The Old News Page

(Newest "old" items appear at the top. No guarantee that links listed here are still current!)

October, 2007

National EMS Education Standards
From the I/C News in the October Journal of Maine EMS
Posted 12/13/07

Draft 1.0 of the National EMS Education Standards documents for the Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT), and Paramedic levels has been released for review. The project team is looking for comments from all interested EMS parties. These standards will eventually replace the national standard curricula developed by the US DOT, and include the Education Agenda, the National EMS Core Content, and the National EMS Scope of Practice Model. It is expected that the final versions of the standards will be submitted to NHTSA by September 2008.

Please go to the National EMS Education Standards web site at www.nemses.org both to view the drafts and to take part in the review process.


Board Approves 12 Lead EKG Training Components
From the KVEMS Pulse August, 2007
Posted 12/13/07

The Board of EMS has approved a list of primary educational components for 12 lead EKG training. Effective immediately, these components will be included in all future initial paramedic training programs. These components are not currently mandatory for licensed paramedics; however, service chiefs and training officers would be well advised to take them into consideration as they plan expanded and continuing education.

MaineHealth has provided Maine EMS with funding to assist services with the cost of providing approved 12 lead training. For details, contact Maine EMS.

Also, along with the 12 lead educational components is a 12 lead QI tool that may be used by services and regional QI programs. Both the educational components and the QI form are available for download at the Maine EMS web site.


Pulse Oximetry Resource
Posted 10/23/07
Tip from Jody O'Farrell

Pulseox.info is a web site that has lots of general information about pulse oximetry. It's in-depth enough to provide the basics, but not so in-depth as to be overwhelming for new EMT students.


How NOT to Use PowerPoint
Posted 10/23/07

A fun look at what not to do when creating PowerPoint slides by comedian Don McMillan. It's funny, yes, but also full of wisdom.

Speaking of Dan Limmer, he has a blog for EMS educators, students, and providers. Worth visiting! (By the way, that's where I got the link to the PowerPoint video.)


CO Training Materials Available
Posted 10/23/07
Tip from Kelly Roderick

The New England Poison Control Center has a web site with resources about carbon monoxide. On the site, you can find a PowerPoint presentation, brochure you can download, fact sheets, flyers, newsletter, and other resources. You can also find a link to schedule someone to come to your service and teach a class.


Inhalant Abuse Training for Parents
Posted 10/23/07
Tip from Kelly Roderick

Inhalant Abuse: What You Should Know is a web-based training on inhalant abuse designed especially for parents and guardians. It is presented by the New England Inhalant Abuse Prevention Coalition. Parent select their New England state for their training.

The training covers:
What is Inhalant Abuse?
Products to be Concerned About
How Products are Abused
Who is at Highest Risk of Abusing Inhalants
The Dangers of Inhalant Abuse
How Inhalants Can Cause Death
What to Teach Your Child about Inhalants
When and How to Get Your Child Help

For more information about inhalant abuse, people can e-mail the Maine Office of Substance Abuse or call them at 207-287-2595.


My Licensure Progress
Posted 10/23/2007

Are you just dying to know how my licensing is progressing? Well, look here!

Yep, I'm licensed as an RN in all 50 states now! (By the way, Hawaii doesn't show on the map. The map was originally designed for RV'ers to be able to track their driving progress, and since you can't exactly drive to Hawaii...)
Now the challenge is going to be keeping up with all those licenses! I actually had to start renewing some before the last few were even granted.
You might be wondering which states were the last. New Jersey and Illinois came in within a week of each other. I don't know what that says about those two states that it took them each almost a year just to grant an uncomplicated nursing license!


This month's fun links

Love to play with English? Here's an essay filled with common terms in which the root word is almost never used by itself.

How popular is your name? Edgar's Name Pages will tell you more than you ever wanted to know about your name.

If you've ever looked for a Web page that no longer exists, but would like to find it anyway, you might try finding it in the Wayback machine on this archiving web site. (I went back and found lots of archives of my own web site, too!)


August, 2007

MEMS Has New DNR Forms Available Online
Posted 8/18/07

From the MEMS web site:

The Maine EMS Comfort Care/DNR program has two different forms available, depending upon whether the patient has the capacity to make an informed decision.

The Maine EMS Comfort Care/DNR Directive form is available for use by anyone over 18 years of age who is capable of making an informed decision.  By completing the form, the person named on the form is directing EMS crews to not attempt resuscitation if the person’s heart or breathing stops.  The Comfort Care/DNR Directive form must be signed by a licensed physician, who attests that the person has the mental capacity to make an informed decision concerning Do-Not- Resuscitate. A physician is under no obligation to sign the Comfort Care/DNR Directive form, but may do so if requested by the person whose name appears on the form.

The Maine EMS Comfort Care/DNR Order form is used when the person - whose name appears on the form - does not have the capacity to make an informed decision (e.g., guardianship, surrogate).  When completed and signed by the patient’s physician and guardian/surrogate, the form documents a physician order to withhold resuscitation.


Fentanyl Dose Change
Posted 8/18/07

Effective July 1, 2007, the dose of Fentanyl in the MEMS protocols is 1 µg per kilogram IV or IM initially, then 25-75 µg IV every 10 minutes to a total of 400 µg. View the memo about this change.


United Ambulance Service Promotional Videos
Posted 8/18/07

This is fun! So is this one!


National EMS Education StandardsAvailable for Review and Comment
Posted 8/7/07

Draft 1.0 of the National EMS Education Standards documents for the Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT), and Paramedic levels have been released for review and comment by all interested EMS parties. These standards will eventually replace the national standard curricula developed by the US DOT, and include the Education Agenda, the National EMS Core Content, and the National EMS Scope of Practice Model. It is expected that the final versions of the standards will be submitted to NHTSA by September 2008.

Please go to the National EMS Education Standards web site both to view the drafts and to take part in the review process.


June, 2007

Journal of Maine EMS Update
Posted 6/1/07

Jay Bradshaw sent a memo out at the end of April indicating that MEMS would be unable to publish an issue of the JoMEMS in time for EMS week, which is what they'd originally planned. They are aiming for one later this summer.

The other thing Jay announced is that Kerry Sousa Pomelow has indicated that, after this next issue, she will not be able to continue as the editor of the JoMEMS. As of July, 2007, Kelly Roderick has taken over as the new editor.

The JoMEMS is looking for EMS-related photos, mostly action/event-type pictures, and articles with a connection to EMS. If you are interested in submitting anything to the Journal contact Jay, and, as always, if you have any ideas for the I/C News, you can get in touch with me.


Kinda Fun Stuff
Posted 6/1/07

Ever wonder what some of the most up-to-date slang means? It used to be that we knew it because it was ours -- but as we get older, I'm afraid, we might lose touch. This online urban dictionary should help!

We study about autism in our continuing education classes. Here's an autistic savant with an amazing talent for remembering and drawing what he sees.

I have a soft spot about cats. Probably because I have one. But my cat isn't nearly as talented as these two:
Nora, the piano playing cat
Gizmo the cat (The background to this one goes like this: This couple was getting huge water bills, much more than their actual water usage should have indicated. They checked for leaks, checked for anything that might be causing the high water usage, and couldn't find anything. But one day the man was home sick from work, and started hearing water running. When he went downstairs, he discovered the source of their extra water usage.)

I'm not much of a dog person, but this video got me, and it will probably get you, too.

Ever wonder what training is involved to become an ICU nurse -- after nursing school? This Boston Globe special report followed a nurse during her orientation.

What kind of "accent" do you have? Take this test to find out. I thought I had banished my Boston dialect, but apparently I haven't.

Ever wonder what to do with your used books? How about BookCrossing them!


April, 2007

Web Site Links Confirmed and Updated As Necessary
Posted April 21, 2007

I just did a wholesale check of my entire web site for any broken links, any resources that are no longer available, and so on. I used the free w3c web checker and siteowner sites to help automate the task, but it was still a very long and tedious process. I'm hoping you'll find that there are no more problem links (unless the problems have occurred since I did the update!) If, however, you do run across any links that don't work, please let me know so I can fix them.


Rebirth of the Journal of MEMS
Posted April 21, 2007

In February, MEMS announced that Slingshot Multimedia would be the publisher of the Journal of Maine EMS, beginning with an issue to come out in May. If you happen to know of businesses in your area who might be interested in advertising in the Journal, have them contact Melissa Arndt at Slingshot Multimedia.


