EMS World

DEC 2018

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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4 DECEMBER 2018 | EMSWORLD.com PARTNERS EDITORIAL ADVISORY BOARD Peter Antevy, MD CEO & Founder Pediatric Emergenc y Standards EMS Medical Direc tor, PEM Physician Raphael M. Barishansky, MPH, MS, CPM Deput y Secretar y, Health Planning and A ssessment Pennsylvania Dept. of Health Eric Beck, DO, MPH, EMT-P President, UH Ventures Cleveland, OH Blair Bigham, MD Flight Paramedic Ornge Transpor t Medicine Resident Emergenc y Physician McMaster University Hamilton, Ontario, Canada Tom Bouthillet, NRP Bat talion Chief of EMS Hilton Head Island (SC) Fire Rescue Kenneth Bouvier, NREMT-P Deput y Chief of Operations New Orleans EMS Jane Brice, MD, MPH Fellowship Direc tor and Chair Universit y of Nor th Carolina Chapel Hill, NC Juan Cardona, NREMT-P, MPA, CEMSO EMS Division Chief Coral Springs (FL) Fire Dept. Elliot Carhart, EdD, FAEMS Associate Professor Jefferson College of Health Sciences Roanoke, VA Chris Cebollero, NREMT-P Senior Par tner Cebollero & A ssociates St Louis, MO Kevin T. Collopy, BA , FP-C, CCEMT-P, NR-P, CMTE Clinical Outcomes Manager AirLink / VitaLink Critical Care Transpor t Lead Ins truc tor, Wilderness Medical A ssociates International Wilmington, NC Jeremy Cushman, MD, MS, EMT-P, FACEP, FAEMS A ssociate Professor and Chief Universit y of Roches ter Roches ter, NY Michael W. Dailey, MD, FACEP, FAEMS Chief of Prehospital and Operational Medicine A ssociate Professor of Emergenc y Medicine Albany (NY ) Medical College Thom Dick EMS Educator Brighton, CO Linda Dykes, MBBS (Hons.), FRCEM Consultant in Emergenc y Medicine Ysby t y Gw ynedd, Bangor, Wales, UK Clinical Lead (EM), NHS 111 Wales Gustavo Flores, MD, EMT-P Direc tor, ECCtrainings LLC San Juan, Puer to Rico William E. Gandy, JD, LP EMS Educator, Author and Consultant Tuc son, A Z Erik S. Gaull, NRP, CEM, CPP, MEP Mas ter Firefighter/Paramedic III Cabin John Park (MD) VFD Of ficer Washington DC Metropolitan Police Dept. Tim Hillier, MA, ACP Deput y Chief, Professional Standards Medavie Health Ser vices Wes t Saskatoon, Saskatchewan, Canada Shai Jaskoll, MAS, EMT-I/C Direc tor of International Operations United Hat zalah– United Rescue Anne Jensen, BS, EMT-P, CP-C Resource Access Program Manager San Diego Fire-Rescue Dept. Chris Kelly, JD At torney Page, Wolfberg & Wir th LLC Mechanic sburg, PA Sean M. Kivlehan, MD, MPH, NREMT-P Direc tor, International EM Fellowship Brigham & Women's Hospital Bos ton, MA William S. Krost, MD, MBA, NRP Dept s. of Emergenc y Medicine, Spor t s Medicine, and Neurosciences Merc y Health-St. Vincent Medical Ctr. Toledo, OH Baxter Larmon, PhD, MICP Professor of Emergenc y Medicine David Gef fen School of Medicine at UCL A Direc tor Emeritus UCL A Center for Prehospital Care Rob Lawrence, MCMI Chief Operating Of ficer Paramedic s Plus Alameda Count y, C A Mark D. Levine, MD, FACEP, FAEMS A ssociate Professor Washington Universit y School of Medicine A ssis tant Medical Direc tor St. Louis Fire Depar tment Tracey Loscar, NRP, FP-C Chief of Operations Matanuska-Susitna (Mat-Su) Borough EMS Wasilla, AK Craig Manifold, DO, FACEP, FAAEM, FAEMS EMS Medical Direc tor, A ssis tant Professor Universit y of Texas Health Science Center San Antonio, T X Paul M. Maniscalco, MPA, MS, EMT/P, LP Deput y Chief/Paramedic (Ret.) FDNY EMS President Emeritus International A ssociation of EMS Chiefs Anne Montera, RN, BSN Executive Direc tor Central Mountains RE TAC Frisco, CO COO, The Paramedic Foundation St. Cloud, MN David Page, MS, NRP Direc tor, Prehospital Care Research Forum at UCL A Paramedic, Allina Health EMS Senior Lec turer, Monash Universit y Richard (Rick) W