Janet L.Taylor, BSN, CEN, CFRN, NREMT-B, is a Nurse with over 20 years of experience, the majority of which has been spent in Emergency Medical Service / Emergency Room and Critical Care Transport. Ms. Taylor has experience in all levels of EMS and Critical Care transport, from types of scenes to inter-facility transports. She has worked in various areas including ER, Medical / Surgical, Labor and Delivery, Intensive Care Unit, and Outpatient.
A Certified Flight Nurse, Ms. Taylor works with Life Flight Eagle, a non-profit organization that provides life-saving helicopter transport for critically ill and injured patients in Kansas and Missouri communities surrounding Kansas City.
ConsultingServices - Ms. Taylor also works as a consultant, researching current evidence-based practices to update current policies for patient care. She writes modules for online education and her employer's education department. She consults independently with a small rural hospital in creating customized education modules to improve their staff education offerings.
Ms Taylor has been chosen to speak at various EMS conferences all over the nation, offering up to date content for continuing education and improving patient care. She is also employed by University of Maryland Baltimore County as an adjunct instructor.
Litigation Support - Ms. Taylor is an EMS / ER, Critical Care Transport Subject Matter Expert providing chart review, standard of care, and deposition services. She is available to attorneys representing plaintiff and defendant.
Areas of Expertise:
Emergency Medical Services
Critical Care Transportation Standards
Ambulance / Emergency Transport Clinical standards
I am a board-certified emergency medicine physician. I have been called upon to express opinions in the areas of medical malpractice, personal injury, negligence, standard of care, and causation. I am involved in both plaintiff and defense cases.
My qualifications include:
Award-winning emergency physician in active practice with 30 years clinical experience
Associate Clinical Professor of Emergency Medicine at University of California San Francisco School of Medicine (volunteer)
Current VP of company that staffs 500 emergency departments, overseeing more than 5000 ER providers in risk management and quality assurance issues
Fellow of the American College of Emergency Physicians (FACEP)
Past President of the California Chapter of the American College of Emergency Physicians
Medical Director of California Highway Patrol
Extensive publication and speaking experience in the area of emergency medicine
Geo Henderson's career has spanned over 34 years and has included Public and Private Sector Fire and Emergency Medical Services. Extending into leadership, incident management, design and implementation of immersive educational scenarios, physician training, and emergency planning, Mr. Henderson has experience in several widely varying and vastly different aspects of his profession. In addition to management of countless incidents in a broad array of emergency services, he has also mitigated events ranging in complexity from multiple alarm fires to mass casualty incidents.
As a paramedic supervisor for both a municipal, fire-based EMS system (260 EMS providers) and a county emergency medical services system (60 EMS providers) Mr. Henderson has participated in the design and implementation of educational, operational, safety, quality improvement, and EMS policies and procedures for EMTs, paramedics and physicians.
Litigation Support - In 2021, Mr. Henderson began practice as an expert witness specializing in Pre-Hospital Emergency Medicine. He has been retained by firms representing both defendants and plaintiffs throughout the United States.
Areas of Expertise:
Standard of Care
Advanced Life Support
Airway Management & Intubation
Pediatric Life Support
Paramedic & EMT Standards
Response System Management
Cardiac & Respiratory Arrest
Refusal of Care
Delay of Care
For a more robust accounting of the diversity in experiences, occupations, and emergency incidents that have enriched Mr. Henderson's education, please contact him at 518-423-1819 or via email at firstname.lastname@example.org.
Gerald M. Dworkin is a professional Aquatics Safety & Water Rescue Consultant for Lifesaving Resources, LLC. He has an extensive background in AquaticsSafety, LifeguardTraining and Operations, WaterRescue, Swiftwater Rescue, Surf Rescue,and Ice Rescue, EMS and Firefighting. Along with several textbooks, he has written and published over 40 articles, and has consulted in over 500 drowning and aquatic injury litigation cases as both a Plaintiff and Defense Expert Witness.
Expert Witness Services
As an expert witness, Mr. Dworkin evaluates the Standard of Care as it pertains to Incident Prevention, Victim Recognition, and Emergency Management and provides accident reconstruction, depositions, written reports, and courtroom testimony.
His Areas of Expertise Include:
Lifesaving, Lifeguarding and Aquatics Safety
Water Rescue, Swiftwater Rescue, Surf Rescue, and Ice Rescue
CPR (Cardiopulmonary Resuscitation) & Basic Life Support
Mechanisms & Physiology of Drowning
Drowning and Aquatic Injury Prevention and Emergency Management
Lifeguard Training and Operations
Mechanisms and Emergency Management of Diving Accidents
Based on our research of ice rescue incidents and fatalities during the years 2006 & 2007, approximately 85% of the incidents were initiated as a result of humans venturing out onto the ice to rescue a domestic animal. The purpose of this article is three-fold. First, we need to educate the public about the need to control their pets and to prevent them from going out onto the ice because no ice should ever be considered as being "safe ice". Second, we need to also educate the public to call 911, rather than to make an attempt to rescue their pets that have fallen through the ice. And, third, First Responder agencies and their personnel need to be trained and equipped to properly, effectively, and safely respond to domestic animal rescues on and through the ice.
