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6 MARCH 2015 | EMSWORLD.com 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. 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. Periodicals postage paid at Fort Atkinson, WI, and additional mailing offices. Printed in U.S.A. POSTMASTER: Please send change of address to EMS World, P.O. 3257, Nor thbrook, IL 60065-3257. Canada Post PM40612608. Return undeliverable Canadian Addresses to: EMS World, PO Box 25542, London, ON N6C 6B2. 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. GST #842773848. 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 2015 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. F E AT U R E S 24 The Benefts of TXA Implementing tranexamic acid for trauma patients will result in decreased mortality By Jon E. Thomas, BS, ATP, NREMT-P 28 Evidence-Based EMS: Needle Decompression Recent data may cause us to reconsider our preferred thoracostomy location By Daniel Charles Kolinsky, MD, & Hawnwan Philip Moy, MD 35 Mobile Integrated Healthcare Part 3: Healthcare Innovation Grant Recipients Making Progress Agencies seeing results already from their grant programs By Jason Busch 51 Product Applications from the Field Interviews with end users of EMS products C E A R T I C L E 38 Busting Top Trauma Myths Exploring best practices for prehospital trauma care By Kevin T. Collopy, BA, FP-C, CCEMT-P, NREMT-P, WEMT, Sean M. Kivlehan, MD, MPH, NREMT-P, & Scott R. Snyder, BS, NREMT-P Contents MARCH 2015 VOL. 44 | ISSUE 3 C O V E R R E P O R T 46 Advances in Military Medic Training How civilian paramedics helped upgrade training for U.S. Army fight medics By Barry Smith COLUMNS 12 CASE REVIEW Ofcer Down By James J. Augustine, MD, FACEP 58 LIFE SUPPORT Certifcation Experimentation By Mike Rubin, BS, NREMT-P DEPARTMENTS 8 EMS World Online 10 From the Publisher 55 Advertiser Index 56 Classifed Ads 28 DOWNLOAD the FREE EMS World tablet edition app to access exclusive EMS World content. ON THE COVER U.S. Army fight medics care for a patient on a mission in Afghanistan. Photo courtesy U.S. Army. 24 46