ECG Consult: 77yo Nursing Home Resident with Shortness of Breath and Lightheadedness
ECG Consult video Episode 4: We arrive on scene and find a 77yo nursing home resident with acutely altered mental status complaining of shortness of breath and lightheadedness. Watch in the player below.   (Source: JEMS Patient Care)
Source: JEMS Patient Care - September 10, 2019 Category: Emergency Medicine Authors: John Hayden, MD, EdD, FACEP Tags: Airway & Respiratory Training Training Videos Exclusive Articles Patient Care Patient Care Videos Source Type: news

1 Dead, 14 Hurt by Frying Pan Blast at German Village Fest
In this Sunday, Sept. 8, 2019 photo police officers investigate a booth after an explosion at a village festival in Freudenberg, Germany. Authorities say 14 people have been injured, five of them with life-threatening burns, during an explosion at a village festival in western Germany. Police told German news agency dpa that it appears likely that oil inside a big frying pan caused the explosion at the local 'Backesfest' (bakery festival) that was attended by about 100 people. (Berthold Stamm/dpa via AP)   BERLIN (AP) — Police say one woman has died from severe burns sustained during a frying pan explosion that also...
Source: JEMS Patient Care - September 9, 2019 Category: Emergency Medicine Tags: International Trauma News AP News Tag Source Type: news

Purdue Pharma Says Settlement Talks in Opioid Cases Not Over
In this Friday, Aug. 17, 2018, file photo, Christine Gagnon of Southington, Conn., protests with other family and friends who have lost loved ones to OxyContin and opioid overdoses at Purdue Pharma LLP headquarters in Stamford, Conn. Gagnon lost her son Michael 13 months earlier. OxyContin maker Purdue Pharma is expected to file for bankruptcy after settlement talks over the nation’s deadly overdose crisis hit an impasse, attorneys general involved in the talks said Saturday, Sept. 7, 2019, in a message to their counterparts across the country. (AP Photo/Jessica Hill, File)   OxyContin maker Purdue Pharma and lawyer...
Source: JEMS Patient Care - September 9, 2019 Category: Emergency Medicine Tags: News Patient Care AP News Tag Source Type: news

North Carolina Paramedic Loses Leg After Crash
  Paramedic Heather Haynes speaks to WGHP-TV from her hospital bed after losing part of her leg after being hit. LEXINGTON, N.C – A paramedic pinned between an ambulance and car last month lost part of her leg in the crash but is not giving up hope. "I want to keep going, because, first of all, I didn't go through paramedic school for two years for nothing, and because I have four kids looking at me," Heather Haynes said in a video message to WGHP-TV from her hospital bed. "If I give up, then it's going to teach them that you just give up no matter what. So, I'm just going to keep going, and,...
Source: JEMS Patient Care - September 6, 2019 Category: Emergency Medicine Authors: JEMS Staff Tags: Trauma News News Videos Source Type: news

EMTs in Israel In Need of Lifesaving EpiPens Following Worldwide Shortage
Photo provided by United Hatzalah An EMT in Israel administers an EpiPen to a young girl. There is a worldwide shortage of EpiPens, which is affecting individuals who have severe allergies that can cause anaphylactic reactions. The EpiPen is an auto-injection delivery system that administers a dose of adrenaline hormones which increases the heart rate and blood pressure and reverses the swelling of the airways. In cases of severe anaphylactic reactions, it can slow the allergic reaction and reverse its effects long enough to allow first responders to arrive or for a person to get to the hospital to receive f...
Source: JEMS Patient Care - September 5, 2019 Category: Emergency Medicine Tags: International Patient Care Press Releases Source Type: news

Rush, N.Y. Firefighter/EMT Hurt by Combative Victims
Watch the report on WHEC-TV   RUSH, N.Y. – A firefighter/EMT suffered minor injuries Wednesday morning when treating two people possibly on drugs after they became combative after a crash, authorities said. New York State Troopers and EMS arrived on Route 390 Northbound around 7:30 a.m. in Rush, a suburb of Rochester, on a report of a disabled car against the guardrail. Officials found a male and a female passed out in the car, according to a Facebook post from the Rush Volunteer Fire Department. Advanced Life Support was requested to wake up the two. The fire department said the two people, who were not identified,...
Source: JEMS Patient Care - September 5, 2019 Category: Emergency Medicine Authors: JEMS Staff Tags: News Patient Care Source Type: news

“First Responders for Recovery” program aims to end opioid addiction in Richmond, Virginia
YouTube/Richmond Ambulance Authority   The Richmond Ambulance Authority (RAA) and Richmond City Health District (RCHD) announced, in recognition of International Overdose Awareness Day, a new partnership and program to combat the opioid crisis in the City of Richmond. “First Responders for Recovery” is an evidence based program aimed at connecting addicts to recovery resources in the Metro Richmond area. At the center of the new program is RCHD’s new Peer Recovery Specialist Courtney Nunnally. Courtney is a recovering heroin and cocaine addict who now dedicates her life to helping others recover from addiction. ...
Source: JEMS Patient Care - September 4, 2019 Category: Emergency Medicine Tags: Patient Care Administration and Leadership Press Releases Source Type: news

