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 […]

HP-EMS Profile: MedStar Mobile Healthcare

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As I was going to be in Dallas for the Fire Rescue conference, I decided to go a little early and pay a visit to MedStar Mobile Healthcare (the renown “birthplace of Mobile Integrated Healthcare”) just over in Fort Worth, Texas.  For anyone who may not have been paying attention to the industry during the last […]

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.

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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
Elizabeth Nicholas
Did You Watch ‘Nightwatch’ Last Night?
Some of the EMTs on the show also have a nursing degree. Dan Flynn also works as an ER nurse, I believe.
2015-05-08 21:15:05
Bill
In Support of Backboards
Good article. I'm stunned with the comments about "if a study exists showing backboards help" comment. You'll never get an IRB board to approve such a study, but that's where the methods of immobilizing the joint above and below the fracture come in. The comment about disregarding this post because the author is not like…
2015-04-20 16:15:16
ALBERT MIGNONE
In Support of Backboards
IF YOU HAVE EVER HAD THE MISFORTUNE OF HAVING A REAL MCI, BACKBOARDS ARE STILL AN ASSET. REMEMBER YOU MIGHT HAVE 15 AGENCIES WITH DIFFERENT LEVELS OF TRAINING, DIFFERENT FUNDING WHERE THEY MIGHT HAVE NEWER EQUIPMENT BUT NOT ENOUGH TO WORK AN INCIDENT. FIREFIGHTERS WILL BE ASSISTING, MOSTLY WITHOUT EXTRA TRAINING. A DOUBLE BUS CRASH…
2015-04-20 08:53:03
Gloria Bowman
In Support of Backboards
At a swimming pool, the use of a backboard is the most efficient and safest way for the lifeguards to remove an unconscious/submerged (non-spinal) victim from deep water. After the person has been rescued and brought to the side of the pool, the assisting lifeguard holds the victim in place while the primary lifeguard puts…
2015-04-17 22:03:38
Dennis Dudley
In Support of Backboards
Don't throw away the back board yet! You can have all the discussions regarding it's validity but I am in favor of keeping it on board the rig. Scoop stretchers and Reeves are good and I have used them in place of the board, but I find the sturdy back board as a good way…
2015-04-17 14:03:34

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