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Pediatric Pain Control

CE Article: Back Pain in EMS, Part 2

Describe how lifting, posture, and body position can give rise to chronic pain syndromes; Define modifiable associated risk factors for back pain;  Identify specific mitigation and prevention strategies; Understand the role of provider education and how departments can help. The suggestion that the back is fragile or easily injured is not only false but provides a foundational belief that can negatively influence the pain experience.   Warnings about lifting mechanics and avoiding heavy loads are common in publications, public service announcements, and educational courses. For example, it has been suggested that lifting while bent over (stoop lifting), rather than with the back as vertical as possible (squat lifting), increases loading on the spine. Stated in different terms, lifting with a “neutral” spine to avoid flexion or extension is commonly recommended. More terms that augment the association of threat with lifting, such as “shearing the spine” and “microtear

The Edge: Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Malignant Hyperthermia

The Edge: Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Malignant Hyperthermia
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The Benefits of EMS Chaplains

A 9-1-1 caller frantically told the dispatcher a 9-year-old child had been seriously injured in a traffic accident. The dispatcher paused and took a deep breath, thinking for a moment about his own school-age children. The ambulance crew responded to the scene, which had been witnessed by a dozen frightened bystanders, including children and parents. Quickly moving the child into the ambulance, the paramedics initiated a Code 3 transport to the hospital. Before the end of the day, the department chaplain had been notified of the call twice once by the duty supervisor, who recognized the potential for emotional distress, and also by an automated notification program set up through the system’s communications center. Using keywords, a FirstWatch program generates e-mail reports informing the chaplain of calls that meet established criteria, one of which is Code 3 pediatric transports. 

Diversity in EMS: Improving Equity and Confronting Bias at New Orleans EMS

Diversity in EMS is a new bimonthly column in which rotating authors will confront difficult questions of bias and discrimination in the emergency medical services and consider how agencies can lead change in their communities. Why is diversity in EMS important? The quality of healthcare available to marginalized members of our communities has led to large disparities in health outcomes. These have been compounded by the effects of COVID, which has disproportionately affected people of color.  When considering diversity we ve often focused more on the demographic composition of our EMS workforce than that of the population we serve; in the United States EMS providers are predominantly white (75%) and men (65%).

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