scholarly journals Medical Leave Associated With COVID-19 Among Emergency Medical System Responders and Firefighters in New York City

2020 ◽  
Vol 3 (7) ◽  
pp. e2016094 ◽  
Author(s):  
David J. Prezant ◽  
Rachel Zeig-Owens ◽  
Theresa Schwartz ◽  
Yang Liu ◽  
Karen Hurwitz ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Medical System ◽  
Emergency Medical System ◽  
Medical Leave ◽  
Emergency Medical

How to Cope with a Visit from the Pope

1997 ◽  
Vol 12 (2) ◽  
pp. 15-20 ◽  
Author(s):  
Jane H. Federman ◽  
Lorraine M. Giordano
Keyword(s):  
New York ◽  
New York City ◽  
Total Quality Management ◽  
York City ◽  
Emergency Medical Technicians ◽  
Management Process ◽  
Mass Gathering ◽  
Total Quality ◽  
Medical Providers ◽  
Emergency Medical

AbstractA mass gathering always presents a challenge to the medical providers of a city since preparations must be made to cover any potential disasters, big or small. With a prediction of several hundred thousand people coming to the New York City area to participate in the Papal Masses, the New York City-Emergency Medical Services readied its forces of physicians, paramedics, and emergency medical technicians from throughout the region. Extensive multiagency planning involving a Total Quality Management process was integral to the success of covering the events.

Airport Disaster Planning – New York City

1985 ◽  
Vol 1 (2) ◽  
pp. 144-144
Author(s):  
Dennis B. Dove ◽  
Louis R.M. DelGuercio ◽  
William M. Stahl ◽  
Leon D. Star ◽  
Louis C. Abelson
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Care Facility ◽  
Disaster Planning ◽  
Disaster Plan ◽  
Emergency Rescue ◽  
Medical Office ◽  
Emergency Medical ◽  
Medical Teams

At the John F. Kennedy International Airport in New York City, disaster planning has been an integral part of the airport operations for the past 28 years. Through the Medical Office, emergency medical teams have been recruited from all ranks of airport personnel and trained in rescue and resuscitation. Following the crash of a commercial B 727 aircraft in 1976 and the resulting crippling traffic jams in the vicinity of the airport, a new concept was added to the disaster plan. This concept involves bringing the hospital, its facilities and its personnel to the scene.A new piece of equipment, known as a Mobile Emergency Hospital was designed from existing airport equipment, with the cooperation of the airlines, the operating authority of the airport, and other interested parties. Two such vehicles are now in constant readiness at the airport and together provide 12 monitored ICU beds, a 16-bed burn unit, 2 operating rooms and 72 other stretcher-beds to be used for the stabilization of critically ill patients prior to their transfer to an appropriate definitive care facility. A newer modularized version which incorporates these features, for use in any type disaster, is currently being developed. These mobile hospitals, together with two inflatable structures maintained at the airport, are supplemented by Mobile Emergency Rescue Vehicles (MERV vans) maintained at local hospitals by the Emergency Medical Service Systems (EMSS) of New York City. Together they provide the on-site Resuscitation and Stabilization Center in the event of a disaster.

Lessons in Post-Disaster Self-Care From 9/11 Paramedics and Emergency Medical Technicians

2019 ◽  
Vol 34 (03) ◽  
pp. 335-339 ◽  
Author(s):  
Erin Smith ◽  
Tony Walker ◽  
Frederick M. Burkle
Keyword(s):  
New York ◽  
New York City ◽  
Outcome Measures ◽  
York City ◽  
Terrorist Attack ◽  
Self Care ◽  
Well Being ◽  
Emergency Medical Technicians ◽  
Emergency Medical ◽  
Care Practices

