Community Paramedicine: An Important Puzzle Piece in the Fight to End Homelessness

Did you know?

According to The Business Case for Ending Homelessness: Having a Home Improves Health, Reduces Healthcare Utilization and Costs

  • Almost 33% of all visits to the emergency department are made by chronically homeless people.
  • Homeless people visit the emergency department an average of 5 times annually, and the most frequent users visit them weekly. Each visit costs an average of $3,700, amounting to $18,500 spent annually for the average user and up to $44,400 for the most frequent users.
  • As many as 80% of emergency department visits made by people struggling with homelessness are for illnesses that could have been addressed through preventive care.

Community paramedicine programs can help provide a solution that significantly improves the lives of the homeless population while also lowering healthcare costs and lessening the burden on our emergency medical response teams and emergency departments.

Dr. Mike Wilcox, one of the lead editors of our new Community Health Paramedicine textbook, recently spoke about “Community Paramedicine Helping the Homeless”:

 

Learn more about our Community Health Paramedicine textbook and receive a free course planning and preparation document!

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EMS Reference: “Gas Exchange for EMS Providers”

An all-new EMS Reference article is now available!

EMS Reference is an online collection of peer-reviewed content, created by and for the EMS community. Each month, new articles are published and available for free at www.emsreference.com.

The latest article is now available: “Gas Exchange for EMS Providers.”

It explores:

…the gas exchange process by taking a closer look at the molecular content of atmospheric air, how lungs interact with their environment, the gas carrying capacity of red blood cells, and conditions that can hamper the exchange…

So, what are you waiting for? Read the latest article today and be sure to check out the extensive list of archived articles.

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Super-powered community health workers?

This month, EMS World author Matt Zavadsky provided an interesting look at the differences between community health workers (CHW) and their EMS-based counterparts, community paramedics (CP). CHW programs are soaring in popularity and legitimacy. CP programs, meanwhile, have experienced slower growth and more reimbursement challenges. Zavadsky suggests that the answer for CP growth may be in cross certifying these EMS professionals as community health workers, thereby combining the clinical competencies of CP’s with the CHW’s evidence-based intervention capabilities. Read the full article here.


 

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For more information on our new Community Health Paramedicine textbook, please go here.

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Two New EMS World CE Articles Now Available

2017-02-articleclean_640x425If you’re looking for an affordable and convenient continuing education (CE) solution, look no further than EMS World CE and Jones & Bartlett Learning. Stay current with the latest techniques, protocols, and patient care while earning continuing education hours from trusted leaders in EMS content development.

From now until February 10, 2017, you can save 20% on two new articles at www.EMSWorldCE.com!*

Antidysrhythmics in Cardiac Arrest (BLS Version)
Antidysrhythmics in Cardiac Arrest (ALS Version)

Overview
Medications have long been one of the mainstays of cardiac arrest management. Some medications have been deemphasized or eliminated based on good evidence, some because of a lack of availability, and the use of any drugs— even the most standard of all, epinephrine—is being questioned. So what does the literature say about the use of antidysrhythmic agents in cardiac arrest? There are several studies that can help us understand the evidence base for these agents.

Penetrating thoracic trauma, primarily from knives and firearms, is a common mechanism for cardiac injury. Overall 10% of firearm deaths may be attributed to cardiac injury. As can be expected, cardiac injury is frequently fatal, and most patients do not survive long enough to reach a hospital. For patients with traumatic cardiac arrest who reach the emergency department, resuscitative thoracotomy is a maneuver that can save some who otherwise would not be successfully resuscitated. But is there more we could be doing to increase survival in these patients?

*Please use coupon code EWCE27 at checkout to apply discount.

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Two New EMS World CE Articles Now Available

2017-01-articleclean_640x425If you’re looking for an affordable and convenient continuing education (CE) solution, look no further than EMS World CE and Jones & Bartlett Learning. Stay current with the latest techniques, protocols, and patient care while earning continuing education hours from trusted leaders in EMS content development.

From now until January 20, 2017, you can save 20% on two new articles at www.EMSWorldCE.com!*

A Guide to Autonomic Pharmacology (BLS Version)
A Guide to Autonomic Pharmacology (ALS Version)

Overview
The autonomic nervous system is responsible for the control of a variety of body functions. Through a process of chemical signaling and neurotransmitters, it exerts significant control over such crucial physiologic events as cardiovascular response and pulmonary mechanics. Through use of pharmacology, the medical provider can apply their knowledge of these systems to modify human response and interrupt pathological processes. As new medications are deployed, this fundamental understanding of autonomic workings can allow for easier adoption of best practices.

*Please use coupon code EWCE17 at checkout to apply discount.

