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April 2009

Geriatric Trauma: What to think about before assessing, treating & packaging the elderly

Read this refresher on the anatomical and physiological changes of aging, and how they should affect your assessment and treatment of geriatric trauma patients.

Katherine E. O'Connor, BS, EMT-P, CIC Raphael M. Barishansky, MPH

2009 Ambulance Manufacture Showcase

Do you need to buy a new rig on a fixed budget?

When Lightning Strikes: Bolting down the facts & fiction

Did you know that lightning does strike twice in the same place? Read on to test your knowledge of this dangerous natural phenomenon and learn how to treat your patients and keep yourself safe when responding to volatile—and electric—weather.

Ben Usatch, MD, FAAEM, NREMT-P

Lighter Side

Pantry Pillaging

Every industry has kleptomaniacs -- EMS included.

Steve Berry


Last Word

Illustration Paul Combs

Last Word

Paramedics all but sweep the NAEMSP awards; Tulsa Fire Department succeeds at training, but fails at documentation; and Portland International Airport paramedics buy food for stranded passengers.


Case of the Month

Buying Time: Making the case for pacing a hypoperfusive DNR patient

A case of an obese patient who can't receive the necessary medications raises questions about the use of transcutaneous pacing to sustain a patient until medications have time to work, and the ethics of using this method on someone with a potential DNR status.

Keith Wesley, MD, FACEP | Tyrel Steines, EMT-P, NREMT


Priority Traffic

Education changes will affect you

New National EMS Education Standards will change the way you do your job, an NTSB hearing on air-ambulance safety yields new recommendations, a new report finds that heat is the deadliest natural hazard, and more.


Letters

Letters

Readers share their comments on JEMS and JEMS.com articles.


Leadership Sector

Blast from the Past: Looking back gives us an idea of where we're going

Gary Ludwig uses an interesting approach to recount how far technology and medicine have come since the 1960s.

Gary Ludwig, MS, EMT-P


Research Review

Research Review

Get current by reading about recent studies on blood pressure, STEMI patients, IO equipment and backboards.

Elizabeth Criss, NP, MED, MS, CEN, CCRN


From the Editor

More Than a Number: Age does matter in your assessment

Hear from our Editor-in-Chief about why understanding geriatric care is more important than ever.

A.J. Heightman, MPA, EMT-P


Tricks of the Trade

Varmints: What's going on back there?

An extra rearview mirror allows you to see not only what's going on behind your ambulance, but what's going on in the back of it, which is important when you get a patient who has no regard for your safety.

Thom Dick


Photo Mark C. Ide

Crime Scene Confidential

How to Access a Crime Scene

Barry D. Smith, EMT-P


A Note About the JEMS Archives
Looking for something prior to January 2008? Additional archives back to 2006 are coming soon to the new JEMS.com, but you can click here for older archives in the meantime.

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