Do you know the "lethal triad" of trauma and how to prevent it?
Learn simple steps to treat the "lethal triad" in trauma patients.
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Be prepared: Changes are coming to CARES, the Cardiac Arrest Registry to Enhance Survival.
CARES provides annual reports and the ability for EMS agencies to benchmark local performance against state and national data.
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Lawrence Kreger
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The value of measuring performance can not be overstated.
The HeartRescue Project's partners have learned much about improvement from their shared experiences at all levels of the system. 
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Lawrence Kreger
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Making your first assessment from a distance will help you get a wide-angle view of what is going on at the scene.
The hardest thing for any EMT to learn is how to think your way through a call. 
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Lawrence Kreger
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ED Rakauskas one of the first things taught should always be to,, stop look listen ,dont become part of , be safe , I even carryed binoculars and a hazmat booklet , in somerville rxr yard it all came in handy those many years ago ,toxic fumes took some down and the...See More
LikeReply8 hrs
Angel Renee I always taught my students: #1 WALK dont run look left and right get a 360 degree look at the scene #2 your first look is like taking a picture-a snapshot of the scene #3 Always listen to your gut feelings and the little hairs on the back of your neck
LikeReply6 hrsEdited
Turnout gear and water are a deadly mix!!!
http://www.jemseditorblog.com/
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Lawrence Kreger
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Seasonal depression can affect anyone. Reach out if you suspect someone you know is in need of help.
It was a clear, crisp winter day as I stood in full dress uniform directly in front of Tom’s casket. Hundreds of his fellow paramedics and firefighters from around…
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Lawrence Kreger
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Larry Parker Not according to the US Government
LikeReply10 hrs
Amy Ball Great article
EMS servicers must make an informed decision about how to utilize these facilities.
Providers are increasingly recognizing freestanding EDs as approved transport destinations.
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Lawrence Kreger
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Kali Duke I work in a rural area and we transport to freestanding ERs frequently. They're very good for complaints that likely won't lead to admissions and for very critical patients that can't wait for another 15 minutes to get to the next city to the big hospi...See More
LikeReply319 hrsEdited
Randy Goodale Not in NY. If they go by ambulance, they go to a hospital currently. Might help ED overcrowding if allowed for appropriate patients.
Mobile field hospitals, training and preparedness were key elements of the medical response.
Medical response preparations began 10 months ahead of the grueling event.
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Lawrence Kreger
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Peter Gamache My first thought was a jealous glance at the rolling supply chest. That looks well organized.
High-quality CPR saves lives, but could providing training get you in legal trouble?
Is an EMS agency and its personnel who conduct community CPR training and certification exposed to liability if someone they train and certify makes a fatal…
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Lawrence Kreger
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John Lindsey CPR courses I'm familiar with, as well as the ones I teach, don't "certify" anyone to do anything. Learners are issued course completion cards, not certifications or a scope of practice. While I believe instructors are responsible to conduct courses according to the established rules, the responsibility really ends when the card is issued. The card doesn't imply competence, simply completion of a course.
David Maiden If someone requires CPR they're effectively dead! Any effort carried out in good faith in an attempt to preserve life should be seen as such. It's not an exact science. Even prehospital ALS uses drugs and skills which only have a limited effectiveness. If people continue to be successfully sued for acts of good faith there will be no more good Samaritans left
LikeReply622 hrs
Developing tactical EMS strategies also means preserving evidence and aiding police investigations. Here's how to balance those duties while keeping the focus on patient care.
Learn to approach, enter, render care in and exit large MCI scenes without destroying valuable evidence.
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Lawrence Kreger
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David Gorski always step over the bodies, never walk around.
gather up any shell casings, weapons or objects that look like they may have been used in the crime and give them to police. they can be used as evidence.
if the bodies are in an area visible to the public, move them to where they cannot be seen to maintain the anonymity of the deceased. ( and so people don't freak out.)
LikeReply3December 25 at 8:02pmEdited
Smith Marc The police fire and EMS all have their own set of responsibilities. EMS should not be depended on to do the others jobs, once scene is secure they can get EMS to patients for us to establish our RX or triage areas. We know not to move things or trample...See More
LikeReply6 hrs
Waves of Health has been instrumental in the creation of the area’s first full-fledged EMS team.
The Waves of Health team has been instrumental in the creation of the area’s first full-fledged EMS team. 
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