Category Archives:

Dynamic Risk for Intelligent Fire Move-Ups

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Planning for the placement and staffing of fire apparatus, either in a fixed location or for a temporary move-up position, involves the comparative evaluation of community risk for each alternative. Unfortunately, our typical understanding of risk is skewed and outdated. Basing operational decisions on inadequate data leads to choices that can be inefficient, ineffective and […]

What ‘Level Zero’ Really Means in EMS

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“Rampart, Medic 13 with an incoming patient report.” “Go ahead, 13.” “I have a patient with a pulse of 120. ETA less than 10 minutes. Over.” Well, this sort of report certainly leaves something to be desired. What is the age of the patient? For an infant, this may be a normal rate, but in a […]

The Fallacy of the “First Due” Area

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The following is a preview of a book coming soon from Bradshaw Consulting Services to be titled “Closest Vehicle Dispatch: A Primer for Fire” which is a follow-up to “Dynamic Deployment: A Primer for EMS”. Watch for the new release in time for the FDIC 2017 conference at the end of April. The modern legal […]

Consumer Apps in EMS

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The tools used in EMS are constantly changing, but one of the most powerful devices available to nearly every ambulance is the smartphone. However, the vast majority of these devices are owned personally by the crew assigned to any rig. While this may be acceptable to the employee who retains control over the personalization of their own device, […]

Still Solving Problems in Lexington

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An awful lot can happen in five years. I know that my own understanding of EMS deployment has deepened a great deal in that time. It was that long ago that I wrote a post about The Cost of Saving Money using Lexington County, SC, as an example. The county EMS Director, Brian Hood, and the now-retired […]

EMSToday Earlybird Winner

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Planning ahead pays off. At least it did for Christopher Clarkin of OMFD! He didn’t win the billion dollar lottery, but having a brand new iPad Mini for the EMS Today conference in Baltimore later next month is pretty sweet. Christopher registered during December for the conference using the promo code HPEMS which earned him $100 off […]

EMS as the Halloween of Healthcare

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Just as each year transitions at harvest from abundance toward its inevitable end, we in the prehospital field often usher lives fraught with medical disorder or trauma from normalcy toward a cold, strange world. We wear uniforms with our stoic masks and find nature’s trickery affecting strangers who beg us for treatment. Beyond the surface, the history of Halloween also […]

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 […]

Building Political Capital

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Every EMS agency could use a little more political clout. After all, we deserve it. We actually save lives! “They” should just automatically recognize “our” value, right? Well, if you have ever thought/said that statement, you are going about it all wrong. I don’t care what financial/political model your agency operates under, politics work basically […]

High Speed Education Where Eagles Gather

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Dallas is the place to gather today and tomorrow if you are like me and actually enjoy the most current thinking on pre-hospital medical practice coming at you like a fire hose from the very “eagles” of our business. Unfortunately, I am not there. Instead, I was standing a thousand miles away this morning in […]

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