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  1. The Food & Ketchup Conundrum for EMS Responders - Journal of Emergency Medical Services

    Subscribe | Newsletters | Advertise | Contact Us             Journal Supplements Subscribe Jobs Featured Jobs Search Jobs Post A Job Products Buyer's Guide Product Reviews Hot Products Hot Products Submissions Product Announcements Product Videos Technical Digests Webcasts White Papers Videos Ask the Expert Education & Training EMS 10 Interviews EMS Today Fitness JEMS Games Product Spotlight Home About Us Advertise Contact Us Our Team Authors Community Submit A Press Release News General News Industry News Company & People News Product Announcements Obituaries & Line of Duty Deaths Patient Care Abdominal & Gastrointestinal Disorders Allergies & Immunology Airway & Respiratory Cardiovascular & Hematology Diabetes & Endocrine Disorders Genitourinary & Gynecology & Renal Infectious Diseases Medications and Pharmacology Neurology Patient Assessment Psychiatric Resuscitation & Shock Toxicology Trauma Abdominal & Genitourinary Trauma Bleeding Burns & Soft Tissue Trauma Chest Trauma Environmental Emergencies Head, Neck, Spine and Nervous System Trauma Orthopedic Trauma Special Patients Geriatrics Obstetrics and Neonatal Pediatrics Special Challenges Administration & Leadership Communications & Dispatch Documentation & Patient Care Reporting Education and Training Leadership & Professionalism Legal & Ethical Protocols & Medical Direction Operations Ambulance & Vehicle Ops Air Medical Equipment & Gear Hazmat Provider Wellness & Safety Rescue & Vehicle Extrication Tactical EMS Major Incidents Mass Casualty Incidents Natural Disasters Planning & Incident Management WMD & Terrorism Mobile Integrated Healthcare Special Topics Case of the Month EMS Today Conference Hands On Product Reviews History of EMS Humor JEMS Games Research Surveys Technology   Home About Us Advertise Contact Us Our Team Authors Community Submit A Press Release News General News Industry News Company & People News Product Announcements Obituaries & Line of Duty Deaths Patient Care Abdominal & Gastrointestinal Disorders Allergies & Immunology Airway & Respiratory Cardiovascular & Hematology Diabetes & Endocrine Disorders Genitourinary & Gynecology & Renal Infectious Diseases Medications and Pharmacology Neurology Patient Assessment Psychiatric Resuscitation & Shock Toxicology Trauma Abdominal & Genitourinary Trauma Bleeding Burns & Soft Tissue Trauma Chest Trauma Environmental Emergencies Head, Neck, Spine and Nervous System Trauma Orthopedic Trauma Special Patients Geriatrics Obstetrics and Neonatal Pediatrics Special Challenges Administration & Leadership Communications & Dispatch Documentation & Patient Care Reporting Education and Training Leadership & Professionalism Legal & Ethical Protocols & Medical Direction Operations Ambulance & Vehicle Ops Air Medical Equipment & Gear Hazmat Provider Wellness & Safety Rescue & Vehicle Extrication Tactical EMS Major Incidents Mass Casualty Incidents Natural Disasters Planning & Incident Management WMD & Terrorism Mobile Integrated Healthcare Special Topics Case of the Month EMS Today Conference Hands On Product Reviews History of EMS Humor JEMS Games Research Surveys Technology Home The Food & Ketchup Conundrum for EMS Responders The Food & Ketchup Conundrum for EMS Responders Wed, Jan 27, 2016 By A.J. Heightman, MPA, EMT-P Editor-in-Chief, JEMS Clues at the crash scene can be teaching moments for our own driving habits I had a strange thought today as I was put together a lecture for an upcoming conference on situational awareness and patient assessment. I was wondering how many of you have responded to a serious motor vehicle collision involving a driver with serious injuries or, worse yet, fatal injuries, and during your scene assessment found a sandwich on the floor or remnants of a sandwich such as ketchup, lettuce, onions, pickles, etc. (you get my point) splattered on the dashboard or steering wheel which could possibly indicate that your victim had been eating while driving and then crashed. We hear a lot about distracted drivers as a result of cellphone use, but I’ve personally seen evidence of distracted drivers from eating and driving at the same time, particularly eating a messy sandwich or other food that can fall apart and distract them. The photo here was from a call I responded to and found a patient in traumatic cardiac arrest. As we worked this patient, bystanders reported that he had crashed, exited the vehicle, took a few steps and them collapsed to the ground. He had a crushed chest and ultimately succumbed to a flail chest and hemopneumothorax. We were aware that the driver probably was not buckled into his seat because the steering wheel was bent significantly from his body impact. [Native Advertisement] The police officer investigating the incident radioed me when I cleared the hospital and asked me to return to the scene. They then pointed out a “spray” of lettuce, meat, bun and onion on the steering wheel and dashboards, as well as an open Big Mac container on the floor (see photo). Their theory (and mine) was that he was eating a messy Big Mac when the crash occurred. We have no way of knowing if he was truly distracted, but it was an interesting observation and possible cause. By the way, he was not wearing his seatbelt and his daughter—who was buckled into her car seat in the back of the vehicle—did survive. A second, more profound, teaching moment. By A.J. Heightman, MPA, EMT-P Editor-in-Chief, JEMS Editor-in-chief of JEMS , A.J. Heightman is a former EMS director and EMS operations director who has researched and specialized in MCI management training for 30 years. Sponsored Content is made possible by our sponsor; it does not necessarily reflect the views of our editorial staff. Subscribe today to  JEMS In EMS, you never know what you'll be faced with as each new shift begins. The Journal of Emergency Medical Services (JEMS) is real-world EMS. It's informative, practical and an outstanding educational resource for EMS professionals. We're here to help you do your job more effectively, with content from writers who are EMS professionals in the field: Breakthrough Clinical Concepts Cutting-Edge Technology Annual Salary Survey Leadership & Professionalism Fundamental Assessment Tips New Product Reviews Compelling Case Studies and more... SUBSCRIBE DIGITAL EDITION   RECENT ARTICLES Over 30 Dead in East Coast Snowstorm MVAs, heart attacks and carbon monoxide poisoning claimed several people. Several Deaths Blamed on East Coast Snowstorm At least seven people have died in auto accidents as winter storm begins to hit eastern states. Drugs, Alcohol Ruled Out in California Bus Crash Investigators look for other cause in San Jose bus crash that killed two and injured eight. Two Dead, Eight Injured in San Jose Bus Crash Two passengers are killed when a Greyhound bus overturned in a highway in Northern California. Five Dead in Gas Explosion in Italian Apartment Five people were killed after a gas leak and explosion in Arnasco, Italy. Severe Weather Kills Two, Injures Several in Florida A pair of tornadoes hit central Florida killing two people when their mobile home was struck. SUBSCRIBE DIGITAL EDITION   Featured Careers More Jobs   eNews Register for the JEMS eNewsletter, it's FREE! Sign-Up! JEMS Connect FEATURED GROUPS Disaster EMS   EMERGENCY! Lovers   Tactical Medicine   Humor In EMS     CURRENT DISCUSSIONS   JOIN JEMS CONNECT   EMS BLOGS Blogger Browser Today's Featured Posts Copyright © 2016: PennWell Corporation, Tulsa, OK. All Rights Reserved. UTILITY Home About Us Contact Us Terms of Use Subscribe Advertise Reader Service Submit a Press Release RSS Feeds Privacy Policy Topics News Patient Care Leadership Special Topics Major Incidents Operations Sections Authors Columns Community Jobs Journal Products Supplements Webcasts

