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February 2009

Mastering CHF: Current strategies for the prehospital care of congestive heart failure

This overview of the current treatment of CHF shows the significant shift in strategy in regard to the management of CHF and pulmonary edema, including recommended drug therapies.

Bryan Bledsoe, DO, FACEP, FAAEM, EMT-P

Workforce Priorities: Three steps to determine what they are & move forward

In recent years, considerable media attention has been given to the shortage of EMTs and paramedics. Is a nationwide "crisis" or "shortage" of EMS professionals really upon us?

Daniel Patterson, PhD, MPH, EMT-B Jane H. Brice, MD, MPH

2008 JEMS 200-City Survey

February JEMS includes the annual "200-City Survey," which sets the benchmark for practices in your organization by offering a national look at prehospital care.

David M. Williams, PhD

The Root of All Data: One organization's important new approach to measuring performance

The easy part is collecting EMS data, but what do you do after you have it? Learn how Montgomery County Hospital District used the Six Sigma philosophy and their own initiatives to analyze data and effectively disseminate it.

Allen Sims, EMT-P Kelly Curry, RN, EMT-P

Priority Traffic

Priority Traffic: John Pryor killed in Iraq, economy challenges EMS, CDC promotes uniform triage

Early Christmas morning, JEMS editorial board member John Pryor, MD, was killed in Iraq by mortar fire while serving his second tour as an Army combat surgeon.


From the Editor

The Soldiers’ Surgeon: Reflections on the life and death of John P. Pryor, MD

It’s difficult to accept the loss of a loved one to the passion of their work. Sometimes it’s for one shift, and other times it’s for eternity. This reality hit home when I heard John Pryor, MD, had been killed while serving in Iraq.

A.J. Heightman, MPA, EMT-P


Letters

Letters: The Other War, Questioning Authority

Think with your head, not with your heart.


Leadership Sector

Integrity & Ethics: Standing up for yourself & your organization

Some recent legal cases show the human faults and bad decisions in EMS, just as in any profession. The lesson for EMS leaders is to stay out of the headlines.

Gary Ludwig, MS, EMT-P


Tricks of the Trade

Bubbles: Air-proofing your IV lines

Bubbles form when you spike an IV bag and allow the fluid to splash down into the open end of that line. Bubbles will keep forming all day, until you eliminate the source.

Thom Dick


Research Review

Research Review: 2008 ACEP Research Forum

The 2008 American College of Emergency Physicians’ Research Forum, published the Annals of Emergency Medicine October 2008 supplement, offers some interesting abstracts to consider.

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


Case of the Month

White Cloud: Responding to suspicious white powder incidents

An EMS crew responded to an injury call outside a municipal courthouse find the female victim lying on the ground, covered with a white, powdery substance.


EMS in Action

Michael Schwartzberg/IFPA

Pinned in Pikesville: Extrication from vehicle struck by two tractor trailers

In Baltimore County, Md., crews extricate a patient trapped in a passenger vehicle that had been struck by two tractor trailers near an interstate on-ramp.


Pinellas County EMS & Fire Administration

Last Word: Sunstar Runs on Sunshine, AP Maligns Paramedics

Sunstar EMS in Pinellas County, Fla., has found an innovative solution to keep equipment batteries charged, and JEMS comments on the Associated Press story "Paramedics accused of molesting patients."


Back in the Jump Seat: The curmudgeon returns & finds ‘youngins’

After a hiatus, Sirenhead returns ... with the same sarcastic advice. To start, he responds to the complaints of a fellow old fart.

Sirenhead


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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