System Impact of the 2003 Blackout on New York City Emergency Medical Services

2005 ◽  
Vol 12 (Supplement 1) ◽  
pp. 166-166
Author(s):  
J. P. Freese
Keyword(s):  
New York ◽  
New York City ◽  
Emergency Medical Services ◽  
York City ◽  
Medical Services ◽  
Emergency Medical ◽  
System Impact

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.

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

Policy, Practice, and Research Agenda for Emergency Medical Services Oversight: A Systematic Review and Environmental Scan

2018 ◽  
Vol 33 (1) ◽  
pp. 89-97 ◽  
Author(s):  
Rekar K. Taymour ◽  
Mahshid Abir ◽  
Margaret Chamberlin ◽  
Robert B. Dunne ◽  
Mark Lowell ◽  
...  
Keyword(s):  
New York ◽  
Emergency Medical Services ◽  
Research Agenda ◽  
Grey Literature ◽  
Quality Measurement ◽  
Medical Services ◽  
Washington Dc ◽  
Environmental Scan ◽  
Policy Practice ◽  
Emergency Medical

AbstractIntroductionIn a 2015 report, the Institute of Medicine (IOM; Washington, DC USA), now the National Academy of Medicine (NAM; Washington, DC USA), stated that the field of Emergency Medical Services (EMS) exhibits signs of fragmentation; an absence of system-wide coordination and planning; and a lack of federal, state, and local accountability. The NAM recommended clarifying what roles the federal government, state governments, and local communities play in the oversight and evaluation of EMS system performance, and how they may better work together to improve care.ObjectiveThis systematic literature review and environmental scan addresses NAM’s recommendations by answering two research questions: (1) what aspects of EMS systems are most measured in the peer-reviewed and grey literatures, and (2) what do these measures and studies suggest for high-quality EMS oversight?MethodsTo answer these questions, a systematic literature review was conducted in the PubMed (National Center for Biotechnology Information, National Institutes of Health; Bethesda, Maryland USA), Web of Science (Thomson Reuters; New York, New York USA), SCOPUS (Elsevier; Amsterdam, Netherlands), and EMBASE (Elsevier; Amsterdam, Netherlands) databases for peer-reviewed literature and for grey literature; targeted web searches of 10 EMS-related government agencies and professional organizations were performed. Inclusion criteria required peer-reviewed literature to be published between 1966-2016 and grey literature to be published between 1996-2016. A total of 1,476 peer-reviewed titles were reviewed, 76 were retrieved for full-text review, and 58 were retained and coded in the qualitative software Dedoose (Manhattan Beach, California USA) using a codebook of themes. Categorizations of measure type and level of application were assigned to the extracted data. Targeted websites were systematically reviewed and 115 relevant grey literature documents were retrieved.ResultsA total of 58 peer-reviewed articles met inclusion criteria; 46 included process, 36 outcomes, and 18 structural measures. Most studies applied quality measures at the personnel level (40), followed by the agency (28) and system of care (28), and few at the oversight level (5). Numerous grey literature articles provided principles for high-quality EMS oversight.Conclusions:Limited quality measurement at the oversight level is an important gap in the peer-reviewed literature. The grey literature is ahead in this realm and can guide the policy and research agenda for EMS oversight quality measurement.TaymourRK, AbirM, ChamberlinM, DunneRB, LowellM, WahlK, ScottJ. Policy, practice, and research agenda for Emergency Medical Services oversight: a systematic review and environmental scan. Prehosp Disaster Med. 2018;33(1):89–97.

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.

scholarly journals Prehospital Indicators for Disaster Preparedness and Response: New York City Emergency Medical Services in Hurricane Sandy

2016 ◽  
Vol 10 (3) ◽  
pp. 333-343 ◽  
Author(s):  
Silas W. Smith ◽  
James Braun ◽  
Ian Portelli ◽  
Sidrah Malik ◽  
Glenn Asaeda ◽  
...  
Keyword(s):  
New York ◽  
Emergency Medical Services ◽  
Safety Net ◽  
Hurricane Sandy ◽  
Urgent Care ◽  
Medical Services ◽  
Computer Assisted ◽  
Emergency Medical ◽  
Regional Health Care ◽  
Ambulance Transports

AbstractObjectiveWe aimed to evaluate emergency medical services (EMS) data as disaster metrics and to assess stress in surrounding hospitals and a municipal network after the closure of Bellevue Hospital during Hurricane Sandy in 2012.MethodsWe retrospectively reviewed EMS activity and call types within New York City’s 911 computer-assisted dispatch database from January 1, 2011, to December 31, 2013. We evaluated EMS ambulance transports to individual hospitals during Bellevue’s closure and incremental recovery from urgent care capacity, to freestanding emergency department (ED) capability, freestanding ED with 911-receiving designation, and return of inpatient services.ResultsA total of 2,877,087 patient transports were available for analysis; a total of 707,593 involved Manhattan hospitals. The 911 ambulance transports disproportionately increased at the 3 closest hospitals by 63.6%, 60.7%, and 37.2%. When Bellevue closed, transports to specific hospitals increased by 45% or more for the following call types: blunt traumatic injury, drugs and alcohol, cardiac conditions, difficulty breathing, “pedestrian struck,” unconsciousness, altered mental status, and emotionally disturbed persons.ConclusionsEMS data identified hospitals with disproportionately increased patient loads after Hurricane Sandy. Loss of Bellevue, a public, safety net medical center, produced statistically significant increases in specific types of medical and trauma transports at surrounding hospitals. Focused redeployment of human, economic, and social capital across hospital systems may be required to expedite regional health care systems recovery. (Disaster Med Public Health Preparedness. 2016;10:333–343)

scholarly journals System impacts of the COVID‐19 pandemic on New York City's emergency medical services

2020 ◽  
Vol 1 (6) ◽  
pp. 1205-1213
Author(s):  
David J. Prezant ◽  
Elizabeth A. Lancet ◽  
Rachel Zeig‐Owens ◽  
Pamela H. Lai ◽  
David Appel ◽  
...  
Keyword(s):  
New York ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Emergency Medical

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.

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