EMS World

APR 2014

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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TABLE OF CONTENTS COLUMNS 18 CASE REVIEW Things That Go Bump in the Night By James J. Augustine, MD, FACEP 24 LEADERSHIP BEST PRACTICES Building Accountability in EMS By Sean Caffrey, MBA, CEMSO, NRP 56 THE SHIFT A Small But Vital Part By Michael Morse, EMT-C 58 LIFE SUPPORT eQuality By Mike Rubin, BS, NREMT-P 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. $50; Canada and Mexico $70; all other countries $100. 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 #842773848. 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 2014 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. Printed in the U.S.A. FEATURES CE ARTICLE 44 Withdrawal and the Chronic Alcohol Abuser Years of drinking can cause big changes and make drying out dangerous By Scott R. Snyder, BS, NREMT-P, Sean Kivlehan, MD, MPH, & Kevin T. Collopy, BA, FP-C, CCEMT-P, NREMT-P, WEMT 37 How We Built a Better Ambulance What goes into constructing a safer rig? By Mark Forgues, MEd, EMT-P 39 An Ambulance-Safety How-To Federal partners plan guidebook, demo truck to share best ideas By John Erich 41 Ambulance Manufacturer Directory Leading ambulance manufacturers profle their latest vehicle designs and equipment 52 Neurotrauma Review Series—Part 4: Autonomic Dysreflexia Interrupted brain communications can put spinal cord-injury patients at risk By Tiffany Bombard, NREMT-P, MD Sponsored by VOL. 43 | ISSUE 4 DOWNLOAD the FREE EMS World iPad app from the to access additional EMS World content. DEPARTMENTS 10 EMS World Online 12 From the Editor 14 EMS News Network 51 Advertiser Index 57 Classifed Ads 26 44 39 How To Build the Crew Chain of Safety Safe driving is a priority for Richmond Ambulance Authority crews By Bryan McRay, MBA, Rob Lawrence, MCMI, & Dan Fellows 37 Photo by Lawrence Man Kit Wong, MIT EMS 8 APRIL 2014 | EMSWORLD.com Photo by Frank Romero Cover photo by Frank Romero, Richmond Ambulance Authority, www.raaems.org EMS_8-9_TOC0413.indd 8 3/14/14 8:58 AM

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