Tuesday, January 3, 2017

2017

Dear Peorians,

Just wanted to let you know that EMS in Peoria is confusing. The only thing that is straightforward is understanding the conflict of interest involved in pre-hospital care.

Now, most people do NOT know the following:

If you suffer a medical problem in the area covered by R1 (main fire house in Peoria), you or your family member or your friend, calls 911. When R1 arrives at your side, which is usually faster than AMT arrives at your side, R1 can only give you Basic Life Support. They cannot give you Advanced Life Support even if R1 has Paramedics working for them and have the knowledge base and the ability to help you. The PFD Paramedic can’t even start an IV. They cannot give you medication. They can only give you Basic Life Support. They have a great knowledge base but they are not allowed to offer advanced life support skills that they have. You must wait for AMT and their paramedic to arrive. Then, and only then, can the PFD Paramedic help you. And this, in turn, helps the AMT medic.

Does this make sense to you? Not really?

Let me tell you something. People's lives in Peoria are being risked every day in medical scenarios where the PFD and their Paramedics are restricted from caring for you. And during the last 15 years, I am aware of many precarious medical situations that have happened after 911 was called.

There is a lot of fear in Peoria about this. AMT has many businesses supporting them. People in Peoria are afraid to like or share a post like this. They do not want to lose their jobs. Rich people do not want anything to change. Poor people are just getting through the day and can’t take on another battle. So both rich and poor are silent on this issue for completely different reasons.

Bishop Daniel Jenky is aware of the problem. The Sisters at OSF are aware of the problem. They will do nothing to improve the prognosis of the 911 patient in Peoria. Trust me. The ethics committees will bury their heads in the sand. The majority of Peoria medical community will stay quiet. Nothing will change until the politicians legislate for improvement in Peoria’s EMS. Or there is a lawsuit.

Please consider the following: Engine 4 is located on the South Side of Peoria. It has been a Paramedic Engine since 2013. During the last 11 months, Engine 4 responded to 2,140 EMS calls. Yes, you read that correctly. And during October and November 2016, just two months, Engine 4 Paramedics provided 49 Advanced Life Support interventions. Yes, you read that correctly also. So, do you think the South Side of Peoria is better off with Engine 4 staffed by Paramedic/Firefighters since 2013? Remember, that for many many years our leaders told us that it was NOT necessary for Engine 4 to advance to Paramedic. Wonder what they say now?

I think it is way past time to listen to the PFD. It is way past time to listen to Rick Waldron who has been a firefighter-paramedic for greater than 10 years working at ground zero in Peoria regarding EMS calls. 

At the scene of an accident, multiple firefighter-paramedics are often needed to extricate and give advanced life support care. This is not hard to understand. When Peoria has a shooting or multiple shootings, multiple paramedics are needed. This is not hard to understand either. 

And at a house fire where there are flames, smoke, and people with smoke inhalation and burns, potentially with superimposed chronic medical problems, there is only one agency to call in Peoria to handle all of these problems—the PFD. This is not hard to understand either.

Peoria needs to wake up before even more lives are lost due to a corrupt and inefficient Peoria Area EMS.

John A. Carroll, MD
www.haitianhearts.org

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Conflict of Interest in Peoria

January 3, 2017

Dear Everyone,

Happy New Year.

Please see this post.

The Peoria Fire Department has three Engines that can give paramedic care--Engines 4, 12, and 20.

During much of 2016, the PFD tried to have Station 19 upgraded to paramedic. So far the powers that be have been able to rebuff these attempts to improve pre-hospital care medical care in Peoria.

Please stay tuned.

John

Wednesday, January 28, 2015

Chillicothe 33 and Conflict of Interest in Central Illinois

Doug Marshall is Peoria Area Emergency Medical Services attorney. He is also OSF-SFMC’s attorney.
Matt Jackson, MD is Medical Director of Peoria Area Emergency Medical Services. He is also OSF-Emergency Department Emergency Medical Services Medical Director.
(It is interesting that both of these key figures in pre-hospital care in central Illinois had no comment on the ongoing Chillicothe 33 saga.)
OSF has always supported Advanced Medical Transport (AMT). George Hevesy, MD, OSF’s former Emergency Department's Medical Director and Emergency Medical Services Medical Director, is still receiving a salary from both OSF and AMT. Dr. Hevesy has been a valuable employee for AMT and OSF for over two decades.
It will be interesting to see what OSF will do if Chilicothe 33 attempts to become an Advanced Life Support ambulance service for Chillicothe. My guess is that the gloves will come off yet again.
A widely used definition of conflict of interest is:
"A conflict of interest is a set of circumstances that creates a risk that professional judgement or actions regarding a primary interest will be unduly influenced by a secondary interest."
Stay tuned.
John A. Carroll, MD
Peoria




Ambulance service will answer emergency calls in Hopewell starting Sunday
PJSTAR.COM|BY SCOTT HILYARD OF THE JOURNAL STAR


Saturday, November 15, 2014

A Big Loss for Peoria...

