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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 […]

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.

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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

Brian R
5 Reasons EMS DOES Deserve Higher Pay
We need to form a nation wide union for higher wages. Nurses have got their stuff together and they demanded higher wages for the longest time and they get paid really well. I don't see why we can't do the same! Also, shouldn't we Americans be concerned that other countries pay their EMS staff much…
2015-10-05 17:24:47
Joseph Zillmer
Stop Dissing Response Times and Start Dissecting the Argument
Response times are of course important. Hindsight on same is easy. If we don't strive for excellence why are we here? Excuses on delays, does not change the fact that it is our first priority (assuming we have trained personnel that are adequately trained). The question is rhetorical.
2015-09-29 16:06:32
John Riggs
Stop Dissing Response Times and Start Dissecting the Argument
You are absolutely correct.
2015-09-28 11:30:20
John Riggs
Stop Dissing Response Times and Start Dissecting the Argument
Times are measured because: (1) its easy to measure time (and by extension, not easy to measure "good patient care") and (2) the faster (ie: less time) you take on patient A the more patients (B-ZZZ) you can see. Time is therefore an extension of money. EMS has become more and more about this and…
2015-09-28 11:28:47
Klark Kamp
Impressions of the Ferno iN/X
You must compare apples to apples in this situation. Stryker's powered system runs about $40k and Ferno's iN/X with a fastener also runs about $40k. Both systems remove the lifting, but the Stryker power cot is more than 50lbs lighter. Stryker's battery also inductively charges when it's locked in where Ferno's battery touches a part…
2015-09-14 10:49:40

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