Yes. As 77 million baby boomers reach the age of 65 years, we will see a rapid expansion of patients calling for ambulances. Additionally, as trauma increases in certain areas in the country, more people will require ambulances to bring them to the hospital. Lastly, recent advances in prehospital care have lead to many complex protocols that need specific expertise.
I am willing to review each individual case for either the plaintiff or the defense and review the EMS chart as well as the Emergency Department/hospital chart as it pertains to Emergency Medical Services.
In one word: experience. Many people hire any local physician to be a medical consultant of an EMS system, whereas Dr. Merlin has dedicated his entire career to the care of patients on ambulances and paramedics/Emergency Medical Technicians. This is a very new area of expertise, and only recently, a formation training program in EMS/Disaster Medicine has been created. Dr. Merlin has created two of these fellowship programs for physicians, for which they can apply after completing residencies. All of the physicians who have trained under Dr. Merlin have obtained national positions in EMS.
Dr Merlin has reviewed thousands of EMS charts for work or at the request of various agencies. Only a handful of these have been at the request of Attorneys. These charts have been for all types of EMS calls from pediatric to geriatric to obstetrics.
Dr Merlin began working in 1981 with Advanced First Aid, at age 14. At 16, he joined a first volunteer ambulance service. At 19, he became an EMT, and he became a paramedic at 21. He worked his way through college as a paramedic in the inner city as well as suburban areas. Prior to that, he worked initially on volunteer first aid squad with over 1500 hours accrued.
Like anything else, it depends on the level of expertise one is looking for. Dr. Merlin has been involved in EMS for over 25 years as a provider and medical director, He has published twenty-five manuscripts and abstracts on EMS topics in peer reviewed journals in the last 3 years. He is a state director of the disaster preparedness group, and is in charge of a statewide ALS committee making policies for all paramedic units. Additionally he is one of only a handful of physicians in the world that has been involved in all aspects of prehospital care, and he meets requirements by the National Association of EMS Physicians to work as an expert witness.
Dr Merlin responds on about 10-15 Advanced Life Support requests per week. This includes car collisions, chest pain, shortness of breath and cardiac arrests in patient’s homes or wherever the emergency occurs.