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American Academy of Orthopeadic Surgeons
ECSI Connections: The Emergency Care and Safety Institute Newsletter
September 2006 Copyright 2007 Jones and Bartlett Publishers
Contents
From the Chair
The Big Picture
Special Feature
What's New at ECSI?
Education Center Spotlight
Reminders
Pedfacts Update
Featured Article
Marketing Your Education Center
In The News
Medical Journal Reviews
Web Sites of Interest
Conference Activity
Article Submission

Web Sites of Interest
EmergencyCourses.com www.emergencycourses.com

Armstrong Industries
www.armstrongmedical.com

Wingspan Marketing
www.wingspanmarketing.com

Kiefer & Associates
www.kiefer.com
Heartsine, Inc.
www.heartsine.com
Global Emergency Training Specialists
www.getspecialists.com
JB Learning
www.jblearning.com

Conference Activity for ECSI/Jones & Bartlett Publishers

8/17-8/19/06
KEMSA, Overland Park KS

8/20-8/25/06
Army Educators San Antonio TX

8/24-8/27/06
Arkansas EMS, Hot Springs AR

9/6-9/11/06
NAEMSE, Pittsburgh PA

9/14-9/16/06
INDIANA EMS, Indianapolis IN

9/17-9/19/06
Georgia Educators EMS, Location TBA GA

9/27-9/30/06
EMS Expo, Las Vegas

Article Submission

To inquire about submitting articles, tips, comments, or stories in future ECSI e-newsletters please contact: Lani Byrd, ECSI Membership Director at lbyrd@ecsinstitute.org.


From the Chair

Greetings ECSI Instructors:

These past few months have been very exciting for our growing organization. As we release the new materials updated with the 2005 ILCOR Guidelines, we are confident that our training network will continue to expand at a rapid rate. Please help us update our providers with the latest emergency care guidelines.

Over the past quarter, we have released our new instructor update webcast, which is available on our web site. We have also increased our online course offerings to include new OSHA safety courses. Finally, we have partnered with emergency courses.com to provide our membership with very useful marketing and course tracking tools to better assist educational centers in advertising their courses and growing their business. Please see the sections that follow to learn all about these great opportunities.

Please continue to support ECSI through your dedication to providing the best emergency care training available. It is because of each education Center and instructor that our organization is growing at a dramatic rate!

Hudson Garrett Jr.
ECSI National Advisory Council Chairperson

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The Big Picture

We have been busy revising nearly 100 written products, online courses, and web site components all impacted by the 2005 ILCOR ECC and CPR Guidelines. As we wrap-up our work and the products roll out, we want each of you to know that we are continuing to meet our original mission statement:

  • Provide high quality, low cost products that meet users’ needs.
  • Provide comprehensive instructor ancillaries so that our instructors can continue to choose among various tools and methods to deliver course content.
  • Use technology to our advantage, including placing instructor lessons plans that can be edited and printed, on the new Instructor Toolkit CDs.
  • Save ECSI Education Centers money on instructor training.
  • Provide the highest quality and most comprehensive list of online education programs to help change the way courses can be offered in your communities.
  • Provide tools that help increase your business opportunities.
  • Expand our program offerings to meet newly identified needs.
  • Secure all necessary regulatory approvals for programs
  • Provide one-stop shopping for all your program needs.
  • Make our programs administratively friendly.

Please take advantage of these revised programs and the incredible savings we are offering! Here are some key upcoming dates for the publication of select ECSI revised products:

  • BLAST CD-ROM = September 15, 2006
  • Good Samaritan, Fifth Edition = September 1, 2006
  • First Aid Guide, Fifth Edition = September 1, 2006
  • Professional Rescuer CPR, Third Edition Instructor's ToolKit CD-ROM = September 15, 2006
  • First Responder, Fourth Edition Instructor's ToolKit CD-ROM = September 22, 2006
  • First Responder, Fourth Edition Student Workbook = November 15, 2006
  • First Responder, Fourth Edition Instructor's Manual on CD-ROM = September 30, 2006

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Special Feature
Ask Us About EmergencyCourses.com

Have you ever wondered how you can increase your business faster and more efficiently? Are you looking for ways to utilize technology to easily register and track students in your courses? Are you trying to increase awareness of your course offerings and drive more students to your courses? If you answered, “Yes” to any of these questions, you need to take a look at our newest offering for ECSI Education Centers and Instructors at www.Emergencycourses.com.

