| Departments & Columns |
| Load & Go |
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Connect with JEMS.com
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7
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| EMS in Action |
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Combative Seizure
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12-13
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| From the Editor |
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The Crews Are Key! Specialized EMS team deployment yields best results
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A.J. Heightman
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14
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| Priority Traffic |
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> Sleep Deprivation: FAA releases new guidelines about fatigue
The Federal Aviation Administration (FAA) is requiring pilots to get 10 hours of rest between flights before going airborne, and some EMS experts say the emergency medical profession should do the sam...
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Richard Huff
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16
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| Leadership Sector |
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Stuck in a Rut: EMS has opportunity for system redesign
“Because we have always done it that way.” Sound familiar? I know I've heard it countless times in my career—especially in the fire service, which is steeped in tradition.
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Gary Ludwig
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20
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| Tricks of the Trade |
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Little Things: Stuff we can learn from ‘ambulance drivers’
We've suffered some grief over the label “ambulance drivers.” Especially since the TV series, Emergency!, in the late '60s and early '70s, which portrayed transport crews as acerebral, mute livery lac...
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Thom Dick
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22
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| Higher Learning |
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Easy as E-C-G: Teach 12-lead interpretation in 3 easy phases
Early in my EMS career, while I was an undergraduate student just getting my feet wet, I remember being mesmerized the first time I saw a portable monitor/defibrillator. I can still picture my chief a...
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Robert P. Girardeau
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24
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| Case of the Month |
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More than Chest Pain: Providers treat patient with thoracic aortic dissection
It's 10 a.m. on Monday: the first day of the week for most people but the second day of your tour. You and your paramedic partner are dispatched to assist a 62-year-old male complaining of chest pain....
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Dennis Edgerly
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28
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| Research Review |
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Sleep Saves: Fatigue a leading cause of medical errors in the field
Patterson PD, Weaver MD, Frank RC, et al. Association between poor sleep, fatigue and safety outcomes in emergency medical services providers. Prehosp Emerg Care. 2012;16(1):86–97.
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David Page
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32-33
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Evolution or Revolution: EMS industry faces difficult changess
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Michael Ragone
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34-39
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EMS Royal Flush: Jersey city Medical Center EMS reinvents itself & achieves five major national EMS recognitions
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Jonathan D. Washko,
A.J. Heightman
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40-49
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| Continuing Education |
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No Pulse? Check for a left-ventricular assist device
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Paul Satterlee,
Nader Moazami,
David Hildebrandt,
K. Hryniewicz,
Jessica Boughton,
David Page
et al.
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50-55
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| Departments & Columns |
| Hands On |
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Bigger & Better than Band-Aids
Some large wounds can be difficult to manage in the field. Finding a way to apply an occlusive dressing to an abdominal wound or closing a large laceration can involve some rather creative bandaging t...
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Fran Hildwine
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58
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Night Vision
We often try to change night scenes into day with illumination. However, sometimes that isn't possible or practical. And searching for a missing person or victim at a scene before the rescue truck arr...
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58
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Bariatric Equalizing Abdominal Restraint
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58
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Secure that IV
With diaphoretic or combative patients, burned skin, long transports and cramped working areas, securing an IV line in the field can be a real challenge. And one of Murphy's Laws of EMS is, “the harde...
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59
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Lightweight Jumpsuit
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59
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Pediatric App
Treating acutely ill pediatric patients before the “Broselow Tape” often involved a call to medical command to confirm doses and delaying treatment. With the advent of the “Broselow Tape” in 1986, par...
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59
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Smartphone ePCR
A recent focus of hospital patient care treatment continuity and safety improvements has been the patient handoff report. Poor patient outcomes (i.e., patients have died) may occur when the person tak...
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59
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| The Lighter Side |
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Glottic Passage Steering: A little airway assistance
I was driving to the airport after speaking at a conference and hearing Dr. Ed Racht's lecture. ED (Emergency Department) Ed, as I like to call him, is a renowned speaker at national EMS and healthcar...
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Steve Berry
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72
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| Last Word |
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Last Word
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74
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