November 2009 Volume 34 Issue 11

Call to Action: EMS Providers Extricate and Treat Patient in Black Friday

Missouri EMS providers extricated and transported a woman who suffered internal injuries and fractures after her car collided with a tree on the Friday after Thanksgiving.

From the Editor: He Gave Us All a Lift

A.J. Heightman, MPA, EMT-P

Here’s A.J.’s take on how to effectively use rescue vehicles and police cruisers to block traffic at collision scenes.

Priority Traffic: Half MAST

Kansas City (Mo.) City Council votes to merge MAST Ambulance Service with the city’s fire department; a new study finds 31% of prehospital providers flunk intubation while critics debate study methods; JEMS legal experts weigh in on employer responsibilities regarding complaints against employees; JEMS Editor-in-Chief A.J. Heightman pays tribute to the late Richard Ferneau; and more.

Leadership Sector: Generation Y

Gary Ludwig, MS, EMT-P

Not all generations think alike. Find out what you should know about Generation Y.

Tricks of the Trade: Trucker Tricks

Thom Dick

The state of your rig makes a strong impression in the public’s mind; use these shortcuts to keep it looking clean.

Case of the Month: Stimulus Overload

Joshua Cox, NREMT-P,, et al

EMS providers treat a 24-year-old for seizures experienced following prolonged and close-range video game play.

Check Your Vitals: Excess Weight

John Amtmann, EdD, NREMT-B

There’s more to weight loss than simply eating less. Learn how to determine your body composition and exactly how much you should lose.

Research Review

Elizabeth A. Criss, NP, MED, MS, CEN, CCRN

Read about 2009 studies on intubation, etomidate, transporting stroke patients, and estimating blood loss.

Surviving Cardiac Arrest

Kenneth Navarro, M.Ed

Impedance threshold devices (ITDs) improve survival rates and might be a future standard of care.

Sentimental Journey

Teresa McCallion, EMT-B

Be inspired by this awesome partnership between an EMS agency and a hospice in Colorado.

A Better Benchmark

Data collection can help you effectively allocate existing resources and lobby for new ones.

Lighter Side: Holiday Algorithmics

Steve Berry

If you’ve ever had to work a holiday, this Thanksgiving assessment algorithm reference card is for you.

Last Word

MedStar EMS cuts down on “habitual clients”; North Last Vegas firefighter/EMTs don pink for a breast cancer cure; and a Maryland ambulance fails to find its way to a call.

October JEMS Poll

A Heavy Matter Shawnee County (Kan.) commissioners voted in July to increase AMR rates to transport the severely obese (i.e., patients who weigh 350 lbs. or more). For these patients, a ride to the hospital will increase from $629 to $1,172, and the per-mile rate will go from $11.09 to $16. Larger patients certainly take more resources, but where do we draw the line? Does you agency charge more for bariatric patients or would it consider doing so? Look for the results in November JEMS.

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