INTRODUCTION Prior assessments of emergency medical services (EMS) stroke capacity found deficiencies in education and training, use of protocols and screening tools, and planning for the transport of patients. A 2001 survey of North Carolina EMS providers found many EMS systems lacked basic stroke services. Recent statewide efforts have sought to standardize and improve prehospital stroke care...

Roche's protease inhibitor nelfinavir mesylate (Viracept) produced between March 2007-June 2007 was found to contain elevated levels of ethyl methanesulfonate (EMS), a known mutagen (alkylator) - leading to a global recall of the drug. EMS levels in a daily dose (2,500 mg Viracept/day) were predicted not to exceed a dose of approximately 2.75 mg/day (approximately 0.055 mg/kg/day based on 50 kg...

As we reported previously, propagation of action potentials through surviving axons is impaired dramatically, resulting in reduced transmission to lumbar motoneurons after midthoracic lateral hemisection (HX) in rats. The aim of the present study was to evoke action potentials through the spared fibers using noninvasive electromagnetic stimulation (EMS) over intact T2 vertebrae in an attempt to...

The National Emergency Medical Services (EMS) Advisory Council (NEMSAC), formed in 2007, is a statutorily authorized federal advisory committee that provides advice to the US Department of Transportation and to the Federal Interagency Committee on EMS. The NEMSAC comprises 25 members representing different sectors of EMS, eg, Kenneth Miller, MD, PhD, represents the emergency medicine sector. Th...

OBJECTIVES The objective was to evaluate the effect of arrival to the emergency department (ED) by emergency medical services (EMS) on time to initiation of antibiotics, time to initiation of intravenous fluids (IVF), and in-hospital mortality in patients with severe sepsis and septic shock. METHODS The authors performed an evaluation of prospectively collected registry data of patients with ...

Kemmler, W, von Stengel, S, Schwarz, J, and Mayhew, JL. Effect of whole-body electromyostimulation on energy expenditure during exercise. J Strength Cond Res 26(1): 240–245, 2012—The application of whole-body electromyostimulation (WB-EMS) in the area of fat reduction and body shaping has become more popular recently. Indeed, some studies prove positive outcomes concerning parameters related to...

AIM Both aerobic training (AT) and electromyostimulation (EMS) of leg muscles improve exercise tolerance in patients suffering from chronic heart failure (CHF). It was speculated that combination of both methods might have an additive effect. This study was performed to evaluate the effects of a combination of AT and EMS in rehabilitation (RHB) of CHF patients. PATIENTS AND METHODS Patients (...

BACKGROUND As the United States embraces electronic health records (EHRs), improved emergency medical services (EMS) information systems are also a priority; however, little is known about the experiences of EMS agencies as they adopt and implement electronic patient care report (e-PCR) systems. We sought to characterize motivations for adoption of e-PCR systems, challenges associated with adop...

BACKGROUND Emergency Medical Services workers' willingness to report to duty in an influenza pandemic is essential to healthcare system surge amidst a global threat. Application of Witte's Extended Parallel Process Model (EPPM) has shown utility for revealing influences of perceived threat and efficacy on non-EMS public health providers' willingness to respond in an influenza pandemic. We thus ...

25 As we previously reported, propagation of action potentials through surviving axons are 26 dramatically impaired, resulting in reduced transmission to lumbar motoneurons after mid27 thoracic lateral hemisection (HX) in rats. The aim of the present study was to evoke action 28 potentials through the spared fibers using non-invasive electromagnetic stimulation (EMS) over 29 intact T2 vertebrae...