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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 […]

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.

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.

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 1

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One aspect of improving performance is responding appropriately in less time – not necessarily just responding “faster.” Technology must be evaluated by “outcome” just as patient treatments are being qualified and improved.

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 standardEmergency Medical Dispatchprotocols,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 reported, dispatch appropriate […]

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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.

Comments
Roger Thayne
Static v. Dynamic: A Continuum of Cost
Totally agree. I would add that response and transport need to be understood. Within busy urban areas an ambulance can be both the response and transport vehicle. In rural areas response can be achieved efficiently by a Community Paramedic in a car within 8 minutes supported by an ambulance within 20 to 30 minutes i.e.…
2014-08-10 10:28:37
daleloberger
About
Jodi, it took a while, but we have begun putting this sort of information together in book form. Our first attempt is "Dynamic Deployment: A Primer for EMS" (http://www.amazon.com/Dynamic-Deployment-A-Primer-EMS/dp/1500428574/ref=sr_1_1?ie=UTF8&qid=1407501551&sr=8-1&keywords=dynamic+deployment). We are already in the process of building its sequel that we hope to be a broader compendium of cases, authors, and opinions regarding the measurement…
2014-08-08 07:44:52
Alex
Could Busier be Better?
Since medical calls are now the focus of fire service. Maybe it's time for a rebranding if you will to new terms like "EMS Based Fire Service". Paramedics are constantly upgrading thier knowledge and skills and get thier butts kicked daily but don't enjoy the same pay or benifits that firefighters do. Something is wrong…
2014-08-05 03:55:31
Lauren
Could Busier be Better?
This article is more about understanding evidence based research then applying it rather then replying on personal experience and tradition. Even if you don't like what research says.
2014-07-19 20:30:03
Paul
Could Busier be Better?
High quality comes from seeing multiples of truley sick patients with strong training and support from an experienced partner, not just from being a busy transport vehicle.
2014-07-19 08:26:57

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