Category Archives:

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 […]

How To Perform CPR: The Crucial Steps You Should Know (and Share!)

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This important article (and the associated graphics) is reprinted as a guest blog with permission from Monica Gomez, a freelance health and healthcare writer. Originally published at  The animated GIF images alone are worth sharing! Anybody can and anybody should learn how to perform CPR (Cardiopulmonary resuscitation): According to the American Heart Association, a stunning 70% […]

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 […]

Quick Thoughts from NENA 2013

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Okay, now that you know what really happened [at the NENA 2013 conference], here is my take.

Quick thoughts from TriCON 2012

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The theme for the TriCON 2012 conference in San Diego was “Breaking Barriers” and that is certainly what TriTech presented during the plenary yesterday regarding their next generation dispatch system and their consolidation of recent business acquisitions. The crowd was clearly the biggest ever for this conference at about 430 users. A show of hands […]

A Bibliography on EMS in a State of Change

Make no mistake, reform is coming to EMS! Federal health care reform is one factor driving changes in EMS, but there are many other factors affecting the future of emergency health care delivery that aren’t getting as much press attention even though their impact is at least as important. This post is an attempt not to repeat what others have said but to place it all in context with references to some of the best articles I have found on the topic.

HP-EMS Profile: Cetronia

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The increasing demand for healthcare services which threatened their ability to maintain response times is another example of what motivates the Cetronia mindset of continual improvement and motivating them to become a High Performance EMS.

Response Time Zero

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The best possible response time for any emergency is immediate. This is no simple theoretical goal, but a physical reality everywhere that a Public Safety Dispatcher, using standard Emergency Medical Dispatch protocols, can be reached by phone. These calm “voices of hope” quickly perform an initial triage to determine the type of medical or trauma situation being […]

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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

Brian R
5 Reasons EMS DOES Deserve Higher Pay
We need to form a nation wide union for higher wages. Nurses have got their stuff together and they demanded higher wages for the longest time and they get paid really well. I don't see why we can't do the same! Also, shouldn't we Americans be concerned that other countries pay their EMS staff much…
2015-10-05 17:24:47
Joseph Zillmer
Stop Dissing Response Times and Start Dissecting the Argument
Response times are of course important. Hindsight on same is easy. If we don't strive for excellence why are we here? Excuses on delays, does not change the fact that it is our first priority (assuming we have trained personnel that are adequately trained). The question is rhetorical.
2015-09-29 16:06:32
John Riggs
Stop Dissing Response Times and Start Dissecting the Argument
You are absolutely correct.
2015-09-28 11:30:20
John Riggs
Stop Dissing Response Times and Start Dissecting the Argument
Times are measured because: (1) its easy to measure time (and by extension, not easy to measure "good patient care") and (2) the faster (ie: less time) you take on patient A the more patients (B-ZZZ) you can see. Time is therefore an extension of money. EMS has become more and more about this and…
2015-09-28 11:28:47
Klark Kamp
Impressions of the Ferno iN/X
You must compare apples to apples in this situation. Stryker's powered system runs about $40k and Ferno's iN/X with a fastener also runs about $40k. Both systems remove the lifting, but the Stryker power cot is more than 50lbs lighter. Stryker's battery also inductively charges when it's locked in where Ferno's battery touches a part…
2015-09-14 10:49:40

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