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May 2009

Not the Nitro? Patient goes into prehospital V-fib arrest following nitroglycerin

A chest pain patient receives nitroglycerin and immediately goes into cardiac arrest. Is the nitro to blame, or is it just coincidence?

Jeremy Brywczynski, MD Kristen Dettorre, MD

Learning From Near Misses: What the National Fire Fighter Near-Miss Reporting System means for EMS

The National Fire Fighter Near-Miss Reporting System is actively collecting reports from EMS personnel related to incidents that put them in danger. What does this mean for you, the street-level provider or EMS administrator?

Brad Van Ert, FF, EMT-P

Trauma at the Tunnel

On Sept. 12, 2008, a commuter train headed north from downtown L.A. collided head on with a southbound freight train, instantly killing 25 and injuring 107. It would become the worst railroad accident in California's history.

A.J. Heightman, MPA, EMT-P Marc Eckstein, MD, MPH, FACEP

Huffing: Prehospital identification & treatment of inhalant abuse

Huffing is a deadly practice that's growing in popularity and becoming increasingly difficult to detect in patients. Learn the presentations that indicate toxic chemical inhalation, so you know how and when to treat.

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

Features

Photo illustration Alicia Buelow/photos Kevin Link

Why We Relive our Patient's Pain

The traumatic events experienced by EMS providers as part of their jobs can eventually intensify to the point where they feel too much distress.

Judith Acosta, LISW, CHT


Last Word

Last Word: Only in Texas, A Good Translation, NYC Disses 9/11 Responders

Texas medics take to their horses; Ohio students teach firefighters Spanish; and New Jersey EMS employees take company vehicles for a dangerous joyride.


Lighter Side

Follicle Fabrication: A life lesson for one newly hairless paramedic

A show of support for a colleague's son became a life lesson for one newly hairless paramedic.

Steve Berry


Priority Traffic

Priority Traffic: A virtual front seat to all the EMS Today action

EMS Today 2009 draws more than 4,000 people, Ford settles to the tune of $30 million, states purchases disaster trailers for rural area, co-workers' minor crime and more in this month's Priority Traffic.


Letters

Letters

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


Volunteer Voice

Troublemakers: Can't we all just get along?

As a volunteer, do you sense overwhelming animosity toward volunteer EMS? Find out both sides of the argument.

Jason J. Zigmont, MA, NREMT-P


Leadership Sector

Hostility at Work: Identifying it & dealing with it

Learn how to identify and deal with hostile environments in the workplace.

Gary Ludwig, MS, EMT-P


EMS in Action

Mark C. Ide

A Quick Response

Auburn (Mass.) Fire Department paramedics responded to this bus crash on an interstate off-ramp in less than a minute; assessing and triaging the 56 passengers inside the bus.


MCI Efficiency: It Takes More than Triage Tags to Run an MCI

You can get by at an MCI using the basic principles of MCI management, but if you want to refine your processes and run a highly efficient MCI, there are a few additional aspects to consider in your planning.

A.J. Heightman, MPA, EMT-P


(Photo courtesy John Amtmann)

The Soft American

Are we still the "soft Americans" JFK described 50 years ago? Find out if your musculoskeletal fitness is in need of some attention.

John Amtmann, EdD, NREMT-B


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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