SMEMS Says Farewell to Liz Delano
Posted April 21, 2007

Liz Delano, Education Coordinator at Southern Maine EMS since 1989, has left her position and is now the Education Coordinator at United Ambulance in Lewiston.


Ronald L. Dupler Sr. Memorial Scholarship Fund
Posted April 21, 2007

The family of Rockport's Ron Dupler, paramedic and I/C, have created a memorial scholarship fund in his name. Memorial donations may be made to the Ronald L. Dupler Sr. Memorial Scholarship Fund, Mid-Coast EMS, P.O. Box 610, Union, ME 04862.


Dr. Liebow Updates
Posted April 21, 2007
From Dora McCarthy

For updates on and to send messages to Dr. Liebow, who is currently at Brigham and Women's Hospital in Boston recovering from heart surgery (and remains on the heart transplant list,) go to his caringbridge site. This is a direct link, but if it's not working (not sure if it will when they update the page) you can go to CaringBridge, click on "visit" and type in paulliebow (one word, no space).


Training Calendar
Posted April 21, 2007
From Kelly Roderick

See the Maine Prevention Calendar for training programs public safety and others might find interesting.


CPEM Releases New Resource
Posted April 21, 2007

The Center for Pediatric Emergency Medicine (CPEM) has recently released Child Abuse and Neglect: A Prehospital Continuing Education and Teaching Resource. It is available on their web site for free download, or you can buy the CD-ROM for $10.00.


Nursing site
Posted April 21, 2007

Does anybody know anything about RN.org, which claims to be "your source for everything nursing?"


EMS Live Video Podcast pilot
Posted April 21, 2007
From Kelly Roderick

Check out the pilot podcast from EMS Live.


My Licensure Progress
Posted April 21, 2007

Here's my RN licensure progress to date (includes compact states.)


February, 2007

AVOC Questions Answered
Posted 2/12/07

Because MEMS continues to get questions from services and individuals about the new AVOC requirements, Scott Smith, Education and Training Coordinator at MEMS, has put out a memo to services and providers that contains clarification. If you have any further questions, contact MEMS.


Licensure Initiative
Posted 2/12/07

My employer began an initiative in November 2006 to require nursing licensure in all 50 states. The map below indicates my progress so far. (This includes Compact States.)


January, 2007

Category 7 Credits
Posted 1/27/07

I went to the online Maine EMS CEU tracking tool the other day and was surprised to discover two of my Category 7 classes were on there. I guess that means MEMS now has the ability to track our Category 7credits!


Maine Health Management Coalition
Posted 1/27/07

The Maine Health Management Coalition's web site rates both doctors and hospitals on a number of criteria. If anybody ever asks you to recommend a doctor or a hospital, this might be a good place to send them to do their own research.


Here's a fun "Screen Cleaner"
Posted 1/27/07
Tip from Amy Vaniotis


Full-Time Instructor Position at Massachusetts Bay Community College
Posted January 11, 2007
John Bellino

We have an opening for a full-time paramedic instructor at Massachusetts Bay Community College. We will begin actively searching for candidates this winter with a variety of advertisements including JEMS. The goal is to fill the position for the beginning of the 2007-08 school year.

General Statement of Responsibilities and Duties:
Classroom and laboratory teaching, curriculum development and departmental assignments for the EMS and Paramedicine Department, and College and community service and advising responsibilities in accordance with the faculty Collective Bargaining Agreement. The successful candidate will be expected to take on an active role for this program.

Minimum Requirements:
Baccalaureate Degree in health care field preferred, Associate degree required.
Registered Paramedic.
BCLS Instructor.
ACLS Instructor.
PALS Instructor
Minimum of two years field experience as a paramedic.
Minimum of two of teaching experience in Paramedicine.
Experience using distance learning strategies in teaching

Required Licenses/Certifications:
Registered Paramedic
BCLS Instructor
ACLS Instructor
PALS Instructor

Preferred Requirements:
Preference will be given to applicants who possess an advanced degree, OEMS – Instructor Coordinator Certification, and community college teaching experience. Experience working with a diverse student population, including under-prepared students and adult learners.
Evidence of commitment in seeking ways to improve student success, and leadership ability in establishing and improving a paramedicine program.

Any questions can be forwarded to me.

Thank-you,
John G. Bellino, BS, NREMT-P
Paramedic Program Director
Massbay Community College
(508) 270-4272


EMS Grant Opportunity
Posted January 11, 2007
From Bob Waters

Dear Recipient:

In introduction I am Bob Waters the Regional Fire Services Program Specialist for the Department of Homeland Security, Office of Grants & Training. I manage the Assistance to Firefighters Grant (AFG) Program in Region I (New England). Last year I asked for your assistance in disseminating information regarding the availability of funds from the AFG program for independent EMS organizations. I appreciate your efforts to help us get EMS folks into the workshops and awarded grants. We did receive some measure of response and successful applications, but again less than we hoped. We are looking to increase our EMS applications and the grants awarded to those organizations.

AFG workshops are conducted annually throughout the region. They provide prospective applicants with information regarding the current AFG program and provide answers to questions that help candidates address risks to their communities. One should check the official AFG workshop listings at www.firegrantsupport.com to obtain current and accurate information regarding workshop offerings. These will be posted as soon as we have times and locations available.

The AFG workshops are delivered by Sherm Lahaie or me, the regional fire service program specialists. We explain the AFG program priorities for the year; the information an organization needs to assess community risks and organizational capabilities; and how to apply that information to develop a good program description, establish the financial need of the organization, the benefit versus the cost, and the outcome that will be realized by the community. In other words we try to provide the information needed to develop a competitive application.

We ask that you assist us by contacting all independent non-profit EMS agencies and telling them of this AFG grant opportunity and the availability of workshops in your state.

Thank you again for your support for this competitive program. We also wish to especially thank Gary Kleinman and Mark Libby for their continued support in assuring the needs of the EMS community are understood and addressed.

If additional information is needed please contact Sherm Lahaie at 617.956.7581 or me at 617.956.7551.

Robert J. Waters
Fire Service Program Specialist
USDHS Office of Grants & Training
99 High Street 6th Floor
Boston, MA 02110
Phone Voice (617) 956-7551
Fax (617) 956-7538

November, 2006

Important Exam News
From Drexell White, MEMS EMD Coordinator and staff to the MEMS Exam Committee
Posted 11/8/06

The following actions concerning EMS license testing was taken by the Maine EMS Board at its November 1, 2006 meeting:

1. The Board adopted the National Registry of EMT (NREMT) Paramedic written (i.e., computer based test [CBT]) and practical exam as the Maine state written and practical exam at the Paramedic level, effective July 1, 2007. All Paramedic candidates tested in Maine after June 30, 2007, must take the NREMT computer based test (CBT) and practical exam.

If a candidate completes a Maine EMS Paramedic practical exam prior to July 1, 2007, but does not successfully complete the Maine EMS written exam prior to the July 1, 2007, NREMT-P exam implementation date, the candidate will need to complete both the NREMT CBT and NREMT practical exam.

Staff will inquire with the Board at its next meeting whether recommendation 2, below can be extended to deal with the number of testing opportunities afforded to Paramedic candidates during the transition from the Maine EMS paper and pencil testing to the NREMT process.

Maine EMS is scheduling an informational meeting at Maine EMS in January 2007 for all Paramedic program sponsors, educators, employers, providers and interested parties. A representative from NREMT will be on hand to explain the process as well as the roles and responsibilities of program sponsors, Paramedic ICs and examiners. A notice will be sent once we have confirmed dates, times and locations.

Paramedic skill sheets are available for download on the National Registry Exam Coordinator Documents page.

Currently-licensed Maine Paramedics are not affected (i.e., they will not be required to become Nationally Registered in order to maintain their Maine EMS license). Also, persons who successfully complete the NREMT exam to fulfill the requirements for a Maine Paramedic license are not required to maintain National Registry; they will be subject to Maine EMS continuing education and refresher requirements (only) in order to renew their Paramedic licenses. The length of Maine licenses will not change; it will remain at 3 years for all levels.

2. The Board adopted the National Registry of EMT (NREMT) model for transitioning from paper and pencil tests to Computer Based Testing, to the extent that students, who failed NREMT tests at the FR and EMT-B level prior to January 1, 2007, will have3 more opportunities at the CBT and practical exams.

