May 2009 Volume 34 Issue 5

Call to Action: A Quick Response

A budget bus crashed on an Interstate on its way from New York to Boston, sending 34 pediatric and adult passengers to the hospital.

From the Editor: MCI Efficiency

A.J. Heightman, MPA, EMT-P

You can get by at an MCI using the basic principles of MCI management, but if you want to refine your processes and run a highly efficient MCI, there are a few additional aspects to consider in your planning.

Letters: In Your Words

Readers share their comments on JEMS and JEMS.com articles.

Priority Traffic: 'Today' & Beyond

EMS Today 2009 draws more than 4,000 people, Ford settles to the tune of $30 million, states purchases disaster trailers for rural area, co-workers' minor crime and more in this month's Priority Traffic.

Volunteer Voice: Troublemakers

Jason J. Zigmont, MA, NREMT-P

As a volunteer, do you sense overwhelming animosity toward volunteer EMS? Find out both sides of the argument.

Leadership Sector: Hostility at Work

Gary Ludwig, MS, EMT-P

Learn how to identify and deal with hostile environments in the workplace.

Tricks of the Trade: Doing Stuff

Thom Dick

Using a little Small Science in your own agency can result in getting the tools you know you need, before evidence makes them standard -- and commercially available.

Case of the Month: Not the Nitro?

Kristen Dettorre, MD, et al

A chest pain patient receives nitroglycerin and immediately goes into cardiac arrest—is the nitro to blame, or is it just coincidence?

Check Your Vitals: The Soft American

John Amtmann, EdD, NREMT-B

Are we still the "soft Americans" JFK described 50 years ago? Find out if your musculoskeletal fitness is in need of some attention.

Huffing

Liz Criss, NP, MED, MS, CEN, CCRN

Huffing is a deadly practice that’s growing in popularity and becoming increasingly difficult to detect in patients. Learn the presentations that indicate toxic chemical inhalation, so you know how—and when—to treat.

Trauma at the Tunnel

Marc Eckstein, MD, MPH, FACEP, et al

On Sept. 12, 2008, at 4:23 pm, a commuter train headed north from downtown L.A. collided head on with a southbound freight train, instantly killing 25 and injuring 107. It would become the worst railroad accident in California’s history.

Learning From Near Misses

Brad Van Ert, FF, EMT-P

The National Fire Fighter Near-Miss Reporting System is actively collecting reports from EMS personnel related to incidents that put them in danger. What does this mean for you, the street-level provider or EMS administrator?

Borrowed Trauma

Judith Acosta, LISW, CHT

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.

EMS in DHS

Mannie Garza

The thousands of prehospital providers who represent EMS at a national level do so in a variety of ways on a daily basis.

The Lighter Side: Follicle Fabrication

Steve Berry

A show of support for a colleague’s son became a life lesson for one newly hairless paramedic.

Last Word

Texas medics take to their horses, Ohio students teach firefighters Spanish, and New Jersey EMS employees take company vehicles for a dangerous joyride.

JEMS May Poll

Which feature article from May 2009 did you like best?

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