High Performance EMS

29/10/2025

Here it is 2025 and a taxpayer-funded partnership with Allegiance Mobile Health to provide 24/7 ambulance coverage to rural areas of Jasper County (TX) is focused on cutting response times rather than outcomes
https://ems1.com/rural-ems/texas-county-partnership-launches-dedicated-ambulance-service-focused-on-response-times?utm_source=delivra&utm_medium=email&utm_campaign=EMS1-Daily-10-29-25&utm_id=9704734&dlv-emuid=ddb9b8d4-e896-4f2e-95c9-7aa14362324f&dlv-mlid=9704734

We need to tailor the EMS story on results!

A taxpayer-funded partnership with Allegiance Mobile Health will provide 24/7 ambulance coverage to rural areas of Jasper County, aiming to cut response times

28/10/2025

Wake County (NC) is looking to reduce the use of lights and sirens. The goal is to reserve lights and sirens for only the most critical emergencies, such as shootings, stabbings, or severe vehicle crashes. Currently, about 80 percent of EMS calls use lights and sirens; under the proposed policy, that would drop to 20 percent.
https://www.jems.com/ems-operations/nc-county-thinks-silencing-sirens-may-reduce-crash-risk/

Would you feel safer without so many lights and sirens?

Wake County leaders are considering a plan to limit ambulance lights and sirens. The proposal is under review and requires county commission approval.

28/10/2025

FDA Slaps Boxed Warning on Bleeding Control Drug
https://www.medpagetoday.com/publichealthpolicy/productalert/118087
Erroneous TXA injections have led to serious patient complications, including death

Erroneous TXA injections have led to serious patient complications, including death

14/10/2025

AI model uses health data to identify which kids in the ER are likely to develop sepsis within 48 hours

To prevent sepsis in children, scientists at Northwestern University and Ann & Robert H. Lurie Children’s Hospital of Chicago developed and validated AI models that accurately identify children at high risk for sepsis within 48 hours, so they can receive early preemptive care.

12/10/2025

How exactly do inhalers work?

Quickly find and learn from the best content on the internet, curated by the editorial team at 1440.

10/10/2025

Practical strategies that EMS agencies can use to weather the reimbursement storm during a government shutdown

From Medicare cuts to billing delays, Asbel Montes joins Rob Lawrence to share practical strategies EMS agencies can use to weather the reimbursement storm

24/09/2025

Treat in Place (TIP) option for Onslow County (NC). Bradley Kinlaw, Onslow County Emergency Services director, said the changes will make EMS response more agile and focused. “Not every medical call needs an ambulance,” Kinlaw said. “Now when someone calls 911 for something like lift assistance or other minor issues, we can send a community paramedic, which ensures that ambulances are available for the most serious calls.”

The economic model for transformations like this are a bit challenging. The Q2 PWW|AG Financial Index revealed that nationally, 39% of ambulance Treatment in Place (TIP) claims are paid, with an average reimbursement per paid claim of $398.

Would this work where you work?

Onslow County Emergency Services has implemented a new innovative dispatch method for calls requiring a paramedic response.

12/09/2025

The telecommunicators in the dispatch center are central to everything we do in the field. They are so much more than "office and administrative support", they are the first of responders and they save lives!

The Enhancing First Response Act would recognize dispatchers' lifesaving role and improve emergency communications infrastructure

02/09/2025

Although it is difficult prehospital to elevate IV bags a full meter above the patient’s IV catheter, doing so substantially increases IV fluid flow, regardless of catheter size. Pressure bags and pumps do make this less of an issue.

In a study looking at IV flow rates through peripheral IV catheters, increasing the height of a 0.9% NS IV bag or even plasma, increased flow through an 18G IV from 40 ml per minute at 1 foot to 86 ml / minute at 2 feet, and 136 ml / minute at a little over 3 feet of elevation.

Similar relative improvements in flow occurred with all sizes of catheters.

Kim N, Lee H, Han J. Comparison of Fluid Flow Rates by Fluid Height and Catheter Size in Normal and Hypertensive Blood-Pressure Scenarios. Healthcare (Basel). 2024 Dec 4;12(23):2445. doi: 10.3390/healthcare12232445. PMID: 39685067; PMCID: PMC11641750.

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27/08/2025

The value of tourniquets may be oversimplified. People need simple directions, but reality can be more complex.

04/08/2025

Vitals signs are a critical portion of our patient assessment, but we know many patients go without a complete assessment. Here are some interesting facts and how that missing data relates to call type and patient age. We must learn to do better...
https://www.tandfonline.com/eprint/RBCJ8BPRI6GA8NWIBDUN/full?target=10.1080/10903127.2025.2534997

From Maia Dorsett: Only 54.6% had a complete set of vital signs documented, while 9.8% had no documented vitals, but I think the money is in the figure below - the dispatch codes, associated incidence and vital sign performance by patient age group.

Pay attention to "Falls". Calls dispatched as a "fall" for patients age 60 and older accounted for 15.1% of all non-transport incidents with incomplete vital signs and 18.2% of patients with no vital signs.

Given the documented morbidity and mortality associated with "lift assist", this paper quantifies the sweeping lack of assessment of these medically complex patients that we encounter every day.

03/08/2025

Grand theft ambulance: The crime we’re letting happen

An ambulance is stolen in the U.S. once every 2 weeks … and we are to blame!