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TABLE OF CONTENTS VOL. 42 | ISSUE 3 COVER REPORT CE ARTICLE 30 EMS crews faced unprecedented challenges responding to Hurricane Sandy By Jason Busch, Associate Editor Cover: Hoboken Volunteer Emergency Squad lost four vehicles to Sandy. Photo by Brian Dieck, http://briandieck.com. EMERGENCY VEHICLE SPOTLIGHT 45 Ambulance Manufacturer Directory 47 Preferred Ambulance Dealership Directory 49 Vehicle Accessories Showcase 50 EMS Safety Foundation Safety Innovation Awards Abdominal aorta Left renal artery and vein Right renal artery and vein Renal cortex Medulla Fran Milner, www.franimation.com Pennsylvania EMS Task Force Region 4 A Supersized Storm Inferior vena cava Left kidney Right kidney Sponsored by 51 Exploring Chronic Kidney Disease Acute vs. chronic failure and dialysis: What EMS should know By Kevin T. Collopy, BA, FP-C, CCEMT-P, NREMT-P, WEMT, Sean Kivlehan, MD, MPH, & Scott R. Snyder, BS, NREMT-P FEATURE 58 Transition Topics for the Paramedic Part 1: Research: Evidence-Based Decision Making in EMS By Daniel Batsie, EMT-P, Joseph J. Mistovich, MEd, NREMT-P, & Daniel Limmer, AS, EMT-P COLUMNS 12 EMS RERUNS Pure Pretense A Vision for the Future of EMS 41 The Quest for a 14 BEYOND THE BOOKS Presumptuous Assumptions By Mike Smith, BS, MICP Safer Ride from the tional to access addi orld content. EMS W 16 CASE REVIEW Outbreak Hotel 43 Ambulance By James J. Augustine, MD, FACEP Safety Measures Prove Their Worth 24 BEHIND THE MYTHS Abdominal Pain Relief By William E. Gandy, JD, LP, & Steven "Kelly" Grayson, NREMT-P, CCEMT-P DEPARTMENTS 8 EMS World Online 10 From the Editor e FREE DOWNLOAD th ad app EMS World iP By Thom Dick 66 LIFE SUPPORT 62 Advertiser Index 63 Classified Ads Preacher of Habit By Mike Rubin, BS, NREMT-P 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. For subscription information or change of address call: 877/382-9187 or 847/559-7598 or fax: 800/543-5055. The publisher reserves the right to reject nonqualified subscribers. One-year subscriptions for nonqualified individuals: U.S. $45; Canada and Mexico $65; all other countries $90. 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 2013 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 | MARCH 2013 7