EMS World

AUG 2011

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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ADVISORY BOARD James J. Augustine, MD, FACEP Medical Advisor, Washington Township Fire Department, Dayton, OH; Clinical Associate Professor, Department of Emergency Medicine, Wright State University, Dayton, OH; Director of Clinical Operations, Emergency Medicine Physicians, Canton, OH Raphael M. Barishansky, MPH P rogram Chief, Public Health Emergency Preparedness, Prince George’s County (MD) Health Department Bernard Beckerman, MD, FACEP Associate Professor, Physician Assistance Program, School of Health and Behavioral Sciences, York College (CUNY), Jamaica, NY Tom Bouthillet, NREMT-P Lieutenant, Hilton Head Island (SC) Fire & Rescue Kenneth Bouvier, NREMT-P Administrative Liaison, New Orleans EMS; NAEMT, Director at Large; Past President, NAEMT, 2004–2006 Chris Cebollero, NREMT-P Chief, EMS, Christian Hospital, St Louis, MO Will Chapleau, EMT-P, RN, TNS Manager, ATLS Program, American College of Surgeons Alan R. Cowen, MA, EMT-P Deputy Fire Chief (ret.), Los Angeles City Fire Department, CA; Associate Professor of Emergency Services, Los Angeles Valley College Michael W. Dailey, MD Assistant Professor, Department of Emergency Medicine, Albany Medical College, NY Thom Dick Quality Care Coordinator, Platte Valley Ambulance Service, Brighton, CO Greg Friese, MS, NREMT-P Director of Education, CentreLearn Solutions, LLC; Lead Instructor, Wilderness Medical Associates Edward J. Gabriel, MPA, EMT-P, CEM Director, Crisis Management, The Walt Disney Company; Past Deputy Commissioner of Planning and Preparedness, New York City Office of Emergency Management; Chief, Division Commander, FDNY EMS (ret.) William E. Gandy, JD, LP EMS Educator and Consultant, Tucson, AZ Erik S. Gaull, NREMT-P, CEM Vice President, Hagerty Consulting, Washington, DC; Master Firefighter/ Paramedic, Cabin John Park Volunteer Fire Department, Potomac, MD HOW TO CONTACT US Mail: EMS World Magazine P.O. Box 7248, Mission Hills, CA 91346-7248 Phone: 800/547-7377 Fax: 818/360-0231 Website: EMSWorld.com Facebook: Facebook.com/EMSWorldfans Twitter: www.twitter.com/EMSWorldnews Letters to the Editor: All letters must include the writer’s name, address and daytime phone 6 AUGUST 2011 | EMSWORLD.com number, and may be edited for clarity or space. E-mail editor@EMSWorld.com. Submissions: Queries, manuscripts, story suggestions, press releases and news items are welcome. E-mail editor@EMSWorld.com. Current or Back Issues: Select back issues are available for $10. Permissions: E-mail requests to editor@EMSWorld.com. Subscriptions/Address Changes: Phone 877/382-9187 or 847/559-7598, fax 800/543-5055, write to EMS World, P.O. Box 3257, Northbrook, IL 60065-3257, or e-mail circ.EMSWorld@omeda.com. Troy M. Hagen, MBA, NREMT-P Director, Ada County Paramedics, Boise, ID; President Elect, National EMS Management Association Martin G. Hellman, MD, FAAP, FACEP Attending Physician, Emergency Department, Children’s Hospital of Pittsburgh, Pittsburgh, PA Tim Hillier, Advanced Care Paramedic D irector of Professional Development, M.D. Ambulance, Saskatoon, SK Canada Lou Jordan PIO, Fire Police Officer, Union Bridge (MD) Fire Department C.T. “Chuck” Kearns, MBA, EMT-P EMS Consultant G. Christopher Kelly, JD Attorney at Law, Atlanta, GA; Chief Legal Officer, EMS Consultants, Ltd. Skip Kirkwood, MS, JD, EMT-P, EFO, CMO Chief, Emergency Medical Services Division, Wake County, NC William S. Krost, MBA, NREMT-P A djunct Assistant Professor of Emergency Medicine, The George Washington University Ken Lavelle, MD, FACEP, NREMT-P Attending Physician, Deputy Chief of EMS, Department of Emergency Medicine, Albert Einstein Medical Center, Philadelphia, PA Todd J. LeDuc, MS, CFO, CEM Assistant Fire Chief, Broward Sheriff Fire Rescue, Ft. Lauderdale, FL Mark D. Levine, MD, FACEP Assistant Professor, Dept. of Emergency Medicine, Washington University School of