Evans County EMS

04/02/2026

04/02/2026

04/02/2026

03/22/2026

Brodie Bowen happy birthday to a great Medic and teammate with us at Evans County EMS !!

03/22/2026

03/21/2026

03/21/2026

03/21/2026

03/21/2026

Airway Challenges in Bariatric Patients: https://ow.ly/e5Ap50Yw0SY from EMS Airway

Bariatric patients present with problems that require more effort to troubleshoot and overcome versus non-bariatric patients. These issues are not limited to the sheer physical difficulty of moving weight around.

At a baseline, without an underlying pathologic issue, bariatric patients operate near the limits of their ability to compensate for any sort of physiologic derangement. What this means for those in the prehospital world, specifically with airway management, is that these patients leave operators with very little room for error. We have to see it coming and have a response for difficulties when we encounter them.

03/21/2026

03/18/2026

30 yo woman calls 911 for chest discomfort, SOB, and a rapid heart rate. She is tachycardic and tachypneic with a normal BP. The following prehospital ECG is transmitted to the ED, and they ask for recommendations ... https://ed.gr/dtdcl

03/18/2026

CMS Improper Payment Data Sends a Clear Message to EMS: Documentation Presents Greater Risk Than Coding - https://ow.ly/oxex50Yta0M

The Centers for Medicare and Medicaid Services (CMS) recently released updated findings from the 2024 Medicare Fee-for-Service Supplemental Improper Payment Data Report.

The improper payment rate for ambulance services in 2024 was 13.2 percent, representing approximately $595 million in payments that CMS determined were improper.

The primary driver of improper payments is not coding mistakes or billing errors. Instead, the overwhelming majority stem from insufficient documentation.

Financial stability and compliance are closely tied to documentation practices in the field. Improving documentation quality requires attention from both clinical leadership and administrative teams.

One of the most effective steps organizations can take is strengthening documentation education for clinicians. Field providers should understand not only what they did during the call but also how to describe why ambulance transport was necessary. Narratives should clearly explain the patient’s condition, the risks associated with other forms of transportation, and the clinical reasoning behind treatment and transport decisions.

This does not mean writing a novel for every patient care report. But it does mean telling the clinical story clearly enough that someone reading the report months or years later, who was not on the call, can understand why the ambulance was necessary, as well as the individual clinical interventions provided.