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Ray Barishansky

@rbarishansky.bsky.social
156 followers 128 following 291 posts

Doctor of Public Health(DrPH). Autodidact. Human. All views are my own.

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Ray Barishansky @rbarishansky.bsky.social · 02/09/2026
Im just going to leave this here with no comment #EMS #ambulance www.michiganpublic.org/politics-gov...
michiganpublic.org
Detroit EMS union says fire department mishandling non-fire medical calls, raising risk for patients
The union that represents Detroit's Emergency Medical Services unit says the city's Fire Department is risking the lives of people facing a medical emergency — and violating state law and an arbitrato...
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Ray Barishansky @rbarishansky.bsky.social · 13/08/2026
Bottom line: EMS has to stop equating speed with quality and start treating emergency driving the way it treats any other clinical intervention. #EMS #ambulance www.jems.com/ems-operatio...
jems.com
If We Know Lights and Sirens Are Dangerous, Why Are We Still Using Them?
Research links ambulance lights and sirens to higher crash risk and little time saved, so why are they still overused?
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Ray Barishansky @rbarishansky.bsky.social · 07/08/2026
As much as I agree with the content of this article, it's clear that the people going after Fauci simply do not care about the long-term repercussions on public health. #publichealth www.theguardian.com/us-news/2026...
theguardian.com
Why making Anthony Fauci the enemy will harm US public health for years
Republicans are trying to scapegoat the infectious disease expert, even as they have gutted healthcare amid outbreaks of measles, cyclosporiasis and Ebola
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Ray Barishansky @rbarishansky.bsky.social · 23/07/2026
Interesting study that puts data behind what many of us have observed for years: a small percentage of patients account for a disproportionate share of EMS responses. #EMS @healthaffairs.bsky.social academic.oup.com/healthaffair...
academic.oup.com
A national description of emergency medical services patient utilization patterns
AbstractIntroduction. Repeat use of 9-1-1 emergency medical services (EMS) reflects complex intersections of medical need, social vulnerability, and health
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Ray Barishansky @rbarishansky.bsky.social · 21/07/2026
"Recognizing the national security implications of threatened pandemics would establish a framework for a much-needed top-to-bottom review of our approach to infectious threats" #pandemic #publichealth www.statnews.com/2026/07/20/p...
statnews.com
It’s time to treat pandemics as threats to national security
“Pandemics should be viewed and combated as threats to national security,” write David Blumenthal and James A. Morone.
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Ray Barishansky @rbarishansky.bsky.social · 18/06/2026
Excited and honored to be selected as a speaker at EMS World Expo later this year in Orlando! I’ll be presenting on the need for intentional strategic planning AND the importance of developing communication skills as EMS leaders. Will I be seeing you there? #EMS #leadership
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Ray Barishansky @rbarishansky.bsky.social · 31/05/2026
"Nearly 40% of calls handled by Sacramento’s emergency medical services system were non-emergencies" - does this number seem high - or low - to you? #EMS #ambulance amp.sacbee.com/news/local/a...
amp.sacbee.com
Audit: 37% of city EMS calls were non-emergencies, tying up Sacramento firefighters
Calls for service rose far faster than staffing levels, creating new pressure on Fire Department responders.
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Ray Barishansky @rbarishansky.bsky.social · 28/05/2026
I love the line "public health doesn’t just have a messaging problem; it has a proximity problem". Public health can't exist only in reports, dashboards, and conference rooms. It must be visible, engaged, and connected to the communities it serves. #publichealth publichealthpost.org/health-equit...
publichealthpost.org
Closing the Distance Between Public Health and the Public
Public health doesn't have a messaging problem. It has a proximity problem, rooted in the gap between lived experience and evidence.
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Ray Barishansky @rbarishansky.bsky.social · 27/05/2026
"Ambulances function like public infrastructure, but they’re financed like a transportation business" - the title sums it all up so well. #EMS #ambulance www.wbur.org/cognoscenti/...
wbur.org
Ambulances function like public infrastructure, but they’re financed like a transportation business
When it comes to stroke treatment, we need to align incentives with urgency, writes Sandeep Kumar, a vascular neurologist. "That means reimbursing not just for transport, but for readiness and rapid r...
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Ray Barishansky @rbarishansky.bsky.social · 26/05/2026
Short answer - no, we are not pandemic ready. #pandemic #publichealth www.nytimes.com/2026/05/25/w...
nytimes.com
Are We Pandemic Ready?
