Archive for October, 2010

Problem of Fraudulent EMT Certification Growing

by Jim, October 31, 2010

in General Topics

Problem of Fraudulent EMT Certification Growing

W. Ann Maggiore, JD, NREMT-P | Tuesday, July 13, 2010 If you’re providing care, you need to actually spend the time required in the classroom to be properly certified. Photo Art VandalayIn June, the state of Massachusetts revoked 211 EMT licenses after a massive investigation by the Massachusetts Department of Public Health found that they [...]

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The ABCs of Accreditation

by Jim, October 31, 2010

in General Topics

The ABCs of Accreditation

E. Jackson Allison Jr., MD, MPH, FACEP | Liz Sibley | Wednesday, August 25, 2010 Accreditation helps ensure a quality education program. Photo istockphoto.comEMS providers are well acquainted with the term quality assurance (QA), which describes a tool used to accomplish their public safety mission. Virtually every EMS organization engages in some sort of exercise [...]

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Study Reports Increased Proficiency in Prehospital ETI

by Jim, October 31, 2010

in General Topics

Study Reports Increased Proficiency in Prehospital ETI

Keith Wesley, MD, FACEP | Marshall J. Washick, BAS, NREMT-P | Friday, August 13, 2010 This study examined the relationship between the number of prehospital ETI attempts and the likelihood of success. Photo Grant TherrienReview of: Warner KJ, Carlbom D, Cooke CR et al. Paramedic training for proficient prehospital endotracheal intubation. Prehosp Emerg Care. 2010;14:103–108.The [...]

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CO Close Calls

by Jim, October 31, 2010

in Paramedic Notes

CO Close Calls

Teresa McCallion, EMT-B | From the The Silent Killer Issue Rehab assists in not only refreshing and rehydrating your personnel, but also in detecting CO poisoning and other medical abnorm Photo A.J. Heightman Fire departments and EMS agencies from coast to coast have first-hand accounts of patients with carbon monoxide poisoning that was successfully detected [...]

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A New Resuscitative Protocol

by Jim, October 31, 2010

in Patient Care

A New Resuscitative Protocol

Daniel P. Davis, MD | From the September Issue Wednesday, September 1, 2010 Photo Courtesy Daniel P. Davis For many years, the standard model for resuscitation training has revolved around the American Heart Association (AHA) guidelines, which are based on expert consensus and updated every five years. After release of the guidelines, modifications are made [...]

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A Standard of Care

by Jim, October 30, 2010

in Patient Care

A Standard of Care

Doug Isaacs, MD | John J. Peruggia, BSHuS, EMT-P | From the The Silent Killer Issue Proper sensor placement will ensure fast, accurate readings. Illustration Masimo Corp.After successfully rescuing two trapped Fire Department of New York (FDNY) firefighters, an officer complained of lightheadedness and mild shortness of breath. Initial assessment revealed him to be normotensive, [...]

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Five Tips for Basic Airway Management

by Jim, October 30, 2010

in Paramedic Notes

Five Tips for Basic Airway Management

Christopher T. Stephens, MS, MD, NREMT-P | Jimmie Meurrens, BS, NREMT-P | From the October Issue Friday, October 1, 2010 Advanced-level providers should understand that not all patients with airway problems are candidates for intubation. Photo Ryche Guerrero Use of the BVM is one of our most important basic airway skills. Photo Courtney MccainThis clinical [...]

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Making Sudden Cardiac Arrest a Reportable Condition

by Jim, October 30, 2010

in Paramedic Notes

Making Sudden Cardiac Arrest a Reportable Condition

Mary Newman | Thursday, October 28, 2010 After decades of trying, no national reporting system routinely captures OHCA incidence and outcomes. Photo Jeanette Galie Burkle/Galie PhotographySudden unexpected cardiac arrest occurring outside the hospital (OHCA) strikes 295,000 Americans of all ages each year (1). Unfortunately, OHCA survival rates have languished at a dismal 7% for decades [...]

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Airway Encounters

by Jim, October 30, 2010

in Patient Care

Airway Encounters

Criss Brainard, EMT-P | From the October Issue Friday, October 1, 2010 One of your initial decisions should always be to address airway management. Photo Criss brainardEngine 201, Rescue 4 and Medic 11 are dispatched to an unconscious person near a bayside hotel. It’s reported that bystanders are attempting to rescue the patient from the [...]

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Epilepsy for EMS

by Jim, October 30, 2010

in General Topics

Epilepsy for EMS

At some point in their lives, one person in 10 will experience a seizure. By age 75, 3% will have epilepsy. So if you, as an EMS provider, haven’t encountered an epileptic or seizure patient to this point in your career, rest assured–you probably will. It is among the missions of the Epilepsy Foundation to [...]

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