Category Archives:

What ‘Level Zero’ Really Means in EMS

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“Rampart, Medic 13 with an incoming patient report.” “Go ahead, 13.” “I have a patient with a pulse of 120. ETA less than 10 minutes. Over.” Well, this sort of report certainly leaves something to be desired. What is the age of the patient? For an infant, this may be a normal rate, but in a […]

Lights and Sirens and Safety

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The use of  lights and sirens is supposed to clear traffic by warning drivers or pedestrians that a public safety vehicle is approaching in emergency mode. The expectation is that the use of warning devices increases the safety of both the patient and provider by reducing travel time in responding to a scene or while […]

Analyzing Routes and Response Times

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This is a second preview chapter of a new book in the Primer series from Bradshaw Consulting Services to be titled “Closest Vehicle Dispatch: A Primer for Fire” to be released in time for the FDIC 2017 at the end of April. Whether you are held to the standards of NFPA 1710, which addresses predominately […]

Toward a Better Understanding of Dynamic Deployment

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I recently had two articles published by EMS1 as a couple of “mythbusting primers” on the topic of dynamic deployment. The articles were Dynamic deployment: 5 persistent myths busted and Dynamic deployment: 5 more persistent myths busted. My intention was not to convince anyone of a position that opposes their current EMS world view pertaining to deployment models, but I had hoped […]

Consumer Apps in EMS

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The tools used in EMS are constantly changing, but one of the most powerful devices available to nearly every ambulance is the smartphone. However, the vast majority of these devices are owned personally by the crew assigned to any rig. While this may be acceptable to the employee who retains control over the personalization of their own device, […]

Still Solving Problems in Lexington

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An awful lot can happen in five years. I know that my own understanding of EMS deployment has deepened a great deal in that time. It was that long ago that I wrote a post about The Cost of Saving Money using Lexington County, SC, as an example. The county EMS Director, Brian Hood, and the now-retired […]

What If We’re Wrong About Response Times?

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Anyone who follows my posts here, or on Twitter, will recognize that I consistently argue for the value of prompt responses by emergency vehicles to nearly all incidents. However, this post will be different thanks to an inventive challenge through EMS Basics asking bloggers to consider an opposing view to their favorite topic. You can read […]

We’re More Like Police Than Fire

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When EMS professionals complain, the justification often includes an appraisal of how our family in the ‘big red trucks’ do (or sometimes, don’t do) things instead of comparing ourselves to our brothers and sisters that make up that ‘thin blue line’. The choice of comparison is most likely swayed by the fact that somewhere around half of us working in EMS do […]

Stop Dissing Response Times and Start Dissecting the Argument

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It is not hard to find an article that bashes the industry’s insistence on measuring response time as a performance goal. The latest one I saw was published just today in “Don’t let response times overshadow the role of EMS” by the respected author Arthur Hsieh. The flow of his article follows the traditional pattern of […]

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 […]

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