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Ray Barishansky @rbarishansky.bsky.social · 18/05/2026
The Ebola outbreak in the Democratic Republic of Congo and Uganda is now a “public health emergency of international concern” - here is what you need to know #Ebola #publichealth time.com/article/2026...
time.com
WHO Declares Global Emergency Over Ebola Strain With No Vaccine. Here's What To Know
The rare Bundibugyo strain, with no approved vaccine or treatment, has killed nearly 90 people.
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Ray Barishansky @rbarishansky.bsky.social · 08/05/2026
"the Hondius’s situation highlights the need for more clarity about the response to disease outbreaks at sea and who bears responsibility for protecting people caught up in such precarious circumstances" #publichealth www.thenationalnews.com/opinion/edit...
thenationalnews.com
How one stranded ship is posing questions for global health | The National
The hantavirus outbreak on the MV Hondius cruise liner is a fast-moving logistical, legal and medical challenge
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Ray Barishansky @rbarishansky.bsky.social · 02/05/2026
EMS providers doing what they do best: improvising to make things work, even at 30,000 feet in the air. #EMS www.ems1.com/good-news/of...
ems1.com
Off-duty paramedics improvise to deliver baby on Delta flight
Two off-duty paramedics helped deliver the girl, improvising with passenger blankets and a shoelace before the plane landed in Portland
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Ray Barishansky @rbarishansky.bsky.social · 27/04/2026
The bigger risk isn’t that AI exists, it’s that public health waits while every other sector learns, adapts, and builds guardrails through use. If public health doesn’t help shape AI now, it will inherit systems designed by others later. #publichealth #AI www.forbes.com/sites/brianc...
forbes.com
AI Is Already Here. The Real Risk In Public Health Is Sitting It Out
Americans are using AI even as they distrust it. For public health leaders, the bigger risk isn’t the technology — it’s failing to engage with it and shape how it’s used.
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Ray Barishansky @rbarishansky.bsky.social · 22/04/2026
In the military, vaccines have long been about readiness, not politics. As history has shown that disease can sideline more forces than the enemy, this is just a bad idea. #publichealth #readiness www.washingtonpost.com/national-sec...
washingtonpost.com
Annual flu vaccine no longer required for U.S. military, Hegseth says
The move alarmed some public health experts and legislators, who warned that it would weaken troop readiness.
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Ray Barishansky @rbarishansky.bsky.social · 16/04/2026
"Around 73% of all calls the Annapolis Fire Department responded to are for emergency medical services" - so, is this still a Fire Department? Seems to me that they need a new name. #EMS www.ems1.com/legislation-...
ems1.com
Md. city budget proposal adds peak-time medic unit, six FF/EMTs, medics
Annapolis mayor’s FY2027 plan would staff a fifth ambulance during high-demand hours as EMS calls make up nearly three-quarters of department responses
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Ray Barishansky @rbarishansky.bsky.social · 15/04/2026
New York States new requirement for dash cameras in all ambulances promises gains in safety, accountability, and training. But without dedicated funding, the mandate is placing added financial strain on EMS agencies. #EMS #ambulance www.firehouse.com/apparatus/ty...
firehouse.com
NY Mandates That All Ambulances are Equipped with Dash Cameras
New York State is requiring dash cameras for all ambulances and medical response vehicles, aiming to improve safety and accountability.
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Ray Barishansky @rbarishansky.bsky.social · 14/04/2026
Will I be "seeing" you at the Seventh Annual EMS Leadership Summit in May? I will be speaking about the self-analysis that is critical to leadership. #EMS #leadership www.emsleadershipsummit.com
emsleadershipsummit.com
Join the FREE EMS Leadership Summit
🚨 The EMS Leadership Summit is back! 🚨Join 25+ top EMS leaders & industry experts for this FREE virtual event, packed with powerful insights on leadership, innovation, and the future of EMS. 🚑💡✅ Learn...
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Ray Barishansky @rbarishansky.bsky.social · 12/04/2026
The measles outbreaks in the US are still ongoing. Per the latest CDC data (updated April 10, 2026, for cases through April 9): 1,714 confirmed cases reported in 2026 so far, across 33 jurisdictions. #measles #publichealth www.koaa.com/health/babie...
koaa.com
‘Babies become sitting ducks’: Measles resurges in South Carolina amid anti-vaccine push
South Carolina’s measles outbreak, the worst in decades, is endangering babies as vaccination rates fall and anti-vaccine legislation gains momentum.
