Medicine at the Margins

Preface | ix

The Sociologist in the Ambulance | xi

A Note on Names and Places | xv

List of Abbreviations | xvii

Introduction: Shit Work on Urban America's Front Lines | 1

The Scene | 23

PART I: EMS AS A MARGINAL INSTITUTION

1 Dial 9-1-1 for Emergencies | 37

2 The Ambulance Drivers Are Here! | 64

Conclusion | 89

PART II: EMS AS MARGINAL WORK

3 The Twenty-Four: The Rhythm of EMS Shifts | 93

4 Hurry Up and Wait: Passing Time and Avoiding Conflict | 112

Conclusion | 135

PART III: EMS IN THE MARGINAL CITY

5 The Daily Grind of Grunt Work | 139

6 Stigma and Space in Midtown | 162

Conclusion | 187

Marginality, Stigma, and the Future of Pre-Hospital Medicine | 189

Appendix: Notes on Data and Methods | 213

Acknowledgments | 227

Notes | 229

Works Cited | 241

Index | 263

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• História das Américas
• Comunidades urbanas
• Serviços de emergência

Emergency medical services; first responders; health care; homelessness; marginality; neighborhoods; paramedicine; poverty; stigma; work