Dr. Dale Geiss, cardiac surgeon, recently moved his practice from Peoria to the Quad Cities. Dr. Geiss began his practice of adult and pediatric
PJSTAR.COM
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  • John A Carroll Dr. Dale Geiss established the surgical pediatric heart program at OSF-CHOI through incredible hard work, tenacity, and skill. It took him decades to do this. 

    Dr. Geiss operated Haitian Hearts patients and never sent me one bill. And neither did his perfusionist, operating team, or the myriad of pediatric speciality physicians taking care of the Haitian kids post-operatively. (Haitian Hearts did pay OSF-CHOI over 1.1 million dollars for use of their facility and excellent cardiovascular ICU staff and ancillary services.) 

    And don’t forget Dr. Geiss mentored a young pediatric heart surgeon, Dr. Randall Fortuna, for the last decade at CHOI. Unfortunately, Dr. Fortuna just left town too. 

    Pediatric heart surgeons of these doctors abilities are not found on every street corner. What a shame for central Illinois babies, children, and young adults. 

    Like most everything else in life, we don’t know what we have until it is gone.

Thursday, October 30, 2014

AMT Wants Peoria Heights EMS Contract

AMT and OSF, along with the support of the local business elite, try to get control of ambulance services in Peoria Heights.
Re. Oct. 4 story, “Nonbinding ambulance question on Peoria Heights ballot”:The article did not include important details about emergency
PJSTAR.COM
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Friday, October 17, 2014

Dallas Nurse Risks Her Job at Hospital (New York Times--October 17, 2014)

Controls Poor in Dallas, Nurse Says

By KEVIN SACK
DALLAS — A nurse who observed and participated in the care of Ebola patients at Texas Health Presbyterian Hospital spoke out publicly on Thursday about what she characterized as inadequate training and infection control there.
The nurse, Briana Aguirre, 30, who has worked at the hospital for three years, said in an interview that when Thomas Eric Duncan arrived at the emergency room on Sept. 28, it took at least three hours to place him in isolation, despite suspicions that he had contracted the deadly virus. Mr. Duncan had visited the emergency room three days earlier with a fever and other symptoms, as well as a history of recent travel from West Africa, but was sent home with antibiotics after being misdiagnosed.
Ms. Aguirre described a confused and chaotic scene when he returned. “A lot of questions unanswered, staff not knowing exactly what to do, mishandling things,” she said.
The doctor handling the case, whom Ms. Aguirre would not name, waited hours to call the Centers for Disease Control and Prevention for guidance, she said.
Photo
Briana Aguirre, a nurse at Texas Health Presbyterian Hospital in Dallas, spoke of inadequate protocols for dealing with Ebola. Credit Cooper Neill for The New York Times
“I know he spent a multitude of hours in an area where anyone could be walking up and down the hall,” Ms. Aguirre said of Mr. Duncan. “He was in a room with a closed door, but the same staff that was caring for him was caring for other people at that time and it stayed that way anywhere from three to five hours.”
She said that up to seven patients may have been in the emergency room with Mr. Duncan. Eventually, she said, the other patients were removed from the area and the emergency room became Mr. Duncan’s isolation unit for two days.

More Ebola Coverage

Ms. Aguirre, who lauded the general quality of care at the hospital, said she had come forward because she had lost confidence in her employer and feared that fellow nurses and other staff had been put at risk. She is one of several nurses who anonymously released a statement on Tuesday night that made similar claims.
“I’m not alone in my feeling that someone needs to know what has been happening inside those doors,” she said.
On Thursday night, the hospital issued a statement saying that when Mr. Duncan arrived at the emergency room, “he was moved directly to a private room with a negative air pressure and placed in isolation,” and that the hospital’s infection control coordinator “was properly notified in a timely manner of the initial diagnosis.” It said it had followed C.D.C. guidelines in effect at the time.
Ms. Aguirre also helped care for her fellow nurse, Nina Pham, for several days after Ms. Pham contracted the virus while treating Mr. Duncan. Ms. Aguirre is one of more than 70 health care workers being monitored because they helped treat Ebola patients. She said that she has been instructed to take her temperature twice a day and that she receives a daily call asking if she has symptoms.
Ms. Aguirre said she and other nurses were “horrified” at the protocols used to care for Ms. Pham. She said they received instruction only once about the proper use of personal protective equipment — gloves, masks, gowns, hoods and shields — before entering Ms. Pham’s room, and then were shown how to remove the potentially contaminated gear while in the room. The garb left a triangle of skin exposed on the front of her neck.
“The very first time I was being instructed to put the stuff on I immediately voiced my concerns,” Ms. Aguirre said. “Why would I be wearing two pairs of gloves, three pairs of bootees, have my entire body covered in plastic, have two hoods on and have an area so close to my mouth and my nose exposed? And they said, ‘We know, we’ve addressed it and basically our verdict on that at this time is we’re taping that area closed.’ ”


She said the hospital had offered a single, voluntary session on treating Ebola patients a month or two before Mr. Duncan’s arrival. “There were some fliers stuck up in our break room saying they were having a seminar to discuss some facts about Ebola,” Ms. Aguirre said. “I didn’t go. I had a friend who said it was good information, very interesting, but it was not hands-on. It was just a lecture.”

Friday, September 12, 2014

Crowding Kills

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