All Blog Posts (725)

Commentary Appearing in "The Philadelphia Evening Bulletin" - 02/26/2008

On March 16, 1985, a volunteer EMS provider named Sigmund Fine wrote an editorial to the Philadelphia Daily News in which he expressed distress over the poor state of EMS in the city of Philadelphia.

"The problem is very serious because lives are at stake," Mr. Fine wrote. Over two decades later, we find that he was not an alarmist. He was right, and we now have the names and the stories to prove it.

On Jan. 1, 2008, Deborah Payne waited over an hour for a Philadelphia… Continue

Added by Gabriel L. Nathan on December 4, 2008 at 3:02pm — No Comments

Commentary on Domelights Regarding Philadelphia EMS 911 Debacle. Renew the Debate!

Let me just say that I couldn't agree more with the sentiment that all too often a private ambulance service is on-scene at a medical or trauma incident prior to Philadelphia Fire EMS. This proves my point that the Philadelphia Fire Department's emergency medical resources are inadequate to cope with the burdens and demands placed upon it by the citizenship who a.) do not know when it is appropriate to call 911 and/or b.) do not care when it is appropriate to call 911. Many cities have long… Continue

Added by Gabriel L. Nathan on December 4, 2008 at 3:00pm — 2 Comments

Ambulances: Another View (ran in Philadelphia Daily News ; Jan 22)

Philadelphia Daily News

IT'S A DISTURBING and frightening fact that the Philadelphia Fire Department believes its 40 ambulances are perpetually prepared to handle every medical and trauma emergency call that comes in, especially when many people tie up the ambulances with bogus calls that essentially amount to a taxi ride. This total reliance on the fire department can't work and can't last.

As an EMT, I worked for a for-profit ambulance company in the city, and its… Continue

Added by Gabriel L. Nathan on December 4, 2008 at 2:47pm — No Comments

Your Other Partner

A.J. Heightman, MPA, EMT-P


My partner, Art Young, and I responded to a call in an apartment building for a man experiencing "trouble breathing." As soon as we entered the apartment, something seemed wrong about the call. You know what I’m talking about—the type of call where the hair on the back of your neck stands up for some strange reason.

The apartment was unkempt: Clothes and newspapers littered the floor, and… Continue

Added by JEMS Editorial Team on November 28, 2008 at 8:30pm — 5 Comments

A Critical Shut-Off Valve

BP cuff being effectively used as a tourniquet, as illustrated in the 1977 AAOS textbook Emergency Care and Transportation of the Sick and Injured,p. 64.
A.J. Heightman, MPA, EMT-P


Recently, I was presenting a lecture in which I stated that all BLS and ALS personnel should carry and use modern-day, easy-to-apply, wide-banded tourniquets for significant… Continue

Added by JEMS Editorial Team on November 20, 2008 at 9:30pm — 3 Comments

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