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Approaches in Prehospital Sepsis Screening
Discussion In the United States, sepsis is one of the leading causes of death, which requires timely identification and proper treatment (CDC, 2019; Guerra et al., 2020; Polito et al., 2015). Based upon a review of literature conducted from 2014 to 2018, the primary investigators could locate five prehospital EMS screening tools to assist EMS providers in identifying at-risk sepsis patients. The researchers explored how the modified SIRS and qSOFA scoring systems were used in hospital settings in addition to these five prehospital EMS screening tools. The Bas 90-30-90, Guerra, PRESEP, PRESS, and Robson tools have ove...
Source: JEMS Administration and Leadership - January 5, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusives Patient Care EMS EMT Paramedic Prehospital Sepsis Source Type: news

Pinellas County (FL) Implements Model Vaccination Programs for Skilled Nursing Facilities and Emergency Personnel
Special JEMS “EMS TODAY SHOW” Join JEMS Editor Emeritus A.J. Heightman and Pinellas County, Florida, EMS/medical direction officials as they discuss model COVID vaccination programs implemented for emergency responders and skilled nursing home facility (SNF) residents and staff. Ulyee Choe, DO, director of the Florida Department of Health (DOH) in Pinellas County; Angus Jameson, MD, Pinellas County EMS medical director and Charles (Chuck) Walker, Pinellas County EMS clinical services coordinator responsible for quality assurance discuss the planning and implementation of these important programs. Related...
Source: JEMS Administration and Leadership - December 23, 2020 Category: Emergency Medicine Authors: JEMS Staff Tags: Coronavirus Exclusives Florida Medicine Nursing Homes Source Type: news

Whatcom County (WA) Seeks Better, Cheaper Answer to 911 Call Centers
Robert Mittendorf The Bellingham Herald (Bellingham, Wash.) (MCT) Dec. 15—Combining Whatcom County’s two 911 dispatch centers, whose operators separately send law-enforcement officers or firefighters to calls for service, is back on the County Council’s agenda. It’s both logical and a cost-saving measure to combine the two 911 centers, said Councilman Tyler Byrd. “I’ve been working on all the documentation I can find on this and talking to people. I can’t find a single efficiency that comes out of this the way it is today,” Byrd said during a No...
Source: JEMS Administration and Leadership - December 15, 2020 Category: Emergency Medicine Authors: JEMS Staff Tags: Communications & Dispatch News News Feed Source Type: news

Managing NEMSIS Transitions Requires Simplicity, Training & Extensive Planning
“How do we know we’re doing well? What should we be improving?” Anyone involved in the delivery of EMS asks these questions. They lead to more detailed questions like: “What’s our time to STEMI alert? Stroke alert? Taking a 12-lead? What indicators should guide us to transport to a Level 1 (or Level 2, 3, 4) trauma center?” We also continually ask, “And are we in need of improvement in any area?” Answering these questions requires data—on your own performance and  on what other agencies are doing. It’s that comparative data that sheds light on areas of improvement. Since about 2003, 52 U.S. states ...
Source: JEMS Administration and Leadership - July 23, 2018 Category: Emergency Medicine Authors: Kenny Schnell Tags: Documentation & Patient Care Reporting Operations Source Type: news

In Loudon County, Tenn., Priority Ambulance Trains More Than 110 Residents to Stop the Bleed
Last week, Priority Ambulance and Fort Loudoun Medical Center observed the national Stop the Bleed initiative with training events and donations that targeted Loudon County schools and the general public. In total, more than 110 Loudon County community members were trained in lifesaving bleeding control techniques, including 40 teachers who serve as a medical first response team at each high school. Priority Ambulance and Fort Loudoun also donated bleeding control kits, which include gauze, gloves, tourniquet and trauma shears, to each public and private elementary, middle and high school in Loudon County. The kits will be...
Source: JEMS Administration and Leadership - April 3, 2018 Category: Emergency Medicine Authors: Priority Ambulance Tags: News Administration and Leadership Source Type: news

PeaceHealth Southwest Medical Center Sets New Precedent for Emergency Care Using Mobile Technology
BOZEMAN, MT -- Stroke is a leading cause of disability and death in the U.S., with close to 800,000 cases each year. The outcome can be devastating, and every delay in care impacts a stroke survivor’s chance at a full recovery. To minimize those delays and make emergency communication more efficient, PeaceHealth Southwest Medical Center in Vancouver, Washington, has partnered with several local EMS services to begin using the healthcare communication platform, Pulsara. PeaceHealth Southwest is the first hospital on the west coast to use Pulsara, and the first in the nation to use the company's Prehospital Alerting Packag...
Source: JEMS Administration and Leadership - September 18, 2017 Category: Emergency Medicine Authors: Pulsara Tags: Documentation & Patient Care Reporting Industry News 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 Administration and Leadership - December 29, 2016 Category: Emergency Medicine Authors: Robert L. Dickson, MD, FAAEM, FACEP, FACEM Tags: Patient Care Communications & Dispatch Source Type: news