Medicine; Medical Director, St. Louis (MO) Fire Dept. Tracey Loscar, NREMT-P Training Supervisor, UMDNJ - University Hospital EMS, Newark, NJ Paul M. Maniscalco, MPA, EMT-P Senior Research Scientist & Principal Investigator, The George Washington University Office of Homeland Security–Grants and Training; Deputy Chief/Paramedic (ret.), FDNY EMS; President, International Association of EMS Chiefs (IAEMSC) Norman E. McSwain, Jr., MD Department of Surgery, Tulane University School of Medicine, New Orleans, LA Richard W. Patrick, MS, CFO, EMT-P, FF D irector, Medical First Responder Coordination, Office of Health Affairs–Medical Readiness, U.S. DHS, Washington, DC Tim Perkins, BS, EMT-P E MS Systems Planner, Virginia Office of EMS, Virginia Department of Health, Glen Allen, VA Carl J. Post, PhD EMS Consultant, Lawrenceville, NJ Michael E. Poynter, EMT-P Flight Paramedic, University of Kentucky Air Medical Service, Lexington, KY; Tactical Paramedic, FBI SWAT Team, Louisville, KY Mike Rubin, BS, NREMT-P Paramedic, Gaylord Opryland, Nashville, TN Angelo Salvucci Jr., MD, FACEP Medical Director, Santa Barbara County & Ventura County EMS, CA Mike Smith, BS, MICP Program Chair, EMS Programs, Tacoma (WA) Community College Matthew R. Streger, JD, MPA, NREMT-P Associate, Kern, Augustine, Conroy & Schoppman, PC, Bridgewater, NJ Cindy Tait, MICP, RN, PHN, MPH P resident, Center for Healthcare Education, Inc., Riverside, CA William F. Toon, EdD, NREMT-P Battalion Chief - Training, Johnson County (KS) EMS: MED-ACT John Todaro, BA, REMT-P, RN, TNS, NCEE Executive Director, Lowcountry Regional EMS Council, North Charleston, SC David Wampler, PhD, LP Assistant Professor, Emergency Health Sciences, University of Texas Health Science Center, San Antonio, TX Paul A. Werfel, MS, NREMT-P Director, Paramedic Program, Clinical Asst. Professor of Health Science, School of Health Technology & Management, Asst. Professor of Clinical Emergency Medicine, Dept. of Emergency Medicine, Health Science Center, Stony Brook University, NY Katherine West, BSN, MSEd, CIC Infection-Control Consultant, Infection Con trol/ Emerging Concepts, Manassas, VA Gerald C. Wydro, MD, FAAEM Chief, Division of EMS, Temple University School of Medicine, Philadelphia, PA Partners STAFF PUBLISHER Scott Cravens, NREMT-B • 800/547-7377 x1759 Scott.Cravens@emsworld.com EDITORIAL DIRECTOR Nancy Perry • 800/547-7377 x1110 Nancy.Perry@emsworld.com ASSOCIATE EDITORS John Erich • 800/547-7377 x1106 John.Erich@emsworld.com Marie Nordberg • 800/547-7377 x1939 Marie.Nordberg@emsworld.com PRODUCTION SERVICES REPRESENTATIVE LuAnn Hausz • 800/547-7377 x1616 Luann.Hausz@emsworld.com GRAPHIC DESIGNER Carey Arneson • 800/547-7377 x1585 Carey.Arneson@cygnusb2b.com AUDIENCE DEVELOPMENT MANAGER Sharon Haberkorn • 800/547-7377 x1648 Sharon.Haberkorn@cygnusb2b.com ACCOUNT MANAGER - WEST COAST John Heter • 503/889-8609 • Fax 240/823-0243 john.heter@emsworld.com ACCOUNT MANAGER - NORTH EAST Corine Boelk • 800/547-7377 x1325 Corine.Boelk@emsworld.com ACCOUNT MANAGER - SOUTH EAST Ann Romens • 800/547-7377 x1366 Ann.Romens@emsworld.com ACCOUNT MANAGER - NORTH CENTRAL Deanna Morgan • 901/759-1241 Deanna.Morgan@emsworld.com ACCOUNT MANAGER - SOUTH CENTRAL Jan Varnes • 547-7377 x4423 Jan.Varnes@emsworld.com ADMINISTRATIVE ASSISTANT Michelle Endres • 800/547-7377 x1612 Michelle.Endres@emsworld.com CYGNUS REPRINT SERVICES To purchase article reprints, please contact Foster Printing Services at 800/875-3251, or e-mail sales@fosterprinting.com LIST RENTALS Elizabeth Jackson • 847/492-1350, x18 ejackson@meritdirect.com John French - CEO Paul Bonaiuto - CFO Tom Kohn - EVP, Digital Ed Wood - Human Resources Tom Martin - VP, Manufacturing Patrick Nadler - VP, Custom Marketing Julie Nachtigal - VP, Audience Development Elizabeth Pennell - VP, Corporate CYGNUS PUBLISHING Mike Martin - EVP, Public Safety & Security Brett Apold - Corporate Production Dir. 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