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March 2010

The State of EMS in 2010

As JEMS turns 30, we measure where EMS is -- including our challenges and opportunities -- and where it might be headed.

Cynthia Kincaid

Reduce Inappropriate Helicopter Utilization in EMS

Because of the cost and danger of helicopter EMS, we need to establish criteria for reasonably shifting unnecessary air transports to ground EMS.

Bryan Bledsoe, DO, FACEP, FAAEM, EMT-P Dale Carrison, DO, FACEP Michael Abernethy, MD, FAAEM

When's My Shift?: Technology has come a long way since printed schedules

Scheduling systems today can be used to track training, certification, volunteer incentive programs and more.

Randy Campbell, EMT-P

The Prehospital Care Research Forum Presents Selected Abstracts

These abstracts will be presented at the EMS Today Conference & Exposition in 2010. The research involves the Broselow Tape, elderly fall victims, provider empathy and more.

Features

The Customer's Always Right: Steps you can take to ensure customer satisfaction

Get the tools you need to properly evaluate customer satisfaction and get results you want.

Allen Johnson, MPA, LP


Features

Trend Alert: The trending and interpretation of vital signs

EMS providers tend to become complacent about trending vital signs. Read why this is a vital part of continual patient assessment.

Edward T. Dickinson, MD, NREMT-P, FACEP | Kirkland N. Lozada, BA, NREMT-B


Features

Photo Keith Cullom

Disposition of the Deceased: How to determine patient status & prevent futile transports

EMS providers are frequently terminating resuscitative efforts in the field but have little guidance on what to do with the deceased.

Marc Eckstein, MD, MPH, FACEP


Features

Life Lessons

Need a mantra to keep you going? Consider one of these.


Features

30 Life Lessons: JEMS Editorial Board Members Offer Words of Wisdom

Need a mantra to keep you going? Consider one of these.


Last Word

Feature: Four Ottawa paramedics restrain a police officer’s assailant.

Ohio hospitals gifts squads with equipment for EMS Week, an off-duty paramedic with a sprained wrist saves a man having a heart attack, and four Ottawa paramedics restrain a police officer’s assailant.


From the Editor

30 Years of Leadership: Impact of JEMS on EMS development

This month, as we celebrate the 30th anniversary of JEMS, the editor shares some important thoughts with you.

A.J. Heightman, MPA, EMT-P


EMS in Action

Critical Trauma: Life Flight Transports Patient with Head Trauma

Critical Trauma: Life Flight Transports Patient with Head Injuries

EMS providers choose RSI on a cardiac patient in a rural area.


Letters

Readers Share Comments about JEMS and JEMS.com articles

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


Case of the Month

Basics & Backups: Critical patient requires airway control & vascular access

Severe hyperthermia proves to be a life-threatening complication of excited delirium syndrome in 50-year-old male drug abuser.

Gina Soriya, MD | James M. Cusick, MD, FACEP


Higher Learning

Use a Mnemonic Device to Assess Difficult Airways

Teach how to manage a difficult airway using the VARK method and mnemonic device LEMON.

Chad Brocato, JD, DHSc, CFO


Lighter Side

Not In My Backyard!: Build the EMS station somewhere else

Does this fight with townspeople over placing an EMS station in the heart of a rural community sound familiar?

Steve Berry


Tricks of the Trade

Clean Floors: A little fun for a serious world

Having a sense of humor and encouraging fun in the EMS workplace just might save your sanity when the going gets rough.

Thom Dick


Leadership Sector

A Lot to Offer: The value of 30 years of experience

Columnist Gary Ludwig shares the value of 30 years of experience and talks about his greatest mentor.

Gary Ludwig, MS, 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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