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Ray Barishansky @rbarishansky.bsky.social · 10/04/2026
I have often referred to this putting the public back in public health, but humanizing public health is another great term for it. And it is necessary. #pandemic #publichealth www.newswise.com/articles/why...
newswise.com
Why Preventing the Next Pandemic Involves Humanizing Public Health | Newswise
Perry N. Halkitis, dean of the Rutgers School of Public Health, Halkitis says the greatest drivers of pandemics are often human: our emotions, beliefs, political systems and social conditions. Halkitis, author of the forthcoming book Humanizing Public Health: How Disease-Centered Approaches Have Failed Us, discusses why this shift is needed as the world prepares for future health crises.
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Ray Barishansky @rbarishansky.bsky.social · 06/04/2026
Is this a step in the right direction? Yes. Ohio’s proposal to require ambulance coverage statewide is acknowledging a real problem—rural access gaps are growing. Making it work is the next critical step. #EMS #ambulance www.ems1.com/legislation-...
ems1.com
Ohio bill would require ambulance service statewide, target rural coverage gaps
The proposal would require local governments to ensure ambulance coverage and offer incentives for those that consolidate services with other entities
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Ray Barishansky @rbarishansky.bsky.social · 03/04/2026
Is the future of EMS county-based? As demand grows and systems strain, local models alone may not be enough. County-level leadership could be the key to stable funding, workforce sustainability and regional coordination. #EMS www.hmpgloballearningnetwork.com/site/emsworl...
hmpgloballearningnetwork.com
Is the Future of EMS County-Based?
EMS is undergoing a period of transition. Long-standing structural challenges such as reimbursement, rising costs, workforce sustainability, increasing service expectations, and governance fragmentation have exposed the limits of traditional local EMS models.
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Ray Barishansky @rbarishansky.bsky.social · 02/04/2026
That's the thing about effective public health measures, they are working in the background to protect and save you, even if you don't know it. #publichealth
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Ray Barishansky @rbarishansky.bsky.social · 23/03/2026
When people think of New York, they think NYC. But more than 2/3 of counties in New York are rural and those areas are seeing a growing EMS crisis with longer response times, fewer providers, and systems on the brink. #EMS www.dailygazette.com/cjfund/healt...
dailygazette.com
'Brink of collapse': rural EMS providers face challenges in New York
A new report released by the state’s Rural Ambulance Services Task Force describes the rural EMS system in New York as "teetering on the brink of collapse” and in need of "urgent government interventi...
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Ray Barishansky @rbarishansky.bsky.social · 14/03/2026
One of the most thoughtful pieces I’ve read on EMS provider mental health. The key point: protecting the EMS workforce isn’t just about resilience, it’s a system design and governance issue. A must-read. #EMS #mentalhealth www.linkedin.com/pulse/unengi...
linkedin.com
Unengineered: A Governance Argument for EMS Workforce Protection from First Shift to Last
Paramedics face high rates of injury, burnout, and suicide. EMS must engineer workforce protection from training through retirement.
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Ray Barishansky @rbarishansky.bsky.social · 14/03/2026
I’ve seen a lot of back-and-forth about this incident. So, what do you think? No one wants to play Monday morning quarterback, but there are real questions to be addressed here. #EMS #ambulance www.theguardian.com/us-news/2026...
theguardian.com
US officer having a ‘mild anxiety attack’ took ambulance meant for man shot by police
Dyshan Best later died after having to wait 10 extra minutes for next ambulance, according to Connecticut investigation
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Ray Barishansky @rbarishansky.bsky.social · 13/03/2026
The resurgence of measles cases isn’t just about measles. It’s a sign that some of the basics of public health—vaccination coverage, trust in science, and prevention—are starting to slip. Makes me wonder what comes next. #measles #publichealth theconversation.com/we-study-pan...
theconversation.com
We study pandemics, and the resurgence of measles is a grim sign of what’s coming
Controlling the spread of many infections, including measles, depends on trust in public health, which is eroding.
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Ray Barishansky @rbarishansky.bsky.social · 09/03/2026
Lots to unpack here but hopefully this incident will have the City reexamine some of its processes. #EMS #ambulance www.seattletimes.com/seattle-news...
seattletimes.com
She called 911 for an ambulance. She got a nightmare instead
Seattle no longer is capping ambulance wait times for certain 911 patients, tracking those waits or penalizing its contractor when they run long.
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Ray Barishansky @rbarishansky.bsky.social · 01/03/2026
I think the word failure is being nice, I think the more appropriate term here is "irreversible damage to public health" #publichealth
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Ray Barishansky @rbarishansky.bsky.social · 01/03/2026
I think every EMS provider has a story about impatient family or bystanders, but moving the ambulance while the medics are inside working is next level #EMS #ambulance www.clickorlando.com/news/local/2...
clickorlando.com
‘Impatient’ man arrested after moving ambulance as medics worked inside, Brevard sheriff says
A 58-year-old man was arrested on Thursday after the Brevard County Sheriff’s Office say he climbed into a parked ambulance while paramedics were treating a patient and attempted to move the vehicle b...
