2016 JEMS Salary Survey
A look across two years of data We're excited to present the results of this year's JEMS Annual Salary Survey, based on calendar year 2016 data. This annual nationwide salary data collection and analysis has become an important industry tool. For consistency of thought and data, JEMS engaged the same authors from various industry backgrounds and experience to help analyze and summarize findings and to start a more structured year over year trending approach. We're happy to report that these efforts have continued to pay great dividends for the annual survey, with another benchmark set. We had the highest engagement rate ev...
Source: JEMS Special Topics - November 2, 2017 Category: Emergency Medicine Authors: Jonathan D. Washko, MBA, NREMT-P, AEMD Tags: Special Topics Administration and Leadership Source Type: news

Meet 2016 zoll emt scholarship recipient - nathan boone
Nathan Boone, an EMT with the South Howell County Ambulance District in West Plains, Missouri, hopes to use his ZOLL EMT Scholarship to further his emergency service experience and eventually become a flight medic at the local air evacuation base. He has almost completed with his paramedic program at South Howell County Ambulance, and is scheduled to take his oral exam in mid-April.  Boone cites his most interesting call as the rescue of a middle-aged man who fell into a storm drain. In an effort to escape, the man climbed over half a mile only to get stuck at the end of the tunnel. The call came in about “...
Source: JEMS Special Topics - March 30, 2017 Category: Emergency Medicine Tags: Special Topics Industry News Category Source Type: news

NASEMSO Presents Interim Guidance on the Safe Transport of Children by EMS
Editor’s note from A.J. Heightman, Editor-in-Chief of JEMS The National Association of EMS State Officials (NASEMSO) took a big step recently in presenting interim guidance to EMS agencies for safely transporting children by in ambulances until evidence-based standards are created. This action by NASEMSO offers important recommendations that agencies should review and develop policies and procedures to ensure that children are transported in a safe and secure manner. While not endorcing and specific immobilization and/or securing products, the NASEMSO Ad Hoc Committee does recommend that “The device(s) should c...
Source: JEMS Special Topics - March 30, 2017 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: News Patient Care Special Topics Industry News Administration and Leadership Source Type: news

Self-Driving Cars May Pose New Challenges for EMS
PHOENIX (AP) — A crash that caused an Uber self-driving SUV to flip onto its side in a Phoenix suburb serves as a stark reminder of the challenges surrounding autonomous vehicles in Arizona, a state that has gone all-in to entice the company by promising minimal government regulation. Friday night's crash was blamed on the driver of an oncoming SUV that turned left in front of the Uber vehicle carrying two test drivers and no passengers. There were no serious injuries and the driver of the other car was cited for a moving violation. But images of Uber's Volvo SUV rolled onto its side reverberated heavily on social me...
Source: JEMS Special Topics - March 28, 2017 Category: Emergency Medicine Authors: Gene J. Puskar, Associated Press Tags: Rescue & Vehicle Extrication Major Incidents News Special Topics Operations Source Type: news

JEMS/PennWell Corporation Announces 2016 JEMS Games Competition Winners
Baltimore, Md. PennWell Corporation announces today the winning teams in the 2016 JEMS Games Advanced Clinical Competition held during the 35th Annual EMS Today Conference and Exposition, an industry-leading event that provides quality education and training for emergency medical services (EMS) professionals worldwide. A highlight of the three-day conference was the final round of the JEMS Games, held on Friday, Feb. 26, where the top three competing teams from Thursday’s preliminary rounds were challenged with the task of providing quality patient care during a realistic, multiple-patient incident designed to test e...
Source: JEMS Special Topics - March 1, 2016 Category: Emergency Medicine Tags: News JEMS Games EMS Today Source Type: news

JEMS/PennWell Corporation Announces 2016 JEMS Games Competition Winners
Baltimore, Md. PennWell Corporation announces today the winning teams in the 2016 JEMS Games Advanced Clinical Competition held during the 35th Annual EMS Today Conference and Exposition, an industry-leading event that provides quality education and training for emergency medical services (EMS) professionals worldwide. A highlight of the three-day conference was the final round of the JEMS Games, held on Friday, Feb. 26, where the top three competing teams from Thursday’s preliminary rounds were challenged with the task of providing quality patient care during a realistic, multiple-patient incident designed to test e...
Source: JEMS Special Topics - March 1, 2016 Category: Emergency Medicine Tags: News JEMS Games EMS Today Source Type: news

2016 JEMS Games
(Source: JEMS Special Topics)
Source: JEMS Special Topics - February 26, 2016 Category: Emergency Medicine Tags: JEMS Games News EMS Today Patient Care Source Type: news

