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6 OCTOBER 2015 | EMSWORLD.com EMS World® ISSN 1946-9365 (print) and ISSN 1946-4967 (online) is published monthly by SouthComm Business Media, LLC., 1233 Janesville Ave., For t Atkinson, WI 53538. The publisher reser ves the right to rejec t 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 For t Atkinson, WI, and additional mailing of fices. 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 ef fec t. GST #842773848. The views and opinions in the ar ticles herein are not to be taken as of ficial expressions of the publishers, unless so stated. The publishers do not warrant, either expressly or by implication, the fac tual accurac y of the ar ticles herein, nor do they so warrant any views or opinions of fered by the authors of said ar ticles. © Copyright 2015 by SouthComm Business Media, LLC. All rights reser ved. No par t 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 20 Considerations of a Rural CP Program What goes into operating outside the urban environment? By Christopher Montera 24 Just-in-Time Stock Control A well organized logistics system keeps your agency moving and equipped By Elizabeth Papelino, NRP, & Rob Lawrence 28 How to Conduct the Patient Interview Communicating successfully with patients requires strategy, fexibility and practice By Mike Rubin C E A R T I C L E 32 Cirrhosis and Its Complications Catch this liver scarring problem early, because its efects can be life-threatening 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 OCTOBER 2015 VOL. 44 | ISSUE 10 C O V E R R E P O R T 38 Alternative Airways: The Who, What, Where, When and How Understanding the options between the BVM and the ETT By Scott DeBoer, RN, MSN, CPEN, CEN, CCRN, CFRN, EMT-P, Darren Braude, MD, EMT-P, Michael Seaver, RN, BA, & John Pisowicz, RN, BSN, NRP, PI 48 Taking the Fear Out of RSI/DSI Through planning, preparation and practice, you can master this essential technique By William E. "Gene" Gandy, JD, LP, Steven "Kelly" Grayson, NREMT-P, CCEMT-P, & Jason Kodat, MD, EMT-P COLUMNS 12 CASE REVIEW Victim Tracking at a Major Incident By James J. Augustine, MD, FACEP 16 LUDWIG ON LEADERSHIP Be a Leader, Not a Friend By Gary Ludwig, MS, EMT-P 18 ASSOCIATION NEWS NAEMT Current Activities 58 LIFE SUPPORT Letting the Days Go By By Mike Rubin DEPARTMENTS 8 EMS World Online 10 From the Publisher 55 Advertiser Index 56 Classifed Ads 32 DOWNLOAD the FREE EMS World tablet edition app to access exclusive EMS World content. ON THE COVER: New Hanover Regional Medical Center's AirLink/VitaLink Critical Care Transport teams take an organized approach to difcult airway management using proactive strategies including an RSI time-out, apneic oxygenation, video laryngoscopy and early use of alternative airway devices. 24 38