In one location you can list ANY type of course that you are providing, including those in emergency care, nursing, EMS, fire, safety, and rescue. You can list your course names, descriptions, prices, dates, locations, instructors, and number of available seats.Your customers will read the course information, select the course that fits their needs, and then pay online. The customer will be notified that a standard $5.00 processing fee is added to the posted price for the course, which e-commerce customers are used to paying.

Every time a customer registers, you will receive an email notifying you of a new registrant. As a user of the service, you will have 24/7 access to your courses and will be able to instantly view your course lists and how fast they are filling up. You can close off courses or add more seats any time. You have 100% control!

You will receive a monthly check from EmergencyCourses.com for all the customers who registered online for your courses during that month. You can easily reconcile this with the email notices that you will receive against the detailed statement that comes with your check.

What is the cost to you for this service? Just $1 registers your Education Center and enables you to use this service. Take advantage of this offer to now have your own personal e-commerce capability.

As with all e-commerce transactions, a processing fee is required. EmergencyCourses.com keeps only 5% of your monthly course registration fees in order to process the credit card transactions. This is far less than you would pay to build your own web site that could provide e-commerce. Plus, you would have to do all the work!

Emergencycourses.com is advertising on all search engines. In the near future, we believe that this site will revolutionize the way that internet users search for courses, just like Priceline and Travelocity did for travelers.

This service works great for everyone, regardless of whether or not you have your own web site. Ride the wave of the future in course registration and tracking. Click here to sign up today as an Education Center and put our technology to work for you. If you have any questions, don’t be afraid to ask us anything about Emergencycourses.com.

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What’s New at ECSI?

First Aid, CPR, and AED Standard, Fifth EditionIt’s here! For those of you who have been anxiously awaiting the new 2005 guidelines materials, the ECSI Standard (First Aid, CPR, AED) materials have already been shipping since early August. Early feedback on the program has been excellent! We feel confident that you’ll agree that ECSI truly does offer the highest quality programs at the lowest prices.

Professional Rescuer CPR, Third EditionThe Professional Rescuer CPR student manual is now available, and the rest of the program materials are releasing later this month. Order now and you’ll be the first to receive them when they arrive in our warehouse. Note: You will not be charged until items have shipped.

BLAST!We are pleased to announce that our newest program, developed by the American Academy of Pediatrics, is now available: Babysitting Lessons and Safety Training (BLAST!). The BLAST! program is a highly interactive training program designed for potential babysitters ages 11-14.BLAST! is exciting and interactive, providing extensive training in pediatric first aid, household safety, and the fundamentals of childcare. BLAST! features babysitter basics including feeding, burping, spoon-feeding, managing crying, preparing for bed, behavioral problems, and discipline; as well as an introduction to first aid.

To place an order for any of these or other ECSI programs please contact Customer Service at 800.832.0034.

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Education Center Spotlight

One of the newest Education Centers, CB Associates in Orlando Florida, offers their perspective on why they have chosen ECSI. We are glad they made the switch!

“I began my career with the Orlando Fire Department in 1971,” says Charles Bracewell. “I received my EMT training a year later and Paramedic training 2 years later. I have been teaching CPR and First Aid since the mid ‘70’s, and have trained hundreds of people from all walks of life. Thirty-five years later, I am still providing prehospital care and training. In that time I’ve used curriculum from several organizations, but predominately the American Heart Association. My involvement in EMS has given me the opportunity to observe the effectiveness of patient care initiated before our arrival. The public’s knowledge of CPR and First Aid can and does make a difference.”