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Ray Barishansky @rbarishansky.bsky.social · 25/02/2026
"For decades, EMS reimbursement has depended on moving the ambulance. TIP flips that model, rewarding clinical judgment over mileage — if payers, protocols and QA can keep up." #EMS www.ems1.com/treat-in-pla...
ems1.com
Treatment in place: The future of EMS … and yes, someone has to pay for it
For decades, EMS reimbursement has depended on moving the ambulance. TIP flips that model, rewarding clinical judgment over mileage — if payers, protocols and QA can keep up.
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Ray Barishansky @rbarishansky.bsky.social · 24/02/2026
A permanent EMS funding source is a big step forward. I worry about the county match requirement. The places struggling the most are often the least able to come up with matching dollars. #EMS #funding wchstv.com/news/local/h...
wchstv.com
W.Va. House votes to create permanent EMS funding source; counties to match state dollars
The West Virginia House of Delegates has passed a bill aimed at stabilizing emergency medical services as squads across the state struggle with rising costs.
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Ray Barishansky @rbarishansky.bsky.social · 22/02/2026
Grateful Pittsburgh EMS is getting new ambulances. But bigger question: why are core emergency services being “rescued” by hospital systems like UPMC? EMS is essential infrastructure and shouldn’t depend on charitable gifts to stay operational. #EMS www.publicsource.org/upmc-gifts-p...
publicsource.org
UPMC to give Pittsburgh $10 million for new ambulances
Mayor O’Connor announced a $10 million gift from UPMC that will pay for new ambulances in Pittsburgh, freeing up funds to buy 35 new trucks that can plow snow.
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Ray Barishansky @rbarishansky.bsky.social · 19/02/2026
It's always impressive when authors come up with a title that is as eye-catching as the actual article content. #EMS #fatigue www.jems.com/mental-healt...
jems.com
Exit Light, Enter Dispatch: Chasing Sleep and Fighting Fatigue in EMS
Fatigue in EMS poses risks to patient safety and provider health, with many providers reporting severe fatigue symptoms.
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Ray Barishansky @rbarishansky.bsky.social · 18/02/2026
The short answer is yes, we collectively have forgotten the hard-learned lessons of COVID. #publichealth #COVID www.gavi.org/vaccineswork...
gavi.org
Have we already forgotten the lessons of COVID-19? We asked an expert in anticipating crises
Bureaucracy, politics and fraying trust in institutions could mean that warnings about the next health crisis fall on deaf ears, says a leading expert.
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Ray Barishansky @rbarishansky.bsky.social · 15/02/2026
This is what a vaccine-preventable disease looks like when vaccination rates drop — the U.S. is facing its largest measles outbreak in decades, and clinics are overwhelmed #publichealth #vaccineswork www.reuters.com/business/hea...
reuters.com
Doctors bear the burden as ‘medical freedom’ fuels worst US measles outbreak in 30 years
About a dozen times each day, medical staff at Parkside Pediatrics in Spartanburg, South Carolina, head to the clinic’s parking lot, reaching inside cars and minivans to check children and their paren...
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Ray Barishansky @rbarishansky.bsky.social · 14/02/2026
This is just unacceptable. If we stop naming and prioritizing preparedness, what comes next — denial? neglect? dismantling? #publichealth #preparedness www.nature.com/articles/d41...
nature.com
Exclusive: Key US infectious-diseases centre to drop pandemic preparation
Staff members have been instructed to scrub this topic and ‘biodefense’ from the agency’s website.
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Ray Barishansky @rbarishansky.bsky.social · 12/02/2026
Is it time to take the word "emergency" out of emergency medical services? This article seems to advocate for that change and I don't know that I disagree. #EMS www.jems.com/mobile-integ...
jems.com
EMS at the Crossroads: How MS Can Lead a Rural Healthcare Revolution
The One Big Beautiful Bill Act includes $100 million for Mississippi's EMS transformation.
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Ray Barishansky @rbarishansky.bsky.social · 11/02/2026
"The last 60 years have taken us from funeral homes and MAST pants to capnography, ultrasound, and whole blood. The next 60 will do the same, steady gains, mixed with stubborn struggles" Amazingly solid read about the past, present and future of EMS. #EMS #ambulance www.jems.com/patient-care...
jems.com
EMS at 60: The Past, Present, and Future of Our Profession
In 2026, EMS in the United States marks its 60th anniversary, evolving from untrained services to evidence-based systems since the 1966 Highway Safety Act.