Currently, a student has 3 attempts at the written and practical exam, before being required to take a refresher course in order to test again. Because of the administrative problems associated with trying to keep track of a person’s attempts (at the written exam) from the paper and pencil system during transition to Computer Based Testing (CBT), NREMT is “resetting the clock”. As of January 1, 2007 NREMT will allow persons who have failed tests - prior to the CBT implementation date of January 1, 2007 - three opportunities at the new CBT exam (provide that the person’s training is in date). During discussion, committee members felt that Maine EMS should adopt the same transition policy as NREMT due to the difficulty in tracking attempts from the old system to the new, and in that the transition would span a relatively small period of time. Once CBT is implemented all persons taking the exams, who completed their first attempt after December 31, 2006, would fall under the “three attempts” requirement.

3. The Board approved a re-test policy whereby a candidate for state testing will be allowed 3 opportunities to complete each component of the state written/CBT and practical exam. If the candidate fails three attempts at either the written/CBT or practical components, the candidate may complete a Maine EMS-approved refresher course and have three more opportunities to complete the written/CBT and practical exam components. If the candidate fails to successfully complete the state written and practical exam after six attempts at either the written or practical component, the candidate must complete an initial course-leading-to-licensure prior to being allowed another opportunity to test.

The revised policy recognizes that remediation by refresher program may be appropriate after an initial 3 attempts at the state exam, but that 3 additional failures (by the student) after refresher completion indicates a need for remediation that cannot be provided by a refresher course.

Unusual circumstances (e.g., a person who has failed the tests 6 times and is currently in a refresher programs with the expectation of 3 more test opportunities) should be referred to Maine EMS on a case by case basis.

Please share this information with your council, education committees and ICs as soon as possible. ICs need to share the information with their students immediately to ensure that they are aware of Maine EMS testing requirements.

Thanks for your assistance. Please contact me should you have questions.

Drexell White, EMT-P
Emergency Medical Dispatch Coordinator


Laerdal Online Prehospital Training
From Kelly Roderick
Posted November 8, 2006


Cool clock!
Posted November 8, 2006


State Health Facts
Posted November 8, 2006

State Health Facts is a compilation of all kinds of statistics about each of the 50 states, and includes such things as demographics, health status, numbers of persons covered and uninsured, health costs and budgets, providers, minority health, women's health, and HIV/AIDS.


Maine Cardiovascular Health Council
Posted November 8, 2006

The Maine Cardiovascular Health Council, formed in 1978 as the Maine High Blood Pressure Council and expanded to the MCHC in 1989, is a community of health providers and educators whose primary concern is reducing elevated cholesterol and other risk factors for cardiovascular disease. They are always looking for volunteers to help on their workgroups or committees. They have a resources page that includes Web resources, state health facts, cardiovascular health reports, and so on.


October, 2006

MEMS' Interim ECC Position
Posted October 16, 2006

Since a MEMS protocols update won't be coming for several months down the road, and because the American Heart Association has made changes to the Emergency Cardiac Care algorithms in the meantime, MEMS field providers have been left wondering whether to follow the AHA's algorithms or stick with the MEMS protocols. In response, MEMS has issued a statement to all service chiefs regarding how to proceed in the interim. Essentially what it says is that if a provider has been appropriately trained under the 2005 AHA training programs, they may follow those guidelines.

Further, MEMS instructs users of AEDs which have been upgraded to the 2005 recommended shock sequence to follow the algorithm of a single shock followed by two minutes of CPR instead of the previously recommended set of three stacked shocks.

MEMS' memo also emphasizes the importance of high-quality CPR and bag-valve-mask ventilation.

For more information see the memo from Scott Smith or contact your regional office or MEMS.


Will Cheating Kill Online EMS Education?
Posted October 16, 2006
Tip from Kelly Roderick

EMSresponder article on cheating in general and cheating as it relates to online EMS education.


Helping People Shop Healthier So They Eat Healthier
Posted October 16, 2006

The American Heart Association has developed a food certification program for the purpose of helping consumers select nutritious foods. When you're actually in the store, you can look for foods with the American Heart Association's red heart with the white check mark to find heart-healthy foods low in saturated fat and cholesterol. You can also use a shopping list tool on the site to help you create shopping lists of heart-healthy foods before you even get to the grocery store.


Updating My Collection of CEH Sites
Posted October 12, 2006

I'm working on collecting information about nursing and EMS online continuing education sites. I've had about a half-dozen listed on these web pages over the years, but it was just that, a list. It's now my hope to get more information about each of these, and to publish some details about each. If you have accessed any of these or any other online sites, whether I've listed them yet on my page or not, please e-mail me now with what you've found out. Thanks!

Need ACLS recertification fast -- and have extra money to spend? You can do an online ACLS recert for only $175 from American Medical Resource Group ($275 for an original ACLS or PALS course.) Of course, before you put your money down, you might want to check with MEMS and see if Maine accepts these credits, and with your employer to confirm that they will accept an all-online certification process!


Review It Before you Believe It
Posted October 12, 2006

Next time you read a health-related news story in the general media, check out this site to determine the quality of the story. HealthNewsReview has a multi-disciplinary team of reviewers from journalism, medicine, health services research and public health which assesses the quality of selected stories for accuracy, balance, and completeness.


Helping Andy Turcotte
Posted October 11, 2006

February 12, 2007: I realize the date of this fundraiser is long past, but I'm sure they would continue to accept donations, so I'm leaving this piece on my web site for the time being/jbv

East Millinocket Fire Department
125 Main Street
East Millinocket, ME 04430

September 24, 2006

Dear Business Owners and Maine Fire and EMS:

Do you remember the infamous “BUBS,” aka the Turcotte twins? It seems like every local business must have experienced a visit from one of these identical twins at some point during their eighteen years in East Millinocket!
Oh yes, Aaron and Andy you say?

We are here to tell you about one of these young men, Andy Turcotte. Andy is now 26 years old and recently diagnosed with multiple tumors in the spine called ependymoma. He is currently recovering from his first surgery and working with doctors from both Maine Medical Center and John Hopkins Hospital. His first radiation will begin in October with further surgery and chemotherapy later.

Andy was a member of the East Millinocket Fire Department from 1998 – 2002 and is currently a firefighter and paramedic for the Old Orchard Beach Fire Department. He is also a critical care flight paramedic for Lifeflight 2 based out of Central Maine Medical Center in Lewiston. He has spent his short life helping and caring for others but is now out of work to recover and concentrate on getting well.

The East Millinocket Fire Department will be sponsoring a benefit spaghetti supper for Andy on Thursday, October 26th from 4:30 to 7:30 pm at the East Millinocket Public Safety Building. We will also be hosting an auction during the benefit to help raise money for Andy. WOULD YOUR BUSINESS BE WILLING TO MAKE A DONATION OF FOOD OR MONEY OR ITEMS TO BE AUCTIONED TO HELP US HELP ANDY? If you would like to make a contribution please call Cherri Deveau at 746-5785, Debbie Turcotte at 746-5369, or me at 746-0047.

Andy is so proud to have grown up in our region – let’s show him we all care!

Thank you for your support,
Peter Larlee
for the East Millinocket Fire Department and Ambulance Service


EMS Loses One of its Own
Posted October 11, 2006

North East Mobile Health Services regrets to announce that EMT Lynne Constantine passed away at Maine Medical Center on Friday, September 22nd following a brief illness. Lynne was just 26 years old. Though she was with us for just a short time, her warmth, her dedication and her kind spirit made an impact on us all.

Her family has asked that donations be made in her name to the Barbara Bush Children's Hospital at Maine Medical Center. Donations may be made payable to the Barbara Bush Hospital and mailed to North East Mobile Health Services, 5 Wallace Avenue, South Portland, Maine 04106. Attention: Alan Azzara


Updates to Electronic Run Reporting presentation
Posted October 11, 2006

Sean Hall writes that he has made some revisions to the PowerPoint presentation he did for Electronic Run Reporting. He says if you want the new version, to e-mail him.


