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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.

Comments
Roger Thayne
Static v. Dynamic: A Continuum of Cost
Totally agree. I would add that response and transport need to be understood. Within busy urban areas an ambulance can be both the response and transport vehicle. In rural areas response can be achieved efficiently by a Community Paramedic in a car within 8 minutes supported by an ambulance within 20 to 30 minutes i.e.…
2014-08-10 10:28:37
daleloberger
About
Jodi, it took a while, but we have begun putting this sort of information together in book form. Our first attempt is "Dynamic Deployment: A Primer for EMS" (http://www.amazon.com/Dynamic-Deployment-A-Primer-EMS/dp/1500428574/ref=sr_1_1?ie=UTF8&qid=1407501551&sr=8-1&keywords=dynamic+deployment). We are already in the process of building its sequel that we hope to be a broader compendium of cases, authors, and opinions regarding the measurement…
2014-08-08 07:44:52
Alex
Could Busier be Better?
Since medical calls are now the focus of fire service. Maybe it's time for a rebranding if you will to new terms like "EMS Based Fire Service". Paramedics are constantly upgrading thier knowledge and skills and get thier butts kicked daily but don't enjoy the same pay or benifits that firefighters do. Something is wrong…
2014-08-05 03:55:31
Lauren
Could Busier be Better?
This article is more about understanding evidence based research then applying it rather then replying on personal experience and tradition. Even if you don't like what research says.
2014-07-19 20:30:03
Paul
Could Busier be Better?
High quality comes from seeing multiples of truley sick patients with strong training and support from an experienced partner, not just from being a busy transport vehicle.
2014-07-19 08:26:57

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