Syndicated Columnists

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Book excerpt: A quarter-century of a responder's emergency calls inspire 'Rescue 911'

Fri, 02/16/2018 - 14:37
Sometimes I think about the lives that I have been a part of and realize just how incredible my EMS journey was. In this patient story I mention the possibility of a tree growing in a spot where I nonchalantly threw an apple core out my window. During my twenty-five year career as a firefighter and EMT in Providence I responded to well over 25,000 calls for help from people in some kind of distress ...
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50 years in the making: '911, what's your emergency?'

Fri, 02/16/2018 - 09:01
This single question shaped the meaning behind these three dialed numbers, 911. Up until 50 years ago, dialing 911 wasn’t an option to call for help. Even today, its convenience only reaches 96 percent of Americans. [1] Dialing 911 first occurred on Feb. 16, 1968, in Haleyville, AL, by then Senator Rankin Fite. [1] Prior attempts to create a nationally-accepted emergency number originated in 1957 ...
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Rapid response: School shooting EMS, police response has to be faster

Thu, 02/15/2018 - 09:30
What happened: A former student entered Marjory Stoneman Douglas High School, Parkland, Fla., Feb. 14, 2018, near the end of the school day. He wore a gas mask, threw several smoke bombs into a hallway, pulled a fire alarm and then began indiscriminately shooting an AR-15 as students ran through the smoke. Seventeen people were dead on scene or later died at the hospital and 16 were injured by the time ...
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Rapid response: MCIs are not contained to any one environment

Thu, 02/15/2018 - 09:23
I spent part of Wednesday afternoon watching yet another school shooting unfold on live television – this time in Broward . As these horrible, senseless events have become routine, it is clear that they are not confined to any one location or environment. EMS providers must be trained, equipped and mentally prepared to respond quickly to active shooter situations. Key take away points include: ...
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3 things EMS providers need to know about supraglottic airways

Wed, 02/14/2018 - 15:57
Supraglottic airway devices have emerged as valuable tools for airway management, particularly in cardiac arrest. When compared to endotracheal intubation, in which some studies have found high rates of misplacement, skill degradation and prolonged pauses of chest compressions during cardiac arrest, supraglottic airway devices are an attractive alternative. Some studies have shown improved survival ...
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Prove it: Video laryngoscope usage in airway management

Wed, 02/14/2018 - 15:42
Medic 14 and Engine 27 respond to a report of breathing difficulty at a private residence. The engine arrives first to find a 68-year-old male experiencing severe shortness of breath. The patient’s wife states the patient has not been feeling well all day but suddenly became worse about 30 minutes before she called 911. The patient is slumped over in a recliner in the living room. Although the ...
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Top 10 events that should be in the EMS Winter Olympics

Wed, 02/14/2018 - 08:32
The 2018 Winter Olympics kicked off February 9 in Pyeongchang, South Korea. While temperatures during the games are predicted to be in the negative numbers, most of us will be watching the spectacle while warm on our couches eating a cheese ball and drinking hot buttered rum, thinking, “Curling" Meh, I could do that. They wanna sweep some ice, they can handle up on the front walk to the ambulance ...
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Inside EMS Podcast: Acknowledging the #MeToo movement in public safety

Tue, 02/13/2018 - 11:33
Download this podcast on iTunes, SoundCloud or via RSS feed In this Inside EMS Podcast episode, co-hosts Chris Cebollero and Kelly Grayson are joined by EMS1 columnists Nancy McGee, Catherine Counts and Tracey Loscar as they talk about #MeToo in public safety. Topics discussed vary from harassment, to sharing your story, to how we can create a safe environment for everyone in the career field. Learn ...
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Social science solutions to EMS volunteer recruitment and retention

Wed, 02/07/2018 - 13:49
By Allison G. S. Knox, faculty member, American Military University Many volunteer ambulance agencies throughout the United States have a difficult time staffing their ambulances. In decades before, it seemed that volunteer ambulance companies had a surplus of members who were happy to help their community in their free time. Now, there is a volunteer shortage with a dwindling amount of people who are ...
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Q&A: How can leaders identify and help EMS providers who need support?

