Md County Council Rejects EMS Fee - JEMS.com
ROCKVILLE - The Montgomery County Council today voted by a 5-3-1 margin not to approve County Executive Isiah Leggett's proposal for fee charges that would apply to an Emergency Medical Service Transport... (Source: JEMS Latest News)...
POSTED 07/01/2009 at 10:17 AM --
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Scorned Lover Plows CA Duplex
CASTRO VALLEY - Six people were injured Monday when a 19-year-old Pittsburg man drove his car into a duplex during a lovers' spat over personal property, authorities said.
One woman suffered a broken... (Source: JEMS Latest News)...
POSTED 07/01/2009 at 10:17 AM --
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Hawaii Reports First H1N1 Death - JEMS.com
HONOLULU - Hawaii reported its first swine flu death on Monday.
The state Department of Health said an adult over 60 years old with an underlying medical condition died June 19 at Oahu's Tripler Army... (Source: JEMS Latest News)...
POSTED 07/01/2009 at 10:17 AM --
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Videolaryngoscope-Assisted Nasotracheal Intubation for the Difficult Airway in Trauma
This case report describes air medical transport of a patient with ankylosing spondylitis (AS) who had sustained cervical spine injury as the result of an assault. It highlights important considerations regarding airway management while maintaining cervical spine immobilization and elaborates on a novel airway management technique for flight crews: videolaryngoscope-assisted nasotracheal intubation. (Source: Air Medical Journal)...
POSTED 06/30/2009 at 06:00 PM --
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The Bougie-Aided Cricothyrotomy
We report a case in which an air medical crew used a gum-elastic bougie (endotracheal tube introducer), a common device in many airway kits, to facilitate surgical cricothyroidotomy in a 58-year-old patient with a pharyngeal mass, respiratory failure, and failed rapid sequence induction. We believe this technique may decrease the time until ventilation, minimize complications compared with other cricothyroidotomy techniques, and allow insertion of a larger-diameter endotracheal tube compared with other techniques. (Source: Air Medical Journal)...
POSTED 06/30/2009 at 06:00 PM --
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2009 Critical Care Transport Medicine Conference Abstracts
The following abstracts are from the poster presentations made at the 2009 Critical Care Transport Medicine Conference held April 6–8, 2009, at the Sheraton Gunter Hotel in San Antonio, Texas. They are supported by Golden Hour Data Systems, Inc. Contact Pat Petersen, executive director of the Air Medical Physician Association, at ppeter1111@aol.com for more information. (Source: Air Medical Journal)...
POSTED 06/30/2009 at 06:00 PM --
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Forum
As you come off of your third straight night of a lot of flying and very little rest, all you can think about is that nice, comfortable bed waiting for you at home and the chance to catch up on some much needed sleep. Even though you worked almost 2 hours past your normal shift time this morning, you know that you should have plenty of time to get adequate sleep before returning at 1900 tonight. (Source: Air Medical Journal)...
POSTED 06/30/2009 at 06:00 PM --
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Concern Network
The Concern Network shares verified information to alert medical transport programs when an accident/incident has occurred. Both air and ground programs are encouraged to participate. If you have questions, contact CONCERN Coordinator David Kearns at (800) 525 3712 or www.concern-network.org. (Source: Air Medical Journal)...
POSTED 06/30/2009 at 06:00 PM --
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Recent Articles of Interest to Critical Care Out-of-Hospital Personnel
Warner KJ, Sharar SR, Copass MK, Bulger EM. Prehospital management of the difficult airway: a prospective cohort study. J Emerg Med 2009;36:257–65. The Seattle emergency medical services (EMS) system has been doing out-of-hospital intubations and rapid-sequence intubations (RSI) longer than any other EMS system in the United States. This paper looks at all intubations performed by the Seattle Fire Department over a 4-year period. Of 80,501 advanced life support (ALS) patient contacts, 4,091 (5.1%) patients had endotracheal intubation (ETI) attempts performed; 96.8% of these patients were intubated within four attempts, and 62.3% of the intubated patients had RSI. (Source: Air Medical Journal)...
