Category Archives:

Did You Watch ‘Nightwatch’ Last Night?

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It appears that at least in some EMS circles, the premiere of the new A&E series called ‘Nightwatch’ on Thursday (1/22) was a highly anticipated event. I don’t know if it was just a coincidence that it was also the opening day of the NAEMSP conference held this year in New Orleans, where the EMS-themed reality show was filmed, […]

Looking Back to See Ahead: 2014 in Review

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The end of the year is a great time to take stock in what has already passed and to make plans for the future. The vision I had when I started this blog four years ago was summarized in my first blog post, Hello World. Welcome to HP_EMS!  I’m glad to say that today, while many other […]

11 of the Top 10 Tips for High Performing EMS

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Rob Lawrence, the Chief Operating Officer of Richmond Ambulance Authority, offered these tips as an article for publication in this blog, but we decided they would make good initial discussion points in an ongoing dialog with our readers and contributors. Consequently, each of these points is made as a separate page under the EMS Deployment […]

We Need Some New Stories

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We always hear that EMS is still a relatively new discipline. And in the scheme of medicine, or even public safety, that is certainly true. But we shouldn’t let the fact of its youth keep us from acknowledging that it has already been around long enough to accumulate some of its very own antiquated dogma. If you […]

Is our success a sign of our failure?

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What does it mean to be “successful” in EMS? Have you ever considered what a really “successful” service would look like? Does it have all the latest equipment and consistently ride on the cutting edge of “evidence-based” guidelines rather than blind protocols? Or is it one that has a growing fleet and is constantly looking to hire more staff to […]

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 […]

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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.

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Comments
Brett Snow
We Need Some New Stories
I have been in the fire/ems service for 26 years and was the youngest certified paramedic in the State of Nevada at the time I began. I learned from the best and never became an "SOP" paramedic. I treated my patients with knowledge gained from personal experience and lessons learned from myself as well as…
2015-03-19 16:18:54
EJS
Did You Watch ‘Nightwatch’ Last Night?
What they said is pretty much true. Medics do the majority of things the er will do. I do ems and lots of time in an er. The er for about 90% of pts er will do the same stuff ems will do except just having a doctor tell the pt they are healthy. Yes…
2015-03-12 22:00:54
Thomas Roberts
Impressions of the Ferno iN/X
We've done some pretty substantial research on offerings from both Stryker and Ferno. What we've found is information that is both in line and conflicting with some of the prior comments on this page. The Stryker power cot is a heavier device in comparison to their old manual cots, however you can't compare the Stryker…
2015-03-04 09:13:07
WES
Impressions of the Ferno iN/X
Anybody know the price of the new ferno system?
2015-02-12 20:36:38
Paul
Is ‘SSM’ Still a ‘Bad Idea’?
I think that the majority of you that talk about a unit sitting on a dirty street corner for 12 hrs at a time don't realize that if they are doing that, the system doesn't need SSM.
2015-02-05 09:33:18

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