Category Archives: Opinion

Impressions of the Ferno iN/X

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I’m sure that the interested audience for the new Ferno iN/X “power stretcher” was smaller at FDIC 2014 than it would have been if it were released in time for the EMS Today conference earlier this year. But maybe that was a good thing for me because, even though the booth was still crowded, I […]

Influencing Paramedics on Twitter

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I like lists. They are typically neat and definitive. I am sure that my friend @ChecklistMedic would agree that they also help bring order to the chaos that often defines our work in the field. For those of us trying to leverage social media to keep current on EMS thought (or “Community Paramedicine” or “Mobile […]

Trauma Shears Dilemma

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I started out with the basic trauma shears that cost only a couple of dollars, but soon realized I wanted something a little more “substantial” and upgraded to the basic titanium shears I currently carry. They do the job adequately, but there are some other interesting options out there and I am looking for some […]

What is “Performance” in EMS? Part 3

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

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?

What is “Performance” in EMS? Part 1

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.

The Role of Response Time in EMS Performance

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While there were many comments on the question of “what does High Performance EMS mean to you?”, I would like to focus on the assertion that measuring response time is not an “evidence-based” practice.

ATale of Two Cities

Just today I have watched two very different stories about two very different Michigan cities.  The first one in the news was Detriot and then later it was Grand Rapids.  The common thread between the two is about getting control of the EMS system and improving its performance. The situation in Detroit is truly sad […]

EMS Surveillance or Survival?

I know there are probably agencies out there with some real control issues, but the use of technology that monitors your EMS system are not really about employee surveillance.  Sometimes this monitoring is actually about your protection, but most often I believe it is about creating a competitive advantage that will help your agency survive […]

Free the Internet

I try to avoid purely political discussions on this blog, but today is different and that is because the very future of blogs just like this one at are stake.  Blogs exist to further discussions and make people think about positions and question their beliefs and practices.  This is the power of respectful discussion and […]

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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.