Translation Tools
Posted October 11, 2006

If you've ever had to translate a word, sentence or brief paragraph, these sites might help. I wouldn't count on them to do any extensive or serious translation, and they definitely won't help you in a foreign language class because they tend to be very literal and often come up with very strange expressions. But in a pinch they can be very useful.
BabelFish
Free Translation


Locate Sex Offenders in Your Area
Posted October 11, 2006

The Family Watchdog has a search engine where you can plug in any address and find all of the registered sex offenders in the area you've indicated. It also includes their workplaces. Go ahead and type in your own home address -- it's a real eye opener! Thinking of moving? Before you do, see who else is living in your prospective neighborhood!


Miscellaneous foolishness
Posted October 11, 2006

Remember the Numa Numa guy? Well here's an interview with him about his upcoming release!

I found another interesting clock...

Posted October 16, 2006

I like to keep track of where I've been by using online maps like the ones located on MyWorld66 and the Visited States Map.


August, 2006

(Megan’s Fund)
Submitted by Daryl Boucher
Posted 8/12/06

Scholarship and Application Criteria
Fall, 2006 Pediatric and Neonatal Critical Care Transport

In July, 2005 five year old Megan Bradstreet of Bridgewater, Maine was tragically injured when she was struck by a car. She was transported to the Aroostook Medical Center and later transferred to Eastern Maine Medical Center in Bangor. En route to Bangor, her condition deteriorated and the crew diverted to another hospital where, sadly, Megan subsequently died of a severe head injury. Since her death, Megan’s parents and local paramedics and EMS leaders have worked aggressively to improve the care provided to pediatric patients through fundraising and by providing high quality educational opportunities for EMS, nursing and hospital personnel.

Scholarship Fund Objectives:

1. To provide monies for transport personnel to become certified in pediatric critical care transport.
2. To assist healthcare providers who are taking care of children to complete pediatric clinical experiences at tertiary care centers.
3. To assist providers in the stabilization and care of pediatric clients through ongoing educational opportunities.

2006 PNCCT Scholarship Opportunities. (Two different scholarship opportunities are available. )

1. Corporate scholarships
Funds will be distributed to each of the four Aroostook County Hospitals, who will grant monies to selected employees and to EMS providers who participate in critical care transports to and from those hospitals. Participants selected by their employer for a scholarship should agree to the criteria listed below. It is expected that scholarship recipients may be required by their employer to sign a work commitment agreement in exchange for the scholarship, using currently established tuition reimbursement policies and contracts. Interested parties should contact their department manager or Daryl Boucher (768-2756) for more information. Deadline for registration is September 1st, 2006.

a. Professionals should be employed by an Aroostook County based ambulance service or hospital.
b. Priority will be given to individuals who commit to actually doing pediatric critical care transport, and who have been selected by leaders to perform in this capacity.
c. Participants must have a demonstrated a positive past work history, dedication to the employer, and a willingness to work with sick and injured children.
d. Participants should be willing to commit to maintaining their employment in Aroostook County.
e. Participants should be willing to commit to participating in ongoing continuing education, including clinical experiences and maintaining the currency of their certification.
f. Preference will be given to individuals currently certified in Adult Critical Care Transport.
g. Professionals must successfully pass the course and become certified. Those who fail to successfully pass the course may be responsible for expenses associated with re-testing.

2. Individual scholarships:
Individual competitive scholarships will be given for any medical professional interested in taking this course. Selected individuals should complete the application attached. Selection criteria for the individual scholarships are outlined below.

a. Applicants must register for the course at the time of application for the scholarship, or have previously registered.
b. Applicants should have a demonstrated a positive past work history, dedication to the employer, and a willingness to work with sick and injured children.
c. Scholarship application must be submitted by September 1st, 2006.
d. Scholarships will be used to cover the tuition portion of the program. Travel expenses and course fees will be paid for by the individual.

Interested parties should send a letter requesting consideration to:

Wendy Bradstreet
The Megan Bradstreet Pediatric Critical Care Fund
C/O NMCC
33 Edgemont Drive
Presque Isle, Maine 04769
dboucher@nmcc.edu

Include a copy of your Maine license and a short statement about why this program will benefit you and your community.


Spinal Immobilization Insanity
Submitted by Paul Blais
Posted 8/12/06

Another thought provoking analysis by Dr. Bledsoe.


July, 2006

National Registry web page has CAT information
Posted 7/27/06

The National Registry now has a web page dedicated to Computer-Based Testing information. On it you can also find a link to questions that are frequently asked by educators.


Homicide Review Panel Report Now Out
Posted 7/8/06

Maine's Homicide Review Panel has released its 2006 report, called "It's Everybody's Business." The title of this year's report reflects the fact that, in almost all cases of domestic abuse leading to homicide, somebody, whether it's family, friends, neighbors, coworkers, somebody connected with the victim saw the signs of abuse and either didn't recognize them as such or didn't respond.

The Domestic Abuse Homicide Review Panel, established in 1997 by the Maine Commission on Domestic and Sexual Abuse, is chaired by an Assistant Attorney General, who is also a homicide prosecutor. Members of the Panel include the Chief Medical Examiner, a physician, a nurse (that's me, although a job change recently required that I resign from the panel), a law enforcement officer, the Commissioners of Corrections and Public Safety, a judge, a prosecutor, an Assistant Attorney General who handles child protection cases, a victim-witness advocate, a mental health service provider, a facilitator of a batterers' intervention program, and persons designated by the Maine Coalition to End Domestic Violence.

The panel meets monthly, and reviews as many cases of domestic homicide in Maine as it has time for each year. Our purpose, when reviewing the cases, is to look for areas where perhaps systems have failed or fallen short, and to make recommendations to improve those systems. It's not an effort to remove blame from the perpetrator, but rather to improve systems that are currently in place in an effort to prevent future domestic homicides.


EMS Best Practices: Myths and Realities of Spinal Immobilization
Posted 7/8/06
Submitted by Paul Blais

In this article, Dr. David Jazlow discusses what we do -- and don't -- know about spinal immobilization. Nothing new to anybody who has been paying attention, but provocative nonetheless.


Miscellaneous Web Links
Posted 7/8/06

Every so often a webmaster I don't know sends me a link to his or her web site asking me to link to it on mine. I'm always reluctant to do that, for fear that I might be "advertising" something that I haven't fully researched. A couple of months ago someone approached me from EducationAtlas.com. A quick glance through some of the links leads me to believe that there might be some valuable information and links there. Another one is emergency-nurse.org.

Remember, though, I haven't fully researched these sites yet. Please feel free to E-mail me if you find anything offensive or otherwise inappropriate for linking here.


The Geek Report
Posted 7/8/06

Google Trends

Ever wonder if anybody else is searching online for the same things you are? Google has a new addition to its offerings with its GoogleTrends page. You can type in up to five topics and see how many times they have been searched on. I'm not sure what you would do with that information, but somebody must do something with it or else Google wouldn't offer it! (Would they?)

Another Rube Goldberg Device

A device that lets you make a bowl of instant Ramen noodles -- in only six minutes!


Just for Fun
Posted 7/8/06

Everybody is talking about it -- Diet Coke and Mentos. You've probably seen it on David Letterman or the Today show. Here it is, the ultimate Diet Coke and Mentos video.


May, 2006

MEMS Says Goodbye to Education Coordinator
Published in Spring 2006 issue of the Maine EMS I/C News in the April-May-June issue of the Journal of Maine EMS
Posted May 13, 2006

This is a hard issue of the newsletter for me to write, because in this newsletter I have to say a public goodbye to Dwight Corning. Dwight has been a huge supporter both of the concept of the I/C News and of actual the I/C News itself. He has contributed his “Dwight’s Insights” every single quarter, without fail, since he arrived at MEMS. He has answered my numerous questions about goings-on in Maine EMS. He has proof-read each issue and provided invaluable feedback. (He’s prevented a few potentially embarrassing mistakes, too!) And he has done it all with the smile and the gracious good nature that have characterized his every interaction with the EMS community. I will miss Dwight, both as a colleague and as a resource – and as a friend. I thank him for his support and dedication. I wish him well, and I hope you will join me in wishing him all the best as he begins the next phase of his career. (No, Dwight, I told you, I don’t need a new car!)


IPE Update
By Drexell White, Licensing Agent, Maine EMS
Published in Spring 2006 issue of the Maine EMS I/C News in the April-May-June issue of the Journal of Maine EMS
Posted May 13, 2006

The new Integrated Practical Exam (IPE) has been in place since November 2005. Since the IPE’s introduction at the First Responder and EMT-Basic level, nineteen IPE’s have been conducted throughout the state. Two hundred fifty-seven students have participated in the IPE process, with a “first-attempt” success rate of 98.5%.