Aladtec to Attend EMS Today: The JEMS Conference & Exposition (MD) Presented by Penwell
February 17, 2016 - Baltimore, MD - The 35th annual EMS Today event takes place February 25-27 at the Baltimore Convention Center.  The conference is a Pennwell event and produced by the Journal of Emergency Medical Services (JEMS).  Attendees from around the world will have an opportunity to take continuing education classes, network with peers and visit the exhibition hall where hundreds of vendors will showcase the latest technology, products and services for emergency medical services. One exhibitor attending EMS Today this year, is Wisconsin based Aladtec (booth #4027).  Aladtec is an online employee sc...
Source: JEMS Special Topics - February 17, 2016 Category: Emergency Medicine Tags: Industry News EMS Today Conference Source Type: news

“60 Minutes” with Medic One, 1974
  Medic One Foundation - In 1974, Morley Safer from CBS's "60 Minutes" declared that Seattle was the safest place to suffer from a heart attack. It was reported that 1 out of 4 people who's hearts have stopped, who have been clinically dead, are brought back to life. Medic One Foundation's mission is to save lives by improving pre-hospital emergency care. We fund extraordinary training and continuing medical education for our region’s paramedics and innovative research to develop new methods of emergency care that improve survival rates and patient outcomes. Visit mediconefoundation.org to learn more...
Source: JEMS Special Topics - February 12, 2016 Category: Emergency Medicine Tags: Cardiac & Resuscitation Administration and Leadership News Videos Source Type: news

Robot Cockroach Designed to Help in Disasters
WASHINGTON (AP) — When buildings collapse in future disasters, the hero helping rescue trapped people may be a robotic cockroach. Repulsive as they may be, roaches have the remarkable ability to squish their bodies down to one quarter their normal size, yet still scamper at lightning speed. Also, they can withstand 900 times their body weight without being hurt. That's equivalent to a 200-pound man who wouldn't be crushed by 90 tons on his head. The amazing cockroach inspired scientists to create a mini-robot that can mimic those feats of strength and agility. The researchers hope swarms of future roach-like robot...
Source: JEMS Special Topics - February 9, 2016 Category: Emergency Medicine Tags: News Major Incidents Technology Rescue & Vehicle Extrication Source Type: news

Young Man Saved by ECMO after Being Found Frozen
A 26-year-old Penn State student who was intoxicated decided not to drive and walk home in an area near Allentown, Pa. He fell, hit his head, went unconscious and into cardiac arrest. He was found frozen in the snow by his father, who called 9-1-1. The responding paramedics initially felt he could not be resuscitated and called for the coroner. But a medical command physician, Dr. Gerald Coleman, felt that resuscitation should be attempted and asked the paramedics to perform CPR and get him the regional specialty care center at Lehigh Valley Hospital Cedar Crest. There, hospital staff continued to perform CPR for two hours...
Source: JEMS Special Topics - January 21, 2016 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: EMS Today Conference Training Cardiac & Resuscitation Source Type: news

Young Man Saved by ECMO after Being Found Frozen
A 26-year-old Penn State student who was intoxicated decided not to drive and walk home in an area near Allentown, Pa. He fell, hit his head, went unconscious and into cardiac arrest. He was found frozen in the snow by his father, who called 9-1-1. The responding paramedics initially felt he could not be resuscitated and called for the coroner. But a medical command physician, Dr. Gerald Coleman, felt that resuscitation should be attempted and asked the paramedics to perform CPR and get him the regional specialty care center at Lehigh Valley Hospital Cedar Crest. There, hospital staff continued to perform CPR for two hours...
Source: JEMS Special Topics - January 21, 2016 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Cardiac & Resuscitation EMS Today Conference Training Source Type: news

Dealing with the 'Deja Vu' of Repeat Patients
I’ve never really cared for the month of February. The two months of winter prior to this point usually leave me so somnolent from the colorless outdoors and captive cold that I can’t even pronounce a word like somnolent, much less recall what it means. Add to this the knowledge there will be two more months of this drawn-out pattern of predictable weather and I’m drawn to any omen that could mercifully hasten the arrival of an early spring— including the unsubstantiated ritual regarding a fat mammal that’s forced to reveal himself in the midst of hibernation. And no, I’m not talking abo...
Source: JEMS Special Topics - January 18, 2016 Category: Emergency Medicine Authors: Steve Berry Tags: Administration and Leadership Columns Source Type: news

