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April 2013

The Triple Aim

IHI’s Triple Aim optimizes the health system by focusing in on three dimensions.

David M. Williams, PhD

An EMT’s Close Call Provides a Lesson about Health & Wellness

John Davis experienced a life-threatening heart attack after transporting a patient

Kristin Spencer, MS, NREMT-P Vince Mosesso, MD, EMT-P

The Role of Tranexamic Acid in EMS & Preoperative Trauma Management

Tranexamic acid (TXA), used to inhibit the body’s natural clot breakdown, could have value for certain trauma patients in the field.

David S. Howerton, NREMT-P Duffy McAnallen, NREMT-P Howard Reed, NREMT-P Jeffrey M. Goodloe, MD, NREMT-P, FACEP

Permissive Hypotension in Trauma Resuscitation

Normal saline raises the trauma patient’s blood pressure but may not contribute to the best outcomes.

Features

The Role of EMS in Community Paramedicine

A group of stakeholders is working to define community paramedicine and to outline what role EMS agencies will play in this developing field.

David K. Tan, MD, FAAEM, EMT-T


Features

How Ischemic Post-conditioning Can Help the Cardiac Arrest Patient

Intermittent short ischemic episodes trigger a cascade of cellular protection mechanisms reducing injury to the heart and improving brain function.

Alexander L. Trembley, NREMT-P | David Page, MS, NREMT-P | Demetris Yannopoulos, MD


Features

Photo courtesy Centers for Disease Control/Janice Haney Carr

The Role of Tranexamic Acid in EMS & Preoperative Trauma Management

Tranexamic acid (TXA), used to inhibit the body’s natural clot breakdown, could have value for certain trauma patients in the field.

David S. Howerton, NREMT-P | Duffy McAnallen, NREMT-P | Howard Reed, NREMT-P | Jeffrey M. Goodloe, MD, NREMT-P, FACEP


Features

Experts Discuss EMS Safety and the Future of EMS

Personnel involved in EMS safety gathered at FERNO’s Wilmington, Ohio, headquarters on Feb. 25 to discuss the latest draft of the National EMS Advisory Council (NEMSAC) Strategy for a National EMS Culture of Safety document, which is scheduled for finalization and distribution in September.

A.J. Heightman, MPA, EMT-P


Hands On

Hands On April 2013

Check out the latest products and innovations in JEMS.

Dominic Silvestro, EMT-P, EMS-I


Priority Traffic

Proposed Legislation Supports Transition of Veterans to Civilian EMS

Fast track proposed for former military members with experience in combat EMS.

Teresa McCallion, EMT-B,


Leadership Sector

Photo istockphoto.com/-hakusan-

Leadership Lessons from the Movies

Great films entertain, but they also teach. Chief Gary Ludwig shares a few of his favorite movies that gave him insight into what makes a good leader.

Gary Ludwig, MS, EMT-P


Case of the Month

Photo courtesy U.S. Fish and Game Service

Effective Prehospital Care for a Scorpion Sting

Even the sting from the most dangerous scorpion can be treated without antivenins.

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


Letters

Readers Recognize the Efforts of Freedom House EMS Pioneers

Readers offer comments on recent JEMS and JEMS.com articles.


Last Word

Photo courtesy Rural/Metro-Kentucky

Paramedic Returns to Work with Prosthetic Leg

His leg was amputated above the knee after falling 110 feet during a hike.


EMS in Action

Fort Worth Fire Department Rescues Man after 8-Foot Fall

Fort Worth Fire Department provided technical rescue of a man who fell 8-feet off a cliff.


From the Editor

Ten Commandments of EMS Leadership

Being an incurable, self-admitted pack rat, it's not surprising A.J. Heightman found a note the other day with Jim Page’s familiar handwriting on it. It said, “The Ten Commandments of Leadership” on it.


Lighter Side

How EMS Providers Can Fight Germs

Get 16 tongue-in-cheek tips on how to fight germs in the field.

Steve Berry


Tricks of the Trade

Why EMS Shouldn’t Always Transport

I think our approach to EMS does a pathetic job of caring for many of the people we serve, Life-Saver.

Thom Dick


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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