Robert Vroman, M.Ed., BS NREMT-P

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EMS1 Daily News

Fla. school bus hit by semitrailer; several hospitalized

The bus had stopped to allow students to board and its lights were flashing when it was hit by the semi

Mich. lawmakers target 'doctor shopping' by opioid addicts

The requirement for health providers to use the recently upgraded Michigan Automated Prescription System would take effect in June

First responders buy stroller for mom, baby hit by car

Johanna Castillo and her son were hit by a car exiting a driveway, and firefighters had to break the stroller to remove it from the bumper

Insurance company waives co-pay for naloxone

By waiving the fee, Aetna said it can reduce barriers to patients getting the treatments they need

Fla. family pushes for statewide mandatory CPR training in schools

Students would be required to learn to use cardiopulmonary resuscitation, or CPR, and an AED at least once before graduation

Driver slowing for ambulance shot at in road rage incident

The man said he slowed down when he saw an ambulance coming, and the driver of the car behind him shot at the side of his truck

Pregnant teen accused of using ambulance as 'taxi' hours before baby died

Elise Flitcroft suffered a breach birth less than three hours after her midwife blamed her abdominal pain on a urinary infection

How regional stroke systems improve LVO stroke care

A paradigm shift for EMS in the era of large vessel occlusion stroke draws on success of prehospital STEMI assessment and care

The value of CE and an advanced degree for EMS leaders

Higher education can help EMS providers tackle the five biggest challenges facing emergency services today

Study: Uber reduces ambulance usage in major cities

Research shows that ambulance usage by low-risk patients has decreased by at least 7 percent
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EMS1 Topic Articles

First responders buy stroller for mom, baby hit by car

Johanna Castillo and her son were hit by a car exiting a driveway, and firefighters had to break the stroller to remove it from the bumper

Insurance company waives co-pay for naloxone

By waiving the fee, Aetna said it can reduce barriers to patients getting the treatments they need

Fla. family pushes for statewide mandatory CPR training in schools

Students would be required to learn to use cardiopulmonary resuscitation, or CPR, and an AED at least once before graduation

Driver slowing for ambulance shot at in road rage incident

The man said he slowed down when he saw an ambulance coming, and the driver of the car behind him shot at the side of his truck

Pregnant teen accused of using ambulance as 'taxi' hours before baby died

Elise Flitcroft suffered a breach birth less than three hours after her midwife blamed her abdominal pain on a urinary infection

How regional stroke systems improve LVO stroke care

A paradigm shift for EMS in the era of large vessel occlusion stroke draws on success of prehospital STEMI assessment and care

The value of CE and an advanced degree for EMS leaders

Higher education can help EMS providers tackle the five biggest challenges facing emergency services today

Study: Uber reduces ambulance usage in major cities

Research shows that ambulance usage by low-risk patients has decreased by at least 7 percent

Police: Video shows ex-firefighter entering shot firefighter-EMT's home before murder

Police said Daniel Greene "was positively identified through the video surveillance" and was "the only individual that is observed going into" Jon Hickey's home

5 easy ways to improve your PCR writing

Be thorough, timely and proofread your PCRs to ensure your treatments and professionalism won’t be called into question
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EMS1 Columnist Articles

The value of CE and an advanced degree for EMS leaders

By Steven Knight, Ph.D. As leaders, we both desire and have an obligation to leave our organizations and people better off than when we started in our roles. But clearly not all leaders succeed at achieving this goal, despite best efforts. One reason some struggle is because the myriad of internal and external pressures that they face cannot be navigated sufficiently through technical expertise or experience ...

5 easy ways to improve your PCR writing

By Matthew Konya We can all agree that completing a patient care report (PCR) may not be the highlight of your shift. But it is one of the most important skills you will use during your shift. Of course, patient care is the No. 1 priority of an EMS professional, and it is important to remember that completing a timely, accurate and complete PCR is actually a part of the patient care we provide. A complete ...

EMS Artwork: Treating an inmate in cardiac arrest

See all of Daniel Sundahl's photos.

'My leg, my arm, I can't breathe': Shot Dallas firefighter-paramedic recalls last memory

"My leg, my arm, I can't breathe." That's the last thing Dallas Fire-Rescue Firefighter-Paramedic William An remembers after he was shot in his arm and leg while on duty in May. The rest, An said, he remembers thanks to other first responders filling in the gaps for him. "I know I was conscious while going to the hospital, and the last thing I remember is being in the back of ...

