Category Archives:

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, […]

Does ‘Narcan’ Deserve Any Debate?

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While naloxone (marketed under various trademarks including Narcan) is not a new drug, it has enjoyed some incredible news coverage recently as the “safe antidote” for opioid abuse that can bring an overdose victim back “from the dead” simply and safely with “no side effects.” The surge in its popularity is undoubtedly fueled by a growing problem of opioid drug abuse, especially in the […]

Using EMS Week 2014

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Most of us don’t do what we do for the proverbial “pat on the back.”  In fact, you could even make a good argument that we don’t even really do it for the money.  So what does a week of national recognition mean for us? We know we can’t relax and stop doing our job. […]

How Far is Richmond from Jersey City?

The basic disagreement is whether EMS is fundamentally a “service” provided as cost effectively as possible, or is it an “asset” to be nurtured for the health of its people and its economy.

Is Our Success Killing Us?

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It seems that the “evidence-based” trend in EMS requires that being “progressive” means we lay in wait for some “proof” in order to jump on a previously long held belief so we can debunk it as some old “wive’s tale.”

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 4

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There are two ways to look at the problem of employee satisfaction: is your service hiring the right sorts of people and are you the type of person that the service you actually want to work for is actively hiring?

What is “Performance” in EMS? Part 3

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Even if you do not subscribe to the idea of such significant change to subsidized out of hospital care, there are other potentials for community involvement that will pragmatically improve the effectiveness of emergency care such as empowering bystanders to act.

What is Performance in EMS? Part 2

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In the past several months, I have seen articles challenging standard practices toward intubation and c-spine immobilization – basic tenets of our practice – but how many agencies have made any significant investigation toward change in these protocols?

A New Danger in EMS?

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I read an article this morning where Winnipeg declared Cellphones off limits for firefighters, paramedics with only some surprise. Sure there are the embarrassments like the Texas Firefighter Charged With Taking Secret Bathroom Pics who need to be drummed out of the system. And I understand that new technology can be a scary thing – especially from a […]

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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
Joey
Static v. Dynamic: A Continuum of Cost
There are pros and cons with each model but the bottom line comes down to optimizing your EMS system and delivering rapid care within a cost efficient model. I have always worked in a drama series called "housewives of a static system" as well as in a nationally recognized dynamic system and I can honestly…
2014-08-26 06:31:07
David
Static v. Dynamic: A Continuum of Cost
John Brophy is that you.... If having a sustainable funding source , money for research, proper equipment like power cots, video laryngoscopes, state retirement, community education funding, and not eating and pooping in a gas station makes me Emergency. Then Rampart I need orders for a lobotomy. If running more calls to bill Medicare and…
2014-08-23 18:41:36
David
Is ‘SSM’ Still a ‘Bad Idea’?
If it's such a great idea why hasn't Fire Dept embraced it?
2014-08-23 14:19:25
Todd
Static v. Dynamic: A Continuum of Cost
David...I agree with John and Roger. EMS is a business and we've got to start treating it that way. The days of sitting around the station waiting for a call have come and gone. To be efficient you've got to be out in your service where the calls happen. This is the future of EMS…
2014-08-23 13:55:46
John
Static v. Dynamic: A Continuum of Cost
I thought Johnny and Roy retired in the 70's. People with a mindset like yours are what keeps the paramedicine profession from evolving like the other emergency services have. The definition of insanity...doing the same things over and over expecting something different to happen.
2014-08-23 10:53:29

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