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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 ...

There are no textbooks or educational syllabi for coping with the situations first responders see every day. When they witness sick and vulnerable patients constantly, how do our personnel take care of themselves after calls? What measures do they take? Most just continue with their day and run the next call.  This approach doesn’t always work. Many first responders experience mental health issues related to traumatic events. Suicides and mental health disorders are elevated among EMS and other first responders, with large numbers diagnosed with PTSD and/or depression and an alarming numbe...

Leader’s Digest is a bimonthly column produced in partnership with Cambridge Consulting Group (CCG), a group of subject matter experts with expertise in paramedicine, ambulance operations of every organizational structure, and medical transportation services. Visit www.CambridgeCG.net. Many of us thought we’d seen the worst it could get. Whether it was Manhattan on September 11, 2001, the 2017 Las Vegas mass shooting, the Orlando Pulse nightclub shooting, Columbine, Sandy Hook, Katrina—the list goes on. But facing the coronavirus pandemic of 2019–2021 has brought us to a whole new le...

I shall not live in vain; If I can ease one life the aching, Or cool one pain, Unto his nest again, —Emily Dickinson In this two-part series, the authors will shed a refocused light on crisis coping and the emotional challenges faced by EMS every day even prior to the psychologically fatiguing COVID-19 pandemic. They will share examples of new, realistically sustainable initiatives that can better support the psychological well-being of our EMS and other public safety families on the frontlines worldwide now and going forward.  The impact of EMS responses on the mental well-being of public...