Readers Share Feedback on JEMS and Articles - Patient Care - @

Readers Share Feedback on JEMS and Articles



From the July 2012 Issue | Thursday, July 5, 2012

Faith Practices
I was mystified by the article “Breaking Barriers,” which had the following in a caption: “Most Americans aren’t opposed to porcine insulin, but Jewish and Muslim patients might choose to accept the risks of hyperglycemia rather than receive this particular medication.” I cannot speak for the Muslim faith, but as an Orthodox Jewish rabbi, my jaw dropped. The first law of Judaism commands us to break every law in order to save a life. There is no objection or law that prohibits the use of porcine insulin. Just the opposite is true: We are commanded to do whatever is necessary in order to save our lives and maintain our health. No person of the Jewish faith would ever accept the risks of hyperglycemia in order to avoid a medication coming from any animal source. I’m extremely confused where the author got this information, and it’s absolutely contrary to our faith.

Rabbi Baruch Stone, NREMT-I
Cambridge, Massachusetts

Author Keith Widmeier, NREMT-P, CCEMT-P, EMS-I responds: According to the informational booklet, Informed Choice in Medicine Taking: Drugs of Porcine Origin and Clinical Alternatives (, porcine medications may be an issue for a number of faiths, but it’s more likely to be an issue for Judaism and Islam.

The booklet goes into discussion about potential exemptions as well. However, I feel that this discussion is straying from the overall message of the article. Regardless of faith—our patients’ or our own—it is imperative that we, as providers, respect the decisions made by our patients. Patients have the right to decide what treatment they choose to accept—or not accept—and providers should not attempt to downplay the importance of the patient’s faith for the desired medical treatment.

Check the Basics
In the April JEMS article, “Active Assessment,” paramedic Brian Pearce was doing what I call a double pulse check.I teach in a private paramedic college, and I notice all the students are trained to practice this, and I disagree with it. I understand the thought behind it, but we must consider that the American Heart Association (AHA), Heart and Stroke Foundation of Canada and Journal of the American Medical Association have referenced that 60% of healthcare providers can’t adequately check for a carotid pulse.

I’ve taken a dozen students and had them access a carotid pulse, and all 12 couldn’t find a pulse in a timely fashion. We live in a culture of fat necks, meaning many patients have lots of adipose tissue in their necks. Unless a provider uses a head tilt/chin lift to bring carotid artery closer to the surface, how can anyone truly feel a carotid and radial at the same time?

If a medic comes across an unconscious patient, they should assume they’re dead, check a carotid only first, then check a radial if there’s a pulse to see if pressure is adequate. I don’t care if I’m perfusing the finger, but I do care if the brain is being perfused. Let’s just follow AHA guidelines instead of changing what works. Assess responsiveness, open airway and check for breathing and pulse while using a head tilt/chin lift. This step still follows the current 2010 guidelines: If there is no breathing and no pulse, then get on the chest and start compressions. Let’s get back to the basics.

Arne Larsen
Simcoe County, Ontario, Canada

Words of Wisdom
Below are comments from the JEMS Facebook Fan page in response to the following quote by columnist Thom Dick:

Dennis Youngberg: Treat them as if they were your mother/father.

Moe Altazan: We’re all guilty of this at one time or another. It takes practice and compassion; we have to make it a natural habit.

Marcia Chapman: Too many are paying more attention to their clipboard or computer than to their patients. Building a rapport with your patient is just as important as any of your other skills—it takes practice to develop and ongoing use to master.

Smiley Rie: So very true. It might not be an emergency to us, but to most of them it is. And my other favorite saying is this: “It’s not about our egos; it’s about the patient.”

John Michael Fisher: I was taught this during school so now it’s second nature for me, but I only sit in the jump seat if I’m playing with the monitor, doing something airway, or if the patient falls asleep. I always sit on the bench and play to precept everyone.

Sharon Cox: True words. I can’t stand it when paramedics or EMTs don’t talk to their patients or are too clinical with them. A kind word, a smile, a held hand and a little reassurance goes a long way.

Curtiss Orde: Amen to Thom’s quote. JEMS

Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Patient Care, Letters, judaism, Islam, Jems Letters

What's Your Take? Comment Now ...

Buyer's Guide Featured Companies

Featured Careers & Jobs in EMS

FEBRUARY 25-28, 2015

Baltimore Convention Center
Baltimore, Maryland USA






Get JEMS in Your Inbox


Fire EMS Blogs

Blogger Browser

Today's Featured Posts


EMS Airway Clinic

Innovation & Advancement

This is the seventh year of the EMS 10 Innovators in EMS program, jointly sponsored by Physio-Control and JEMS.
More >

Multimedia Thumb

Wesleyan Students Hospitalized for Overdose

11 students transported to local hospitals.
Watch It >

Multimedia Thumb

Denver Medic's Family Says Job Stress Contributed to Suicide

Veteran of over 25 years took her own life after a call.
Watch It >

Multimedia Thumb

Denver First Responders Join to Remember Paramedic

Veteran medic took her own life after fatal accident.
Watch It >

Multimedia Thumb

Rigs Going in Service from EMS Today 2015

Snap shots of some of the vehicles at EMS Today that will be on the streets soon
More >

Multimedia Thumb

Florida Hospital Fire

Fire halts construction project at Tampa cancer center.
More >

Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >

Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >

Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >

More Product Videos >