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  While the issue of Electronic Medical Records and physicians seems a little off base for an EMS blog, the reality is that their use and adoption is occuring throughout all levels of healthcare.   This includes the prehospital arena and intrafacility transport systems.  Insurance information capture is now stressed with most ambulance systems, both […]

Repost from MSNBC – Interesting read!

http://vitals.msnbc.msn.com/_news/2011/11/09/8705246-swearing-spitting-choking-er-nurses-endure-this-and-more#.TrrEmrjyA5o.email      

Creating and Maintaining Drug Addictions in the EMS/ED Setting

Some background:   I have a very good friend who is a nurse who recenty admitted to me that the reason s/he "dropped off the face of the Earth," was s/he had an addiction problem.   This person is on the road to recovery and offerred to write about what occurred.  Interestingly, over the years, […]

Health Care Reform Hits Mainstreet

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I had the wonderful pleasure this Wednesday and Thursday to attend the Neuroscience Conference hosted by Capital Health Center at the Borgata, in Atlantic City, New Jersey.    One of the speakers was Mr. David Knowlton.  Mr Knowlton is the President and CEO of the New Jersey Health Care Quality Institute. He is a fantastic […]

A Tale of Two, Two Tiers

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Disclaimer:  I appologize for the format of the text as this is one of my first blog entires with this interface, and for some reason it and Word didn't want to play nicely.  I tried to fix it up best I can.  Future posts will not have this problem. It’s interesting that Dr. Barnett picked a […]

New Jersey’s Two Tier ALS System. Time to Advance?

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I had missed dinner and was heading in for my first of three night shifts. I made excellent time on the highway, and pulled into a local strip mall just several blocks from the hospital to grab a bite to eat before tackling my shift. Off along the curb a quarter mile back along the […]

My Superstition about Compliments

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Being an ED physician, “thank-yous” are certainly few and far between.

Hiding In The Nursing Lounge

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“They aren’t learning to be fry cooks – they will be responsible for peoples lives!” I explained to my nurses that the observation time provided to these students to see what the Emergency Department staff actually does is crucial.

EMS System in NJ

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What really blows my mind is that the system we currently operate in does not mandate any minimum standards for providers (mainly BLS, as ALS is in my opinion OVER regulated), does not require an ambulance to be licensed by the Department of Health nor meet any minimum standards, nor mandate minimum response times. Better yet, EMS in New Jersey isn’t even considered an essential service like police, fire, and municipal services are. It’s simply, sickening.

Time for Intelligence in Implementing EMS

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During the recent snowstorm, the governor of New Jersey declared a state of Emergency closing all roads to nonemergency vehicles. As luck would have it, I was on shift at one of the hospitals where I work.

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Jordan Barnett

Jordan Barnett, MD, is an Emergency Medicine Physician in the Philadelphia Suburban Region. He has previously worked as a volunteer firefighter, was a member of New York City EMS, and provides Medical Command for several ALS Ambulance Services. Dr Barnett provides EMS consultation services. Additionally, he is actively involved with EMS education.

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