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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 […]

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.

Advancement of EMS Oversight For BLS Arena

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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.

EMS After 911: The State of Prehospital Care

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It seems as if the overall system for Emergency Medical Care is in need of reinvention. A centrally controlled scene command, an assurance of minimal skill and proficiency for EMTs and first responders, and an ability of hospitals to have a built in cushion to absorb patients, are all core components of an effective disaster preparedness system. This reinvention must be realized on a state or regional level. Failure to address these issues could prove disastrous in the future if such circumstances ever reoccurred

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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.
Comments
Abby
Hiding In The Nursing Lounge
Agreed. Very well said.
2013-08-19 00:46:31
Abby
Hiding In The Nursing Lounge
I'm several years too late, but I found these posts interesting. One, the students were clearly in the wrong. Their behavior can't be justified. In any profession you're bound to have good days and bad. People are going to say rude things that are going to make you angry. However, you still must do the…
2013-08-19 00:34:56
Olive
Time for Intelligence in Implementing EMS
I am extremely impressed with your writing skills and also with the layout on your weblog. Is this a paid theme or did you customize it yourself? Either way keep up the nice quality writing, it's rare to see a great blog like this one these days.
2013-04-15 20:21:25
dan chambers
EMS System in NJ
Hey, really appreciate the post.  Its good to give real life accounts of what it is like to be an EMT and work for the EMS, good and bad.   I really think that would-be students would really love reading this post and others you have written.  Anyway, I have an info blog myself that…
2013-02-18 20:54:03
bank mandiri terbaik di indonesia
Time for Intelligence in Implementing EMS
Greate article. Keep posting such kind of info on your page. Im really impressed by your site. Hey there, You've performed a great job. I will definitely digg it and personally suggest to my friends. I'm sure they'll be benefited from this website.
2013-01-23 23:44:45
August 2014
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