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.

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?

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.

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 […]

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 […]

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 […]

The High Performance EMS website has been up for a year now and in review of all the topics we have visited, there are two that have stood out in particular both by the number of search terms as well as the number of page views.  They are “dynamic system status management” and “EMS frequent […]