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 […]

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 […]

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 […]

What Twitter, and These EMS Influencers, Mean to Me

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The thing I love most about conferences is the unexpected things I learn. Like everyone else, I attend certain sessions on topics I need to know more about, but in-between these official talks there are millions of opportunities (casual conversations) to hear things I never knew I needed to know. To me, this is the […]

EMS in the Cloud

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According to the Gartner Hype Cycle for 2010, “Cloud Computing” and “Cloud/Web Platforms” have reached the infamous “Peak of Inflated Expectations” and are already sliding down like a fog into the unavoidable “Trough of Disillusionment”. But the story doesn’t end there as the cloud is expected to rise back upward and eventually reach the ultimate […]

GIS for EMS

Both acronyms (GIS and EMS) represent not just technologies, but fields of study and service that have very old roots even though each can trace their modern form to research starting in the 1960s. Both have witnessed explosive growth and application far beyond their original vision. But most importantly,these two names definitely belong together. Those […]

Dynamic System Status Management

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System Status Management (SSM) is the fluid deployment of ambulances based on the hour-of-the-day and day-of-the-week in order to match supply, defined as Unit Hours of Utilization (UHU), with expected demand, expressed as calls for service, in the attempt to provide faster response by locating ambulances at “posts” nearer their next calls. While the practice […]

Addressing Geovalidation

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The most fundamental aspect of an E-911 emergency dispatch center is to be able to locate a call for service and communicate that location to the closest appropriate vehicle to be dispatched. In nearly every case, that location description is eventually an address. The back-end process starts when a call is placed to 9-1-1 from […]

Trading GPS Navigation for Wireless 4G Access

LightSquared, a hedge fund-backed start-up viewed as a major enabler of wireless competition in the US, was granted control over a portion of the US spectrum by the Federal Communications Commission (FCC) in order to build and wholesale 4G-LTE wireless broadband service through a nationwide network. According to their own website, LightSquared will unleash the […]

The Future of Prediction

I have read the positionsstating that calls for emergency services are completely random (justifying the reason they are often called “accidents”) and therefore not able to be predicted. But both academicliterature and practical experience show that demand prediction can be an effective toolin helping tobalance scarce resources (ambulances and their trained crews)with public demand (requests […]

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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
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
Julia Harris
Is ‘SSM’ Still a ‘Bad Idea’?
I refuse to work for a system that does SSM. I did ride time in one of these county systems, and it was exhausting. I love running calls. I would like to work in a busier system but not at the cost of getting stuck in a truck for hours on end. I've done this…
2014-09-10 20:28:36
mdquik84
Is ‘SSM’ Still a ‘Bad Idea’?
When I worked in a system that implemented the SSM plan it shaved off about 1 minute of response time. This system had 3 units available. Medics were pressured by upper mgmnt of a 20min for medical and 10min for trauma(the same as in the EMT books). Some medics couldn't handle the pressure and were…
2014-09-06 12:45:11

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