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May 2008

Getting Ready to Get Out: How EMS providers & hospital staff can work together to successfully relocate patients

This article discusses the evacuation of health-care facilities during a time of disaster.

Ehren B. Ngo, MS, EMT-P James F. Goss, MHA, MICP

More Than Just a Standard: NFPA 1584 defines the rehab process

There's a new standard that you need to become familiar with. It's National Fire Protection Association (NFPA) Standard 1584, the Standard on the Rehabilitation Process for Members During Emergency Operations and Training Exercises.

James J. Augustine, MD, FACEP

Medical Triage for WMD Incidents: Incidents an adaptation of daily triage

The START method of sorting medical casualties has been the key to the survival of trauma victims, particularly at large MCIs.

Dave Donohue, MA, EMT-P

Manhattan MCI: Report from the pile of a crane collapse

There's no way to prepare for such a horrific event as the West Nickel Mines school shooting. But read the following for the lessons learned by the responders.

Features

West Nickel Mines School Shooting: How a rural MCI was successfully managed

Read how EMS units handled an MCI with multiple critically wounded children in a peaceful Amish community.

Michael Reihart, DO, FACEP | Rich Ressel, EMT/FF


Features

The Modern Diabetic: How to handle insulin pumps during emergencies

Diabetes is a growing epidemic. Many patients with this disease have insulin pumps. EMS providers need to understand how to handle patients with this type of device.

Connie J. Mattera, MS, RN, EMT-P


Features

Can We Stand the Heat?

The Orange County (Calif.) Fire Authority (OCFA) undertook a research study to examine certain factors -- hydration status, exertion level, core body temperature and post-incident cooling techniques -- that may contribute to heat-related illnesses.

Nancy Espinoza, MS


EMS in Action

Crane Collapse

FDNY EMS Rescue and Haz Tac crews responded to and cared for critically injured patients when a crane broke away from an apartment tower under construction.


Tricks of the Trade

Lyin' Eyes: Do we underestimate this finding?

Lying is unnatural, and if you know what to look for, people's eyes will usually tell you when they're doing it. So what do you look for?

Thom Dick


Case of the Month

Patient in a Post-excited State Takes EMS by Surprise

This article discusses how patients suffering from excited delirium can "cycle" through excited and deteriorated stages.

W. Ann "Winnie" Maggiore, JD, NREMT-P


Last Word

Last Word

Features: 9/11 Responders Fight Proposed Funding Cuts, Need Transport? Take a Number, and Green Building Benefits Medics


Volunteer Voice

Responding to the Masses: A special letter gets a special reply

David Grass Sr., EMS chief of the Pine Bush (N.Y.) Volunteer Ambulance Corp provides us with a great view into his organization.

Jason J. Zigmont, MA, NREMT-P


From the Editor

Major Fires Require Major Rehab

EMS rehab operations should be in place at all working structure fires.

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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