POSTED 06/30/2009 at 06:00 PM --
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A Pregnant Woman with Edema: Conclusion
A mobile intensive care unit was dispatched to a suburban hospital for a 26-year-old woman who was 26 weeks pregnant and had been diagnosed with preeclampsia. The report from the referring facility indicated that the patient was stable without complaints but needed transported for further evaluation to a tertiary care center that specializes in high-risk obstetrics. The referring facility asked the transport crew to bring a fetal heart monitor because the fetus had demonstrated sporadic episodes of bradycardia. The history obtained indicated this patient was a gravida 1 para 0 who had developed some very mild elevations in her blood pressure (BP) accompanied by swelling of her face, feet, and hands beginning at 18 weeks' gestation She had been admitted to the obstetric unit 24 hours before......
POSTED 06/30/2009 at 06:00 PM --
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Inferential Statistics
This article is the 15th in a multipart series designed to improve the knowledge base of readers, particularly novices, in the area of clinical research. A better understanding of these principles should help in reading and understanding the application of published studies. It should also help those involved in beginning their own research projects. (Source: Air Medical Journal)...
POSTED 06/30/2009 at 06:00 PM --
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Utilization Review
Many medical transport services that are visited by the Commission on Accreditation of Medical Transport Systems (CAMTS) have problems understanding utilization review (UR). Some services provide us with their quality management (QM) data, interpreting QM as UR. Other services are just starting to collect data, using the suggested list from Accreditation Standard 07.03.00, but there is no evidence of trending and follow-up. So what do we mean by UR? (Source: Air Medical Journal)...
POSTED 06/30/2009 at 06:00 PM --
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Table of Contents
(Source: Air Medical Journal)...
POSTED 06/30/2009 at 06:00 PM --
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Cardiac Patient Given Hypothermia Therapy - JEMS.com
Editor's Note: J. Brent Myers, MD, conducted a JEMS.com webcast on Prehospital Hypothermic Resuscitation in April 2009. Watch the archive.
For a 49-year-old man recovering from a heart attack that stopped... (Source: JEMS Latest News)...
POSTED 06/30/2009 at 10:18 AM --
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Deadly Confined Space Incident in Queens - JEMS.com
NEW YORK - A man, his son and a co-worker hired to clean a putrid dry well at a waste transfer station died Monday when the son fell into a space filled with toxic fumes and the other two went to help... (Source: JEMS Latest News)...
POSTED 06/30/2009 at 10:18 AM --
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Three Drowned in SC Pool - JEMS.com
EASLEY, S.C. - An 8-year-old child and two adults have drowned in a swimming pool at a home in northwestern South Carolina.
The bodies of the boy and his aunt and uncle were reportedly discovered in an... (Source: JEMS Latest News)...
POSTED 06/30/2009 at 10:18 AM --
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Lasso
(Source: Academic Emergency Medicine)...
POSTED 06/29/2009 at 06:00 PM --
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Cardiologists Question Jackson's CPR in Bed
LITTLE FALLS, N.J. (MedPage Today) -- Michael Jackson's personal physician should not have performed CPR on the late pop star while he was in bed, if that was indeed what happened, prominent cardiologists said today. (Source: MedPage Today Emergency Medicine)...
POSTED 06/29/2009 at 05:31 PM --
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Trauma Team Works Outside the ER - JEMS.com
When Dr. James C. Jones saw the trauma alert, he knew his expertise was needed for an important medical situation. He didn't know at the time, however, that he'd soon be contemplating amputation involving... (Source: JEMS Latest News)...
POSTED 06/29/2009 at 10:15 AM --
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Ohio Lawmakers Propose EMTs Draw Blood - JEMS.com
A bill introduced in the Ohio Senate would allow emergency medical workers to draw blood from drunken-driving suspects. The goal, according to Sen. Timothy Grendell, who added the provision to Senate Bill... (Source: JEMS Latest News)...
POSTED 06/29/2009 at 10:15 AM --
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