Abstract
This paper examines the practice of "ambulance chasing" to determine whether it is a service or a disservice to victims of a disaster. The author considers the issue from the perspective of three philosophical models used for determining the ethical course of action, including the teleological approach, the deontological approach and the relativist approach. The paper then concludes that the decision to limit severely or disallow ambulance chasing seems to be the most ethical decision and explains the reasoning behind this conclusion.

Table of Contents
Introduction
Fact Gathering
Ambulance Chasing is a Global Problem
Making Cases
Determining the Ethical Issue
Principles on Which to Base Ethical Decisions
The Relativist Approach
The Deontological Approach
The Teleological Approach
Alternatives Based on the Relativist Approach
Alternatives Based on the Deontological Approach
Alternatives Based on a Teleological Approach
Consequences
The Decision

From the Paper
"Deontology demands a good and a bad element. It is difficult to delineate either of these absolutely in the case of ambulance chasing; it is easy in such cases as murder. To force application of this test in the case of ambulance chasing results in an artificially rigid interpretation of right and wrong, and it does so, moreover, before the facts in any given case are known. In the case of the train derailment in California, it is clear that the suicidal man who left his truck on the tracks was acting unethically. However, beyond that, there is no clarity."

Tags:lawyers, decision-making, teleological, deontological, relativist

Abstract
This paper evaluates the London Ambulance service and its CAD (Computer Aided Dispatch) project with reference to five stages of project management, linking the theories prescribed and the actual practice. Suggestions and solutions are offered at all stages. The paper includes diagrams.Table of Contents

Abstract
Introduction
Overview of London Ambulance Service
Brief Overview of the Subject
Defining the LAS CAD Project
Creating the Project Strategy
Detailed Planning of LAS CAD Project
Base Design
Cost and Schedule
Contract Terms and Conditions
Development of CAD Project
Implementation and Control of LAS CAD
System Problems
Change Management
HR and Training
Cultural Issues
Review and Learning
Ideal Project Management Solutions for LAS CAD and Conclusion
Appendix I : Cause and Effect Diagram
Appendix II : Problem and Cause Analysis
List of References
Bibliography

From the Paper
"Thus the implementation process actually required certain changes to be made within the workplace, but those areas of change were not focused on properly. Some of the important changes, as spotted by Sommerville (2004) in his case study, are: Re-configuring the control room, using only system proposed resource allocators and separate allocators for different call sources. These changes would have paved theway for an efficient implementation, but the changes were not well communicated and hence the new practices seem to have come as a surprise to most of the staff. The PMBOK guide (2000), when discussing communications planning, states: "Communication planning involves determining the information and communications needs of the stake holders: who needs what information, when they will need it, how it will be given to them and by whom"(p.119)."

Tags:system, options, communication, RHA

Abstract
This paper presents an in-depth discussion of the Canadian institution of the bush pilot after 1920, in relation to informal medical evacuation functions, and the rise of post-World War II formal medevac services. It gives a history of how Saskatchewan pioneered systematic air evacuation of patients from 1948-1968. Additionally, it points out the continuing reliance on bush pilots now trained in paramedical support and critical care nursing.

From the Paper
"Canada has an elaborate lore of bush pilots as individuals, male and sometimes female, whose vocations tend to be discussed historically, though a perennial presence. Many have become cultic personalities in view of a way of life demanding independent personalities equal to endless duties and considerable risk. Fewer persons seem aware of the bush pilot as a continuing necessity in much of Canada including the many to perform air ambulance services, again, across a large proportion of Canada. This paper examines the rise of air medical and evacuation services in northern..."

Tags:canada, bush pilots, air medevac

Abstract
The paper details the kinds of injuries or incidents responded to by helicopter and explains who the members of the ambulance team are. The paper looks at the relationship between the pilot and the medical team and goes on to relate that most flights are actually rapid transfer flights from one medical care facility to another. The paper also discusses the professionalism of pilots who must follow relatively strict safety guidelines and have the discretion to abort missions before and during their occurrence according to the safety of the aircraft and the crew and not on the dire need of the patient.

From the Paper
"Flying ambulances are a modern reality and they are characteristic of a growing emergency medical team that attempts to respond as quickly as possible to trauma, injury and disease from a very broad base. Medical air rescue missions have been part of the military in nearly every nation that has a standing army since WWII, with the utilization of helicopter medical transport beginning in Korea. (Glastris, 1986, p. 19) Helicopters are particularly adept at reaching victims in need of rapid transport to medical facilities as they generally have more limited needs (though there are some) for landing and takeoff with regard to space, clearance as agility and speed are on their side as compared to other forms of air and ground transport."

Tags:pilot, crew, registered, nurse, patient

From the Paper
"American Medical Response was formed in February 1992 with the strategic objective of becoming the leading national provider of ambulance services. It set out to achieve this position through acquisition, not by establishing new provider organizations. In August 1992, the company went public and acquired four ambulance service providers. The company has continued its acquisition policy since that time, with a total of seven providers having been acquired through September 1993..

The company now provides emergency prehospital medical care and ambulance services to patients in response to 911 emergency medical calls, and provides nonemergency ambulance service to patients during transfer to and from health care facilities and residences. It also provides nonmedical transport services to ... "

Abstract
This paper describes a demographic site and market analysis, plus marketing plan for a company to be introduced into Ocala, Florida offering ambulance services. It also emphasizes that credibility and trustworthiness are a must for such an organization.

