Category Archives: Funding & Staffing

Is Our Success Killing Us?

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’

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 2

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?

Late for the Future

My friend Mike Ward, who I met as “FossilMedic“, asked a question in a blog post back on September 10 wondering aloud “What will the fire service look like by September 11, 2021?”  Well, a few of my fellow EMS bloggers took the challenge of answering that question.  In his blog post on the subject, Greg Friese presented a […]

The Default Solution is Always More

My wife announced that there wasn’t enough money in the checking account again.  The obvious solution to her was that I simply needed to add more money to it each month and that the problem would then go away.  Any attempts on my part to question where the money is being spent is considered completely […]

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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.