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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VOL. 40 | ISSUE 8 COVER REPORT 37 Capnography as a By David Wampler, PhD, LP Clinical Tool The capnography waveform is a key vital sign when determining treatment for patients in the fi eld CE ARTICLE 44 The Immune System and Immunologic Complications Our immune system is designed to protect us from harmful pathogens; here’s what you need to know about how it works By Scott R. Snyder, BS, NREMT-P, Sean Kivlehan, MD, MPH, NREMT-P, & Kevin T. Collopy, BA, FP-C, CCEMT-P, NREMT-P, WEMT FEATURES 52 Communications Resource Guide The latest technologies transforming EMS communications 56 Transition Series: Topics for the EMT Part 4: Orthopedic Trauma COLUMNS 16 EMS RERUNS Betrayal By Thom Dick 18 BEYOND THE BOOKS Does the Bogeyman Cometh? By Mike Smith, BS, MICP 21 CASE REVIEW Families to the Left By James J. Augustine, MD, FACEP 28 ASSESSMENT TIPS Environmental Emergencies By Steven “Kelly” Grayson, NREMT-P, CCEMT-P, & William E. Gandy, JD, LP 35 LEADERSHIP BEST PRACTICES The Supervising EMS Officer By Troy M. Hagen, MBA, EMT-P 66 LIFE SUPPORT Death After Life By Mike Rubin, BS, NREMT-P EMS World® 7598 or fax: By Joseph J. Mistovich, MEd, NREMT-P, Daniel Limmer, AS, EMT-P, Howard A. Werman, MD, FACEP, & Daniel Batsie, EMT-P 61 Diving Emergencies Understanding concepts related to diving will prove valuable in case of emergency By Drew Wohl, EMT-B, DMT DEPARTMENTS 10 EMS World Online 12 From the Editor 14 News Network 51 Advertiser Index 64 Classifi ed Ads “Some of us never regain a desire to feel.” (ISSN 1946-9365) is published monthly by Cygnus Business Media, 1233 Janesville 800/543-5055. The publisher reserves the right to reject nonqualified subscribers. Ave., Fort 61 56 Sponsored by TABLE OF CONTENTS 66 Cover photo courtesy of Physio-Control, Inc. One-year subscriptions for nonqualified individuals: U.S. Atkinson, WI 53538. For subscription information or change of address call: 877/382-9187 or 847/559- $40; Canada and Mexico $55; all other countries $80. 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 2011 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 | AUGUST 2011 9 Photo by Dan Limmer Photo by Drew Wohl Photo courtesy of Physio-Control, Inc.

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