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March 2009

The Prehospital Care Research Forum Presents

Each year, the Prehospital Care Research Forum at UCLA and JEMS publishes this special section to recognize those who have contributed to the science of EMS. Read about the latest research conducted by your peers and consider submitting in 2009.

Intubation Threatened by New Devices and Lack of Paramedic Practice

How much longer will endotracheal intubation be performed in the field? With paramedics not getting enough practice and new alternative airway devices being introduced, its future is questionable.

Bryan Bledsoe, DO, FACEP, FAAEM, EMT-P William E. Gandy, D, LP, NREMT-P

The Prehospital Care Research Forum Presents: Selected abstracts for presentation at the 27th Annual EMS Today Conference in Baltimore, March 24-28, 2009

Each year, the Prehospital Care Research Forum at UCLA and JEMS publishes this special section to recognize those who have contributed to the science of EMS. Read about the latest research conducted by your peers and consider submitting in 2009.

A Lot of Nerve: How to perform a full neurological assessment for medical & trauma patients

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.

Chad Brocato, JD, DHSc, CFO

Features

The Value Quotient: Looking at the combined effects of quality & cost

If you manage money in your agency, this is a must read. You'll find out how an equation can help you make financial decisions.

Mic Gunderson


Features

The Aussie Anesthetic: Why the U.S. should consider equipping medics with ketamine

An Australian medical director talks about how his EMS system uses ketamine for pain management. Your agency may want to follow suit.

Stephen Rashford , MBBS, FACEM


Features

When Dead Is Only Mostly Dead: Understanding which causes of sudden cardiac death have good outcomes

EMS providers sometimes approach cardiac arrest assuming it will end poorly. But certain causes of cardiac arrest can allow for excellent outcomes despite prolonged CPR.


Features

Photo Kevin Link

Don't Be A Minimizer: Avoid the Trap of Underestimating Signs & Symptoms

Are you a minimizer? Let’s hope not. Read this article to find out.

Rollin J. Fairbanks, MD, MS


Priority Traffic

Chilled Crowds Keep 200-plus ambulances busy

Preparation by DC-area EMS agencies allows inauguration response for more than 2 million people to go off without a hitch; ultrasound use expands in the field with mixed results; JEMS legal columnists ask how well your state_s immunity laws are protecting you; and more.


Last Word

Illustration Paul Combs

Immigrant Physicians Become Paramedics

Alberta, Canada, is taking the matter of paramedic shortage into its own hands by training immigrant physicians; several states are starting registries for patients using home medical equipment so the special-needs population can have their power restored first in an outage; Louisville, Ky., is requiring some city employees to take four unpaid days off; and more.


Lighter Side

Rig Ragging: How computerized monitoring systems have changed ambulance driving

Steve Berry started driving an ambulance before computerized monitoring systems. Read his take on black boxes in rigs.

Steve Berry


Siren Head

OMG, OMD!: Sweet-talkin' your medical director & being a smart patient

This month, Sirenhead gives you a few tips on bonding with your medical director and also a reminder about the advantages of being a patient.

Sirenhead


Letters

A Weight Lifted & House Syndrome

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


Volunteer Voice

Problems of Practice: A new outlet to share them & improve volunteer EMS

Read how Jason Zigmont will use his print and online articles to solve volunteer EMS issues and bring together the volunteer community.

Jason J. Zigmont, MA, NREMT-P


Leadership Sector

No Bailout for EMS: Running your system on less without running it into the ground

We_re in a depressed economy, and that means property has less value and people are spending less, which means potentially less tax revenue for EMS. As an EMS manager, how do you make smart decisions to stay afloat?

Gary Ludwig, MS, EMT-P


From the Editor

Resource Overkill: We Can Do More for Less

Do you use resources wisely in your EMS system? When you send too many resources on a call, you_re wasting money and risking precious assets.

A.J. Heightman, MPA, 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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