Planning for the placement and staffing of fire apparatus, either in a fixed location or for a temporary move-up position, involves the comparative evaluation of community risk for each alternative. Unfortunately, our typical understanding of risk is skewed and outdated. Basing operational decisions on inadequate data leads to choices that can be inefficient, ineffective and […]

Have you ever broken a stethoscope on the job? I have. Rode a wheel of the loaded stretcher right over the connection from the tubing to the bell. It was a clean break. Very neatly decapitated my old friend from EMT school. It was one of those clear and obvious signs of death such as […]

Editor’s note: Beyond our skills and knowledge, some of the most important assets of the EMT are the collection of tools and supplies they carry. But how often do we really consider the container in which we carry these critical items? The following post is from an invited guest author on the subject of EMS […]

This past Sunday night about 2245 hours, a Detroit police officer was shot in the head while responding to a domestic violence call. The Detroit Free Press, in an article identifying the shooter, reported that the incident happened at an apartment complex in the vicinity of the 10000 block of Joy Road near Wyoming Avenue on […]

“Rampart, Medic 13 with an incoming patient report.” “Go ahead, 13.” “I have a patient with a pulse of 120. ETA less than 10 minutes. Over.” Well, this sort of report certainly leaves something to be desired. What is the age of the patient? For an infant, this may be a normal rate, but in a […]

The use of  lights and sirens is supposed to clear traffic by warning drivers or pedestrians that a public safety vehicle is approaching in emergency mode. The expectation is that the use of warning devices increases the safety of both the patient and provider by reducing travel time in responding to a scene or while […]

This is a second preview chapter of a new book in the Primer series from Bradshaw Consulting Services to be titled “Closest Vehicle Dispatch: A Primer for Fire” to be released in time for the FDIC 2017 at the end of April. Whether you are held to the standards of NFPA 1710, which addresses predominately […]

I recently had two articles published by EMS1 as a couple of “mythbusting primers” on the topic of dynamic deployment. The articles were Dynamic deployment: 5 persistent myths busted and Dynamic deployment: 5 more persistent myths busted. My intention was not to convince anyone of a position that opposes their current EMS world view pertaining to deployment models, but I had hoped […]

The following is a preview of a book coming soon from Bradshaw Consulting Services to be titled “Closest Vehicle Dispatch: A Primer for Fire” which is a follow-up to “Dynamic Deployment: A Primer for EMS”. Watch for the new release in time for the FDIC 2017 conference at the end of April. The modern legal […]

The tools used in EMS are constantly changing, but one of the most powerful devices available to nearly every ambulance is the smartphone. However, the vast majority of these devices are owned personally by the crew assigned to any rig. While this may be acceptable to the employee who retains control over the personalization of their own device, […]