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the FREE DOWNLOAD iPad app EMS World from the ditional to access ad ld content. EMS Wor VOL. 42 | ISSUE 6 COVER REPORT 32 TABLE OF CONTENTS CE ARTICLE 57 Understanding Overdose Opioids are a secret and leading cause of death Things Your System Should Deliver What is reasonable to expect from a community's EMS, and how should we measure it? Sponsored by By Bob Sullivan, BA, NREMT-P By Scott R. Snyder, BS, NREMT-P, Sean Kivlehan, MD, MPH, & Kevin T. Collopy, BA, FP-C, CCEMT-P, NREMT-P, WEMT FEATURES 42 A Troubled State, Part 1: What Can We Learn From Iowa's Experience? The state isn't alone in its challenges, but its mainstream media took note By Skip KIrkwood, MS, JD, NREMT-P, EFO, CEMSO 46 How to Assess and Treat Injured Firefghters Removing frefghters' protective gear should be approached the same as for football players or motorcyclists By John G. Alexander, MS, NRP, & Christopher T. Stephens, MD, MS, NREMT-P, FP-C A Vision for the Future of EMS 27 Big Plans for Broadband A public safety network is coming, but there's still a lot to work out By John Erich 49 Can Immediate Action Drills Improve EMS Education? Helping students apply their knowledge and skills in a dynamic environment By Elliot Carhart, EdD, RRT, NRP, NCEE COLUMNS 16 EMS RERUNS 24 Q&A; In Your Face A Leadership Obstacle Course By Thom Dick 18 BEYOND THE BOOKS By John Erich Show Me the Professionals 66 LIFE SUPPORT By Mike Smith, BS, MICP Bridge Work 20 CASE REVIEW Stutter Steps By James J. Augustine, MD, FACEP Building out a new national LTE network would be costly. FirstNet will look to partnerships to keep costs under control. By Mike Rubin, BS, NREMT-P DEPARTMENTS 12 EMS World Online 14 From the Publisher 51 Advertiser Index 62 Mobile Apps Showcase 64 Classifed Ads Cover photo by Ray Kemp EMS World® ISSN 1946-9365 (print) and ISSN 1946-4967 (online) is published monthly by Cygnus Business Media, 1233 Janesville Ave., Fort Atkinson, WI 53538. For subscription information or change of address call: 877/382-9187 or 847/559-7598 or fax: 800/543-5055. The publisher reserves the right to reject nonqualified subscribers. One-year subscriptions for nonqualified individuals: U.S. $45; Canada and Mexico $65; all other countries $90. Payable in U.S. funds drawn on a U.S. bank. EMS World is published monthly. POSTMASTER: Please send change of address to EMS World, P.O. 3257, Northbrook, IL 60065-3257. Canada Post PM40612608. Return undeliverable Canadian Addresses to: EMS World, PO Box 25542, London, ON N6C 6B2. Printed in U.S.A. GST #131910168. CHANGE OF ADDRESS notices should be sent promptly. Provide old mailing label as well as new address; please include ZIP code. Allow 2 months for change to take effect. PUBLICATION OFFICES: Address all communications to EMS World, P.O. Box 7248, Mission Hills, CA 91346-7248. Telephone: 800/547-7377. Internet: EMSWorld.com. The views and opinions in the articles herein are not to be taken as official expressions of the publishers, unless so stated. The publishers do not warrant, either expressly or by implication, the factual accuracy of the articles herein, nor do they so warrant any views or opinions offered by the authors of said articles. © Copyright 2013 by Cygnus Business Media. All rights reserved. No part of this publication may be reproduced in any form or by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from EMS World. Periodicals postage paid at Fort Atkinson, WI, and additional mailing offices. EMSWORLD.com | JUNE 2013 9