AbstractObjective:The objective of this study was to explore preferred self-care practices among paramedics and emergency medical technicians (EMTs) who responded to the September 11, 2001 terrorist attack (9/11) in New York City (New York USA).Design, Setting, and Participants:Qualitative research methodology with convenience and subsequent snowball sampling was utilized. Participants were adult (at least 18 years of age) paramedics or EMTs who self-reported as responding to the 9/11 terrorist attack in New York City.Main Outcome Measures:Preferred self-care practices; participant characteristics; indications and patterns of self-care use; perceived benefits and harms; and views on appropriate availability of support and self-care services were the main outcome measures.Results:The 9/11 paramedic and EMT participants reported a delay in recognizing the need for self-care. Preferred physical self-care practices included exercise, good nutrition, getting enough sleep, and sticking to routine. Preferred psychosocial self-care practices included spending time with family and friends, participating in peer-support programs and online support forums, and routinely seeing a mental health professional. Self-care was important for younger paramedics and EMTs who reported having less-developed supportive infrastructure around them, as well as for retiring paramedics and EMTs who often felt left behind by a system they had dedicated their lives to. Access to cooking classes and subsidized gym memberships were viewed as favorable, as was the ability to include family members in self-care practices.Conclusion(s):A range of physical and psychosocial self-care practices should be encouraged among paramedic students and implemented by Australian ambulance services to ensure the health and well-being of paramedics throughout their career and into retirement.

Triage Accuracy at a Multiple Casualty Incident Disaster Drill: The Emergency Medical Service, Fire Department of New York City Experience

2006 ◽  
Vol 27 (5) ◽  
pp. 570-575 ◽  
Author(s):  
Josef D. Schenker ◽  
Steven Goldstein ◽  
James Braun ◽  
Andrew Werner ◽  
Frank Buccellato ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Emergency Medical Service ◽  
York City ◽  
Medical Service ◽  
Fire Department ◽  
Emergency Medical

Impact of Citywide Blackout on an Urban Emergency Medical Services System

2006 ◽  
Vol 21 (6) ◽  
pp. 372-378 ◽  
Author(s):  
John Freese ◽  
Neal J. Richmand ◽  
Robert A. Silverman ◽  
James Braun ◽  
Bradley J. Kaufman ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Response Times ◽  
Median Response ◽  
Processing Times ◽  
Telephone System ◽  
Emergency Medical ◽  
Call Processing ◽  
The City

AbstractIntroduction:On 14 August 2003, New York City and a large portion of the northeastern United States experienced the largest blackout in the history of the country. An analysis of such a widespread disaster on emergency medical service (EMS) operations may assist in planning for and managing such disasters in the future.Methods:A retrospective review of all EMS activity within New York City's 9-1-1 emergency telephone system during the 29 hours during which all or parts of the city were without power (16:11 hours (h) on 14 August 2003 until 21:03 h on 15 August 2003) was performed. Control periods were established utilizing identical time periods during the five weeks preceding the blackout.Results:Significant increases were identified in the overall EMS demand (7,844 incidents vs. 3,860 incidents; p<0.001) as well as in 20 of the 62 calltypes of the system, including ca rd i ac arrests (119 vs.76, p= 0.043).Significant decreases were found only among calls related to psychological emergencies (114 vs. 221; p= 0.006) and drugor alcohol-related emergencies (78 vs. 146; p = 0.009). Though median response times increased by only 60 seconds, median call-processing times within the 9-1-1 emergency telephone system EMS dispatch center of the city increased from 1.1 to 5.5 minutes.Conclusions:The citywide blackout resulted in dramatic changes in the demands upon the EMS system of New York City, the types of patients for whom EMS providers were assigned to provide care, and the dispositions for those assignments. During this time of increased, system-wide demand, the use of cross-trained firefighter and first-responder engine companies resulted in improved response times to cardiac arrest patients. Finally, the ability of the EMS dispatch center to process the increased requests for EMS assistance proved to be the rate-limiting step in responding to these emergencies.These findings will prove useful in planning for future blackouts or any disaster that may broadly impact the infrastructure of a city.

scholarly journals Surveillance of a Synthetic Cannabinoid Overdose Outbreak using Syndromic & EMS Data

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Peter J Rock ◽  
Michael D Singleton
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
Emergency Medical Services ◽  
York City ◽  
Syndromic Surveillance ◽  
Data Systems ◽  
Emergency Medical ◽  
Fayette County ◽  
Over Time