    Online Articles

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    Wed, 27 Jan 2016

  2. Bride to the Rescue, Sepsis Education and 'the Pause' Helps Dealing with a Patient Death - Journal of Emergency Medical Services

    The ups & downs of EMS: Find out who gets a thumbs up in this month's issue of JEMS .

    Magazine Articles

    Magazine Articles

    Mon, 23 Nov 2015

  3. Northwest Storm Kills Three, Cuts Power to Thousands

    The severe Northwest storm is posing challenges for emergency responders; at least 3 people have been killed by falling trees.

    Online Articles

    Online Articles

    Wed, 18 Nov 2015

  4. LAFD Tests Fast Response ALS Units - Journal of Emergency Medical Services

    Pilot program will test two fire/ALS rigs in busy city areas during peak weekday hours.

    Online Articles

    Online Articles

    Tue, 3 Nov 2015

  1. Survivors Describe Horror in Romanian Nightclub Fire - Journal of Emergency Medical Services

    Online Articles

    Online Articles

    Mon, 2 Nov 2015

  2. Medical Problem Investigated in Bronx Crash - Journal of Emergency Medical Services

    Investigators look into cause of fatal Halloween crash.

    Online Articles

    Online Articles

    Mon, 2 Nov 2015

  3. Bus Loaded with Children Crashes in Germany - Journal of Emergency Medical Services

    One child dead and several others injured in crash near Erfurt.

    Online Articles

    Online Articles

    Mon, 2 Nov 2015

  4. Tornadoes and Flooding Kills Six in Texas - Journal of Emergency Medical Services

    Death toll rises in central Texas as more bodies are recovered.

    Online Articles

    Online Articles

    Mon, 2 Nov 2015

  5. Medical College Develops Fully-Equipped Telemedical Drone - Journal of Emergency Medical Services

    William Carey Medical College launches HiRO drone as project looks at post-disaster response.

    Online Articles

    Online Articles

    Fri, 16 Oct 2015

  6. Medical College Develops Fully-Equipped Telemedical Drone - Journal of Emergency Medical Services

    William Carey Medical College launches HiRO drone as project looks at post-disaster response.

    Online Articles

    Online Articles

    Fri, 16 Oct 2015

  7. South Nassau Celebrates Official Opening of Long Beach Emergency Department - Journal of Emergency Medical Services

    The Facility is Long Island’s First Free-Standing Emergency Department; Open 24 hours a day, 7 days a week and receives ambulances via the 9-1-1 system 

    Online Articles

    Online Articles

    Tue, 11 Aug 2015

  8. Tennessee’s Hutchinson Medical Center Takes over Walker County Ambulances - Journal of Emergency Medical Services

    County EMS service continually lost money according to documents.

    Online Articles

    Online Articles

    Mon, 10 Aug 2015

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