Patient Care

Editor's note: A presentation related to this article will be featured at the 2013 EMS Today Conference and Expo. Click here for more information and to register! It’s easy to introduce a new drug, device or procedure. EMS responders welcome innovations. It’s also easy to remove drugs, devices or procedures that haven’t shown to be effective. In most cases, you simply taking them off the rigs. 
Cardiac & Resuscitation

For the seventh straight year, EMS teams from around the country demonstrated their clinical expertise and ability to overcome scenario challenges during the 2012 JEMS Games clinical competition at the EMS Today Conference and Exposition. Teams registered for the competition received a packet that included important details about the competition, including the preliminary event and the finals. Earning one of the top three slots in the preliminary competition is the only gateway to the finals. New Aspects
Airway & Respiratory

EMS has used simulation for decades in the form of CPR manikins, task trainers and standardized patients (i.e., real “victims” moulaged and simulating illnesses and injuries). However, with the advancement of high-fidelity (HF) manikins and the use of standardized patients in critical-thinking exercises, we’re now capable of offering scenarios that immerse students and providers in real-world exercises. And it’s had great results in improving the educational process and changing a lot of the traditional behaviors.
Airway & Respiratory

>> Tac Team Alpha: I’ve got visual on barricaded subject with hostages. >> Command: Acknowledge Alpha. Maintain visual and advise of any change in behavior or position. >> Tac Team Alpha: Subject appears increasingly disoriented. Sounds of multiple shots are heard fired from the subject’s location. >> Tac Team Alpha: I’ve got visual on wounded hostage. >> Command: Copy Alpha on wounded hostage.
Mass Casualty Incidents

It was an otherwise quiet morning in Pima County, Ariz., when, at 10:11 a.m. on Jan. 8, 2011, the Pima County Sheriff’s Department received a 9-1-1 call advising of a shooting in progress at a local shopping center. During the next 20 minutes, details of a horrific and historic scene unfolded, despite the lone shooter being taken into custody within five minutes of the original 9-1-1 call.
Administration and Leadership

Paramedic: That’s a nasty bite you got there, big fella. How’d you get it? Not talking, are we? Suit yourself, but your insistent moaning and yowling is starting to get on my nerves. And stop looking at me like I’m someone you could sink your teeth into. I’m not the one who tased you—not that it phased you a bit. 
Airway & Respiratory

One of our core responsibilities as prehospital medical providers is to offer care and assistance to not only the general public, but also to those who assist and protect us in the field: law enforcement officers. Despite the risk of injury that most police officers face in their daily line-of-duty work, they don’t often receive good medical instruction on self care and buddy aid. As a result, they too represent a medically underserved population that EMS providers are in an excellent position to assist.
Cardiac & Resuscitation

There was tremendous enthusiasm, new products and technology at this year’s EMS Today Conference & Exposition in Baltimore. But nowhere was the buzz more apparent than at the JEMS Games Clinical Skills Competition. This year, 14 teams competed for more than $30,000 in prizes, including a $10,000 Verathon Glidescope Ranger video laryngoscope and a Masimo RAD-57 CO-oximeter. But the real star of the show was the latest simulation technology from Laerdal.
Operations

When we’re dispatched to a scene, sometimes the information we have about the location of the patient may be scarce. Depending on the dispatch information, EMS providers may respond to, standby for or assist in search parties. Unfortunately, initial EMS education brushes through these skills and continuing education is necessary to fill the gap.
Cardiac & Resuscitation

After weeks of seemingly endless shifts working as an EMT in your suburban ambulance service, you’ve finally escaped for a week-long vacation in the mountains. On the second day of your vacation, you decide to hike one of the steep, granite-lined trails in the nearby national park.