Category Archives:

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 […]

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 […]

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.

“No Available EMS”

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No one really wants to read a bad story about some other EMS agency, but it is even worse to read a similar story about your own. The purpose of this post is not to make Detroit into some “failed EMS poster child” but intended to shed some light on similar problems that may be […]

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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

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
David Roy
Is our success a sign of our failure?
Interesting article about Ems around various places and also about the control and maintenance of it....
2015-08-04 06:28:21

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