Category Archives:

Stop Dissing Response Times and Start Dissecting the Argument

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It is not hard to find an article that bashes the industry’s insistence on measuring response time as a performance goal. The latest one I saw was published just today in “Don’t let response times overshadow the role of EMS” by the respected author Arthur Hsieh. The flow of his article follows the traditional pattern of […]

Building Political Capital

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Every EMS agency could use a little more political clout. After all, we deserve it. We actually save lives! “They” should just automatically recognize “our” value, right? Well, if you have ever thought/said that statement, you are going about it all wrong. I don’t care what financial/political model your agency operates under, politics work basically […]

EMS Week 2015 Challenge

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In 1974, President Gerald Ford declared the first “National Emergency Medical Services Week” as an annual observance to recognize the critical component that emergency prehospital medicine began to play in the public health safety net. That year was a time of many other significant events. Richard Nixon had become the first president to resign in office. The newly formed OPEC consortium successfully constrained production […]

Where is Wearable Technology Heading?

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This post is from an invited guest blogger. Andrew Randazzo is the Director of Prime Medical Training and is a Nationally Registered Paramedic. Aside from teaching, Andrew’s faith and church play a big role in his life, and he also enjoys backpacking, scuba diving, competing in triathlons, and international travel. — Disclaimer: I am not being […]

In Support of Backboards

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One of my first really successful posts years ago was “A Short Take on Long Boards” where I found myself piling on the negatives regarding our habitual dependence on the Long Spine Board. I do not feel as though I can take any credit, however, for agencies such as the Palm Beach Florida Fire Department or the New York […]

High Speed Education Where Eagles Gather

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Dallas is the place to gather today and tomorrow if you are like me and actually enjoy the most current thinking on pre-hospital medical practice coming at you like a fire hose from the very “eagles” of our business. Unfortunately, I am not there. Instead, I was standing a thousand miles away this morning in […]

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, […]

EMS Today 2015 Makes Winners

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The reason I choose to attend any conference is to improve myself, my knowledge, or my skills in some way. As an EMS professional, I have many choices in conferences to attend, but the single best meeting for me to make progress toward all of these goals is the EMS Today conference. There are many reasons […]

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 […]

What is CAEMS and Why Should I Care?

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Two weeks ago, we started a Community of Practice to discuss EMS Deployment. The larger issue of deploying resources is all about efficiency and effectiveness in care, those are also the aims of any High Performance EMS group. However, that message is too often confused with meaning simply “better, faster, cheaper”, when in practice it […]

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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

Brian R
5 Reasons EMS DOES Deserve Higher Pay
We need to form a nation wide union for higher wages. Nurses have got their stuff together and they demanded higher wages for the longest time and they get paid really well. I don't see why we can't do the same! Also, shouldn't we Americans be concerned that other countries pay their EMS staff much…
2015-10-05 17:24:47
Joseph Zillmer
Stop Dissing Response Times and Start Dissecting the Argument
Response times are of course important. Hindsight on same is easy. If we don't strive for excellence why are we here? Excuses on delays, does not change the fact that it is our first priority (assuming we have trained personnel that are adequately trained). The question is rhetorical.
2015-09-29 16:06:32
John Riggs
Stop Dissing Response Times and Start Dissecting the Argument
You are absolutely correct.
2015-09-28 11:30:20
John Riggs
Stop Dissing Response Times and Start Dissecting the Argument
Times are measured because: (1) its easy to measure time (and by extension, not easy to measure "good patient care") and (2) the faster (ie: less time) you take on patient A the more patients (B-ZZZ) you can see. Time is therefore an extension of money. EMS has become more and more about this and…
2015-09-28 11:28:47
Klark Kamp
Impressions of the Ferno iN/X
You must compare apples to apples in this situation. Stryker's powered system runs about $40k and Ferno's iN/X with a fastener also runs about $40k. Both systems remove the lifting, but the Stryker power cot is more than 50lbs lighter. Stryker's battery also inductively charges when it's locked in where Ferno's battery touches a part…
2015-09-14 10:49:40

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