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New EMS World CE Article Now Available

2016-11-articleclean_640x425If you’re looking for an affordable and convenient continuing education (CE) solution, look no further than EMS World CE and Jones & Bartlett Learning. Stay current with the latest techniques, protocols, and patient care while earning continuing education hours from trusted leaders in EMS content development.

From now until November 6, 2016, you can save 20% on this brand new article!*

“Five Ways to Perfect the Patient Handoff”

*Please use coupon code EWCE26 at checkout to apply discount.

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Three New EMS World CE Articles Now Available

If you’re looking for an affordable and convenient continuing education (CE) solution, look no further than EMS World CE and Jones & Bartlett Learning. Stay current with the latest techniques, protocols, and patient care while earning continuing education hours from trusted leaders in EMS content development.

www.EMSWorldCE.com articles offer:

  • Quick and easy training
  • ALS and BLS level options
  • 100% CECBEMS approved content

From now until August 5, 2016, you can save 20% on three new articles!

  • Derribando Los Máximos Mitos del Trauma (BLS)
  • Spine Injury for the Prehospital Provider (ALS)
  • Spine Injury for the Prehospital Provider (BLS)

*Please use coupon code EWCE86 at checkout to apply discount.

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An Open Letter From One Layperson to YOU.

Dear first responders,

I sat down at my desk this morning at a loss for words.

psg_fbAs a social media manager for the Jones & Bartlett Learning Public Safety Group, I’m supposed to know the right thing to say, to post, to tweet, to share with YOU. You being our brave first responders—EMTs, paramedics, fire fighters, fire officers, EMS/Fire/Emergency Care instructors, students learning to save lives, the list goes on.

I awoke this morning as I always do…scanning industry news and Google Alerts so I am prepared to share the latest on our various social media accounts. When I saw the headlines of more violence—five Dallas police officers killed overnight—my stomach turned and I thought of you.

Over the last five years, I have tried to entrench myself in the current events that matter to you. What I’ve learned after interacting with many of you in person and on social media is that I have grown to care deeply about these topics and ideas, too. Now, when I see violence in the news, I immediately think of the victims and the many first responders who undoubtedly risked their lives to save others.

Let me be the first to say I don’t pretend to know what your daily lives are really like, but I respect and care about you, your families, and the sacrifices you make to serve our communities.

So, today, when I sat down to share one of these phrases that seem to have become all too commonplace:

“Our thoughts are with you…”

“Our hearts are heavy for…”

…nothing seemed quite right.

Instead, I will leave you with a quote:

“Hope is like peace…It is a gift only we can give one another.”
-Elie Wiesel

From one layperson to YOU—thank you for your service. I have hope for a better future.

Sincerely,
Jessica

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The Many Faces Behind the Jones & Bartlett Learning Public Safety Group

Ever wonder who creates our high quality EMS, Fire, and emergency care educational materials? No need to wonder any longer.

The Jones & Bartlett Learning Public Safety Group is pleased to continue a series of interviews with our highly esteemed authors and passionate employees!

Next on the list?

3 questions for…Eileen Ward! Meet the punctual Public Safety Specialist and Game of Thrones addict now:

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Ballistic helmets and body armor not just for cops any longer

Unfortunately, the mass shooting at Orlando’s Pulse night club earlier this month has, once again, underscored the dangers that emergency responders are forced to encounter as part of their commitment to serving our communities. These dangers are certainly not isolated to law enforcement officers as fire and emergency medical responders are also often in the line of fire.

Recognizing the dangers for their fire and medical personnel, Santa Clara County recently secured $300,000 worth of gear for such events, including ballistic helmets, armor, and trauma kits to take into hostile territory. This gear will help protect responders in the event of another tragic shooting and could also help save many additional victims’ lives if they are able to safely enter a hostile environment earlier than they would be without proper training and armor.

There is no body armor available that will keep medical personnel safe enough to enter the most dangerous environments involving active shooters. These environments, often referred to as “hot zones,” are off limits. A somewhat more secure “warm zone,” however, may be permissible to enter with proper know-how and protection. This could lead to a significant reduction in injuries and deaths if responders are able to treat victims sooner than they would otherwise be able to do so.

Whether equipped with ballistic helmets and body armor or not, fire and emergency medical personnel need to be prepared to respond to a mass casualty or active shooter event now more than ever. One way to do so is to participate in National Association of Emergency Medical Technicians (NAEMT) Tactical Emergency Casualty Care (TECC) course. TECC focuses on the medicine during these phases of care and provides guidelines for managing trauma in the civilian tactical or hazardous environment. While TECC has a tactical slant, it takes an all-hazards approach to providing care outside the normal operating conditions of most EMS agencies, such as responding to a mass casualty or active shooter event. Learn more at http://www.naemt.org/education/tecc.

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