Did a protocol change improve pediatric pain management?

Recent positon statements on best practices of pain management in the prehospital setting from the National Association of EMS Physicians, the National Highway Traffic Safety Administration and Emergency Medical Services for Children have inspired some EMS agencies to modify their protocols for treating pediatric patients. The study, “Multicenter Evaluation of Prehospital Opioid Pain Management in Injured Children,” evaluates Mecklenberg EMS Agency (Charlotte), Houston Fire Department and Milwaukee … Continue reading Did a protocol change improve pediatric pain management?

What a nurse learned from researching a community paramedicine program

Cathy Hostettler, DNP isn’t in EMS, but her indirect exposure to the industry over the years meant that teaming up with MedStar’s Mobile Integrated Healthcare program was an easy choice. The decision to do her Doctor of Nursing Practice dissertation research on MedStar’s Heart Failure Readmission Avoidance Program reflects the growing trend of collaboration across disciplines within the prehospital setting. Hostettler ‘s retrospective research aimed to evaluate … Continue reading What a nurse learned from researching a community paramedicine program

Medical care at electronic dance music festivals

Medical care is a critical component to the success of any mass gathering. While there is some research on more popular mass gatherings such as sporting events, rock concerts and even Papal visits; the unique characteristics of electronic dance music festivals has resulted in a reevaluation of the medical care required for this type of event. Electronic dance music is a growing industry in which … Continue reading Medical care at electronic dance music festivals

Not that kind of Doctor

On April 7, 2017 I defended my dissertation “An Evaluation of the Environmental and Organizational Factors Associated with the Formation of Community Paramedicine Programs.” Below I have included two videos. The first describes the process of defending and some of the basic ideas in my dissertation.  The second is my actual defense.  I do this because my actual defense skims over some of the content … Continue reading Not that kind of Doctor

Gathering of Eagles 2017

As expected, I had a lovely time at this year’s conference.  Last year’s summary is here. Given the structure of Eagles my traditional summary format isn’t an effective method to convey what was presented.  But there are a few ways you can follow along… Read through the 2017 presentation slides. (to be posted) Read through the #GatheringEagles17 transcript on Twitter, on Symplur, or via the … Continue reading Gathering of Eagles 2017

What color uniform should paramedics wear?

I covered this article on the Inside EMS podcast. ~~~~~ New Orleans EMS personnel wear navy blue shirts and pants with white lettering. Acadian Ambulance services a number of neighboring parishes; they wear light green tops and dark green pants. One thousand miles north of New Orleans and up-river, Hennepin EMS (Minn.) paramedics wear light brown shirts and dark brown pants. Bell Ambulance paramedics in … Continue reading What color uniform should paramedics wear?

Why shift work is unhealthy and dangerous

I covered this article on the Inside EMS Podcast with Kelly Grayson and Chris Cebollero. ~~~~~ A State of the Art Review published in The BMJ represents one of the most comprehensive reviews of peer-reviewed literature on shift work, sleep duration and quality, and the impact each has on chronic health outcomes and occupational accidents. Specifically, the authors studied 38 meta-analyses and 24 systematic reviews … Continue reading Why shift work is unhealthy and dangerous

IHI National Forum 2016

I consider the IHI National Forum one of the best conferences in the country, and as usual this year’s forum exceeded my expectations. I live tweeted every session I attended and this post serves as a summary of those resources presented during the presentations.  You can see the entire Twitter summary curated by Symplur here, and my summary of the 2015 forum here. EMS Note: There was one … Continue reading IHI National Forum 2016

The paradox of potentially predatory publications

An article on a statewide MIH program in Florida is making the rounds within EMS trade journals.  EMS World and JEMS have both already covered it.  I was asked by EMS1‘s Editor-in-Chief to cover it, but given a variety of misgivings that I had about the integrity of the article it was decided to let sleeping dogs lie. But that’s why I started my own website. Article … Continue reading The paradox of potentially predatory publications