Syndicated Columnists

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Updated: 26 min 58 sec ago

Funding the EMS response to the opioid epidemic

Thu, 09/21/2017 - 09:41
This past April, Health and Human Services Secretary Tom Price, M.D., announced that the HHS will provide $485 million in grants to help states combat opioid addiction. The funding has been allocated to all 50 states over two years through the State Targeted Response to the Opioid Crisis Grants provided in the 21st Century Cures Act. Every EMS agency in the country has been impacted by opioids, and ...
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How to help Hurricane Irma first responders

Wed, 09/13/2017 - 13:23
Hurricane Harvey was called one of the costliest storms in U.S. history just weeks ago. Following quickly behind it, Hurricane Irma became one of the most powerful storms to hit the U.S. in years. Brian McNoldy, a hurricane researcher at the University of Miami, told the Associated Press that Hurricane Irma "could easily be the most costly storm in U.S. history, which is saying a lot considering ...
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Systems-based prehospital pediatric care

Wed, 09/13/2017 - 07:42
"Paramedic EMTs face many challenges in providing high-quality care for children. First, the pre-hospital environment is difficult, chaotic and stressful. Because of these factors, it is prone to error." — Pediatric Patient Safety In EMS/Meckler, Leonard, AND Hoyle • Vol. 15, No. 1 Scenario: A paramedic crew responds to a child not breathing. On scene, they find CPR in progress ...
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Cure sometimes, treat often, comfort always

Wed, 09/13/2017 - 07:20
My partner and I got an “attaboy” from my employer a few weeks back. With it came an official commendation in my personnel file, and a $25 gift certificate. My employer is pretty good about handing these things out for what they deem going above and beyond the call of duty. It was a welcome and not infrequent bit of positive feedback from my employer, who understands the importance of such ...
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5 practical steps to prevent medical errors

Tue, 09/12/2017 - 11:09
By Steve Wirth, Esq., EMT-P The National Institute of Medicine in its seminal 1999 report: To Err is Human: Building a Safer Health System estimated that up to 98,000 people per year die in hospitals due to preventable medical errors. Unfortunately, we don’t have good estimates for the number of fatal medical errors in EMS. But with the significant number of fatal medical errors that occur in ...
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The 'I have a theory' approach to change management in EMS

Tue, 09/12/2017 - 10:47
A few weeks ago, I heard an annoyed EMS leader say, “Those 48-hour crews are killing us on no transports. When they are running calls on the second night of their 48, all they want to do is get back to bed, so they look for any excuse not to transport.” He made this grand proclamation as if it were a fact engraved in stone. Only one person on his team, the QI officer, had the courage to ...
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Managing an aging EMS fleet

Tue, 09/12/2017 - 10:37
By Ken Beers With increased costs and health care reimbursements from Medicaid and Medicare remaining relatively stagnant, many EMS fleets continue to age as the cost of replacement is put on hold. This is surely having an impact on maintenance considerations. Every EMS unit poses the challenge of determining when it is no longer fiscally wise to continue maintaining the vehicle. With the current economic ...
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Blind spots: Distracted driving in EMS

Tue, 09/12/2017 - 10:15
By Meg Chandler and J. Todd Sheridan Motor vehicle collisions continue to pose a significant risk to EMS providers and our patients. Some agencies have responded to this risk by addressing factors that can contribute to aggressive driving. But we must also avoid neglecting the impact of distracted driving. According to a recent report, distracted driving led to 3,477 deaths and an estimated additional ...
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Top EMS Game Changers – #6: Computer-based training

Mon, 09/11/2017 - 08:29
As a paramedic on the high side of 60, I sometimes have to defer to my much younger colleagues for day-to-day perspectives on new medical technology. Ultrasound and ECMO (extracorporeal membrane oxygenation) were never found on ambulances when I joined EMS. Once in a while, though, I might surprise our newest and brightest with been-there-done-that tales reaffirming the notion of old medics as occasionally ...
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What to do when an emergency responder loses their cool

Thu, 09/07/2017 - 11:38
The coach on the soccer field a few feet behind me was screaming at the referee, insulting the 10-year-old players on both teams and threatening the opposing coach. Like most soccer complexes I've been to, the benches for adjacent fields were back to back. His escalating anger and verbal tirades had the rapt attention of every 10-year-old and spectator in a four-field radius. He was out of control ...
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The 8 things I'd tell my 21-year-old EMS self

Wed, 09/06/2017 - 08:24
I struggled through far too much of an overall satisfying career in EMS. Looking back, it is easy to see where I went wrong. I wasted much of my youth being young and idealistic. I still have those ideals; somehow they remained intact, but experience changed my expectations. The job has remained the same, I’m a little different. When you change the way you look at things, the things you look at ...
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How to prevent, manage knee pain in EMS

Tue, 09/05/2017 - 07:49
The day starts out like every other shift. You check the truck and your gear, then climb the steps to the day room for a cup of coffee. As you reach the top step, you feel a sharp pain in your left knee. Before you can give it a second thought, a call comes in. As you head back down the stairs, the knee feels OK, but as you climb into the cab to respond, the knee gives you a sharp pain again. The knee ...
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EMS trauma care: ABCs vs. MARCH

Fri, 09/01/2017 - 09:02
Everybody knows the ABCs of patient care, but when it comes to trauma priorities, now there's a better way. Whether you are learning, teaching or practicing EMS care, the ABCs are a pretty good guide. They prioritize airway, breathing and circulation in an easy-to-remember-format applicable in most situations. But even great rules have exceptions. Difficult trauma calls often start with more problems ...
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Inside EMS Podcast: Why did you become a caregiver?

Thu, 08/31/2017 - 10:40
<!--cke_bookmark_116S--><!--cke_bookmark_116E--> Download this podcast on iTunes, SoundCloud or via RSS feed ​​In this Inside EMS Podcast episode, co-hosts Chris Cebollero and Kelly Grayson discuss their funniest calls they have encountered, as well as the one call that caused them to be better caregivers. Learn more about the EMS1 Academy and schedule a free demo.
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EMS Artwork: London Ambulance Service Incident Response Unit personnel

Thu, 08/31/2017 - 08:16
See all of Daniel Sundahl's photos.
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3 reminders to rescuing, evacuating and managing Hurricane Harvey victims

Wed, 08/30/2017 - 09:22
Hurricane Harvey appears to be turning into the largest natural disaster in modern American history. Millions of citizens have been affected by the relentless rain that has deluged the area. The number of those injured or killed has yet to be tallied, but is expected to rise over time. Following lessons learned from Hurricane Katrina in 2005, EMS providers, firefighters and other rescue personnel are ...
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