As with any new process, there have been a few bumps along the way, but overall the IPE’s conducted to date have been very successful. This success has been due, in large part, to the willingness of instructor/coordinators and course sponsors to embrace the concept and ensure that each IPE is conducted in a professional and efficient manner.

With the help of students’, practical test assistants’ and instructor/coordinators’ evaluations that are collected at each IPE, the Maine EMS Exam Committee has worked to improve the process. Although “on the fly” changes present challenges that require those involved in delivering IPE’s to be flexible (as innovations are introduced), the net results have been positive. A couple of the changes that have taken place are:

As a result of Instructor/Coordinator concerns about the “no retest” policy that was part of the original IPE model, students who do not succeed on their first attempt to complete the IPE now have the opportunity to complete an IPE re-test. The new re-test policy not only provides a “second chance” for students, it also facilitates testing for EMT students who may have completed an out-of-state course or for those who completed a Maine EMS course prior to IPE’s, but who did not complete practical testing under the “old” practical test system.

With recommendations and assistance from Dan Batsie, Northeastern Maine EMS’ Education Coordinator, the spinal station was revised to ensure that each student is evaluated fairly and independently.

While positive changes have occurred, there are still challenges ahead. Instructor/coordinators and course sponsors have expressed concern that the IPE shifts the burden of scheduling, arranging and conducting IPE’s to the instructor/coordinators, while practical test assistants see room for improvement in the National Registry skill sheets that are currently in use. All are valid concerns that need to be addressed as the new way of state testing evolves. To that end, the Education and Exam Committees will meet again jointly in June of this year to review the IPE process and suggest modifications and improvements to the system.


SMEMS Names Education Committee Chair
Published in Spring 2006 issue of the Maine EMS I/C News in the April-May-June issue of the Journal of Maine EMS
Posted May 13, 2006

In a January 1, 2006 letter to the SMEMS Education Committee, Mike Mirisola, President of the SMEMS Board of Directors, announced a pending bylaws change that would move the chairmanship of the region’s Education Committee from the staff Education Coordinator to a member of the Committee appointed by the President of the Board. With approval of that bylaw change at the January 25th Board meeting, Mirisola has named Gary Utgard as the chairman of the Committee.

Utgard has been an EMS provider since 1982, a paramedic since 1991 and an I/C since 1994. He also sits on the Maine EMS Exam Committee. He currently works as the Fire Prevention & Public Education Officer for the Town of Sanford Fire Department, and recently served as the Fire and Rescue Chief for the Town of Shapleigh. Gary has been a very active instructor in the Southern Maine region, teaching BLS and ALS licensure and refresher courses, PALS, ACLS, PHTLS, Haz-Mat, and has been a guest lecturer at a number of conferences in the state.

The other members of the committee include Doug Patey, Mike Barter, Sandy Carleton, Chris Burnham, Jacky Vaniotis, John Leighton, and Paul Conley. Liz Delano is the SMEMS staff member.

The first meeting of the SMEMS Education Committee under Gary’s leadership was held on Wednesday, February 22. The group identified the following as their priorities: to establish a mission statement for the committee, to begin planning a half-day spring pediatrics conference, and to review and update the region’s Intermediate course clinical requirements.

If you have any concerns or issues you would like to see this committee address, feel free to contact Gary Utgard or Liz Delano.


MEMS Exam Committee Update
Published in Spring 2006 issue of the Maine EMS I/C News in the April-May-June issue of the Journal of Maine EMS
Posted May 13, 2006

At its January 2006 meeting, the Exam Committee established its priorities for this year. In light of the upcoming changes to the National Registry testing process (National Registry will be moving from paper-and-pencil testing to Computer Adaptive Testing effective January 1, 2007), MEMS must decide whether to continue to utilize the National Registry as our licensure testing source, or if we should go a different route. The Exam Committee used the bulk of the February meeting to begin this discussion.

Another priority for the Committee is continuing its look at the IPE process. The Exam Committee will be meeting jointly with the Education Committee in June to look at where we’ve been, where we are, and where we’d like to be regarding in-class practical testing.

The Committee also sees ALS practical testing and the state of our current written paramedic examination as high priorities.

As always, EMS providers and I/C’s are welcome to come to any Exam Committee meeting. The group meets the third Tuesday of each month at the MEMS offices. The next meetings will be held on April 18th, May 16th, and June 20th. Please call MEMS before coming, to make sure a meeting has not been canceled or rescheduled.


Help for Teaching E-run Reporting
Published in Spring 2006 issue of the Maine EMS I/C News in the April-May-June issue of the Journal of Maine EMS
Posted May 13, 2006

Sean Hall, EMT-P and I/C from Bar Harbor, has been working on creating a PowerPoint presentation on the new electronic run reporting. Sean says his presentation is intended to be used by instructors who have taken the train-the-trainer program from MEMS. He planned it to be used primarily in the classroom setting where there is no internet access. Sean says the presentation was previewed by Image Trend, the developer of the Maine electronic reporting program, and that Image Trend’s design team is making some modifications (updating the graphics and making some additions.) Hall, who attended a MEMS train the trainer program in December in Augusta, is willing to either teach the program for services himself, or to let others who have taken the train-the-trainer class use his presentation in their classes. For more information, you can reach Sean by e-mail or at the Bar Harbor Fire Department, (207) 288 5554.

Sean Hall's Photography Page
Posted May 13, 2006

Sean Hall also writes to say that he has added a photography page to his web site.


NIMS Training
By Sean Goodwin, Kennebec County Emergency Management Agency
Published in Spring 2006 issue of the Maine EMS I/C News in the April-May-June issue of the Journal of Maine EMS
Posted May 13, 2006

Incident Command (NIMS)training is now a must for all who respond to any incident, no matter the size or who your unit would be working with. The training needs to be done, due to the fact that grant money will no longer be passed out to towns and cities that put in for grants unless they comply. No NIMS training, no grant money.

On February 28, 2003, President Bush issued Homeland Security Presidential Directive-5. HSPD-5 directed the Secretary of Homeland Security to develop and administer a National Incident Management System. NIMS provides a consistent national template to enable all government, private-sector, and non-governmental organizations to work together during domestic incidents.

We all have to take the training, whether Fire, EMS, EMA, or Police. The good news is that the training is online, free, and mostly painless.

The training the “field troops” need is covered in NIMS IS-100 and NIMS IS 700. (If someone can prove that he or she has taken the “old” IS-195, that person would not have to do IS-100, only IS-700.) This needs to be done for 2006; NIMS IS-200 will have to be done for 2007.

“Staff command” types need NIMS IS-800.

The on line classes and more information can found on the FEMA Web site at <www.fema.gov/nims/>. If you or someone needs help, please feel free to e-mail me at <kclepc@kennebecso.com>call our office at (207) 623-8407.

Note: Jay Bradshaw clarifies: “For those in EMS, we anticipate that the New England Council for EMS MCI program will meet this requirement and are working on obtaining certification of that detail."


Seatbelt video
Tip from Kelly Parrott
Posted May 13, 2006

For an extremely powerful video about the importance of seat belts, go to Paramedic-EMS and click on the "Seatbelt Video" link on the left-hand side of the page.


Teach Bike Injury Prevention
By Kelly Roderick
Posted May 13, 2006

Looking for something you can do to promote Injury Prevention within your community? How about Bicycle Safety Teacher Training? This is an 8 hour training that will qualify you to fit helmets, bikes, and teach the rules of the road, do bike safety checks and much more. You will receive a full curriculum to then take and use to instruct programs in your community.  For more information contact Bike Maine.


NREMT on AHA Guidelines
Posted May 13, 2006

The National Registry announces that it plans to incorporate the revised AHA guidelines on its written exams. See their announcement for specific dates and implementation details.


Interesting (or Useful or Fun or Whatever) Link Roundup
Posted May 13, 2006

Anatomy and Physiology on the Internet -- Originally designed to be part of a partial distance-learning program
Autism Society of Maine
Get human -- major United States companies, divided by category, and how to bypass their phone mail so you can speak to an actual person
Pretty amazing juggling by Chris Bliss
Text-to-binary-to-text converter -- a site only a geek would love
12 Lead ECG -- this site has practice rhythm strips and 12 leads. Thanks to Cathy Case for sending me to this one.