“There are always those exceptional incidents that stand out as memorable. One of those incidents for me was a 2-year-old girl found at the bottom of a swimming pool. The parents had no CPR training and no attempts at resuscitation were made before our arrival. Fortunately, our response time was less than 3 minutes. Upon arrival, the little girl was not breathing and pulseless. CPR and ALS were initiated immediately. We were successful in obtaining ROSC on the scene and she was making attempts at respirations on the way to the hospital. She recovered fully with no brain damage, which is not the usual outcome for these incidents.”

“Even though it has been my desire to continue teaching CPR and First Aid, I have been somewhat discouraged and disappointed due to the increasing difficulties imposed by the AHA regarding training center requirements, affiliating with a training center, maintaining training center status, and the increased costs of materials.”

“I first became aware of ECSI at the ECCU Conference in Orlando this year. The more I learn about ECSI, the more I like it. The quality of the materials, the support from the staff, and the user-friendly curriculum and programs make this is the best program I have seen so far. It is like a breath of fresh air.”

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Reminders

Webcast Reminder
If you have not already done so, please watch the Instructor Update Webcast on the member web site to update yourself and other instructors on the 2005 ILCOR Guidelines. The web site provides valuable information on not only the course content, but also on the newly released student and instructor materials. To view the webcast, please visit the ECSI home page at www.ecsinstitute.org and click on the little TV set.

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PedFacts Update

Don't forget that ECSI offers a course specifically designed to meet the needs of pediatric caregivers. Course topics include breathing difficulty; controlling bleeding and infection; heat- and cold-related emergencies; and oral injuries. There is also an entire chapter devoted to injury prevention. This official American Academy of Pediatrics course also has an instructor resource manual and DVD. The instructor resource manual includes helpful tips and guidelines for teaching a PedFACTs course; skill station strategies and activities; and administrative information and forms. For more course information, please visit www.pedfactsonline.com.

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Featured Article
Hurricane Preparedness
Sean P. Eagan, EMT
Director of Field Services
E&J Safety Systems, Inc.

Katrina PhotoOn August 29, 2005, Hurricane Katrina bared down on the New Orleans and Gulf Coast area. Thousands of innocent people perished, were left homeless, or were relocated to other cities. It was by far the greatest tragedy that this area has seen this millennium, if not in its entire history. This article will help you from becoming a statistic.

To begin, let’s discuss what makes a hurricane. A hurricane is a swirling storm system, or tropical cyclone, that forms over warm water areas. When a strong line of thunderstorms occurs over these warm water areas, this is known as a tropical wave or disturbance. Steadily, as the storm begins to circulate into a cyclonic system and the wind speed at the surface of the ocean is less then forty miles per hour, the system becomes a tropical depression. The system becomes a tropical storm as the speed of the wind increases to 40 miles an hour or higher. It is at this point that the National Oceanographic and Atmospheric Administration (NOAA) names the storm. As the wind speed reaches a maximum sustained speed of 74 miles per hour or greater, the system is considered a hurricane.

When Hurricane Katrina hit southern Louisiana, she had wind speeds under 130 miles per hour, which officially made her a Category 3 storm. However, she had reached Category 5 strength and was maintaining a storm surge in excess of 20 feet, approximately 2 to 5 feet taller then the levees protecting New Orleans. Sounds bad? Oh, it got worse.

Nevertheless, we are not here to talk about what HAS happened, but how to create a survival plan. When you create a survival plan, get the whole family together and decide whose job is whose. Make one person in charge of getting supplies together, fueling up the cars, and so forth. Supplies for the road should contain food, water, and entertainment for the kids. If you are in a shelter, the kids will get bored very quickly. So will you; so bring something for yourself.

Secondly, decide on which direction you will be traveling. Have family in another state or at least out of the storm’s projected path? Great! Call them and let them know when you will be arriving. Now, when to leave is easy. I generally use the rule that if a storm is within 150 miles of me, I go elsewhere. That simple rule should give me at least a 4-hour head start. When the weatherman says that he suggests you leave now, take his advice. Protect your house as best you can. Take your important papers, place them in a plastic bag, and leave.