In February 2004, the National Fire Protection Association (NFPA) published NFPA 1670: Standard on Operations and Training for Technical Search and Rescue Incidents. The purpose of this standard is to minimize threats to rescuers while conducting operations at technical SAR incidents, and the standard deals specifically with identifying and establishing levels of functional capability for conducting technical rescue operations safely and effectively. Although these standards were designed for all types of Technical Rescue operations, they also address water and ice rescue operations.
On July 13, 2004, a 55-year-old man collapsed in the Medina (Ohio) Aquatic and Fitness Center. The aquatic manager for the city, Darlene Donkin, responded and assessed him to be in cardiac arrest. Although Donkin was a CPR instructor and taught more than 100 classes on the subject, she had never actually performed it in a life-and-death situation prior to this incident.
The following incidents and places, as well as the circumstances surrounding them, are fictional. On the Scene Dispatch at 16:04 hrs: KGT-597 to Rescue 15, respond to Bakersville Pond off Cemetery Island for a report of a dog through the ice, approximately 100 yards from shore.
DALLAS, April 1 - Chest compressions alone, or Hands-Only Cardiopulmonary Resuscitation (CPR), can save lives and can be used to help an adult who suddenly collapses, according to a new American Heart Association scientific statement.
TWO BOYS, age 11, are ice skating at a local pond. Suddenly, the ice cracks and one boy falls through into 34 degree Fahrenheit water. His friend runs to his aid, and potential tragedy grows as the second boy is pulled into the ice cold water by the panic stricken child already in the water. Unless help is immediately available, both boys will perish within a few minutes, either from drowning or hypothermia (decreased body temperature).
Based on a 1961 study at Williamston, MI, conducted by the Michigan State Police, the Indiana University Health and Safety Department, the Michigan Highway Department, and the American Red Cross, it was estimated that approximately 400 persons lose their lives as a result of being trapped in automobiles that have plunged into the water.
Properly recognizing and managing suspected spinal injuries caused by head-first entries into the water require high levels of training. Lifeguards and other water rescue personnel must be able to evaluate the signs and symptoms associated with spinal trauma and the manner in which an injury occurs. The rescuer should assume that a spinal injury exists if the forces causing the trauma were sufficient to damage the spine.
In the event a firefighter is suddenly and unexpectedly immersed in deep water while wearing full turnout gear, the firefighter's survival is dependent upon the actions taken during the first critical seconds of the immersion. The incidence of this type of emergency increases when firefighters are fighting apartment fires around a swimming pool, during suppression activities on and around piers and docks, as well as during a fall-through incident in which the firefighter falls through a floor into a basement filled with water.
The purpose of this article is to describe the proper use and application of the Stearns Cold Water/ Ice Rescue Suit by Fire, Rescue, and other Public Safety Personnel during cold water and ice rescue incidents. This article has been specifically written to address the prevention of Torso Reflex or Inhalation Response during the rescuer's entry into cold water.
In 1996, a tragic accident occurred on a soccer field at Northeast Park in the Park Ridge Recreation and Park District in Illinois. After a short rain delay in the game, the skies started clearing and a referee decided to resume play.
Since 1980, the Consumer Product Safety Commission (CPSC) has documented over 18 incidents, including five deaths, involving children between the ages of two and 14 who were injured or died due to body part entrapment involving the drain of a swimming pool, wading pool or spa.
As a result of renewed electronic and print media exposure, the Heimlich Controversy has once more reared its head creating a confusing message for lifeguard and other rescue personnel regarding the resuscitation procedures to be used when confronted with a near-drowning resuscitation incident.
All public and semi-public aquatic facilities should be equipped with appropriate spinal immobilization devices (SIDs), in addition to cervical collars, lateral stabilization items (i.e. blankets, towels, sand bags, and so forth), and appropriate immobilization material (i.e. straps and bandages).
Each year approximately one million people in the United States suffer from acute myocardial infarction (heart attack) of which approximately 700,000 die. About 350,000 of these fatalities occur outside the hospital, usually within two hours after the onset of symptoms of a heart disorder.
Torso Reflex, also known as Gasp Reflex , Inhalation Response, or Cold Water Shock, is caused by sudden immersion into water colder than 70 degrees F. Sudden immersion into cold water triggers an involuntary reflexive torso gasp that can cause the person to aspirate water into his/her airway and lungs, which can lead to laryngospasm, disorientation, panic, and the loss of any physical ability to swim or remain afloat.
I’ve always advocated the need for aquatics facilities to collaborate and coordinate lifeguard and water rescue training and emergency operations with community fire, rescue, emergency medical services (EMS) and law enforcement agencies.
For aquatics facilities to effectively integrate rescue and safety services with those of the local fire and rescue agencies and emergency medical services (EMS), it's imperative that all agencies establish collaborative agreements and cooperative training programs.
In February 2004, the National Fire Protection Association (NFPA) published NFPA 1670: Standard on Operations and Training for Technical Search and Rescue (SAR) Incidents. The purpose of this standard was to minimize threats to rescuers while conducting operations at technical SAR incidents.
Each year, there are approximately 1,500 incidents and 600 deaths occur involving vehicles that have gone off the road and plummeted into the water. Therefore, the public needs to plan for these types of emergencies by (A) rehearsing the steps necessary for a successful self-rescue from a vehicle in the water, and (B) having the rescue/escape tools readily available for use during this type of emergency situation.