EMS Systems Should Lower the Threshold for Stroke Alert Activation
THE RESEARCH Oostema JA, Konen J, Chassee T, et al. Clinical predictors of accurate prehospital stroke recognition. Stroke. 2015;46(6):1513–1517. THE SCIENCE Recognizing that prehospital stroke recognition and stroke code activation result in better outcomes for patients, the authors of the study examined all EMS records of suspected stroke transported over a 12-month period. They compared this to the patient’s final diagnosis. They also examined all patients diagnosed with stroke in the ED who weren’t recognized by EMS to be having a stroke. There were 441 eligible cases. Of those, 371 (84.1%) were &ldqu...
Source: JEMS Special Topics - January 18, 2016 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Columns Patient Care Source Type: news

Large-Scale Study Examines Continuous vs. Interrupted CPR
In this study, ROC set up a cluster-randomized trial to scientifically evaluate the effectiveness of continuous chest compressions (i.e., hands-only CPR) vs. compressions interrupted for ventilations at a ratio of 30:2 on clinical outcomes of out-of-hospital cardiac arrest (OHCA) patients. Previous studies determining the effectiveness of CPR delivery methods have demonstrated higher OHCA survival rates with continuous compressions vs. interrupted compressions. Unfortunately, this research was only correlational, showing that improved survival and continuous compressions were associated, but not necessarily causal. BOTTOM ...
Source: JEMS Special Topics - January 18, 2016 Category: Emergency Medicine Authors: Paul Misasi, MS, NRP Tags: Cardiac & Resuscitation Columns Patient Care Source Type: news

Identifying Acute STEMI in the Presence of Paced Rhythm
EMS responds to a local coffee shop for a 77-year-old male who has reportedly fainted. While en route the call is upgraded to an unconscious patient and an engine company is dispatched for backup. On arrival the patient is conscious but lethargic. He appears acutely ill. The skin is pale and diaphoretic. His past medical history includes hypertension, dyslipidemia, myocardial infarction, a coronary artery bypass graft and heart failure. His current medications are aspirin, metoprolol, atorvastatin, lisinopril and furosemide. Upon further questioning he admits to chest discomfort. His OPQRST assessment is as follows: ≫ On...
Source: JEMS Special Topics - January 18, 2016 Category: Emergency Medicine Authors: Tom Bouthillet, NREMT-P Tags: Special Topics Patient Care Cardiac & Resuscitation Source Type: news

Paul Combs 2016 Cartoon
    (Source: JEMS Special Topics)
Source: JEMS Special Topics - January 18, 2016 Category: Emergency Medicine Authors: Paul Combs Tags: Columns Administration and Leadership Source Type: news

2015 JEMS Salary Survey
Welcome to the JEMS 2015 Salary Survey. We’re excited to present this year’s survey results and announce a new partnership between JEMS and EMS Survey Team for the data collection, analysis and processing of this important industry tool. In past surveys, the collectors of the data were also the ones analyzing and summarizing its findings. We developed a revised survey tool, sampling approach and methodology in an effort to achieve a new level of industry engagement and improved accuracy. Additionally, JEMS recruited two new authors involved in EMS system operations and with extensive industry backgrounds and ex...
Source: JEMS Special Topics - December 23, 2015 Category: Emergency Medicine Authors: Jonathan D. Washko, BS-EMSA, NREMT-P, AEMD Tags: Special Topics Administration and Leadership Source Type: news

Institutional Review Boards Ensure EMS-Based Studies Have Ethical Oversight
You and your partner want to compare two different ways to treat an arrhythmia or you’ve developed a new airway device and want to study it. Can you? The most important thing to know before doing any research is that preapproval must be obtained from an institutional review board (IRB). The IRB is a committee of physicians and non-physicians who review and approve research.1,2 This board has two primary responsibilities: 1) protecting the rights of patients in clinical research trials, including assuring that patients can make informed decisions free from coercion, maintaining their individual privacy and minimizing ...
Source: JEMS Special Topics - December 23, 2015 Category: Emergency Medicine Authors: Brittany W. Mayfield, MD Tags: Administration and Leadership Patient Care Source Type: news

Assumptions Discredit ALS vs. BLS Study
THE RESEARCH Sanghavi P, Jena AB, Newhouse JP, et al. Outcomes after out-of-hospital cardiac arrest treated by basic vs advanced life support. JAMA Intern Med. 2015;175(2):196–204. THE SCIENCE The authors undertook a comparison of BLS vs. ALS care on the outcome of cardiac arrest by examining a representative sample of Medicare beneficiaries from non-rural counties in the United States who had “cardiac arrest” as their hospital admission diagnosis between 2009 and 2011. They made the assumption an EMS agency that billed Medicare at the BLS rate delivered BLS care and billed ALS rates for ALS care. They li...
Source: JEMS Special Topics - December 22, 2015 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Columns Cardiac & Resuscitation Special Topics Patient Care Source Type: news