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 […]

Could Busier be Better?

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There is plenty of talk about “evidence-based procedures” in EMS lately. Well, today I read an interesting article that shows a link between being busier and better patient outcomes. Okay…, now after reading that statement, what just happened to your heart rate? Was your automatic response to click the link in order find fault so you can dismiss the finding, […]

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 […]

Does ‘Narcan’ Deserve Any Debate?

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While naloxone (marketed under various trademarks including Narcan) is not a new drug, it has enjoyed some incredible news coverage recently as the “safe antidote” for opioid abuse that can bring an overdose victim back “from the dead” simply and safely with “no side effects.” The surge in its popularity is undoubtedly fueled by a growing problem of opioid drug abuse, especially in the […]

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 Integrated Healthcare), […]

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

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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

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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

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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.

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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

Comments
Jennifer Ladd
How To Perform CPR: The Crucial Steps You Should Know (and Share!)
Loved this article/illustration (http://www.highperformanceems.com/2014/09/29/how-to-perform-cpr-the-crucial-steps-you-should-know-and-share/) for CPR of Adult, Peds, and Pets! Awesome!!!
2014-10-02 09:34:24
Steve
Static v. Dynamic: A Continuum of Cost
Except it costs money to pay for a station. Skip the station and instead put the money you would have spent on the station and instead pay your providers more AND get more providers out on the street. Fire departments are going to have a hell of a time justifying their wastes in coming years...
2014-09-30 17:48:40
HP-EMS Profile: MedStar Mobile Healthcare | Hig...
HP-EMS Profile: MedStar Mobile Healthcare
[…] What I learned from MedStar about community paramedicine and how they support their crews on my visit to their facility in Fort Worth, Texas.  […]
2014-09-23 08:52:21
Betty lou Schau
HP-EMS Profile: MedStar Mobile Healthcare
What a great article, and kudos to MedStar for leading the way in Mobile Integrated Healthcare!
2014-09-15 11:32:45
Matt Zavadsky
HP-EMS Profile: MedStar Mobile Healthcare
WOW!! What a great article! Thanks so much for recognizing the people AND technology that make these programs work, whether here, or anywhere!
2014-09-12 08:06:15

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