Community project funding/congressionally directed spending - construction - rwjbarnabas health (rwjbh), new jersey's most comprehensive academic healthcare system, has established an innovative…

Community project funding/congressionally directed spending - construction - rwjbarnabas health (rwjbh), new jersey's most comprehensive academic healthcare system, has established an innovative approach to the existing pre-hospital/emergency response (EMS) framework by taking lessons learned from the U.S. Military's engagement in afghanistan and iraq over the past twenty years and incorporating them into an innovative care concept. This new approach involves physician directed and provided care at the scene of emergencies out in the community in order to enhance health outcomes and save lives. Under this initiative, rwjbh will expand and enhance its existing EMS physician training and mobile health initiative currently based in newark to include an additional team based at cooperman barnabas medical center in livingston. Beyond the US military's experience, recent studies have shown that pre-clinical care carried out by EMS physicians assures better results. Many therapies that are delivered in the hospital can be deployed in the field, which is one of the major thrusts of the military "lessons learned". EMS physicians are uniquely positioned to innovate the delivery of these therapies in the field because they are the only provider legally authorized to deliver this type of care in the civilian environment. The physician, in their response vehicle, delivers hospital level care directly to the patient. Even prior to arrival at the scene, the physician starts directing care by communicating with on-scene police/fire personnel. The major benefit of the physician is to deliver immediate life-saving interventions while also enhancing triage capabilities, providing the right resources to the right patient at the right time. The public benefit is better health outcomes and lives saved.