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

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EMS1 Daily News

Video: Car goes airborne, crashes into 2nd floor of building

Authorities said the driver, who admitted to using narcotics, struck a raised median, launching the car into the air before crashing into the building

2 EMS providers, patient hurt in ambulance rollover

The ambulance was taking the patient to the hospital when a slick road caused the driver to lose control

48 injured, mostly kids, in German school bus crash

Three helicopters and 10 ambulances rushed to the scene to bring the injured to area hospitals for treatment

Man charged for making fatal hoax 911 call

Tyler Barriss was charged with involuntary manslaughter and giving false alarm and interference with a law enforcement officer

Fla. hospital system implements telemedicine program

The NCH Healthcare System launched a "virtual visit" program, enabling patients to have a telemedicine visit any time of day or night for non-emergency issues

Opioid crisis prompts Pa. gov. to declare state of emergency

The three goals under the declaration include improving coordination and data collection, as well as offering better tools to potentially save lives

NY county seeks to address dispatcher turnover

A potential law would waive the requirement that public safety dispatchers be residents of the county for at least one year before they are hired

Improv group surprises patron at hospital after she goes unconscious at show

Elise Fellows, 85, was celebrating her birthday at Irvine Improve when she lost consciousness and slumped over before the show began

2 cops awarded for saving boy allegedly shot by father

The officers quickly treated a 4-year-old after the father allegedly tried to hide a gun when it discharged, hitting the boy

2 men awarded for saving man after boat crash

Jamie Karnes and Jason Martin helped rescue Murrell Watts after his fishing boat crashed into a pontoon boat he said he didn't see due to the bright sun
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EMS1 Topic Articles

Honolulu's 911 system overwhelmed during false alarm panic

Police Chief Susan Ballard said around 2,500 callers were not able to get through after the false alert of an impending missile attack

Veteran FDNY paramedic reflects on 36-year career upon retirement

After 36 years as a city paramedic, Corey Romanowski had more than his share of stories to tell

Community honors slain paramedic at funeral

Rebekah Hart-O’Sullivan was honored with flashing ambulances and fire trucks and remembered for her dedication to the EMS industry

Acadian Ambulance activating extra staff during unusual flu season

Crews transported 2,211 patients in one day, which exceeds the amount of patients usually transported during disaster situations

Officials: 911 locators less precise than Uber

National Association of State 911 Administrators executive director Evelyn Bailey said the locator system is not always reliable

Video: Car goes airborne, crashes into 2nd floor of building

Authorities said the driver, who admitted to using narcotics, struck a raised median, launching the car into the air before crashing into the building

2 EMS providers, patient hurt in ambulance rollover

The ambulance was taking the patient to the hospital when a slick road caused the driver to lose control

48 injured, mostly kids, in German school bus crash

Three helicopters and 10 ambulances rushed to the scene to bring the injured to area hospitals for treatment

Man charged for making fatal hoax 911 call

Tyler Barriss was charged with involuntary manslaughter and giving false alarm and interference with a law enforcement officer

Fla. hospital system implements telemedicine program

The NCH Healthcare System launched a "virtual visit" program, enabling patients to have a telemedicine visit any time of day or night for non-emergency issues
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EMS1 Columnist Articles

Inside EMS Podcast: The development of airway, intubation skills

Download this podcast on iTunes, SoundCloud or via RSS feed In this Inside EMS Podcast episode, co-hosts Chris Cebollero and Kelly Grayson discuss the development of airway and intubation skills. With many systems removing intubation as a skill set for paramedics, how do we prepare for a better trained EMS provider" Learn more about the EMS1 Academy and schedule a free demo.

DNR tattoos: Are they legal and is EMS bound to comply?

By Matthew Konya You are dispatched to a local residence for breathing difficulty. You arrive to find a 75-year-old male in severe respiratory distress. Before you can get the patient out to your ambulance, he goes into cardiac arrest. You immediately start resuscitation efforts, you remove the patient’s shirt and across his chest is tattooed “DO NOT RESUSCITATE!” There are no other ...

Forty years in, Jay Fitch reflects on leadership in EMS

By Jay Fitch, PhD It’s hard to imagine where the time has gone. Being asked to write this article gave me pause and required a bit of reflection on the elapsed time between being a fresh face volunteer firefighter-EMT and being a retired medic, no longer serving as a primary caregiver but still aspiring to influence the thinking of those who are. Reflecting on those four decades has provided the ...

Are EMS providers first responders?

Houston was underwater, Florida about to be, and I was nestled in my football chair in New England getting ready for the start of another NFL season. The pre-game ceremony started a little differently this year; the announcer took a moment to recognize the emergency medical teams and the first responders who were working tirelessly following the destruction that resulted from Hurricane Harvey, and whatever ...

'9-1-1' TV series is off base on first responders

I just watched the first episode of the new FOX TV series “9-1-1.” And honestly, I’m not sure what to say. I had looked forward to this series. It seemed promising, with good actors and some interesting plot twists indicated in the previews. The cast is diverse and credible. But then came the first episode. Was it all bad" No. There were some affecting and entertaining moments. But ...

Nitroglycerin: Major actions and misconceptions

What is nitroglycerin used for" Nitroglycerin (NTG), also known as glycerine trinitrate (GTN) is a nitrate medication typically administered to relieve anginal chest pain and manage blood pressure through vasodilation. Different preparations of nitroglycerin may also be administered for treatment of renal issues, liver issues and even as an ointment for anal fissures or tears. Nitroglycerin can be administered ...

Research analysis: Stroke identification in 911 calls

Researchers in Chicago have published the study, “Identifying Key Words in 9-1-1 Calls for Stroke: A Mixed Methods Approach” in “Prehospital Emergency Care.” This study analyzed dispatch recordings of confirmed acute ischemic strokes to determine the words and phrases most commonly used by both the caller and the emergency medical dispatcher (EMD). A total of 110 calls were listened ...

5 tips for securing a patient's airway

One of the first concerns an EMS provider should have about a patient with significant facial trauma is whether the patient has a patent airway and will be able to maintain that airway. Bleeding, soft tissue swelling, broken teeth and other fractures can all create partial or complete obstruction to the patient’s airway. Care must be paid to how the airway is managed in these patients to strike ...

EMS education needed: Overcoming the speed bumps of 2017

As 2017 draws to a close and 2018 approaches, I think it’s appropriate to look back on the EMS events of the last year, and try to draw some lessons that will help us prepare for what is to come. And the lesson I think we can all draw is, “Thank goodness it’s almost over.” 2017 turned out to be like that fantasy date with a supermodel: she looked great from afar, but over dinner ...

EMS1 Editorial Advisory Board reflects on 2017 and the year ahead

It was a big year for EMS, and for EMS1. EMS providers made big strides for patient care and promoting the profession in 2017. Community paramedic Lisa Cassidy with the St. Charles County Ambulance District launched the #StopHeroin campaign for opioid abuse prevention and treatment. Charles Avery, an EMS program director at Bainbridge State College, made it possible for a young woman with Down Syndrome ...
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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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