Objective: The aim of this project was to investigate anecdotal reports of an increase in synthetic cannabinoid (SynCan) overdoses in Lexington-Fayette County area of Kentucky, using rapid surveillance systems including emergency department (ED) syndromic surveillance (SyS) and emergency medical services (EMS) data.Introduction: In mid-2017, the Kentucky Injury Prevention and Research Center (a bonafide agent of Kentucky Department for Public Health-KDPH) was alerted by members of KDPH to anecdotal evidence of a possible increase of SynCan (primarily “Serenity”) overdoses. The situation presented an opportunity to demonstrate the capabilities of syndromic surveillance and emergency medical services (EMS) data systems to provide rapid situational awareness about SynCan overdoses.Methods: SynCan cases were identified based on EMS emergency runs with narratives including mentions of ‘serenity|K2|spice’ and occurred in the Lexington-Fayette County. In ED SyS, SynCan cases were identified for Lexington-Fayette County area ED visits with a chief complaints of ‘serenity|K2|spice’ or diagnosis code of T40.7X[1-4]A. The ICD code was included after analysis of diagnosis codes in positive cases from a chief complaint only query revealed T40.7X[1-4]A as a primary code assigned in these cases. Trends for Lexington-Fayette County area were compared to state-wide total to determine if the trend is unique or related to system-wide pattern changes. EMS and ED SyS trend results were compared for internal validity. EMS incident addresses were geocoded to point-level to enable more granular analysis of geospatial patterns over time for identification of hotspots/clustering.Results: ED SyS and EMS results demonstrated a clear temporal increase in SynCan overdoses beginning around March of 2017[Fig 1]. Further analysis indicated that this increase was most dramatically centered in the Lexington-Fayette County area [Fig 2]. The vast majority of those overdosing were males (SyS: 88.1%) with average age 37 compared to 11.9% and 36.0 for females, respectively. These demographics are similar to those reported by the New York City Department of Health and Mental Hygiene for a K2 outbreak in New York City in 20141. Kernel density mapping demonstrated a strong clustering in a specific area of downtown Lexington. Additionally, analysis of EMS data revealed that a large portion of these overdoses were being admitted for observational care and thus not being captured in SyS data (based on the primary hospital’s submission types).From a practical standpoint, the rapid surveillance results only took 1-2 days to complete and highlight the utility of these data systems in preparing rapid data products. The results of the analysis were shared with local and state health department authorities, including the local Emergency Medical Advisory Board. The geospatial analysis provided local authorities with information to enable precise targeting of public health and public safety messaging.Conclusions: By analyzing data from these systems, we were able to quickly identify the geographic areas and demographic groups that were most affected, and to describe trends in SynCan overdoses over time. As a result, we were able to provide highly-detailed data to local public health and public safety authorities to inform their response.

An Important Armenian MS. with Greek Miniatures

1942 ◽  
Vol 74 (3-4) ◽  
pp. 155-162
Author(s):  
H. Kurdian
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Christian Iconography

In 1941 while in New York City I was fortunate enough to purchase an Armenian MS. which I believe will be of interest to students of Eastern Christian iconography.

Hospitals: N.Y. Appellate Court Denies Move to Privatize Public Hospital

1999 ◽  
Vol 27 (2) ◽  
pp. 202-203
Author(s):  
Robert Chatham
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Public Health System ◽  
Municipal Hospital ◽  
The Public ◽  
Public Benefit ◽  
For Profit ◽  
Benefit Corporation ◽  
The City

The Court of Appeals of New York held, in Council of the City of New York u. Giuliani, slip op. 02634, 1999 WL 179257 (N.Y. Mar. 30, 1999), that New York City may not privatize a public city hospital without state statutory authorization. The court found invalid a sublease of a municipal hospital operated by a public benefit corporation to a private, for-profit entity. The court reasoned that the controlling statute prescribed the operation of a municipal hospital as a government function that must be fulfilled by the public benefit corporation as long as it exists, and nothing short of legislative action could put an end to the corporation's existence.In 1969, the New York State legislature enacted the Health and Hospitals Corporation Act (HHCA), establishing the New York City Health and Hospitals Corporation (HHC) as an attempt to improve the New York City public health system. Thirty years later, on a renewed perception that the public health system was once again lacking, the city administration approved a sublease of Coney Island Hospital from HHC to PHS New York, Inc. (PHS), a private, for-profit entity.

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