International Prehospital Medicine Institute Literature Review, September 2019
Logo courtesy International Prehospital Medicine Institute   Vol. 1.12 1.       Prehospital administration of tranexamic acid in trauma patients: A 1:1 matched comparative study from a level 1 trauma center. El-Mentar A, Sathian B, Wahlen BM, et al. Am J Em Med. Published on-line April 30, 2019. https://doi.org/10.1016/j.ajem.2019.04.051. 2.       Prehospital Blood Product Administration Opportunities in Ground Transport ALS EMS –A Descriptive Study. Mix, F; Zielinski, M; Myers, L; et al. Prehosp Disaster Med, 2018;33(3):230-236. 3.   &n...
Source: JEMS Patient Care - September 4, 2019 Category: Emergency Medicine Authors: International Prehospital Medicine Institute Tags: Training Exclusive Articles Patient Care Source Type: news

Florida EMS Crew Invites TV Station for Ride-Along
  (Source: JEMS Patient Care)
Source: JEMS Patient Care - August 30, 2019 Category: Emergency Medicine Authors: JEMS Staff Tags: News Patient Care Source Type: news

EMTs, Teddy Bears Ride Along Together in Denver
  CBS Denver video DENVER – In this city, teddy bears ride along with the EMS crew. The furry friends are part of the Teddy Bear Patrol, an initiative used to comfort kids traumatized during an emergency. KOSI 101.1 is partnering with Rocky Mountain Hospital for Children and CBS4 Denver to collect new stuffed animals. They will be given to local first responders to help children in a time of need. (Source: JEMS Patient Care)
Source: JEMS Patient Care - August 29, 2019 Category: Emergency Medicine Authors: JEMS Staff Tags: News Patient Care Patient Care Videos Source Type: news

ImageTrend Introduces Historical Medical Images, Outcome Notifications
Rendering courtesy ImageTrend ImageTrend Elite with EKG Image   LAKEVILLE, Minn. - ImageTrend, Inc. announced two exciting new features on the company’s Elite ePCR solution: historical EKG images for repeat patients and hospital outcome notifications. These new features complement the already powerful ImageTrend Elite solution for EMS, fire and critical care documentation and integrated reporting and analysis tools. The historical EKG image feature is groundbreaking in allowing the pre-hospital care provider to view the current image and compare it to historical images from previous encounters with that patient. Thi...
Source: JEMS Patient Care - August 29, 2019 Category: Emergency Medicine Tags: Cardiac & Resuscitation Press Releases Source Type: news

NHTSA Office of EMS Marks International Overdose Awareness Day with New Resources
Photo U.S. Food and Drug Administration A file photo of various opioid cessation products. This August 31, communities around the world will recognize International Overdose Awareness Day, an especially meaningful event as our nation continues to fight an epidemic of deaths from opioids and other substances. The National Highway Traffic Safety Administration Office of EMS joins in observing this day and acknowledging the important role that EMS clinicians and systems can have in preventing and mitigating the effects of substance use. EMS and the Opioid Crisis The opioid epidemic impacts EMS across the nation every da...
Source: JEMS Patient Care - August 28, 2019 Category: Emergency Medicine Tags: News Patient Care Press Releases Source Type: news

Lancaster County, Pa. EMS Concerned About National Drug Shortage
  Fox 43 MOUNT JOY, Pa. – First responders in Pennsylvania are sounding off on a nationwide drug shortage they say is putting people in their community in danger. Paramedic Rob Walker of Susquehanna Valley EMS tells Fox 43: "It is medications you would never believe, and the list is long, and will make you shake your head.” Some of the drugs EMTs and paramedics in Lancaster County need include fentanyl, ketamine, epinephrine, and sodium bicarbonate, according to the report. According to a Sept. 2018 article on JEMS written by Vincent D. Robbins, FACPE, FACHE, 93% of the shortages are caused by inadequ...
Source: JEMS Patient Care - August 27, 2019 Category: Emergency Medicine Authors: Jeff Frankel Tags: News Resiliency Patient Care Source Type: news

Why Red Wyoming Seeks The Regulatory Approach To Air Ambulance Costs
Photo National Highway Traffic Safety Administration   Wyoming, the reddest of Republican states and a bastion of free enterprise, thinks it may have found a way to end crippling air ambulance bills that can top $100,000 per flight. The state’s unexpected solution? Undercut the free market by using Medicaid to treat air ambulances like a public utility. The issue has come to a head in Wyoming, where rugged terrain and long distances between hospitals forces reliance on these ambulance flights. Costs for such emergency transports have been soaring, with some patients facing massive unexpected bills as the free-f...
Source: JEMS Patient Care - August 27, 2019 Category: Emergency Medicine Tags: Rescue & Vehicle Extrication News Ambulances Vehicle Ops Patient Care Operations Source Type: news

A Systematic Approach to Capnography Waveforms
Capnography was first proposed for use in the operating room in 1978 and has since become the standard of care for monitoring ventilation.1 Capnography is rapidly growing in use for intubated and non-intubated applications across hospital environments including the ICU, resuscitation, procedural sedation, and postoperative monitoring of patients receiving opioid analgesia. 1,2 When used appropriately, capnography has been cited as meaningful in providing key, often life- sustaining, information in dozens of different clinical applications. These range from common indications such as monitoring for apneas, hypoventilation, ...
Source: JEMS Patient Care - August 27, 2019 Category: Emergency Medicine Authors: Gina Farquharson, RRT-NPS, MBA, MS, CPPS Tags: Exclusive Articles Patient Care Cardiac & Resuscitation Source Type: news