Category Archives: ems-health-safety

Entry Img

  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 […]

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, […]

A Tale of Two, Two Tiers

Entry Img

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?

Entry Img

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 […]

Hiding In The Nursing Lounge

Entry Img

“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

Entry Img

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

Entry Img

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.

The Free Taxi Ride

Entry Img

Years ago I was working with New York City as an EMT out of Queens General Hospital. I remember being in shock after picking up an otherwise non-ill appearing man who gave a complaint that I currently cannot recall. We took him in a city ambulance to the local hospital. The part that shocked me was that he never entered the hospital. He thanked us and proceeded to go across the street to do his shopping. He never was sick and never intended to enter the ED doors. We served as free transportation for him.

Advancement of EMS Oversight For BLS Arena

Entry Img

Beginning January, 2011, a Medical Director is required for all ambulance services in the Commonwealth of Pennsylvania. Additionally, the ability to contact Medical Command is required of all ambulance services as well. This seems as if we are heading in the right direction regarding oversight. Up until now, AEDs were optional for BLS ambulance services. The mandate that they are onboard has prompted the need for having a Medical Director. Hopefully, this will generate some quality control. Hopefully, this will not be a localized step forward in one individual state.

background image Blogger Img

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.

April 2014
M T W T F S S
« Mar    
 123456
78910111213
14151617181920
21222324252627
282930