From the Paper
"Ocala, Florida is located in Marion County in the upper central portion of the state bearing ESE below the panhandle. Its population is approximately ... according to the census. The racial composition is relatively mixed as depicted in Figure... Race Percentage: White, African American, Hispanic Latino, Asian, Other Mixed Race, Native American, Pacific Islander. Figure ... Racial Composition of Ocala, Florida. Source Census: The three main ethnic groups represented are white, African American and Hispanic. Latino African Americans are overrepresented relative to their proportional population..."

Tags:ambulance service, medical care, Ocala, Fla., new business

Abstract
This paper is written in the form of a case study, discussing the issue of discrimination towards people with HIV and AIDS. It discusses the ambulance service avoiding gay houses and the implications of this as a violation of the sex and AIDS discrimination ordinance. The paper discusses the ramifications for a social worker who knows the issue and her ethical responsibilities in this case.

From the Paper
"In this case, Jody is faced with competing ethical values. On the one hand, by his profession and by common social standards he has to fight AIDS discrimination without any consideration of the authority or the social stature of the culpable persons.[NASW] This would involve taking legal actions and publicizing the wrongful behavior of the city council president and the ambulance drivers. Since the ambulance drivers in this case are in flagrant violation of the code of ethics attached to their profession they do not merit any consideration or leniency."

Tags:ambulance, social, council

Abstract
The paper reviews the literature to determine the impact of the Oklahoma City terrorist attack on emergency responses in the city and state. The paper describes how the police, firefighters, ambulance drivers and other emergency responders went above and beyond the call of duty in their actions, with some of them violating departmental policies and regulations in the process. The paper reveals that the authorities in Oklahoma City chose to reevaluate their policies rather than discipline these individuals who were awarded the city's highest award for honor instead. The paper notes the subsequent changes in federal policies concerning suitable responses to natural and man-made disasters.

Outline:
Review and Discussion
Conclusion

From the Paper
"The first responders on the scene of the terrorist attack on the Alfred P. Murrah Building in Oklahoma City in 1995 found themselves confronted with a scene that nobody could reasonably expect to encounter in America's heartland, and this is apparently the reason this federal building was targeted in the first place. In this regard, Timothy McVeigh and Terry Nichols, the two individuals charged and convicted of the attack on the Alfred P. Murrah Building in Oklahoma City in 1995, reported that their actions were motivated by the federal government's for its botched handling of the Waco affairs and the general feelings among the right-wing militants at the time that the U.S. federal government was attempting to suppress their activities (Hulnick)."

Tags:procedure, guidelines, police, firefighters, ambulances, ethics

Abstract
The paper provides an overview of the concepts of knowledge management supported by empirical research and literature. The paper includes a brief description or overview of the London Ambulance Incident for critical appraisal. The paper discusses the suggestion of Frances Han that there are fundamental business reasons an organization may adopt a process approach and achieve success through knowledge management.

Outline:
Introduction
Brief Review of Knowledge Management Within The Organization
Critical Analysis of The London Ambulance Case
The Failure of the Computer-Aided Dispatch (CAD) System
When Knowledge Sharing Fails
Model for Knowledge Sharing
Knowledge Management and Knowledge Sharing
Knowledge Sharing and Innovation
Conclusions

From the Paper
"Fournie (2002) notes that expectation failure typically occurs when individuals fail to consider the exiting "organizational, political and social environment" in which a system is operating, in this case the CAD system adopted by the London Ambulance Department. Even a "technically perfect system" according to Fournie (2002) will fail when organizational, political and social factors are not streamlined within the organizations. The London Ambulance failure is an example of a system failing not solely based on technical reasons or errors in programming but rather because little effort was given knowledge sharing and training with respect to use of the system. As Fournie (2002) notes, individuals using the system had to learn not only a new system but also had to operate in a new environment where they were unfamiliar about the rules and regulations necessary to operate efficiently and in a streamlined process within this environment (Fournie, 2002; Randell, 1993). Contributing to these problems included use of assistants rather than controllers to handle key events and the varying points of views held by multiple stakeholders within the organization regarding use of the system; additionally lack of a "communication mechanism" to "take these points of view into account" also ultimately led to the failure of the CAD system to achieve it's goals (Fournie, 2002)."

Tags:LAS, Team, leaders, management, systems, communication, technology

Abstract
This paper examines Ernest Hemingway's novel "A Farewell to Arms." based on Hemingway's memories of driving an ambulance during World War I. Many of Hemingway's novels are semi-autobiographical and the character of Frederic Henry is in fact modeled on himself and part of the story on his relationship with his wife. It shows that while this is a novel of memory, it is also a novel of self-discovery, structured to show the self-exploration and self-discovery of Frederic who's character changes from the beginning of the novel to the end. It analyzes how the title of the novel has a dual meaning, for by the end of the novel the Frederic Henry will have been tested by arms, meaning the tools of war and he will have been held by the arms of his wife. He says farewell to both, to the war as he deserts and to his wife because she dies.

From the Paper
"It is, of course, through his relationship with Catherine that his ability to care is brought forth most clearly so that it becomes a part of his overt personality. Catherine, for her part, is drawn to Frederic precisely because he is not deceptive, whether that is because he does not care enough or not. Catherine "defines herself as someone living life as fully as she can" (Hays 62), and "her love and devotion convert Frederic Henry from a selfish, uncaring individual to one who loves, who shares, and who serves others" (Hays 62). The relationship mirrors the one Hemingway himself had with Agnes, as noted, and he uses the story in the novel as a metaphor for his reality."

Tags:frederic, henry, war, lieutenant, wife, family, death, memory, relationship