Category Archives:

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 […]

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 […]

Looking Back to See Ahead: 2014 in Review

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The end of the year is a great time to take stock in what has already passed and to make plans for the future. The vision I had when I started this blog four years ago was summarized in my first blog post, Hello World. Welcome to HP_EMS!  I’m glad to say that today, while many other […]

What is CAEMS and Why Should I Care?

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Two weeks ago, we started a Community of Practice to discuss EMS Deployment. The larger issue of deploying resources is all about efficiency and effectiveness in care, those are also the aims of any High Performance EMS group. However, that message is too often confused with meaning simply “better, faster, cheaper”, when in practice it […]

11 of the Top 10 Tips for High Performing EMS

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Rob Lawrence, the Chief Operating Officer of Richmond Ambulance Authority, offered these tips as an article for publication in this blog, but we decided they would make good initial discussion points in an ongoing dialog with our readers and contributors. Consequently, each of these points is made as a separate page under the EMS Deployment […]

Fore Thoughts of EMS Today 2015

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For the last few years I have written my initial impressions of conferences in blog posts shortly after, or sometimes even during, a conference. The post “Quick Thoughts from the EMS Today 2012 Conference,” for instance, described my first EMS Today experience and captured the fact that I actually had the opportunity to give ‘two thumbs up‘ […]

We Need Some New Stories

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We always hear that EMS is still a relatively new discipline. And in the scheme of medicine, or even public safety, that is certainly true. But we shouldn’t let the fact of its youth keep us from acknowledging that it has already been around long enough to accumulate some of its very own antiquated dogma. If you […]

Quick Thoughts from EMS World Expo 2014

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I love Nashville, so one of the highlights from my trip to EMS World Expo was eating at Jack’s BBQ on Broadway, but there was also plenty more to be excited about at the actual show held in the Music City Center this week. While I missed the Preconference sessions and World Trauma Symposium, I arrived on Tuesday […]

Is our success a sign of our failure?

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What does it mean to be “successful” in EMS? Have you ever considered what a really “successful” service would look like? Does it have all the latest equipment and consistently ride on the cutting edge of “evidence-based” guidelines rather than blind protocols? Or is it one that has a growing fleet and is constantly looking to hire more staff to […]

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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.

JEMS Talk: Google Hangout

Comments
Elizabeth Nicholas
Did You Watch ‘Nightwatch’ Last Night?
Some of the EMTs on the show also have a nursing degree. Dan Flynn also works as an ER nurse, I believe.
2015-05-08 21:15:05
Bill
In Support of Backboards
Good article. I'm stunned with the comments about "if a study exists showing backboards help" comment. You'll never get an IRB board to approve such a study, but that's where the methods of immobilizing the joint above and below the fracture come in. The comment about disregarding this post because the author is not like…
2015-04-20 16:15:16
ALBERT MIGNONE
In Support of Backboards
IF YOU HAVE EVER HAD THE MISFORTUNE OF HAVING A REAL MCI, BACKBOARDS ARE STILL AN ASSET. REMEMBER YOU MIGHT HAVE 15 AGENCIES WITH DIFFERENT LEVELS OF TRAINING, DIFFERENT FUNDING WHERE THEY MIGHT HAVE NEWER EQUIPMENT BUT NOT ENOUGH TO WORK AN INCIDENT. FIREFIGHTERS WILL BE ASSISTING, MOSTLY WITHOUT EXTRA TRAINING. A DOUBLE BUS CRASH…
2015-04-20 08:53:03
Gloria Bowman
In Support of Backboards
At a swimming pool, the use of a backboard is the most efficient and safest way for the lifeguards to remove an unconscious/submerged (non-spinal) victim from deep water. After the person has been rescued and brought to the side of the pool, the assisting lifeguard holds the victim in place while the primary lifeguard puts…
2015-04-17 22:03:38
Dennis Dudley
In Support of Backboards
Don't throw away the back board yet! You can have all the discussions regarding it's validity but I am in favor of keeping it on board the rig. Scoop stretchers and Reeves are good and I have used them in place of the board, but I find the sturdy back board as a good way…
2015-04-17 14:03:34

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