I was asked to write this article by the ECSI, having lived through the worst of Hurricane Katrina. My partner, friend, and a special person named Vicki Lynn Jordan perished in the storm. Everyone begged her to leave, but she remained, thinking that this one was just going to skip past us like so many others. All I ask of you is this: remember what happened to Vicki and get out before it is too late.

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Marketing Your Education Center
Marketing Plans Made Simple
Jake Keiser, Wingspan Marketing

A marketing plan is essential to any good business plan, yet most entrepreneurs I speak with don’t have either. Now that the guidelines have changed, it’s a good time to create your plans or review your current ones.

The basic marketing plan is simple:

  • Who are your target markets?
  • What are your services or products?
  • What is your pricing?
  • What sets you apart from your competition?
  • How will you get yourself in front of your prospective clients?


Even if you simply answer those questions on paper and don’t go any further it’s an excellent exercise. For those of you who want to dig deeper and formalize your marketing plan, there are easy outlines available on the Internet. If you plan to seek investors or business loans, then a formal marketing plan is needed.

Below is an outline from the US Small Business Administration’s web site. It’s a simple outline and would be beneficial in gaining outside financial assistance. The more information you can supply, the more prepared you will be. For more information visit SBA’s web site: www.sba.gov.

1: Define your business

  • Your product or service
  • Your geographic marketing area - neighborhood, regional or national
  • Your competition
  • How you differ from the competition - what makes you special
  • Your price
  • The competition's promotion methods
  • Your promotion methods
  • Your distribution methods or business location

2: Define your customers

  • Your current customer base: age, gender, income, neighborhood
  • How your customers learn about your product or service - advertising, direct mail, word of mouth, Yellow Pages
  • Patterns or habits your customers and potential customers share - where they shop, what they read, watch, listen to
  • Qualities your customers value most about your product or service - selection, convenience, service, reliability, availability, affordability
  • Qualities your customers like least about your product or service - can they be adjusted to serve your customers better?
  • Prospective customers whom you aren't currently reaching

3: Define your plan and budget

  • Previous marketing methods you have used to communicate to your customers
  • Methods that have been most effective
  • Cost compared to sales
  • Cost per customer
  • Possible future marketing methods to attract new customers
  • Percentage of profits you can allocate to your marketing campaign
  • Marketing tools you can implement within your budget - newspaper, magazine or Yellow Pages advertising; radio or television advertising; direct mail; telemarketing; public relations activities such as community involvement, sponsorship or press releases
  • Methods of testing your marketing ideas
  • Methods for measuring results of your marketing campaign
  • The final component in your marketing plan should be your overall promotional objectives: to communicate your message, create an awareness of your product or service, motivate customers to buy and increase sales, or other specific targets. Objectives make it easier to design an effective campaign and help you keep that campaign on the right track. Once you have defined your objectives, it is easier to choose the method that will be most effective.

For more information on these ideas please visit: www.wingspanmarketing.com. Wingspan Marketing specializes in assisting safety and health entrepreneurs with promoting their businesses.

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In The News
Alton Thygerson

Salem, VA – Carbon monoxide leaked into a college dormitory, killing a man and sickening more than 100 teenagers and adults attending summer programs at Roanoke College. The victims were taken to two Roanoke Valley hospitals in ambulances or vans after complaining of headaches, nausea, dizziness, and shakiness. An elderly man died before reaching the hospital.
Source: Associated Press, July 15, 2006

Albany, NY – A 4-year-old boy survived a fall from an 11-story window after being left alone at home. The boy bounced off a metal awning onto a concrete courtyard. The boy remains in serious condition with a broken skull, a broken leg, and other injuries. The mother was charged with endangering the welfare of a child.
Source: Associated Press, July 9, 2006

Fryeburg, ME – A 22-year-old woman died after a tree fell on the tent that she and two friends were sharing at a campground in western Maine. They were in the tent when a thunderstorm with high winds knocked down a large oak tree.
Source: Associated Press, June 22, 2006

