Author Archives: daleloberger

While most of my professional career has been in applications of Geographic Information Systems, I serve as an EMT and volunteer firefighter in my home of Union County, NC where my interests include sharing news and technology that make these jobs safer, more effective or more efficient.

Stop Dissing Response Times and Start Dissecting the Argument

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It is not hard to find an article that bashes the industry’s insistence on measuring response time as a performance goal. The latest one I saw was published just today in “Don’t let response times overshadow the role of EMS” by the respected author Arthur Hsieh. The flow of his article follows the traditional pattern of […]

Building Political Capital

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Every EMS agency could use a little more political clout. After all, we deserve it. We actually save lives! “They” should just automatically recognize “our” value, right? Well, if you have ever thought/said that statement, you are going about it all wrong. I don’t care what financial/political model your agency operates under, politics work basically […]

What Higher EMS Pay Requires

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I know that the debate on EMS wages did not begin last week with Sean Eddy’s post “5 Reasons Why EMS Doesn’t Deserve Higher Pay.” For instance, Caitlyn Armistead did a great article last October entitled “Burger Flippers Vs. Ambulance Drivers” long before her recent rebuttal in “5 Reasons EMS DOES Deserve Higher Pay“. The […]

5 Reasons EMS DOES Deserve Higher Pay

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In a guest ‘rebuttal’ yesterday to a recent article by Sean Eddy on EMS wages, I apparently succeeded in generating “more heat than light” on the conversation. While I regret the author’s tone in that post, my desire to open a dialog with interested parties remains. I discussed the topic with up-coming EMS author and […]

An Open Letter To Author Sean Eddy

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  I believe Sean Eddy knew he was playing with fire when he wrote his article on “5 Reasons Why EMS Doesn’t Deserve Higher Pay” posted at the Uniform Stories website. It certainly struck a chord with Adam Smolensky shortly after I posted a link on the High Performance EMS Facebook page. He later contacted […]

EMS Week 2015 Challenge

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In 1974, President Gerald Ford declared the first “National Emergency Medical Services Week” as an annual observance to recognize the critical component that emergency prehospital medicine began to play in the public health safety net. That year was a time of many other significant events. Richard Nixon had become the first president to resign in office. The newly formed OPEC consortium successfully constrained production […]

Where is Wearable Technology Heading?

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This post is from an invited guest blogger. Andrew Randazzo is the Director of Prime Medical Training and is a Nationally Registered Paramedic. Aside from teaching, Andrew’s faith and church play a big role in his life, and he also enjoys backpacking, scuba diving, competing in triathlons, and international travel. — Disclaimer: I am not being […]

In Support of Backboards

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One of my first really successful posts years ago was “A Short Take on Long Boards” where I found myself piling on the negatives regarding our habitual dependence on the Long Spine Board. I do not feel as though I can take any credit, however, for agencies such as the Palm Beach Florida Fire Department or the New York […]

High Speed Education Where Eagles Gather

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Dallas is the place to gather today and tomorrow if you are like me and actually enjoy the most current thinking on pre-hospital medical practice coming at you like a fire hose from the very “eagles” of our business. Unfortunately, I am not there. Instead, I was standing a thousand miles away this morning in […]

Did You Watch ‘Nightwatch’ Last Night?

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It appears that at least in some EMS circles, the premiere of the new A&E series called ‘Nightwatch’ on Thursday (1/22) was a highly anticipated event. I don’t know if it was just a coincidence that it was also the opening day of the NAEMSP conference held this year in New Orleans, where the EMS-themed reality show was filmed, […]

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High Performance EMS

High Performance Emergency Medical Services (HP-EMS) systems provide effective clinical care promoting positive patient outcomes and community wellness while maintaining a focus on improving economic efficiency of the system.  This site is dedicated as a community seeking to increase agency performance by promoting useful information regarding the developing trends and improvements in the efficiency of delivering basic and advanced medical care in the field.

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Comments
Luke
What Higher EMS Pay Requires
How about the company you work for makes 800 on one call and you make 600$ after two weeks of work.... And running 50 calls... Let's just be a little more fucking fair here....
2015-08-01 06:06:03
Jake
Static v. Dynamic: A Continuum of Cost
I whole-heartedly agree with Joey, what is our purpose? Why are we here? We are here to provide the best possible care to our patients. Part of best possible care is an expedient time-frame. I've been a dispatcher for 5 years, and I hate seeing my Medics get burned-out, but I hate even more so…
2015-07-20 07:13:24
Marcelo Bahl
Did You Watch ‘Nightwatch’ Last Night?
Hello, work in the EMS system in Brazil and whenever I can, I watch the episodes that leave recording to watch later, you show the reality of day-to-day of your city, which is very good and has no censorship as the shocking images that we see every day, because here everything is censored. One more…
2015-07-15 12:52:18
Jeffrey Hammerstein
Stop Dissing Response Times and Start Dissecting the Argument
I think that the position someone takes on this issue depends entirely on the circumstances of the particular EMS system they have in mind when they consider the question. If we're comparing a 7 minute response time to a 70 minute response time (or infinite as mentioned above), then of course it matters. That's a…
2015-07-03 11:44:45
Dave Shrader
Stop Dissing Response Times and Start Dissecting the Argument
I had meetings recently with a client in an underserved County. They have multiple tax supported volunteer organizations, and a City FD as EMS providers. The system is totally Balkanized with each agency doing it’s own thing. One agency failed to even respond to 66% of its calls last year. So, 66% of the time,…
2015-07-03 08:08:44

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