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The hot seat: Why volunteers in EMS are an endangered species

It is only a matter of time before a major failure of the system reveals the system for what it is

New Jersey’s EMS system continues to fall apart at the seams — apparently without a plan to improve its ability to respond reliably on a daily basis.

The scary thing about this story is that who knows how often incidents like this occur throughout the state on a daily basis. We’ll probably never know. I’m not clear whether any data or records are kept about basic facts like response times, missed calls, mutual aid and so forth.

This isn’t a rural area, Hasbrook Heights is a suburb of 11,000, located close to Passaic. In fact, the area is densely populated with many small jurisdictions splitting up the emergency response work. That has to be pretty expensive — even with volunteers.

Discussions with individuals intimate with the NJEMS system reveals the classic conundrum — everyone knows there is a problem. Yet, tradition gets in the way.

Volunteering in EMS used to be popular when Americans could thrive on a single income, worked in town, and when running an EMS service was simpler. That was perhaps thirty years ago. Since then, it’s pretty clear times have changed, making the volunteer an endangered species.

Agencies have been trying to recruit — without success. It isn’t for lack of trying, because the intention is noble. But the reason why there are few volunteeers is that there simply aren’t any.

New Jersey has known this for some time. It is only a matter of time before a major failure of the system puts the leadership in the hot seat and reveals the system for what it is — very fragile, antiquated and very stuck.

Art Hsieh, MA, NRP teaches in Northern California at the Public Safety Training Center, Santa Rosa Junior College in the Emergency Care Program. An EMS provider since 1982, Art has served as a line medic, supervisor and chief officer in the private, third service and fire-based EMS. He has directed both primary and EMS continuing education programs. Art is a textbook writer, author of “EMT Exam for Dummies,” has presented at conferences nationwide and continues to provide direct patient care regularly. Art is a member of the EMS1 Editorial Advisory Board.