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.

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Comments
Bill
In Support of Backboards
Good article. I'm stunned with the comments about "if a study exists showing backboards help" comment. You'll never get an IRB board to approve such a study, but that's where the methods of immobilizing the joint above and below the fracture come in. The comment about disregarding this post because the author is not like…
2015-04-20 16:15:16
ALBERT MIGNONE
In Support of Backboards
IF YOU HAVE EVER HAD THE MISFORTUNE OF HAVING A REAL MCI, BACKBOARDS ARE STILL AN ASSET. REMEMBER YOU MIGHT HAVE 15 AGENCIES WITH DIFFERENT LEVELS OF TRAINING, DIFFERENT FUNDING WHERE THEY MIGHT HAVE NEWER EQUIPMENT BUT NOT ENOUGH TO WORK AN INCIDENT. FIREFIGHTERS WILL BE ASSISTING, MOSTLY WITHOUT EXTRA TRAINING. A DOUBLE BUS CRASH…
2015-04-20 08:53:03
Gloria Bowman
In Support of Backboards
At a swimming pool, the use of a backboard is the most efficient and safest way for the lifeguards to remove an unconscious/submerged (non-spinal) victim from deep water. After the person has been rescued and brought to the side of the pool, the assisting lifeguard holds the victim in place while the primary lifeguard puts…
2015-04-17 22:03:38
Dennis Dudley
In Support of Backboards
Don't throw away the back board yet! You can have all the discussions regarding it's validity but I am in favor of keeping it on board the rig. Scoop stretchers and Reeves are good and I have used them in place of the board, but I find the sturdy back board as a good way…
2015-04-17 14:03:34
Tom Horne
In Support of Backboards
Did you hit the post button prior to being ready. It seams like your comment was cut off in mid sentence. -- Tom
2015-04-17 13:13:16

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