Category Archives:

Static v. Dynamic: A Continuum of Cost

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In our recently published book, “Dynamic Deployment: A Primer for EMS“, John Brophy and I established a dichotomy between the standards of static deployment and dynamic deployment in the very first chapter.  Fortunately, that strong polar perspective has spurred some interesting discussions for me. While the check-out lane analogy was effective in distinguishing some of the differences of static […]

Could Busier be Better?

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There is plenty of talk about “evidence-based procedures” in EMS lately. Well, today I read an interesting article that shows a link between being busier and better patient outcomes. Okay…, now after reading that statement, what just happened to your heart rate? Was your automatic response to click the link in order find fault so you can dismiss the finding, […]

Is ‘SSM’ Still a ‘Bad Idea’?

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Ideas often take time to saturate a market. Even if the idea is generally recognized as a good one, complete with compelling evidence, change can still take time.  As a current example, how many agencies still have a protocol for complete spinal immobilization on a long spine board for “any fall” or “significant impact”?  On that very […]

Using EMS Week 2014

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Most of us don’t do what we do for the proverbial “pat on the back.”  In fact, you could even make a good argument that we don’t even really do it for the money.  So what does a week of national recognition mean for us? We know we can’t relax and stop doing our job. […]

Influencing Paramedics on Twitter

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I like lists. They are typically neat and definitive. I am sure that my friend @ChecklistMedic would agree that they also help bring order to the chaos that often defines our work in the field. For those of us trying to leverage social media to keep current on EMS thought (or Community Paramedicine or Mobile Integrated Healthcare), […]

Quick Thoughts from EMS Today 2014

It was an incredible week of learning at EMS Today 2014, … I will fill you in on the highlights of my personal experience.

How Far is Richmond from Jersey City?

The basic disagreement is whether EMS is fundamentally a “service” provided as cost effectively as possible, or is it an “asset” to be nurtured for the health of its people and its economy.

An EMS Wake-up Call

I would like to paraphrase John Lennon in saying that “Your career is what happens to you while you’re busy making other plans.”

Is Our Success Killing Us?

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It seems that the “evidence-based” trend in EMS requires that being “progressive” means we lay in wait for some “proof” in order to jump on a previously long held belief so we can debunk it as some old “wive’s tale.”

Does Response Time Matter?

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Just because a majority of calls can wait, doesn’t mean they should wait or that every other call we will take would be similar.

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