Category Archives:

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 […]

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 […]

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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
daleloberger
Culture of Safety
The idea of changing administrative behavior at the very core of how they function regarding issues of safety is also seen in the promotion of a "Just Culture" in EMS. The Center for Patient Safety discusses this idea at their website: http://www.centerforpatientsafety.org/just-culture-in-ems/
2014-12-19 18:09:59
daleloberger
Community-Based Programs
How EMS can become a financially stable function of a local government is a hot topic right now. Jamie Davis discusses the NAEMT efforts towards changing the funding stream from the federal level in this podcast: http://www.mediccast.com/blog/2014/12/19/naemt-wants-congress-and-the-president-to-fund-ems/
2014-12-19 18:06:14
daleloberger
Communicate, Communicate, Communicate
It only takes one bad story like this: http://www.emsworld.com/video/12029267/philadelphia-paramedic-in-hot-water-over-anti-police-image to make the public question a whole service (or even incite violence.) If your service doesn't already have a social networking presence, how can you effectively counter such bad media? You need to engage before problems arise in order to have credibility and a voice when…
2014-12-18 13:51:43
Mark
How To Perform CPR: The Crucial Steps You Should Know (and Share!)
The majority of people who survive a cardiac arrest are resuscitated from ventricular fibrillation (VF) by the administration of a defibrillatory shock. This is most likely to be successful when it is given very soon after the onset of VF; emergency service personnel are often unable to arrive soon enough to help a victim. Automated…
2014-12-16 17:32:19
daleloberger
Economic Efficiency
No one is going to challenge the idea of "rationing healthcare" with the idea that "any expense is worthwhile if it saves just one life"? Good to see we are beyond that logic.
2014-12-15 21:58:08

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