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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 […]

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 […]

Second Thoughts on ‘Scene Safety’

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Take the recent events that have happened and let them make you more aware, not more afraid. Work with others to help them understand the real-world of “scene safety” and practice it in every call.

What is “Performance” in EMS? Part 4

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There are two ways to look at the problem of employee satisfaction: is your service hiring the right sorts of people and are you the type of person that the service you actually want to work for is actively hiring?

What is “Performance” in EMS? Part 3

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Even if you do not subscribe to the idea of such significant change to subsidized out of hospital care, there are other potentials for community involvement that will pragmatically improve the effectiveness of emergency care such as empowering bystanders to act.

What is Performance in EMS? Part 2

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In the past several months, I have seen articles challenging standard practices toward intubation and c-spine immobilization – basic tenets of our practice – but how many agencies have made any significant investigation toward change in these protocols?

MCIs and “The Downwind Walk”

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I never really considered doing book reviews on this blog or writing about specific horrific incidents either, but I finished reading “The Downwind Walk: A USAR Paramedic’s Experience after the Terrorist Attacks on September 11, 2001” by Steve Kanarian just hours before the shots rang out at a movie theater in Aurora, Colorado. Let me […]

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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
Brett Snow
We Need Some New Stories
I have been in the fire/ems service for 26 years and was the youngest certified paramedic in the State of Nevada at the time I began. I learned from the best and never became an "SOP" paramedic. I treated my patients with knowledge gained from personal experience and lessons learned from myself as well as…
2015-03-19 16:18:54
EJS
Did You Watch ‘Nightwatch’ Last Night?
What they said is pretty much true. Medics do the majority of things the er will do. I do ems and lots of time in an er. The er for about 90% of pts er will do the same stuff ems will do except just having a doctor tell the pt they are healthy. Yes…
2015-03-12 22:00:54
Thomas Roberts
Impressions of the Ferno iN/X
We've done some pretty substantial research on offerings from both Stryker and Ferno. What we've found is information that is both in line and conflicting with some of the prior comments on this page. The Stryker power cot is a heavier device in comparison to their old manual cots, however you can't compare the Stryker…
2015-03-04 09:13:07
WES
Impressions of the Ferno iN/X
Anybody know the price of the new ferno system?
2015-02-12 20:36:38
Paul
Is ‘SSM’ Still a ‘Bad Idea’?
I think that the majority of you that talk about a unit sitting on a dirty street corner for 12 hrs at a time don't realize that if they are doing that, the system doesn't need SSM.
2015-02-05 09:33:18

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