Mon, 02/05/2018 - 12:22
Q&A: How can leaders identify and help EMS providers who need support" A chaplain for Allina EMS shares his strategies for approaching colleagues after a difficult call to open the lines of communication By Mike Taigman I have not been to an EMS conference in the last two years where EMS provider suicide, stress management or mental health was not on the program. It seems nearly everyone understands ...
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A real EMS career ladder for the paramedic profession

Thu, 02/01/2018 - 15:37
It’s no secret – the EMS community is hemorrhaging people. As the economy improves, more and more opportunities, with better compensation, are available. Credentials such as registered nurse, physician assistant and several allied health professions – all of which typically pay 30-50 percent more than paramedic salaries in most communities – are within reach of motivated paramedics ...
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Marion County: The wild, wild west of EMS in Florida

Thu, 02/01/2018 - 10:59
In 1968, when all 13 of Jacksonville, Florida’s ambulance services threatened to strike, Bart Walker was an eight-year-old fire buff who hung out with his heroes, the firefighters, whenever he could. “The details are a bit sketchy,” he says of that year, “but within one day, the fire department took over EMS.” “The chiefs used their station wagons to transport patients ...
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Silent but deadly: The trauma we miss in geriatric care

Thu, 02/01/2018 - 10:45
EMS providers need to know that when it comes to trauma in older patients, even minor accidents can have devastating consequences. What healthcare providers miss or fail to consider can mean the literal difference between life and death for the elderly. Americans over 65 years old comprise approximately 15 percent of the total population, yet they account for almost 40 percent of all ambulance transports ...
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Medic Mindset Podcast: The airway evangelist

Wed, 01/31/2018 - 09:02
<!--cke_bookmark_434S--><!--cke_bookmark_434E--> In this episode, Ginger Locke interviews Dr. Jeffrey Jarvis. He is the medical director for Williamson County EMS in Central Texas. He is a board-certified Emergency Medicine physician and a paramedic. In this information-packed episode, Dr. Jarvis discusses: Video laryngoscopy Ketamine Delayed-sequence intubation Ultrasound ...
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Just Culture basics for EMS

Mon, 01/29/2018 - 16:11
By Brian Behn, B.A., NR-P, FP-C Just Culture takes a balanced approach between a blameless culture and a punitive culture. A blameless culture has no accountability, shoulders are shrugged, people mention “bad things happen to good people,” and move on. The opposite of this is a punitive culture in which honest and unintentional mistakes are punished. A common misconception about Just Culture ...
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3 ways EMS leaders make or break paramedic training programs

Mon, 01/29/2018 - 15:59
By Skip Kirkwood, JD Many EMS agencies realize that new employees, whether new graduates of pre-service paramedic programs or employees with experience in other organizations, are not fully prepared to climb into an ambulance and head out to serve the community. New graduates of an excellent pre-service paramedic school with an “exceeds expectations” clinical program and field internship ...
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Quick Take: Hurricane Harvey lessons shared with EMS physicians

Fri, 01/26/2018 - 08:24
SAN DIEGO – Hurricane Harvey brought record rainfall to southeast Texas and south Louisiana in August 2017. Along with the deluge came an unprecedented number of local and federal emergency responders. Kevin Schulz, the assistant medicine director for the Houston Fire Department; and Kevin Sirmons, the medical officer for NDMS/MN-1 DMAT, tag teamed to present at the 2018 National Association of ...
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5 aspects of diabetes assessment to remember

Wed, 01/24/2018 - 09:10
In the United States, approximately 30 million people (or 9.4 percent of the population) have diabetes. However, 23.8 percent of those individuals have never received an official diagnosis. Furthermore, researchers estimate that 132,000 children under the age of 18 have diabetes. [1] Diabetes is a lifelong disease, which can be managed by a variety of treatment options. At its core, diabetes represents ...
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From rehab to prehab: 5 steps to a proactive action plan

Tue, 01/23/2018 - 12:33
Sponsored by Masimo We’ve given great emphasis to on-scene firefighter rehabilitation for many years. So why have firefighter line-of-duty deaths stemming from medical causes become the No. 1 cause of firefighter LODDs" On-scene firefighter rehab is necessary and beneficial. But, like many of our developments to improve firefighter safety, it’s reactive. Rehab doesn’t enter the picture ...
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What has been your most paranormal experience as an EMT?

Tue, 01/23/2018 - 11:15
A user on Quora recently asked, "What has been your most paranormal experience as an emergency responder"" A few answers stood out to us, especially one by EMT Scott MacHarrie. You can read his reply below: I had a Paramedic Supervisor back in the 90s who had 20 years in EMS and had a reputation for being a tough guy with a big heart. He told us a story that raised the hair on the back of ...
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