JEMS

May 2009 Volume 34 Issue 5

Borrowed Trauma

The traumatic events experienced by EMS providers as part of their jobs can eventually intensify to the point where they feel too much distress. When we start taking it home with us, when our behavior begins to change, when we can’t seem to get it out of our minds, we’re suffering from what’s referred to “secondary” or “vicarious” trauma.

April 2009 Volume 34 Issue 4

When Lightning Strikes

Did you know that lightning does strike twice in the same place? Read on to test your knowledge of this dangerous natural phenomenon and learn how to treat your patients and keep yourself safe when responding to volatile—and electric—weather.

March 2009 Volume 34 Issue 3

Don't Be A Minimizer

Are you a minimizer? Let’s hope not. Read this article to find out.

February 2009 Volume 34 Issue 2

2008 JEMS 200-City Survey

February JEMS includes the annual "200-City Survey," which sets the benchmark for practices in your organization by offering a national look at prehospital care.

January 2009 Volume 34 Issue 1

From Worst to First?

In 2003, USA Today declared Washington, D.C., as the nation’s worst EMS system. Read how our capital is moving forward with an ambitious plan to become the nation’s best.

December 2008 Volume 33 Issue 12

Watch Your Step

As our population continues to grow and the price per acre continues to climb, buildings and cities continue to expand outward and upward. And this expansion has another cost—injury.

November 2008 Volume 33 Issue 11

Escape Faulty Thinking

This article describes EMS patient assessment errors and the common cognitive dispositions to respond that contribute to them and identifies cognitive strategies to reduce errors in EMS patient assessment.

October 2008 Volume 33 Issue 10

Handle with Care

Dealing with suicidal patients is inherently challenging, and prehospital treatment options are limited for this population.

September 2008 Volume 33 Issue 9

Big–Top Incident

Oklahoma EMTs and paramedics faced an unusual MCI on Oct. 17, 2007, when high, straight-line winds caused a circus-sized tent to collapse at Tulsa's Oktoberfest.

August 2008 Volume 33 Issue 8

The Return of Tourniquets

This article examines the appropriateness of tourniquet application and reports on the effectiveness of prehospital tourniquets on multiple patient outcomes.

July 2008 Volume 33 Issue 7

The Lost Art of Splinting

Should we splint all fractures, sprains, strains, dislocations or soft-tissue injury sites on an extremity?

June 2008 Volume 33 Issue 6

The Young Airway

A 12-year-old male is accidentally shot in the face by a friend with a 410 shotgun at a distance of about 5 yards in a rural area. Air transport is not possible. Should you manage his airway in the field?

May 2008 Volume 33 Issue 5

West Nickel Mines School Shooting

Read how EMS units handled an MCI with multiple critically wounded children in a peaceful Amish community.

April 2008 Volume 33 Issue 4

2008 Ambulance Manufacturers Showcase

Every year in JEMS, we provide a listing of ambulance manufacturers that includes photos of delivered vehicles that might inspire your next vehicle specs.

March 2008 Volume 33 Issue 3

Words of Wisdom

These 13 women responded to our survey about their experiences in the field of EMS.

February 2008 Volume 33 Issue 2

2007 JEMS 200-City Survey

February JEMS includes the annual "200-City Survey," which sets the benchmark for practices in your organization by offering a national look at prehospital care.

January 2008 Volume 33 Issue 1

Anything But Routine

No one at Littleton Fire Rescue can remember a traumatic incident, like the one involving Victor Soto, having such a positive outcome.

December 2007 Volume 32 Issue 12

Got Wireless Alerts?

California, a state overwhelmed by people and their electronic devices, plans to implement wireless emergency alerting in the near future.

November 2007 Volume 32 Issue 11

Concept Mapping

This month, I'll take you through how to create an effective concept map of calls or continuing education issues and use them to document competency and provide an alternative training method.

October 2007 Volume 32 Issue 10

Research Review

Every other month, JEMS author Elizabeth A. Criss reviews studies to determine what they mean to EMS. In this issue's Research Review, Criss discusses several studies, including two that address the injuries received from improvised explosive devices and kitesurfing.

September 2007 Volume 32 Issue 9

Beyond EMS

For the past eight years, paramedics on Long and Brier Islands in Canada have provided primary health-care and prevention services to some 1,200 residents.

August 2007 Volume 32 Issue 8

Straight for the Jugular

On arrival, you find a 42-year-old male with a severe open neck wound. The patient is unconscious with agonal breathing. What do you do next?

July 2007 Volume 32 Issue 7

Pushing the Body’s Limits

While working the medical tent at the finish line of a marathon, a petite, 28-year-old woman is brought in. She’s confused, stumbling and slurring her speech. What should you be concerned about, and how should this patient be managed?

June 2007 Volume 32 Issue 6

Are Foxes Guarding Your Henhouse?

What does the word  accountability  mean to you? Does it mean that you answer to a medical director or QA committee? Does it mean you’re being held to a state law, standard or set of rigid protocols? 

May 2007 Volume 32 Issue 5

More than Just 'Howdy': Arriving 30 minutes early

Cowboys and cowgirls still salute each other with a tip of their hats. Beyond a greeting, it's a sign of professional recognition and mutual respect. What about you, Life-Saver?

April 2007 Volume 32 Issue 4

Leadership Sector: Drug Abuse Scandals

As an EMS manager, you never want to open the morning paper and read a headline claiming one of your employees is responsible for stealing drugs from your service. But cases of prehospital drug abuse are making the news across the U.S. So what can you do to avoid it?

March 2007 Volume 32 Issue 3

The Only Constant is Change

Everything changes, and changes are often dramatic. This is especially true with 12-lead ECGs.

January 2007 Volume 32 Issue 1

Clinical Alert: The New High

EMS is called to an abandoned home by friends who witness their buddy become somnolent after injecting one bag of heroin. On arrival, the crew finds a 22-year-old male down, cyanotic and near apneic. Vitals: RR 4/min; BP palpable at 92 systolic; pulse 55/minute.

Past JEMS Articles

Countering Chemical Agents

Multi-specialty panel presents consensus guidelines for prehospital management of...

On-Scene Interagency Conflict

Ways to keep agency differences from affecting patient care and your public imageScenario:...

Breathing Treatment Survey

Which medications does your EMS system use to treat each of the following respiratory problems?

Featured Columnist

PUMs and ALS at Risk

Bryan E. Bledsoe, DO, FACEP

In a perfect world, EMS would be the last thing cut when times are tough. But this isn't a perfect world.
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