Limiting Patient Choices During Call Overload

When people call 911 and then request transport to a specific hospital. Should EMS honor that request? 

Or should we transport to the closest appropriate facility based on the patients signs, symptoms and our suspected clinical picture of the patient?

In NYC they have attempted to take away the choice of facility for a patient  due to the call volume and hospital overloading from COVID

Specifically when people are calling for non emergency reasons and just want
a trip to the ED for minor issues or are looking for a COVID test to be done.

This week on the show Jim and Dave talk about this policy and also discuss
how we can be prepared for MCI’s and being the Incident Commander when no one wants  the job.

Plus we answer a listener question about being a new paramedic and overcoming stress.

Take a listen or watch this episode below

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NYC Private Hospitals Looking At Big Bills To Run 911 EMS. Should They Pay?

In the latest effort to get local government spending down, NYC wants voluntary hospitals to pay up to $1 million a year to have their ambulances respond to 911 calls. Should they consider paying?

This episode of EMS Office Hours talks about this proposal, feedback from the field, potential hazards looming and maybe a bit more. Joined by several guest callers and chat room participants this hot EMS topic is one that has the potential to effect not just NYC EMS providers but the citizens of the city as well.

Take a listen to hear several view points and be sure to post your comments as well below.



Show Links:

The Social Medic – Dave Konig – http://thesocialmedic.net/2010/12/fdny-and-bloomberg-replace-ambulances-providing-911-service-with-extortion-services/

Rogue Medic Blog-  http://roguemedic.com/2010/12/ny-city-decides-to-cut-back-on-ambulances/

WSJ Blog –   http://online.wsj.com/article/SB10001424052748703493504576007743046682606.html

Save Our Hospital Based 911 Services Facebook Fan Page:  http://www.facebook.com/#!/pages/Save-Our-Hospital-Based-911-Ambulance-Services/183373018345212

Contact your local City Council – http://council.nyc.gov/html/members/members.shtml