EMS Physicians, Mercy Health System EMS
The EMS Docs Responding column shares EMS physician-led research, describes the implementation of prehospital protocols and discusses how EMS field personnel, as well as their medical directors, can improve patient care. The EMS Docs Responding column is a collaborative effort of the Mercy Health System Corporation (Wis.) EMS physicians, led by EMS medical director Jay MacNeal, MD.
James MacNeal, MPH, DO, NRP began his career in emergency medicine as a paramedic. He holds American Board of Emergency Medicine/Emergency Medical Services certification and completed an EMS fellowship at Yale University. He is assisted by associate medical directors Todd Daniello, Ken Hanson, Mitch Li, Sean Marquis, John Pakiela, Matt Smetana and Chris Wistrom.
FULL LIST OF EMS Physicians, Mercy Health System EMS RESULTS
Challenges of on-site rehab and questions you need to ask–
Rehab patients are friends and co-workers, which requires additional awareness for rehab medical personnel and preplanning to administer over-the-counter medications
Are sports drinks, water or IV fluids better for firefighter rehab?–
Let's get smart about emergency responder hydration by understanding the need for prehydration and rehydration with water
What role do point-of-care devices have in firefighter rehab?–
Point-of-care devices can supplement but not replace history-taking and physical examination during fireground rehab patient assessment
EMS physicians: We still make house calls–
A specially trained group of emergency physicians responds with EMS providers to assist with care, build relationships and improve patient outcomes
Vital signs are only one component of fireground rehab–
Vital sign abnormalities during rehab may indicate a medical problem requiring the firefighter to follow-up with their primary care physician
Ramp-up tones cut firefighter, paramedic rapid-heart response to station alarms–
Gradually increasing the volume of alarm tones will reduce fatigue, tachycardia and potentially long-term physical and psychological disorders
EMS1 Top 5
- 50 awesome songs to listen to in the ambulance
- Quiz: How accurately can you triage 10 MCI patients?
- Wash. firefighters, paramedics to get ballistic vests, helmets
- Suit: Ambulance company denied rest breaks to paramedics, EMTs
- Video: Volunteer firefighter-EMT rescues girl who fell out of bus