More funny videos
Posted May 13, 2006

Unfortunately many of the videos I'd originally posted on this site a couple of months ago are no longer available. I haven't spent any time looking for replacements, but I have been sent just a couple of new ones.
Talking cats
Yoga girl -- talk about flexible!
Cat herding


March, 2006

Education for Public Safety Flaggers
By Kelly Roderick
Posted March 21, 2006

See the Maine Department of Labors Traffic Control for Emergency Scene for a training program for emergency personnel at an accident scene. This program meets Title 29-A MRSA §2091 which requires all public safety traffic flaggers to receive training approved by the Maine Department of Labor.   You can download the PowerPoint Presentation and traffic Safety Checklist. This program is eligible for Category 1 "Operations" EMS Credits. You must apply within the guidelines of your regional office.   Please download the presentation today and have all your personnel trained at your next meeting. There is also a video available on this site from the SafetyWOrks folks in Augusta.


NEEMS Town Meeting
By Trisha Coleman
Originally posted February 13, 2006

In an effort to increase communication and participation in the geographically diverse Northeast EMS Region, we are going to begin a series of Town Meeting/CEH Sessions in different locations throughout our sub-regions (Hancock, Piscataquis and Washington counties). We will visit each sub-region twice each year.

Each session will be two (2) hours in length, with the first hour dedicated to regional/state EMS news followed by an education session the second hour. CEHs will be offered for attendance at both sessions.

These sessions are open to all EMS personnel. This is your opportunity to come and hear about developments in the Maine EMS system, ask questions, and help us identify issues.

For more information, please feel free to call NEEMS at 974-4880.


MEMS Has New Data and Preparedness Coordinator
Posted March 1, 2006

Ben Woodard, WEMT-B, has been hired by MEMS to be the Data and Preparedness Coordinator. His background includes 30 years in the Department of Environmental Conservation in New York state, with the last 25 of those years also involved in back country rescue. More recently, he served as the executive director of Wilderness Medical Associates for the past nine years. He’s also been teaching at L.L. Bean in their Outdoor Discovery School, where he was a manager and helped develop programming for schools currently located in five states.

Ben says he will be involved in two roles at MEMS, one in getting the electronic run reporting process out into the MEMS community, and the other in continuing MEMS’ involvement with other agencies in the state regarding emergency preparedness.

MEMS is going to be using software and processes developed by a company called ImageTrend, from Minnesota, for electronic run reporting. Train-the-trainer programs occurred in early December with about 75 people learning how to use the new software to pass that information along to others. Further train the trainer sessions will be scheduled later in the winter, after the state analyzes where and what the needs are.

While the electronic run report will look totally different from how it currently looks on paper, Ben says the ImageTrend product includes a number of options for use to make it as flexible as possible for services to adopt it. One option will be software which services can buy and operate on Tablet PCs, another will be a Web-based interface which will all allow providers to enter data from any Web-connected computer (using a secure site, a login name and a password), and a third will be a mechanism for services already using other run reporting software to get their information into the MEMS database. Electronic run reporting will allow real-time data retrieval, and, of course, eliminate the thousands and thousands of pieces of paper the state handles each year, each piece of which needs to be handled nearly a dozen times.

Ben’s other role, that as Preparedness Coordinator, involves working with all agencies in the state which are involved in any way with emergency preparedness. He will be part of the Emergency Response Team which works with the Emergency Operations Center of the Maine Emergency Management Agency. He will also be working with John Bastin, who previously held the Preparedness Coordinator position in MEMS, working with the Regional Resource Center, an agency under the Department of Health and Human Services. Ben sees his role as trying to understand all the emergency response agencies and how MEMS fits in with them, in an effort to develop preparedness plans for the state.

If you wish to reach Ben to discuss electronic run reporting or emergency preparedness, you can contact him by e-mail or by phone at 626-3860.


Education Portal
Posted March 1, 2006

I'm often asked by Web masters to include links to their sites. Sometimes I do, sometimes I don't. It depends on whether or not I think it has anything to do with EMS education, EMS in general, emergency nursing, etc. Education-Portal was one such site that asked. It says it is "a directory of colleges, schools, and career information to help students make informed decisions about their education." I haven't really checked it out thoroughly, but it does seem like it has some useful information, so I thought it would include it here. Let me know if you find anything useful there, or if you think I should get rid of it.


February, 2006

Ambulances Can Be Dangerous Places
Posted February 20, 2006

Thanks to Karen Utgard for pointing out this article (from Slate.com) about errors which occur in ambulances.


MEMS Ambulance Run Data System
Posted February 3, 2006

Electronic run reporting is just getting a foothold in Maine. To get a sense of what documentation would be like if your service chooses to go with the web interface for data input, you can do a simulated run report entry. Use "Rescue" as your username and "Provider" as your password.


Fire/EMS Magazine
From Paul Blais
Posted February 3, 2006

FireEMS Magazine has been in publication for a little over two years now. It's put out by the publisher of Fire Engineering Magazine, one of the leading fire service training publications, and is geared to issues quasi-unique to fire department-based EMS providers. It's great for people who don't have a lot of time to read detailed stories. Most of the articles and columns are brief and to the point. I particularly like the "Drug Whys" column. You can sign up on line, or visit their website. I think you'll find it worthwhile.


Posters for defibrillation
Posted February 3, 2006

I thought this was a good idea: "Defib Posters" to place next to public access defibrillators, to help acquaint the public with what defibrillators can do, how to use them, what the signs of a cardiac emergency are, and so on.


EMT Convicted in Fatal Prank
Posted February 3, 2006

A non-EMS friend sent me the link to this article about a new EMT who was messing around with a defibrillator and ended up killing his partner.


The Free Dictionary
Posted February 3, 2006

You know I like my geek stuff. How about an online dictionary? You can set it as your homepage if you want (I don't), and customize it. It has a word of the day, a quotation of the day, an article of the day, and a birthday of the day (how did they miss mine?) And if you're inclined to spend time playing games, there are those on the page as well.


Just for Fun
Posted February 3, 2006

Have you seen the newest entry in the Google collection? It's called Google Video. These are my favorite clips so far:
Funny Cats (Gone again!)
What Old People Do for Fun

There's also this serious Hurricane Katrina video, which shows the storm's progress from one man's vantage point from the Beau Rivage parking garage in Mississippi. Quite impressive.


January, 2006

Happy New Year (a little bit late!)
Posted January 25, 2006

I had hoped that, by now, I would be able to post a review of how the first round of IPEs went this fall and early winter. Unfortunately, however, not all the data has yet been compiled.

Generally speaking, though, things have gone well. The Exam Committee made some changes in response to early feedback we got. The most substantive change is that we have gone from a no-retest policy to one which will allow a person to schedule, at his or her own expense, a retest in an IPE being conducted by another course. We have also continued to tweak the forms in response to suggestions from users. And we will continue to assess and reassess the IPE, and make changes as necessary.

For some the presence of all these changes will be a source of frustration, because they are longing for a finished IPE product. For others the changes will be welcome, as evidence that the Exam Committee and MEMS are responsive to their comments, concerns, and feedback.


And while I'm on the subject of testing, apparently on the national level not everybody is happy with the National Registry written exam as a licensure testing service. As this article indicates, some states are looking to alternatives, especially in light of the NR's plan to convert to Computer Adaptive Testing in 2007.


When I thought I was done with my site update for this go-round, I decided to use a free link-checking site to make sure that all my links are working. Each time I'd previously done an update I'd just done random checks, and had been satisfied with that approach. What I discovered today, however, is that I had close to 70 bad links! Many of them automatically redirected the user to the correct pages, but many of them just gave error messages. So I spent many, many more hours deleting old links, searching for the new addresses for those I could find, marking which sites don't work anymore but which I wasn't willing to delete yet (I'll give them another chance in case their link was temporarily down). Please let me know if you find any other links that aren't working.


Resources for Changes in American Heart Association CPR and ECC
Published in Spring 2006 issue of the Maine EMS I/C News in the April-May-June issue of the Journal of Maine EMS
Posted January 25, 2006

The American Heart Association recently released its 2005 Guidelines for CPR and ECC. The winter issue of Currents has an overview of all the changes. It also includes links to the full guidelines document with all its references, as well as an article on the evidence evaluation process.

