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Dear EMS1 Subscriber, Empathy is a powerful and necessary trait of caregivers, but empathy must have limits. Though I can't imagine the pain and despair that leads to suicide, that should not keep me from trying to understand and prevent other suicides. Today we feature an article on the hurt, sorrow, and pity felt after two paramedics die by suicide in a six month period. We also have several news stories related to agency culture and how culture either undermines or supports a leader's vision. And finally EMS, as mutual aid to police, can be the difference between life and death for an erratically behaving man.  — Greg Friese, EMS1 Editor-in-Chief

TOP NEWS Firefighter-medic dies of complications with brain tumor Building collapses, explodes in NY; 3 critically hurt 2 SWAT medics honored for response to police shooting Lawsuit: Patient in crash claims gurney was not locked in place: He's seeking $305,000 for injuries sustained in a 2013 fatal collision Former EMT sues NC county for sex discrimination: She alleges her supervisor made derogatory jokes about her pregnancy Co-pilot intentionally crashed plane into French Alps: He barricaded himself in cockpit, then manually flew plane into mountains, killing all passengers Medic left patients to go shopping, get hair cut Off-duty 911 dispatcher finds missing Pa. toddler NY marks 25th anniversary of club fire that killed 87 2 Pa. providers merge to form regional ambulance service Woman who had fetus cut from belly released from hospital ER patient arrested after high speed chase in stolen ambulance

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PARAMEDIC CHIEF Why an EMS leader's vision needs 'grunts' to buy in By Kelly Grayson, EMS1 Columnist Forming a strategic plan is the easy part; now you must get the people who will carry it out to believe in it as much as you do. Eating strategy for breakfast  NEWS ANALYSIS Police need to call EMS early for erratically behaving patients By Greg Friese, EMS1 Editor-in-Chief For medical emergencies that exponentially worsen over time, rapid EMS intervention may be the difference between life and death. What is your diagnosis?

FIRE-RESCUE MED 2015 Quick take: Tips for developing a community paramedicine program By Cate Lecuyer, EMS1 Editor Local partnerships and community support are the keys to success for Lake Havasu City (Ariz.) Fire Department's program focusing on reducing patient readmission rates. Key takeaways  EMS1 EXCLUSIVE 'I don't get it:' Trying to understand 2 medic suicides By Hadley Mayes, EMS1 Contributor An Idaho EMS agency PIO is trying to understand two tragic deaths in six months, and calls on all EMS to providers to take mental illness seriously. Speak up

REMEMBER 2 THINGS Tips for treating toddlers Steve Whitehead explains why it's better to give a child choices rather than asking yes or no questions, and advises to always be honest if you plan on causing them pain. Watch the video  NOW ON PARAMEDICTV "World Without Paramedics" shows EMS response to heart attacks How a stroke affects the brain

2211 Suicide and salvation in EMS: How to save a medic’s life 1530 How have paramedic techniques changed since the TV series 'Emergency!'?  1498 Ambulances transfer 79 patients to new Mo. hospital 1435 Off-duty 911 dispatcher finds missing Pa. toddler 880 Remember 2 Things: How to manage the first two minutes of a trauma scene

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