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

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EMS1 Daily News

Inside EMS Podcast: The value in balancing calls, downtime in EMS

Our co-hosts talk about changing the tradition of not allowing EMS providers to get a lunch break and allowing them some downtime within their shift

Ohio councilman: Stop sending EMS to overdose calls

The city is on track to spend $100,000 on naloxone in 2017, despite a budget of $10,000

Man leads police on chase in stolen ambulance

Scrivani Norman Louis was arrested after police deployed spike strips to stop the ambulance

Woman hits EMTs with car, flees the scene

Tracy Thompson is facing multiple charges, including aggravated assault and driving under the influence of a controlled substance

FDNY EMT arrested for slashing delivery truck tire

Christopher Felix, who's also a member of the Hells Angels, allegedly slashed the tire after the truck double parked near the group's clubhouse

What's worse, ignorance or apathy in EMS providers?

EMS providers complaining about lack of education and educators complaining about lack of students is where ignorance and apathy collide

French fitness blogger dies from whipped cream explosion

The exploding canister hit Rebecca Burger violently in the chest, causing her to suffer a heart attack

5 steps to a more accurate patient assessment

You are on scene with a patient who was found down in his living room; as you progress beyond the initial assessment, what are some typical assessment pitfalls to avoid?

Clinical scenario: Patient complaining of weakness

You are dispatched to a report of an elderly male found down on the floor

EMT turns self in after being charged in fatal ambulance crash

Crystin Keys surrendered to authorities; she faces a second-degree homicide by vehicle charge
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EMS1 Topic Articles

Inside EMS Podcast: The value in balancing calls, downtime in EMS

Our co-hosts talk about changing the tradition of not allowing EMS providers to get a lunch break and allowing them some downtime within their shift

Ohio councilman: Stop sending EMS to overdose calls

The city is on track to spend $100,000 on naloxone in 2017, despite a budget of $10,000

Man leads police on chase in stolen ambulance

Scrivani Norman Louis was arrested after police deployed spike strips to stop the ambulance

Woman hits EMTs with car, flees the scene

Tracy Thompson is facing multiple charges, including aggravated assault and driving under the influence of a controlled substance

FDNY EMT arrested for slashing delivery truck tire

Christopher Felix, who's also a member of the Hells Angels, allegedly slashed the tire after the truck double parked near the group's clubhouse

What's worse, ignorance or apathy in EMS providers?

EMS providers complaining about lack of education and educators complaining about lack of students is where ignorance and apathy collide

French fitness blogger dies from whipped cream explosion

The exploding canister hit Rebecca Burger violently in the chest, causing her to suffer a heart attack

5 steps to a more accurate patient assessment

You are on scene with a patient who was found down in his living room; as you progress beyond the initial assessment, what are some typical assessment pitfalls to avoid?

Clinical scenario: Patient complaining of weakness

You are dispatched to a report of an elderly male found down on the floor

EMT turns self in after being charged in fatal ambulance crash

Crystin Keys surrendered to authorities; she faces a second-degree homicide by vehicle charge
Top

EMS1 Columnist Articles

Inside EMS Podcast: The value in balancing calls, downtime in EMS

Download this podcast on iTunes, SoundCloud or via RSS feed ​​In this Inside EMS Podcast episode, co-hosts Chris Cebollero and Kelly Grayson discuss proposed California bill AB 263, also known as the EMS Workers Bill of Rights. Chris and Kelly talk about changing the tradition of not allowing EMS providers to get a lunch break and allowing them some downtime within their shift. Learn more about the ...

What's worse, ignorance or apathy in EMS providers?

If you asked that question in a survey of EMS providers, the top two answers would be evenly divided between "I don’t know," and "I don’t care." Oh, a smattering of us would give lengthier answers; there would be a few well-reasoned, articulate responses to the questions, quite a few profane rants and maybe a few examples of incomprehensible word salad, typed in all caps ...

5 steps to a more accurate patient assessment

Assessment and vital signs are some of the most basic but powerful ways EMS providers have to develop the clinical picture of their patients. While these techniques are relatively simple, there are possible pitfalls to each step which must be avoided to determine clearly what is going on with your patient. Here are five patient assessment errors to avoid: 1. Avoid taking a pulse oximetry reading at ...

Why AMR opposition is part of the legislative process for the EMS Workers Bill of Rights

The furor is growing over whether privately-employed EMS providers who provide emergency response and transport should receive meal breaks in California. In early 2017, Assemblyman Freddie Rodriguez introduced the EMS Workers Bill of Rights to establish legislative language involving meal breaks, rest periods, assault tracking and mental health services for California EMS providers. Over the past few ...

5 things to know about Unresponsive Wakefulness Syndrome

Otto Warmbier, a 22-year-old college student from Ohio, died Monday after returning home from North Korea in a coma. Warmbier, who was held in custody for 18 months, was accused of taking a propaganda poster from a Pyongyang hotel. He was sentenced to 15 years of hard labor in prison. North Korean officials said he was given a sleeping pill after suffering from botulism – a type of food poisoning ...

Improve endotracheal intubation with First and TEN approach

Taking the time to prepare for intubation success on the First pass and following the Tongue, Epiglottis and arytenoid Notch landmarks will stack the cards in your favor during both routine and difficult airway scenarios. When attempting endotracheal intubation, most paramedics focus on quickly visualizing the vocal cords so I developed the First and TEN approach to slow the process to improve first ...

EMS grants: What is a DUNS number?

If you’ve been researching firefighting grants, you’ve probably heard of DUNS. And if you’ve tried to apply for a grant without a DUNS, you know how important they are. A DUNS number, which stands for Data Universal Numbering System, is a free, unique nine-digit number issued by Dun & Bradstreet to a single business entity. Your number is yours alone, even if you go out of business ...

Remember REHAB for prolonged incidents

This article first appeared on FireRehab.com, sponsored by Masimo. It’s a sunny summer day, and the tones sound for a residential fire, smoke and flames showing from an apartment complex. You and your partner respond in the ambulance. En route, the first arriving engine company gives their first-in report: "Engine 1 is on scene of a three-story, multi-unit apartment structure, with smoke ...

Behavioral health emergencies require de-escalation skills

"I never know what to expect when I encounter a behavior health patient. Even after many years of working in EMS, they still make me nervous." — Anonymous Paramedic Scenario: An EMS crew is transporting a patient who is awake, alert and cooperative. Based on his presentation and comments, the crew sees no indication the patient is at risk for violence. The patient is placed supine on ...

Prove It: Prehospital ultrasound improves diagnosis, treatment and transport decisions

Medic 12 and Engine 14 respond to a report of chest pain. On arrival, the crew finds an elderly male lying in bed looking distressed. The patient’s daughter came over this morning for a visit and found the patient lying on the floor at the bottom of the stairs. She helped him back to the bed and called 911. The patient complains of right-side chest and abdominal pain. He rates the pain as 4/10 ...
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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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