 article that introduced the Broselow tape to the latest articles in 2017. Their findings included the following: >> The Broselow tape was significantly more accurate than provid...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP, FAEMS Tags: Patient Care Columns Source Type: news

Bystander Epinephrine in Community Anaphylaxis
Discussion This case represents the value of Good Samaritan willingness to share designated epinephrine auto-injectors. Early access to epinephrine saves lives, and there’s no absolute contraindication to epinephrine in the treatment of anaphylaxis.1 Moreover, rates of anaphylaxis have increased and most cases occur in communities rather than healthcare settings. (Source: JEMS Patient Care)
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Marcus Shaker, MD, MS Tags: Patient Care Source Type: news