April 2009 Volume 34 Issue 4

Call to Action: Roof Top Rescue

Members of Cochrane Fire EMS provided ALS and used a Stokes rescue basket to lower a construction worker injured on the roof of a three-story building.

From the Editor: More Than a Number

A.J. Heightman, MPA, EMT-P

Hear from our Editor-in-Chief about why understanding geriatric care is more important than ever.

Letters: In Your Words

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

Priority Traffic: HIT the Books

New National EMS Education Standards will change the way you do your job, an NTSB hearing on air-ambulance safety yields new recommendations, a new report finds that heat is the deadliest natural hazard, and more.

Leadership Sector: Blast from the Past

Gary Ludwig, MS, EMT-P

Gary Ludwig uses an interesting approach to recount how far technology and medicine have come since the 1960s.

Tricks of the Trade: Varmints

Thom Dick

An extra rearview mirror allows you to see not only what’s going on behind your ambulance, but what’s going on in the back of it, which is important when you get a patient who has no regard for your safety.

Case of the Month: Buying Time

Tyrel Steines, EMT-P, NREMT, et al

A case of an obese patient who can’t receive the necessary medications IO raises questions about the use of transcutaneous pacing to sustain a patient until medications have time to work, and the ethics of using this method on someone with a potential DNR status.

Research Review

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

Get current by reading about recent studies on blood pressure, STEMI patients, IO equipment and backboards.

When Lightning Strikes

Ben Usatch, MD, FAAEM, NREMT-P

Did you know that lightning does strike twice in the same place? Read on to test your knowledge of this dangerous natural phenomenon and learn how to treat your patients and keep yourself safe when responding to volatile—and electric—weather.

Crime Scenes

Barry D. Smith, EMT-P

When your patient has been the victim of a crime, your report could become a legal document to be used in court. Accurate documentation of the scene, statements and injuries could be the single greatest act of advocacy.

Geriatric Trauma

Raphael M. Barishansky, MPH, et al

Read this refresher on the anatomical and physiological changes of aging, and how they should affect your assessment and treatment of geriatric trauma patients.

The Lighter Side: Pantry Pillaging

Steve Berry

Every industry has kleptomaniacs -- EMS included.

Last Word

Paramedics all but sweep the NAEMSP awards; Tulsa Fire Department succeeds at training, but fails at documentation; and Portland International Airport paramedics buy food for stranded passengers.

JEMS April Poll

Which feature article from April 2009 did you like best?

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