Category Archives:

Improving EMS Deployment Performance

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I work regularly with agencies that are looking to improve aspects of their operations. Some casual readers may be surprised to know that the focus of those discussions is not always about cutting response times. While response is a simple and common measure, it clearly does not evaluate EMS well and certainly fails to encapsulate […]

Where Do We Go Next?

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To know where our increasingly limited emergency resources will be needed next, we need to understand where future requests for service will originate. If we knew exactly where the next call would come from, we could proactively dispatch a resource there even before it is requested (watch the movie “Minority Report” for an idea of […]

How “New” Will “Normal” Actually Be?

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Be careful what you wish for. Just a few months ago, before the words “COVID-19” and “social-distancing” became a regular part of our conversations, I was speaking with the Operations Chief of an EMS service about the difficulty in hiring and retaining paramedics. He said it would take “a downturn in the economy before we […]

Improving Operations in Crisis

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Our practice of EMS is facing significant challenges right now. Although many traditional aspects must still continue, we have a few more obstacles to overcome in a crisis. This “pilot podcast” highlights some practical modifications to consider for operational improvements, especially for MARVLIS users. Notes: Demand for EMS services is disproportionate across America and outside […]

See What Others Can’t

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Ever since I was a kid, I wanted a superpower of some kind. Little did I know that one day my wish would actually come true.  For anyone who is a serious user of Geographic Information Systems (GIS), it is not news that this week is the 2019 Esri User Conference. If you are not […]

Are You an Ambulance Driver Too?

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One of the fastest ways to piss off almost anyone in the emergency medical services community is to call them an “ambulance driver.” It has become a triggered response as reliable as setting off the tones for a call. We bristle at the fact that driving an ambulance is such a small part of what […]

More Reasons to Support Dynamic Deployment

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The “Leverage Real-Time Data for Improved Ambulance Response Times” article that Zoll posted on their blog site did a good job of explaining response times and even the benefits of System Status Management (SSM) planning to the patient. But there is still more to the story that we have learned over the years since Jack […]

Dynamic Risk for Intelligent Fire Move-Ups

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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 […]

Split-Second Destination Decisions

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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 […]

What ‘Level Zero’ Really Means in EMS

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“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 […]

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