Syndicated Columnists

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Updated: 24 min 43 sec ago

The 10 peer-reviewed articles on MIH-CP you need to read right now

2 hours 52 sec ago
Kevin McGinnis is often credited with coining the term “community paramedics” in a 2001 Rural Health News article. Since then, the debate around the terminology of community paramedicine versus mobile integrated healthcare remained relatively heated until a number of national organizations, including NAEMT and NAEMSP, released a joint vision statement defining each concept. Regardless of ...
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Wheezing, stridor ominous signs of impending airway loss in smoke inhalation

4 hours 38 min ago
This article first appeared on, sponsored by Masimo. By James MacNeal, MD, MPH, DO, NRP Half of all fire-related deaths occur from smoke inhalation, which is a mechanism resulting in a pattern of injuries [1]. Just as a motor vehicle collision with intrusion may make you suspect multiple traumatic injuries, such as an intracranial bleed, pneumothorax or pericardial tamponade, smoke inhalation ...
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Top 10 MIH or community paramedicine program funding sources

Wed, 11/15/2017 - 07:34
Sustainability – whether you’re just venturing into the world of mobile integrated health care, or have been involved for a while, this is the word that scares you the most. It also has perhaps the most important impact on the survival of innovation. Before we start discussing start-up and long-term funding sources, it’s prudent to draw the distinction between the terms MIH and community ...
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Why a consistent identity matters for EMS

Tue, 11/14/2017 - 10:12
We name everything around us so we can categorize, organize and make sense of everything from inanimate objects to conceptual ideas to people. Identifying the person or thing in front of us provides a sense of familiarity. Society uses common names to group similar objects together in order to simplify retention. Most of us don't look at a stretch of rocky beach and call it a "mixture of igneous ...
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Fatigue reporting processes reduce ambulance crash risk

Mon, 11/13/2017 - 08:50
"Ambulance crashes are a significant risk to prehospital care providers, the patients they are carrying, persons in other vehicles and pedestrians." — Ambulance Crash Characteristics in the US Defined by the Popular Press: A Retrospective Analysis Teri L. Sanddal, 1 Nels D. Sanddal,1 Nicolas Ward, 2 and Laura Stanley 2 Emergency Medicine International Volume 2010 (2010), Article ID 525979 ...
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How 4 community paramedicine programs are positively impacting health care

Sun, 11/12/2017 - 09:17
An ever-popular phrase from Kelly Grayson is – "if you've seen one EMS agency, then you've seen one EMS agency." The same can be said for community paramedicine programs. When you talk to anybody that either has a community paramedicine program or is considering implementing one, you'll quickly realize that all programs are different because they're driven by a needs ...
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EMS and evidence-based medicine solutions

Wed, 11/08/2017 - 16:27
By Guillermo Fuentes The term “evidence-based practice” has been used in EMS for more than a decade. The reality is, as a profession, we fail to understand what implementing an evidence-based practice actually means. One of the most influential thinkers on the subject, the late physician David Sackett, defined evidence-based medicine as “the conscientious, explicit and judicious use ...
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Mixing business and billing: EMS documentation impact on billing and reimbursement

Tue, 11/07/2017 - 11:09
By Daniel J. Pedersen, Esq. In many EMS operations, there are three unique and distinct divisions: Call intake/dispatch, Operations, and Billing/reimbursement. I routinely refer to these as three legs of a stool, with the top surface the entire EMS operation. Pull any leg out, and the entire operation falls apart. While some might view these as three separate components of the EMS operation, they are ...
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7 challenges faced by all health care leaders

Tue, 11/07/2017 - 10:54
I’m flying home from a two-day health care leadership conference organized by Dave Williams, PhD, the executive director of improvement capability for the Institute for Healthcare Improvement and a former paramedic. In addition to Dave, the other three presenters were the current and past presidents and CEOs of IHI. As EMS integrates more fully with the rest of health care, I thought you all might ...
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Handling underperforming employees in EMS

Mon, 11/06/2017 - 15:07
By Nathan Sweet, EMTP We all face the truth, that we each have a certain set of responsibilities. Those will vary and change due to multiple variables, what does not change is that you do have responsibilities and so do those around you. Maybe you live in a responsibility utopia, where everyone is meeting the needs of everyone and life is clicking right along. If that is you, please stop reading now ...
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EMS Artwork: Responders continue to heal, remain Vegas Strong

Fri, 11/03/2017 - 09:27
There were many first responders who were off duty when the Las Vegas shooting happened, but they came into work and offered to help. They knew their co-workers would be overwhelmed with patients. This event didn't only impact the crews that were on scene, but all first responders in Las Vegas. All sales from this image will go to the Las Vegas First Responder Mental Health Fund that has been set ...
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At the intersection of rural and remote: EMS at 40 below

Mon, 10/30/2017 - 09:23
When Kalie Klaysmat describes Crane Lake’s fire department as the end of the road, she’s not being fatalistic. "Crane Lake is literally at the end of the road – Route 24, to be exact," Klaysmat says of the northern Minnesota community five miles from the Canadian border. "When you get there, you can keep going in any of three directions, but you’re going to need ...
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What President Trump gets wrong about the opioid epidemic

Fri, 10/27/2017 - 11:11
President Trump addressed the nation Thursday before signing a presidential memorandum declaring the opioid epidemic, the leading cause of unintentional death, a National Public Health Emergency. Trump apparently reversed his Aug. 10, 2017 decision to declare the opioid epidemic a National Emergency. The distinction is important. A presidential declaration of a National Emergency last occurred on Sept ...
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20 more thoughts only a paramedic will understand

Fri, 10/27/2017 - 10:39
By EMS1 Staff Paramedics are a special breed. There are many thoughts only you will understand, and there's absolutely nothing wrong with that. We've all experienced the tones dropping before a shift change and have thought to ourselves, "Really"" And you haven't been in EMS long enough if you don't yell "Clear right!" when you're driving off-duty. Our Facebook ...
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Inside EMS Podcast: The opioid epidemic and first responder safety

Thu, 10/26/2017 - 12:32
Download this podcast on iTunes, SoundCloud or via RSS feed In this Inside EMS Podcast episode, co-hosts Chris Cebollero and Kelly Grayson talk about a panel discussion sponsored by EMS1 and BoundTree, covering the opioid epidemic and first responder safety. At EMS World Expo 2017, there was some major information shared that will have a negative effect on the epidemic in our country. Chris also shares ...
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Why paramedics do not run to treat patients

Wed, 10/25/2017 - 16:29
A user on Quora recently asked, "Why don't paramedics run to emergency patients"" A few answers stood out to us, especially one by EMT Ross Cohen. You can read his reply below: I’m glad you asked, because I promise you it’s not due to a lack of concern. It’s actually perfectly logical when you see it from our point of view. 3 Main Reasons: Running is risky. If we trip ...
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The opiate addiction backlash in EMS

Wed, 10/25/2017 - 08:33
Since the early part of the decade, the United States has suffered an epidemic of opioid drug dependency and overdoses. For years now, accidental poisonings have far outpaced car accidents and firearm violence as the leading cause of trauma deaths in this country. The chronic pain crisis of the late 1990s blossomed in the 2000s into a macabre fruit of opioid dependency and the resurgence of heroin as ...
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