Standardized reporting process improves transition of patient care

"Clearly defined processes for the contemporaneous face-to-face communication of key information from emergency medical services (EMS) providers to healthcare providers in an emergency department (ED) are critical to improving patient safety, reducing medico-legal risk and integrating EMS with the healthcare system." — Transfer of Patient Care Between EMS Providers and Receiving Facilities ...

10 best reasons to join, and stay, in EMS

After reading "10 worst reasons for joining EMS," Chris Maldonado suggested I do a companion piece about the 10 best reasons – a pretty good idea if you ask me. My editor agreed. Cataloging the good parts of EMS should come naturally to me. I’m a glass-is-half-full kind of guy who’d rather say something nice than nasty. Besides, I enjoyed most of my 20 years in the field ...

Inside EMS Podcast: The difference between in-hospital and out-of-hospital DNR's

Download this podcast on iTunes, SoundCloud or via RSS feed In this Inside EMS Podcast episode, co-hosts Chris Cebollero and Kelly Grayson take on the topic of DNR's and advance directives. An unconscious man with a 'Do Not Resuscitate' tattoo across his chest was recently admitted to a Florida hospital, sparking an ethical dilemma for doctors. The patient had no identification or family ...

The 10 peer-reviewed articles on MIH-CP you need to read right now

Kevin McGinnis is often credited with coining the term “community paramedics” in a 2001 Rural Health News article. Since then, the debate around the terminology of community paramedicine versus mobile integrated healthcare remained relatively heated until a number of national organizations, including NAEMT and NAEMSP, released a joint vision statement defining the larger concept. Regardless ...

EMS loses friend and mentor, Lou Jordan

He wore a T-shirt emblazoned with the caption, “EMS Artifact: Start conversation at your own risk,” and walking an EMS conference exhibit hall with him was simultaneously a study in professional networking and an exercise in frustration. It didn’t matter if you desperately wanted to see the new Tracheoblaster 5000 video laryngoscope or get pricing info on the latest generation of high-fidelity ...

Wheezing, stridor ominous signs of impending airway loss in smoke inhalation

This article first appeared on FireRehab.com, sponsored by Masimo. By James MacNeal, MD, MPH, DO, NRP Half of all fire-related deaths occur from smoke inhalation, which is a mechanism resulting in a pattern of injuries [1]. Just as a motor vehicle collision with intrusion may make you suspect multiple traumatic injuries, such as an intracranial bleed, pneumothorax or pericardial tamponade, smoke inhalation ...
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EMS1 Tips

7 ways to best use, or avoid, capnography in the field

EMS1 readers shared their suggestions on how to get the most out of the method

Active-shooter response: Are you physically ready?

Normally, I am strong believer that paramedics are at their best when they saunter into a scene, slowly walking and looking for clues and risks. But an active-shooter incident is going to require repetitive bursts of significant physical activity.

3 energy-saving tips for your EMS station

Earth Day, or any day, is a good time to see what you can do at your agency and home to save both resources and money.

How this video can "Keep Yourself Safe"

Consider using this PPE safety video in your EMT course or refresher class

CPR class instruction tips: 5 ways to make it great

My most recent health care provider recertification was memorable for all of the things the instructors did well.

Patient assessments: How to avoid free-for-alls

Substantial cajoling and adult guidance from mom in a Santa hat was required to initiate an orderly process of taking turns, appreciating a gift after it was opened, and taking occasional pauses for a meal or to welcome additional relatives.

Patient assessment is a non-linear process

On a skill sheet, patient assessment is presented as a linear process: First size up the scene, then complete the primary assessment followed by the secondary assessment.

Blood pressure reading tips and tricks for EMS

One of the things I'm most often asked by students and rookie EMTs is, "Kelly, how am I supposed to hear a blood pressure in the back of the rig?"

How to use Slideshare for EMS education and training

Slideshare is an online community and tool for sharing presentations.

How to get optimal battery life from your devices

The batteries in your wireless cell phone, tablet or laptop are probably not the same old Duracells you used in your childhood walky-talkies.
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