Snowbird, UT – An 8-year-old boy was lucky that two EMTs were vacationing at the same lodge that he was. The EMTs just happened to be sitting in a hot tub adjacent to the pool where the boy nearly drowned. The boy was swimming with a friend when the friend noticed that the boy was at the bottom of the pool and not moving. The friend notified some adults nearby and the boy was pulled from the pool. The two vacationing EMTs performed CPR on the boy and revived him.
Source: Desert News, June 4, 2006

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Medical Journal Reviews
Alton Thygerson

The Importance of Evidence-Based Disaster Planning

Assumptions or myths about disaster and emergency response include:

1. Dispatchers will hear of the disaster and send emergency response units to the scene. Early in a disaster, it is not always clear who at the scene is in charge and can be contacted about the need for assistance. Emergency responders may first hear of a disaster from police scanners or the news media before they are informed by official sources. Frequently, initial reports are greatly dramatized and exaggerated. For emergency responders, getting accurate, official information on the extent of the disaster and the need for help may be difficult at first.

2. Trained emergency personnel will carry out field search and rescue. Studies of search and rescue in disasters have shown that a substantial proportion of, if not most, search and rescue is carried out by untrained survivors.

3. Trained emergency medical services personnel will carry out triage, provide first aid or stabilizing medical care, and—if necessary—decontaminate casualties before patient transport. Although disaster plans may call for casualties to be triaged and given lifesaving first aid in the field, survivors often bypass field first aid and triage efforts because they may not know that field first aid or triage stations exist, much less where they are.

4. Casualties will be transported to hospitals by ambulance. For many untrained persons who become involved in search and rescue at a disaster site, the “best emergency care” is seen as transport to the closest hospital as quickly as possible. If ambulances are not promptly available, survivors do not tend to wait for their arrival but will use the most expedient means to transport the casualties.

5. Casualties will be transported to hospitals appropriate for their needs and in such a manner that no hospital receives a disproportionate number of patients. The ideals for civilian disaster medical care are based on the military precepts of triage (doing the greatest good for the greatest number of casualties). This implies making the best use of available medical resources. For example, casualties with sprained ankles and minor lacerations should not be sent to trauma centers or burn centers. Also, casualties should be distributed among the hospitals so that no one hospital is disproportionately overloaded and so that patient needs are matched with hospital capabilities. However, it is often challenging in disasters to make best use of the available medical resources. When survivors independently make what they perceive are rational decisions—to transport victims to the closest hospital—the decisions may result in hospitals near the scene receiving the bulk of the patients, whereas hospitals farther away await casualties who never arrive.

6. Authorities at the scene will ensure that area hospitals are promptly notified of the disaster and the numbers, types, and severities of casualties to be transported to them. To the extent that hospitals can be forewarned before casualty arrival, they can better organize the resources necessary to treat the casualties. The types of information needed by hospitals include the nature and scope of the disaster; the numbers, types, and severities of injuries or illnesses; and the estimated time of victim arrival. However, the Disaster Research Center Studies show that most often the first notification of hospitals was not from authorities at the scene, but from the first arriving casualties or ambulances or the news media.

7. The most serious casualties will be the first to be transported to hospitals. The Disaster Research Center Study observed what one might call “reverse-triage,” with the least serious casualties tending to arrive first. Similar observations were reported in the 1989 San Francisco earthquake and the 1985 Mexico City earthquake. This could be because the more serious casualties were more likely to be trapped in the rubble, requiring more sophisticated search and rescue efforts to extricate them. Also, the least serious casualties are often more able to extricate and transport themselves.

Source: Annals of Emergency Medicine, January 2006

Lawnmower Injuries in the United States: 1996 to 2004

Debris from under the mower hitting a body part or entering the eye was the most common mechanism for lawnmower injury. The second most common mechanism of injury was nonspecific pain onset after the ordinary operation of the mower. Fracture of 1 or more phalanges of the foot was the most common diagnosis among lawnmower injury hospitalizations, followed by traumatic amputation of the toe.
Given the high incidence of projectile-related injuries, improved protective apparel and eyewear could lower the rate of injury. The increasing trend of lawnmower injuries in the United States suggests that more must be done to prevent lawnmower injuries.

Source: Annals of Emergency Medicine, June 2006

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