Circulation, the Journal of the American Heart Association, has the full detailed articles with all of the changes. You can view them in either PDF format or in full text.

You can also find out more about the 2005 changes by viewing a webcast or listening to an audio file or podcast by going to the AHA Webcast Briefings page. These are divided into specialty areas (hospital, EMS, and corporate/community).

In mid-January, National Faculty were scheduled to be meeting in Dallas to receive updates on science and program changes. Regional Faculty will be meeting in February and March at locations around New England, then they will be rolling the information out to the Training Center faculty.

The current plan for release of updated materials is as follows:
First quarter 2006 (by March 31): BLS for Healthcare Provider Materials
Second quarter 2006 (by June 30): Heartsaver and Family & Friends Materials
Third quarter 2006 (by September 30): ACLS Materials
Fourth quarter 2006 (by December 31): PALS Materials

All courses taught after July 1, 2006 will use the new science. The BLS courses will use the new materials and format right from the start. The ALS and PALS courses will use "bridge" materials until the ALS and PALS materials are published. (These bridge materials can only be used for a period of 90 days after the final ALS and PALS materials are published.)

The American Heart Association has set June 1, 2006 as the deadline by which time all current AHA instructors shall have taken a Science Update class. They have left it to the Training Centers as to how they will schedule these updates, as long as they will be completed by June 1. The American Heart Association requires the following of renewing instructors:

They will have taught three classes in the past two years
They will have attended the appropriate Science Update
They will be able to document current provider status (either with a current card or by demonstration of skills and successfully completing a test)
They will have attended a product update for materials in their particular discipline (BLS, ALS, First Aid, etc.)
They will meet guidelines for instructor monitoring of teaching ability.


AHA releases Core Instructor Course
Posted January 25, 2006

The AHA has also announced the release of a five-module Core Instructor Course, which will be the basis of education for all new AHA instructors in all disciplines. The Core Instructor Course will be the first of three steps toward becoming an AHA instructor (the other two steps include completing discipline-specific training and being monitored during a course.) Delivery methods for this Core Instructor Course include online study, CD-ROM study, instructor-led program, and a blend of self-directed and instructor-lead study. The modules to be covered during the course are: Introduction, Professional Foundations, Planning and Preparation, Management, Instructional Methods and Strategies, Assessment/Evaluation, and Conclusion.


NEEMS announces changes to their BLS continuing education schedule
Trisha Coleman, Northeast EMS
Posted January 25, 2006

Due to low attendance at our monthly BLS nights we have decided to hold quarterly BLS Update days instead, using the same format as our ALS Update days. These CEH classes are designed to not only keep our responders current in the latest advances in EMS, but also to meet their continuing education needs for relicensure at the state and national levels. Both BLS and ALS Update days will be held on Saturdays from 8 a.m. to 4 p.m. on a quarterly basis.

Following is the schedule for 2006:

BLS Update Days
March 18, 2006
June 3, 2006
October 21, 2006
January 20, 2007

ALS Update Days
February 4, 2006
May 13, 2006
September 23, 2006
December 9, 2006

For more information contact NEEMS.


One man's perspective on the proposed EMS Scope of Practice
Posted January 25, 2006

If you haven't seen this article by Dr. Bryan Bledsoe, it's worth a gander.


EMS Magazine and Firehouse Magazine now under one cover
Posted January 25, 2006

EMSResponder.com is the new home of both Emergency Medical Services Magazine and Firehouse Magazine's online EMS content.


Two Sources for Continuing Education for Tri-County EMS Services
Published in January/February/March issue of the Maine EMS I/C News in the Journal of Maine EMS

Central Maine Heart and Vascular Institute
From May 2005 News & Notes from Tri-County EMS

The staff of the Central Maine Heart and Vascular Institute is willing to come to EMS services throughout the Tri-County region and provide education on the cardiac system. The three-hour in-service they are offering is called “12 Leads in 12 Seconds.” The program features:
*A review of the anatomy and physiology of the heart
*A review of 12 lead EKGs
*Focus on the rapid interpretation of a 12 lead including identifying which arteries are involved and what symptoms to expect
This program is available free of charge. To make arrangements for this program to come to your service contact Anne Fereday RN, Director of Cardiovascular Services at Central Maine Medical Center, at 753-3979.

St. Mary's Regional Medical Center
From May 2005 News & Notes from Tri-County EMS

The staff of St. Mary’s Regional Medical Center is willing to come to EMS services throughout the Tri-County region and provide education. The programs currently available are:
*Prehospital AMI Care
*Lytic therapy vs. PCI
*Updates on Cardiac Care
*Cardiac Pharmacology
*Reading and Interpreting 12 Lead EKGs
*Case Reviews: you bring the cases and find out what the expert opinion is
*Emergency Care: perspectives from the physician viewpoint
These programs are available to TCEMS services free of charge. To make arrangements for programming to come to your service contact Russ Donahue at 777-8263.


EMS Recruitment Video?!
Posted January 25, 2006

Have you seen this video, designed as a recruitment tool by Pennsylvania EMS? It's been showing in theaters there statewide.
What do you think of this approach?


Heartstuff
Posted January 25, 2006

Heartstuff.com is a site devoted exclusively to cardiac care; it has flash cards, 12 leads, quizzes, articles, teaching cases, and so on. A good place to go for a cardiac review.


National Incident Management System
Posted January 25, 2006

According to the FEMA NIMS web page: "NIMS was developed so responders from different jurisdictions and disciplines can work together better to respond to natural disasters and emergencies, including acts of terrorism. NIMS benefits include a unified approach to incident management; standard command and management structures; and emphasis on preparedness, mutual aid and resource management."

In order to receive federal preparedness funding assistance in fiscal year 2007, jurisdictions will be required to meet the FY 2006 NIMS implementation requirements. Jay Bradshaw says MEMS anticipates that the New England Council for EMS MCI program will meet this requirement, and that they are working on getting certification on that detail.


Motorcycle Crash
Posted January 25, 2006

This site has photos of a pair of vehicles that were involved in a motorcycle/automobile crash in Sweden. It was reported that the bike was traveling approximately 155 mph upon hitting the side of a slow-moving car at an intersection. The motorcycle and its driver were found inside the car, along with the car's two occupants. Swedish police suggest that, at the speed the motorcycle was traveling, the driver would not have even had enough time to apply his brakes.


The End of the Virtual Hospital
Posted January 25, 2006

Virtual Hospital/Virtual Children's Hospital closed its virtual doors after 13 years of serving the Internet community. They have moved many of their resources to new sites. You can visit this page for a summary of the new sites.


Miscellany
Posted January 25, 2006

The National Center for Emergency Medicine Informatics web site is a conglomeration of search tools and other useful items. It even includes a diagram of how to tie a bow tie, always important for the average EMSer.


November, 2005

Greetings!
Posted November 22, 2005

I figured it's about time I update this site, as it's sat idle since I started teaching my EMT-Basic class at the end of August. While I've been totally enjoying that class, it has taken up so much of my time that when I've had what little free time I've had, I've wanted to spend it doing non-EMS-related things.

It's been good teaching a Basic class again. I hadn't done an EMT-B class since 1998 (I had done Intermediate and First Responder classes in the intervening time) and so it was like I was starting all over again. For those of you who read the Maine EMS I/C News, you've already read my conflict about using PowerPoint. This was the first semester I've had a projector a available to me all the time, and so I've created slides for each and every lecture. It's been both a blessing and a curse. I've spent way too much time on it (several hours for each hour of lecture, some more, some less -- I know, I need to have my head examined!) but I get such a kick out of it. I've learned how to vary the style of the presentation so that it's not the same thing all the time. I'm sure even these slides will be a work in progress for the next time I do a class.

IPE
As I mentioned back in August, the Exam Committee has been working hard on the IPE (In-class Practical Exam). The Board of Maine EMS told us, at that time, that for financial reasons we needed to come up with an alternative to our current state practical exam. We (I'm on the Exam Committee) really have tried to make the best of a difficult situation and develop a process that works well for everybody, given our ever-decreasing financial resources. Because I'm currently teaching an EMT-Basic class myself, I'm living through the same experience other instructors are as we use the IPE for the first time. And I've been living with the same frustrations as I muddle through various questions and areas of confusion.