Patrick, MS, EFO, CFO, EMT-P, FF Direc tor National Fire Programs U.S. Fire Adminis tration (DHS/FEMA) Michael E. Poynter, EMT-P, CP-C Executive Direc tor Kentuck y Board of EMS Vincent D. Robbins President & CEO MONOC, Monmouth- Ocean Hospital Ser vice Corp. Neptune, NJ Mike Rubin Paramedic Nashville, TN Angelo Salvucci Jr., MD, FACEP Medical Direc tor Santa Barbara Count y & Ventura Count y (C A) EMS Babak Sarani, MD, FACS, FCCM Professor of Surger y Direc tor, Center for Trauma and Critical Care George Washington Universit y Washington, DC Scott R. Snyder, BS, NREMT-P Facult y, Emergenc y Medical Care Program Public Safet y Training Center Santa Rosa (C A) Jr. College Dan Swayze, DrPH, MBA, MEMS Vice President and COO Center for Emergenc y Medicine of Wes tern Pennsylvania Inc. Pit t sburgh, PA Cindy Tait, EMT-P, RN, MPH Founder and CEO Center for Healthcare Education Inc. Riverside, C A John Todaro, BA, NRP, RN, TNS, NCEE A ssis tant Direc tor Center for Experiential Learning & Simulation Universit y of South Florida Tampa, FL David Wampler, PhD, LP, FAEMS A ssociate Professor Emergenc y Health Sciences University of Texas Health Science Center San Antonio, T X Paul A. Werfel, MS, NRP Direc tor, Paramedic Program Stony Brook (NY) University Katherine West, RN, BSN, MSEd Infec tion Control Consultant Clear water, FL Gerald C. Wydro, MD Regional EMS Medical Direc tor Bucks Count y Emergenc y Health Ser vices Iv yland, PA Matt Zavadsky, MS-HSA, NREMT Chief Strategic Integration Officer MedStar Mobile Healthcare Ft. Wor th, T X Published by HMP 70 E. Swedesford Road, Suite 100 Malvern, PA 19355 610-560-0500 • 800-237-7285 BUSINESS STAFF VICE PRESIDENT, PUBLIC SAFET Y DIVISION Joshua D. Hartman, MBA, NRP 610-560-0500 ext. 4148 jhartman@hmpglobal.com SENIOR EDITORIAL AND PROGRAM DIREC TOR Hilary Gates, MAEd, NRP 202-997-1471 Hilary@EMSWorld.com ASSOCIATE PUBLISHER – CENTRAL AND MIDWEST Deanna Morgan 901-759-1241 Deanna@EMSWorld.com NATIONAL ACCOUNT MANAGER – WEST COAST John Heter 503-889-8609 John@EMSWorld.com NATIONAL ACCOUNT MANAGER – SOUTHEAST Ann Romens 920-568-8366 Ann@EMSWorld.com NATIONAL ACCOUNT MANAGER – NORTHEAST Tom Greve 201-358-0751 Tom@EMSWorld.com ASSOCIATE ACCOUNT MANAGER John Humenick 610-560-0500 ext. 4147 Jhumenick@EMSWorld.com EDITORIAL STAFF EDITORIAL DIREC TOR Jonathan Bassett Jon@EMSWorld.com SENIOR EDITOR John Erich John.Erich@EMSWorld.com ASSISTANT EDITOR Valerie Amato Vamato@EMSWorld.com CREATIVE DIREC TOR Vic Geanopulos vgeanopulos@hmpglobal.com ASSOCIATE DIRECTOR, PRODUCTION Andrea Steiger 800-237-7285, ext. 4267 asteiger@hmpglobal.com SENIOR GRAPHIC DESIGNER Kaitlin Hartung 800-237-7285, ext. 4130 khartung@hmpglobal.com PRODUCTION/CIRCUL ATION DIREC TOR Kathy Murphy 800-237-7285, ext. 4252 kmurphy@hmpglobal.com CIRCUL ATION MANAGER Bonnie Shannon 1-800-237-7285, ext. 4246 bshannon@hmpglobal.com AUDIENCE DEVELOPMENT MANAGER Bill Malriat 800-237-7285, ext. 4350 bmalriat@hmpglobal.com Jeff Hennessy, Chairman and Chief Executive Officer Bill Norton, President Anthony Mancini, Executive Vice President of Operations Greg Salter, Senior Vice President of Finance Meredith Cymbor-Jones, Controller Kelly McCurdy, Vice President Marketing & Public Relations Tim Shaw, Director of e-Media and IT Ken Roberts, Senior Manager, IT Subscription Customer Service 877-382-9187; 847-559-7598 Circ.EMSWorld@omeda.com PO Box 3257 Northbrook IL 60065-3257 Article reprints Brett Petillo Wright's Media 877-652-5295, ex. 118 bpetillo@wrightsmedia.com EMS World Magazine ® (USPS 947-780: ISSN 2158-7833 (print); ISSN 2159-3078 (online) is published monthly by HMP Periodicals postage paid at Malvern, PA 19355 and additional mailing of fices. 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