Dangerous Suspension & Of EMS, By EMS, For EMS


 
 

From the December 2009 Issue | Wednesday, December 2, 2009


I read ["Dangerous Suspension"] and found it very enlightening. I'm a full-time paramedic and a volunteer firefighter, as well as one of the team leaders of the local rope-rescue team. More than once, in state-run and team-level training, we've suspended another firefighter for lengths of time to simulate the window-washer scenario.No more of that without safety precautions.

Brian Bartolick, CCEMT-P

Perinton, New York

Several years ago, a training evolution involving a stokes basket in a vertical lift configuration left the person tied into the stokes and unable to move her legs.There was a delay in the evolution that left her legs dangling 20 minutes or so, and the subject passed out.I believe an article appeared in Fire-Rescue Magazine.

FC 44

Would purposeful movement of the legs on the part of a suspended victim prolong consciousness or delay the onset of suspension syndrome? Has any research addressed this?How helpful it would be if something as low-tech as shouted instructions to flex one's legs could widen the survival window!

CrankyAlaskaMedic

Author Bill Raynovich responds:We did not include a specific recommendation in the article as the recommendations are currently split on this. One suggestion is for the suspended person to vigorously kick the legs to actively move blood back up to central circulation, and the other is a caution not to kick the legs as that only hastens the pooling of the blood. The absolute recommendation is to keep the leg muscles working. Contracting the leg muscles will buy time.

Takes All Kinds

I think the conclusion [in "Of EMS, By EMS, for EMS," September] that "EMS education should be provided by EMS" could not be more wrong.The perfect medic program would include trauma assessment and treatment from ED docs and trauma surgeons, neurology exams from neurologists and peds exam from peds criticalists, followed by instruction from a streetwise medic to put it all together. Docs have a degree of expertise that can be transmitted to medics. It would be shortsighted to discount this.JEMS

Evan P. Weinstein, NREMT-P, MD&, FAAEM

Falmouth, Massachusetts




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Training, Extrication and Rescue, Jems Letters

What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS





 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Innovation & Progress

Follow in the footsteps of these inspirational leaders of EMS.
More >

Multimedia Thumb

Las Vegas Fire, AMR Reach New Deal

Tentative agreement reached over ambulance calls.
Watch It >


Multimedia Thumb

Fire Damages Several Homes in California Earthquake

Four homes destroyed and others damaged after quake rattles Napa.
Watch It >


Multimedia Thumb

Image Trend: ALS Ice Bucket Challenge

ImageTrend just challenged NEMSIS TAC and a couple others.
Watch It >


Multimedia Thumb

Where in the World of EMS is A.J.?

A.J. Heightman participated in the ALS Ice Bucket Challenge in a big way!
Watch It >


Multimedia Thumb

Where in the World of EMS is A.J.? Scranton

JEMS Editor-in-Chief visits his hometown of Scranton, Pa.
More >


Multimedia Thumb

Over 100 Injured in California Earthquake

172 patients treated at Napa hospital after 6.0-magnitude earthquake.
More >


Multimedia Thumb

Numerous Rescues during Arizona Flooding

Severe flooding across the region prompted several rescues.
More >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


More Product Videos >