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

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EMS1 Daily News

How EMS is changing

In its second year, the EMS Trend Report describes revealing changes in clinical care, finance and the use of technology in EMS

Video: First responders honored at American Music Awards

Jamie Foxx started the opening ceremony by standing onstage amongst first responders and leading the crowd in an emotional show of gratitude

White House: Opioid epidemic cost about $504B in 2015

The amount was more than six times higher than previous studies, accounting for around 2.8 percent of gross domestic product

Intoxicated driver runs responding ambulance off the road

Justin Nelson was charged with a DUI after he almost hit the ambulance with his Ford F-250 that was hauling a camp trailer

NASEMSO, NAEMSP, ACEP team up to tackle opioid epidemic

The three organizations are working together to develop an evidence-based guideline for naloxone administration

Harrison Ford rescues woman from car crash

The Santa Paula Fire Department said Ford was leaving the airport and was among other vehicles that were stopped after a woman veered off the road

Study: Tenn. EMS agency must raise wages or become private

A compensation study found that Greene County lost 20 percent of its EMS providers since July 2016 and is only fully staffed 70 percent of the time

Man arrested after shooting at EMS crew during domestic dispute

Edward Poorman allegedly fired three to four shots into the ground when the EMS crew arrived at the scene

FDNY medics, EMTs save girl in cardiac arrest after knock on station door

The three EMS providers rushed to help the girl after her father and grandfather brought her to the station

Colo. emergency life flights on the rise as more people seek adventure

According to tourism officials, the state attracts nearly 80 million visitors a year, but the rugged terrain creates dangers that few are prepared for
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EMS1 Topic Articles

How EMS is changing

In its second year, the EMS Trend Report describes revealing changes in clinical care, finance and the use of technology in EMS

Video: First responders honored at American Music Awards

Jamie Foxx started the opening ceremony by standing onstage amongst first responders and leading the crowd in an emotional show of gratitude

White House: Opioid epidemic cost about $504B in 2015

The amount was more than six times higher than previous studies, accounting for around 2.8 percent of gross domestic product

Intoxicated driver runs responding ambulance off the road

Justin Nelson was charged with a DUI after he almost hit the ambulance with his Ford F-250 that was hauling a camp trailer

NASEMSO, NAEMSP, ACEP team up to tackle opioid epidemic

The three organizations are working together to develop an evidence-based guideline for naloxone administration

Harrison Ford rescues woman from car crash

The Santa Paula Fire Department said Ford was leaving the airport and was among other vehicles that were stopped after a woman veered off the road

Study: Tenn. EMS agency must raise wages or become private

A compensation study found that Greene County lost 20 percent of its EMS providers since July 2016 and is only fully staffed 70 percent of the time

Man arrested after shooting at EMS crew during domestic dispute

Edward Poorman allegedly fired three to four shots into the ground when the EMS crew arrived at the scene

FDNY medics, EMTs save girl in cardiac arrest after knock on station door

The three EMS providers rushed to help the girl after her father and grandfather brought her to the station

Colo. emergency life flights on the rise as more people seek adventure

According to tourism officials, the state attracts nearly 80 million visitors a year, but the rugged terrain creates dangers that few are prepared for
Top

EMS1 Columnist Articles

How EMS is changing

To an outsider, EMS probably looks pretty similar today to how it did decades ago. Call 911, and an ambulance arrives and takes you to the hospital – simple. Yet we know that while progress can sometimes feel slow, in other ways the profession might be going through its most transformative era. Whether it’s a call to change "EMS" to "paramedicine," a push to reform reimbursement ...

Inside EMS Podcast: How to develop a culture of mentorship 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, live from a Cincinnati Marriott, sit down with EMS1 co-founder and columnist Kris Kaull. They talk about how to deal with failures in EMS, how to assist colleagues with growth and how to develop a culture of mentorship in EMS. Learn more about the EMS1 Academy ...

Top 10 MIH or community paramedicine program funding sources

Sustainability – whether you’re just venturing into the world of mobile integrated health care, or have been involved for a while, this is the word that scares you the most. It also has perhaps the most important impact on the survival of innovation. Before we start discussing start-up and long-term funding sources, it’s prudent to draw the distinction between the terms MIH and community ...

Why a consistent identity matters for EMS

We name everything around us so we can categorize, organize and make sense of everything from inanimate objects to conceptual ideas to people. Identifying the person or thing in front of us provides a sense of familiarity. Society uses common names to group similar objects together in order to simplify retention. Most of us don't look at a stretch of rocky beach and call it a "mixture of igneous ...

Fatigue reporting processes reduce ambulance crash risk

"Ambulance crashes are a significant risk to prehospital care providers, the patients they are carrying, persons in other vehicles and pedestrians." — Ambulance Crash Characteristics in the US Defined by the Popular Press: A Retrospective Analysis Teri L. Sanddal, 1 Nels D. Sanddal,1 Nicolas Ward, 2 and Laura Stanley 2 Emergency Medicine International Volume 2010 (2010), Article ID 525979 ...

EMS Artwork: Take pride in what you do

I'm a proud Canadian and Alberta paramedic. The province I work in has very progressive protocols and we're always looking at ways to improve prehospital care to our patients. We recently put a specialized ambulance on the road that is equipped with a mobile CT scanner. The idea is that eventually street medics will be able to scan stroke patients for blockages and administer thrombolitic therapy ...

How 4 community paramedicine programs are positively impacting health care

An ever-popular phrase from Kelly Grayson is – "if you've seen one EMS agency, then you've seen one EMS agency." The same can be said for community paramedicine programs. When you talk to anybody that either has a community paramedicine program or is considering implementing one, you'll quickly realize that all programs are different because they're driven by a needs ...

Mixing business and billing: EMS documentation impact on billing and reimbursement

By Daniel J. Pedersen, Esq. In many EMS operations, there are three unique and distinct divisions: Call intake/dispatch, Operations, and Billing/reimbursement. I routinely refer to these as three legs of a stool, with the top surface the entire EMS operation. Pull any leg out, and the entire operation falls apart. While some might view these as three separate components of the EMS operation, they are ...

7 challenges faced by all health care leaders

I’m flying home from a two-day health care leadership conference organized by Dave Williams, PhD, the executive director of improvement capability for the Institute for Healthcare Improvement and a former paramedic. In addition to Dave, the other three presenters were the current and past presidents and CEOs of IHI. As EMS integrates more fully with the rest of health care, I thought you all might ...

Handling underperforming employees in EMS

By Nathan Sweet, EMTP We all face the truth, that we each have a certain set of responsibilities. Those will vary and change due to multiple variables, what does not change is that you do have responsibilities and so do those around you. Maybe you live in a responsibility utopia, where everyone is meeting the needs of everyone and life is clicking right along. If that is you, please stop reading now ...
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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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