Category Archives:

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.

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.

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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
daleloberger
Culture of Safety
The idea of changing administrative behavior at the very core of how they function regarding issues of safety is also seen in the promotion of a "Just Culture" in EMS. The Center for Patient Safety discusses this idea at their website: http://www.centerforpatientsafety.org/just-culture-in-ems/
2014-12-19 18:09:59
daleloberger
Community-Based Programs
How EMS can become a financially stable function of a local government is a hot topic right now. Jamie Davis discusses the NAEMT efforts towards changing the funding stream from the federal level in this podcast: http://www.mediccast.com/blog/2014/12/19/naemt-wants-congress-and-the-president-to-fund-ems/
2014-12-19 18:06:14
daleloberger
Communicate, Communicate, Communicate
It only takes one bad story like this: http://www.emsworld.com/video/12029267/philadelphia-paramedic-in-hot-water-over-anti-police-image to make the public question a whole service (or even incite violence.) If your service doesn't already have a social networking presence, how can you effectively counter such bad media? You need to engage before problems arise in order to have credibility and a voice when…
2014-12-18 13:51:43
Mark
How To Perform CPR: The Crucial Steps You Should Know (and Share!)
The majority of people who survive a cardiac arrest are resuscitated from ventricular fibrillation (VF) by the administration of a defibrillatory shock. This is most likely to be successful when it is given very soon after the onset of VF; emergency service personnel are often unable to arrive soon enough to help a victim. Automated…
2014-12-16 17:32:19
daleloberger
Economic Efficiency
No one is going to challenge the idea of "rationing healthcare" with the idea that "any expense is worthwhile if it saves just one life"? Good to see we are beyond that logic.
2014-12-15 21:58:08
Blood On Our Hands
Blood On Our Hands
Lights and Sirens
Lights and Sirens
Goodreads Book Giveaway
Goodreads Book Giveaway
Emergency Feeding
Emergency Feeding
Easy-Button Firefighting
Easy-Button Firefighting

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