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Hands on June 2010

Through the Cords
Whether it’s in the lab with an airway manikin, on the street or in an emergency department with live patients, people who participate in intubations have heard the phrase, “I can’t see the cords!” There are a number of causes for this dilemma, and the new Clarus Video System from Clarus Medical is a high-tech answer. With the lens of the digital camera at the distal end of the stylet, you can view the vocal cords from a few millimeters away as the endotracheal tube slides off and through the cords. A thumb wheel next to the screen allows you to quickly and easily change the viewing angle for an optimal sight picture.

VITALS
Length: 12.5"
Weight: 12.06 oz.
Power: 120 vAC/5 vDC
Price: $6,000
www.clarus-medical.com
763/525-8451

Critical Care Tutor
Many employers require multiple critical care credentials for paramedics and nurses seeking employment in critical care transport and flight programs. The CCEMT-P, CCP-C, FP-C and CFRN examinations are some of the most difficult written tests a nurse or paramedic may ever take. In order to ensure success during these exams you must study … a lot. The Critical Care Patient Transport Audio CDs from Critical Care Concepts are great supplements to traditional study methods. You can listen to a complete review of the curriculum while driving or in between calls. Topics include acute coronary syndromes, 12-lead ECGs, heart failure, intra-aortic balloon pumps, burn management, ventilator management, radiology, trauma management, neurology, toxicology, medical emergencies and advanced airway.

VITALS
CDs: 8
Hours: 10
Price: $200
www.criticalcareconcepts.net
757/375-4119

Easy Information Consolidation
Communications—or lack thereof—is an area of job satisfaction that staff members commonly criticize. Departments that use an online schedule program have an excellent means of communicating with their entire staff. EMTs and paramedics want to know when they’re working and will log in several times a day to check schedule changes and open shifts. The new Document Library from EMS eSchedule now allows a department to post policy manuals, protocols, training documents and standard operating guidelines online— where they’ll get viewed. You can create folders to organize documents and share files with the entire organization or limit access to specific employees or members.

VITALS

Software: Any Internet browser
Price: Included in agency subscription
www.emseschedule.com
888/433-6084

Knowledge Is Power
The electrical demands for EMS vehicles continue to increase and don’t stop when the engine isn’t running. Chargers for ECGs, suction units, mobile data computers, ventilators and other essential tools create a demand for electricity that will quickly kill a battery. The new Auto Charge Status Center from Kussmaul Electronics is a universal indicator that works with all Kussmaul Electronics battery chargers. It also indicates voltage on vehicles without a charger. The indicator reads battery voltage and indicates one the following battery life conditions via LEDs: high voltage, fully charged, charging and low voltage. The high- and low-voltage LEDs blink to indicate a potential problem with the vehicle’s electrical system.

VITALS
Dimensions: 4.7" x 3.2" x 0.75"
Power: 12v
Price: $99
www.kussmaul.com
800/346-0857

 

Personal Protection Spray
“Scene safe, body substance isolation (BSI)” is the phrase EMS students commonly use to start a testing scenario. Because most BSI consists of exam gloves and goggles (maybe), EMS providers have significant areas of exposure when bodily fluids spew forth in massive quantities. So, how do you clean yourself on the side of the highway after Mount Vomitus erupts? MyClyns germ protection spray has been popular with police, fire and EMS providers since its introduction. The new and improved MyClyns Personal Spray contains twice as much fluid as its predecessor, and a redesigned package has eliminated the glass vial. Now you can simply spray the non-alcohol-based germ killer on the exposed areas, including your face, and begin treating the exposure before you get to the hospital and start your department’s post-exposure protocol.

VITALS
Colors: Clinical white and tactical black
Volume: 12mL
Sprays: 120
Price: $16.95
www.clynsbrands.com
877/462-5967

Comfortable Oxygen Solution
Supplemental oxygen is a mainstay of EMS treatment. It’s most often delivered at low-flow rates of two to six liters per minute (LPM) via nasal cannulas. Certain patients don’t tolerate the nasal cannula due to age, injury or sensitivity. Pediatric patients squirm enough without a plastic hose against their face, and patients with rashes, burns and other skin conditions may not want anything to come in contact with their face or nose. The new OxyArm from Southmedic is worn over the patient’s head, and the diffuser arm’s oxygen outlet is positioned in front of the mouth like the microphone of a communications headset. The diffuser arm uses engineered, turbulent gas flow to generate a virtual bubble of oxygen in front of the patient’s face. This allows for minimal contact with the device and makes for a comfortable fit.

VITALS
Color: Clear
FiO2: 24–50%
Flow Rate: 1–5 LPM
Price: Call for pricing
www.southmedic.com
705/726-9383

 

Updated LED Classic
For more than 20 years, the original Streamlight LiteBox hand light has been a standard fixture on many emergency vehicles. This classic has been updated with the latest in LED technology and now has improved durability, bulb life and run time. The E-Flood LiteBox is powered by a 6v battery that runs for 12 amp hours and is made of sealed lead acid and can be recharged up to 500 times. The six C4 LEDs are mounted in six wide-pattern, parabolic reflectors that produce a smooth flood pattern for the 50,000-hour bulb life. Light output levels can be changed with a jumper wire. The high setting produces 4,000 candela (Peak Beam Intensity) and 615 lumens, and it runs for up to eight hours. The low setting has 2,150 candela (Peak Beam Intensity) and 330 lumens, and it will run up to 18 hours.

VITALS
Length: 11.5"
Width: 5.1" x 7"
Weight: 7.9 lbs.
Power: 6v, 12 amp hours
LEDs: Six C4
Colors: Orange and yellow
Price: $310
www.streamlight.com
800/523-7488

Book Review
The Pathological Protein: Mad Cow, Chronic Wasting, and Other Deadly Prion Diseases 
By Philip Yam

Not a shift goes by in any large EMS agency that providers don’t respond to a call involving a patient with dementia or Alzheimer's disease. It seems these diseases continue to proliferate. Change in the scientific community happens dramatically, and many of the things that used to be a mystery to us are now being solved with incredible detail. This book investigates the progression of mad cow and chronic wasting disease and chronicles the rise and historical evidence of the neurological diseases created by a small protein called a prion.

The increase in cases of Creutzfieldt-Jakob disease (CJD), the human form of mad cow disease, can be traced back to when animals were fed to other animals as a food source. During World War II, sheep with an ancient disease called “scrapie” were ground up and fed to cattle. Soon, rare CJD began appearing in cows, and then humans were acquiring the disease. Yes, this disease has been shown to jump not only from cows that eat contaminated products but also to humans who eat cows, deer or elk.

Recently, Yale University biologists found a connection between Alzheimer and both mad cow disease and chronic wasting disease in deer and elk. As reported by national public radio on Feb. 25, 2009, much of the information theorized about CJD in 2003 by Philip Yam has been proven and now published in the Journal of Nature. Yam provides a chilling and comprehensive look at how mad cow disease is evolving. Take a break from fiction and investigate the science behind this disease and other that may become a more common EMS response. JEMS —Bruce Evans, MPA, EMT-P



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