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.
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 standardÂ Emergency Medical DispatchÂ protocols, can be reached by phone. These calm â€œvoices of hopeâ€ quickly perform an initial triage to determine the type of medical or trauma situation being […]
Several months ago, Rob Lawrence of the Richmond Ambulance Authority started a thread on theÂ High Performance EMS GroupÂ of LinkedIn by asking â€œSo what does the phrase â€˜High Performance EMSâ€™ mean to you?â€ This innocent sounding question sparked immediate debate even within the small group at that time. Benjamin Podsiadlo of AMR quickly tied the quality […]
I have read the positions stating that calls for emergency services are completely randomÂ (justifying the reason they are often called â€œaccidentsâ€)Â and therefore not able to be predicted. But bothÂ academic literatureÂ andÂ practical experienceÂ show that demand prediction can be an effective tool in helping to balance scarce resourcesÂ (ambulances and their trained crews)Â with public demandÂ (requests for emergency responses even […]
A recent article at JEMS.com onÂ EMS System AbuseÂ told of examples of â€œfrequent flyersâ€ (that is non-emergency patients requesting multiple transports by EMS agencies on a fairly regular basis) many of which would be amusing if they werenâ€™t so sad. The author offered up that while it is a serious practice of abuse by the public, […]