EMS World

JUN 2015

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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6 JUNE 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 46 Should Response Time Be a Performance Indicator? A survey of Pinnacle thought leaders' opinions 51 MIH Summit 2015 Report Lessons learned from a fre-based MIH-CP program By Michael Gerber, MPH, NRP 53 EMS State of the Sciences Conference: Report from the Gathering of Eagles Part 2 By Ed Mund C E A R T I C L E 39 HELLP Syndrome How to recognize and treat this life-threatening complication of pregnancy By Scott R. Snyder, BS, NREMT-P, Sean M. Kivlehan, MD, MPH, NREMT-P, & Kevin T. Collopy, BA, FP-C, CCEMT-P, NREMT-P, WEMT Contents JUNE 2015 VOL. 44 | ISSUE 6 C O V E R R E P O R T: T H E E D U C AT I O N I S S U E 25 Conducting the Student Interview It's your best early chance to spot candidates not suited for EMS By Mike Rubin 28 Best Practices in CE How technology is changing the way we deliver continuing education By the CECBEMS Board of Directors 32 Why Research Is Important in EMS We need an evidence base, and you can help develop it By Mario J. Weber, JD, MPA, NRP, & Michael Gerber, MPH, NRP COLUMNS 15 CASE REVIEW Severe Heat Illness By James J. Augustine, MD, FACEP 20 GUEST EDITORIAL Evaluating Patients' Decision-Making Capacity By Thom Dunn, NRP, PhD 58 LIFE SUPPORT Head of the Class By Mike Rubin, BS, NREMT-P DEPARTMENTS 8 EMS World Online 12 From the Editor 13 EMS News Network 55 Advertiser Index 56 Classifed Ads 39 DOWNLOAD the FREE EMS World tablet edition app to access exclusive EMS World content. ON THE COVER Photo in tablet cour tesy of Richmond Ambulance Authorit y, www.raaems.org. Richmond Ambulance Authorit y 46 28 25

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