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Ray Barishansky @rbarishansky.bsky.social · 08/02/2026
EMS leadership is about bridging the gap between administration and operations. Budgets and policies matter but so does understanding the reality of the street. The best leaders connect the why behind decisions to the work crews do every day. #EMS #leadership www.jems.com/ems-manageme...
jems.com
Bridging the Gap Between Administration and Operations in EMS Leadership
Chief Clifford Mungavin emphasizes the need for EMS leaders to bridge administrative and operational gaps to prioritize patient care.
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Ray Barishansky @rbarishansky.bsky.social · 08/02/2026
EMS system leaders, as well as elected officials, need to understand the "cost of readiness" and how that impacts their budgets and operations. #EMS #funding www.butlereagle.com/20260206/is-...
butlereagle.com
Is the cost of readiness too steep? EMS services seek balance amid rising costs and little relief
If ambulance services can’t cover their costs, they can’t cover the emergency needs of Butler County — and it’s becoming increasingly difficult to be ready for an emergency, according to the leaders o...
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Ray Barishansky @rbarishansky.bsky.social · 07/02/2026
This article shows how pandemic-era public health leadership is becoming political leadership and what that means for trust, governance, and experience on the campaign trail. These races will be interesting to watch. #publichealth #politics www.washingtonpost.com/politics/202...
washingtonpost.com
They ushered their states through covid. Now they want to lead them.
Why doctors who led the pandemic response in their states are running for office.
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Ray Barishansky @rbarishansky.bsky.social · 04/02/2026
I applaud the move but this is a patchwork approach to public health in the US and simply not optimal. Remember - diseases don't recognize borders. #publichealth www.chicagotribune.com/2026/02/03/i...
chicagotribune.com
Illinois joins World Health Organization network, after Trump administration withdraws from group
Joining the World Health Organization’s Global Outbreak Alert and Response Network is the state’s latest move into an area that was previously the domain of the federal government, before the…
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Ray Barishansky @rbarishansky.bsky.social · 03/02/2026
"At least 33 states were below herd immunity in the 2024-25 school year, compared with 28 states before the pandemic in 2018-2019" #measles #publichealth stateline.org/2026/02/02/s...
stateline.org
States that once led in child vaccination fall as they expand exemptions • Stateline
States that were leaders in childhood vaccination before the pandemic are among those losing ground as exemptions and unfounded skepticism take hold, encouraged by the Trump administration’s stance un...
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Ray Barishansky @rbarishansky.bsky.social · 30/01/2026
Is the EMS profession stalled between expectation and reality? Great question! #EMS www.jems.com/ems-manageme...
jems.com
The EMS Profession Is Stalled Between Expectation and Reality
We’ve stripped the “emergency” out of EMS. Now it’s just medical services. It’s time to put the “E” back where it belongs.
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Ray Barishansky @rbarishansky.bsky.social · 25/01/2026
Although I am a fan of this move, it just makes me wonder about the further fragmentation of public health efforts in the United States and the "every state for itself" potential #publichealth www.abc10.com/article/news...
abc10.com
California joins WHO public health network following US exit, marking a first for any state
California joined WHO's Global Outbreak Alert and Response Network, countering federal withdrawal from the organization.
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Ray Barishansky @rbarishansky.bsky.social · 24/01/2026
Is it time to turn off the sirens? A great question for modern day EMS systems and leaders to answer. #EMS #ambulance www.ems1.com/paramedic-su...
ems1.com
Is it time to turn off the sirens? Podcast explores lights & siren use and unintended risks
An episode of Malcolm Gladwell's podcast “Revisionist History" dives into the data — and the noise — behind why EMS sirens may no longer be worth the risk
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Ray Barishansky @rbarishansky.bsky.social · 22/01/2026
Will you be attending the event built specifically for EMS leaders, supervisors, and emerging leaders who want practical insight, meaningful connection, and leadership tools they can take back to their organization? I hope to see you! #EMS #leadership nemsma.org/page/2026NEMSM…
nemsma.org
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Ray Barishansky @rbarishansky.bsky.social · 06/11/2025
I am beyond happy to see this law has passed but wondering why it took so long. #EMS #paramedic www.lex18.com/news/coverin...
lex18.com
Kentucky paramedic's death leads to landmark law protecting EMS families 9 years later
A Kentucky paramedic's tragic death nine years ago continues to save lives and protect EMS families across the state.
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Ray Barishansky @rbarishansky.bsky.social · 15/10/2025
if you think that this will not be impacting you and your family, think again. #publichealth
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