The way the IPE works is this: the state is going to be accepting the course final exam as the licensure practical exam. But because we are mandated by Maine law to have a state-approved practical exam, we created the position of "state evaluator," whose job it will be to go to each and every course final to evaluate the process -- not the students' performance, but the process itself. These evaluators will be looking at stations, equipment, scenarios (if used), grading, and so on. They will also be a resource person for the instructor if the instructor has any questions.

Students will have to pass the stations with an aggregate score of 80%. The committee decided to use the National Registry skill sheets as the evaluation tool instead of the MEMS sheets that had been used previously. This decision came because the National Registry sheets are recognized and accepted nationally, and are updated regularly by the Registry to reflect changes in current practice. One other change in the process from previous state exams is that students will not immediately fail just because they miss a critical skill as listed at the bottom of the page -- critical skills are not included in the state part of the process (although an instructor can choose to make critical skills an essential component of his grading system if he chooses. And this is where it could potentially get confusing, because if an instructor sets his course expectations higher than the state's, the student could fail the instructor's criteria for the final exam, but could have met the criteria to pass the IPE because he got >80% of the skills. In this case, the instructor would not be giving the student a course completion certificate, because he did not pass the course final, so the fact that he would have passed the state portion of the exam becomes moot.)

When the Exam and Education Committees met to do the initial planning for this process, both groups agreed that, because this is the final exam for the course, and not just the state exam, we would leave it up to the instructor as to whether to do station-based testing or scenario-based testing. While this complicates things somewhat, both groups agreed that this was extremely important, as some instructors feel strongly that they want their final exam to be scenario-based, and the committees wished to allow that flexibility. Whether doing scenario or station testing, however, each student must demonstrate proficiency to the aggregate 80% level and must be tested individually on every skill in the National Registry testing set.

The Exam Committee has developed a number of feedback forms, and will actively solicit responses from students, practical test assistants, instructor/coordinators, and state evaluators, and will be looking closely at the process and the product beginning with the first batch of exams, which are scheduled to begin in December. The committee anticipates doing plenty of tweaking based on the feedback we get. And I'm guessing we'll get plenty of feedback, which is good. It's what we need.

MCEMS Conference
I had a great time at the 25th MCEMS conference at the Samoset in November, as I always do, but this year had an additional bonus. Steve Leach completely blew me away when he presented me with the Presidential Leadership Award at Saturday night's banquet. I walked on air for the rest of the weekend, and still get a thrill whenever I think about it now. Funny thing is that, while they were planning the recognition for me, I had been thinking what an amazing feat it is that they have been putting together this tremendous conference year after year for 25 years, and how honored I have been that they have allowed me to be a part of it. Thanks to Steve, Rae, Bill, Alan and all the others who provide us with this great opportunity year after year. And thanks, especially, for the great honor of the Presidential Leadership Award.

Happy Thanksgiving to everybody. We have so much to be thankful for!

Jacky


Association of Maine I/Cs Proposed
Posted November 22, 2005

If you are interested in learing more about a proposed association of Maine Instructor/Coordinators, please contact Dan Batsie, NEEMS's Clinical and Education Coordinator. Dan is hoping that the association can put together a web site that will provide a speakers' bureau, a trading post, and announcements about upcoming Category 7 education programs.

Be watching here for a link to that page when it becomes available.


EMS "Scope of Practice" Update
Posted November 22, 2005

The final draft of the National EMS Scope of Practice Model document was presented to the National Highway Traffic Safety Administration. It will now go through their internal review (NHTSA) and process before being released to the public by NHTSA.


MEMS Education Committee Welcomes New Chairman
Posted November 22, 2005

Nine-year veteran Education Committee Chairman Paul Marcolini recently stepped down from his position. Taking over the reins of the Education Committe is NEEMS Clinical and Education Coordinator Dan Batsie.


The Megan Bradstreet Pediatric Transport Fund
From AREMS Regional Coordinator Steve Corbin
Posted November 22, 2005

Five year old Megan Bradstreet of Bridgewater, Maine, a little girl who loved her dollies, loved to ski, and loved to sing and dance, suffered a fatal head trauma this past July. Pediatric trauma effects everyone - parents, grandparents, neighbors, friends and family. Megan's parents, Wendy & Ryan Bradstreet, in conjunction with area health care professionals and Northern Maine Community College, have established the Megan Bradstreet Pediatric Transport Fund. Their goal is to recognize the healthcare professionals who provide excellent emergency care to pediatric trauma patients and to raise funds to provide an opportunity for regional emergency medical service personnel to obtain further education and certification in pediatric trauma transport. Their goal is to raise $50,000.00. A flyathon held on November 19, 2005 by Walter Moser, was the first public fundraiser for the effort and was sanctioned by the Bradstreet family. Aroostook Region 5 fully supports this endeavor. If you would like to make a contribution please feel free to mail your donation to:
NMCC
c/o The Megan Bradstreet Pediatric Transport Fund
33 Edgemont Drive
Presque Isle, Maine 04769


Some links

When you tell your students to ask their patients about Viagra or other ED drug usage before giving them a nitroglycerin, think about this. Babies are now being prescribed Viagra for pulmonary hypertension. And now Viagra is being tested for adults who suffer from the same.

Sean Hall, Paramedic and MEMS I/C, has a Web page. He has some gorgeous photography, as well as a section dedicated to his classes.

The Atlantic International Emergency Medical Institute (AIEMI) is an online venue for discussion of EMS and disaster medicine topics. It is a collaborative international project between Northern Ireland, Ireland, and Maine, and includes, on its Board of Directors, Maine's own Steve Diaz, Rick Petrie, Jay Bradshaw, Kelly Roderick, Mark Wright, John Bastin, and Bill McKenna.

The faculty development office at the University of Hawaii Honolulu Community College has posted some great teaching tips. Start with their index page and just explore.

Want to study at MIT -- and not have to leave your living room? Check out MIT's Open Courseware, with topics in aeronautics, if you're so inclined, or architecture, or biology, economics, physics, political science, science technology and society, and many more.

Some links just for fun

No, I don't waste a lot of time on the Internet, especially not playing games, but when somebody told me about this particular cat bowling game, I decided I wanted to share it.

I don't know why this guy tickled my fancy so much, but every so often, when I need a laugh, I click on the Numanuma song. Coincidentally, when we were traveling in the Gaspe Peninsula this fall, we were eating at a quaint little local French Canadian restaurant, which had music playing softly in the background, and all of a sudden I realized they were playing the Numanuma song. I have no idea what the song is about, as it's not in English. As I understand it, though, the song has really taken off on the Internet, with lots of renditions. I haven't had a chance to check them all out, but of the few I've seen, this one is still my favorite.

This guy, the piano juggler, is a must-see. What ever makes somebody learn a skill like that, I'll never know, but he sure is entertaining.

A big welcome to the MEMS office's two newest members:
Posted November 22, 2005

Licensing Assistant
Karen Cutler is the newest Licensing Assistant.

Data and Preparedness Coordinator
Ben Woodard, WEMT-B, has been hired by MEMS as Data and Preparedness Coordinator. Feel free to contact Ben if you wish to discuss electronic run reporting or emergency preparedness.


AREMS Announces Extended Business Hours
From AREMS Regional Coordinator Steve Corbin
Posted November 22, 2005

AREMS will now be open for business Monday through Friday, 8:00 a.m. till 4:30 p.m.


New NEEMS Phone Numbers
Posted November 22, 2005

Telephone 974-4880
Fax 974-4879
For the next couple of months, the old phone numbers will be automatically forwarded to the new numbers.


August, 2005

ECGs on your PDA
Posted August 4, 2005

Jeff Siegel writes: "I just saw your article in the Maine EMS newsletter and found your web page with PDA references.  Check out www.activecenter.com - there is a demo version of the product that shows ECG arrhythmias in real time (Products/Demo).  It'll work well on your Clie.  I'm the author and developer of the hardware and software. Cheers! Jeff"
(Jeff is an EMT-I from Bagaduce Ambulance in Castine, ME.)


MEMS discussing future of practical licensure examinations in the state
Posted August 3, 2005

Maine EMS has been dealing with a significant budget crunch for quite some time now. Recently, the MEMS Board charged the Exam and Education Committees to work t