Carl J. Post - Omaha Orange: A Popular History of EMS in America
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Essential reading for anyone who has ever wondered how EMS in America evolved into its present state.
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Omaha Orange : A Popular History of EMS in America
author
:
Post, Carl J.
publisher
:
Jones & Bartlett Publishers, Inc.
isbn10 | asin
:
0867201878
print isbn13
:
9780867201871
ebook isbn13
:
9780585227061
language
:
English
subject
Emergency medical services--United States--History, Emergency Medical Services--history--United States.
publication date
:
1992
lcc
:
RA645.5.P67 1992eb
ddc
:
362.1/8/0973
subject
:
Emergency medical services--United States--History, Emergency Medical Services--history--United States.
Page iii
Omaha Orange
A Popular History of EMS in America
Carl J. Post, Ph.D., EMT
Health Systems Management Program New York Medical College Valhalla, New York
JONES AND BARTLETT PUBLISHERS BOSTON LONDON
Page iv
Editorial, Sales, and Customer Service Offices Jones and Bartlett Publishers 20 Park Plaza Boston, MA 02116
Copyright 1992 by Jones and Bartlett Publishers, Inc.
All rights reserved. No part of the material protected by this copyright notice may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner.
Library of Congress Cataloging-in-Publication Data Post Carl J. Omaha orange : a popular history of EMS in America / Carl J. Post. p. cm. Includes index. ISBN 0-86720-187-8 1. Emergency medical servicesUnited StatesHistory. I. Title. [DNLM: 1. Emergency Medical ServiceshistoryUnited States. WX 215 P85650] RA645.5.P67 1992 362. 1'8'0973dc20 DNLM/DLC for Library of Congress 91-46513 CIP
Cover Design: Lina Haddad Production Services: TKM Productions
Printed in the United States of America 96 95 94 93 92 10 9 8 7 6 5 4 3 2 1
Page v
Contents
Preface
vii
Chapter One Surfing Our Lives Away? America in 1964
1
Chapter Two The American Way of Death
5
Chapter Three A Revolution Approaches: 19651974
15
Chapter Four TransportationFrom the Community to the Hospital
23
Chapter Five Critical CareFrom the Hospital to the Community
29
Chapter Six Witnessing
37
Chapter Seven Public HealthEMS As Acute Care, Ambulatory Care, or Primary Care
47
Page vi
Chapter Eight Public SafetyEMS As the First, Second, or Third Service
55
Chapter Nine The Division of Emergency Medical ServicesPublic Health and Critical Care Off to War
65
Chapter Ten The National Highway Traffic Safety AdministrationLongevity and the Art of Compromise
77
Chapter Eleven Pittsburgh, Seattle, and New York
87
Chapter Twelve Rural EMSA Price You Pay for Living in God's Country?
97
Chapter Thirteen TechnologyEMS and Science
103
Chapter Fourteen The Vollies
111
Chapter Fifteen Renaissance?
119
Index
125
Page vii
Preface
Contemporary Emergency Medical Service systems lack resources, personnel, and inventive radical minds. Survival takes priority over growth and experimentation. Medical control for these systems takes on the clear and intelligible outline of defensive medicine. Risk management is apparently a part of economic and legal concerns much more than of clinical ones. Refresher training serves to combat attrition instead of developing a basis for the expansion of manpower levels.
It translates into a situation where EMS and EMS systems are on the defensive. EMS managers have become quite reluctant to go on the offensive. Like much of American society, EMS leaders and personnel accept the notion that form is substance, as well as the related notion that process is, in and of itself, a product. The current rage has become quality assurance.
The danger of doing harm is carefully quantified, while the potential for doing some good is less often measured. Predictability suffices. Accomplishing dramatic gains with thrombolytics and twelve leads is not prudent management; research and development can be discarded in favor of alternatives, which offer no growth; ambulances do not meet specifications; radio equipment makes a mockery of supposed regulatory standards; highly placed notables consider reducing recertification requirements for volunteer personnel; and EMS itself loses credibility in one northeastern state.
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