Photo by Carlos Alfonso on Unsplash Austin, Texas, is now the 10th largest city in the United States. One hundred sixteen net new people move here every day. Imagine a domestic, commercial flight pulling into gate 10 at Austin's International Airport, and most of the passengers...
The Dallas Morning News (2016, Sept) The Dallas Morning News (2016, Sept) reported half to two-thirds of city general funds are for police, fire, and EMS. With significant tax dollar investments, elected officials, community leaders, and the media want to be good stewards. Still, they are...
Updated 12/21/2022 with updated URL. JEMS annually reports that close to half of America's largest cities are served by private ambulance services and the American Ambulance Association predicts that 75% of the U.S. population is served by private companies. In many of these communities, competitive RFP processes...
By David M. Williams, Ph.D. Originally published in September 2006 in EMS World magazine. What defines a quality EMS system is rooted in local experience. Who provides the services and how they do so may vary from place to place, but each of us has our...
Abstract Objective: There is a paucity of global research regarding emergency medical services (EMS) systems. EMS system processes and outcomes vary by model and jurisdiction. This study explores the individual, organisational, and system obstacles to 15 features of EMS systems. Methods: Using a multi-case study, five...
Early Warning Scores (EWS) have been used for many years in-hospital to identify deteriorating patients and rapidly intervene. Ambulance services in Scotland and Qatar have been using an EWS in the prehospital setting. Scotland Ambulance Service uses it as a tool to identify deteriorating patients...
© 2014 MedicHealth.com This past week a podcast by EMS Chief Chris Cebollero and critical care paramedic Kelly Grayson included a discussion on whether or not “response time goals really matter.” The link to the podcast was well distributed in social media. This isn’t the first...
© 2014 MedicHealth.com In recent years, focus on medic safety has received increasing attention. Maguire et al. reported in 2002 that EMS providers had a rate of occupational fatalities due to transportation incidents of 9.6 per 100,000; a third higher than firefighters (6.3), twice that of police (4.5),...
A recent article on Enhancing Prehospital Emergency Care by Institute for Healthcare Improvement Vice President Kedar Mate, MD and I (David M. Williams, Ph.D.) was published in the American College of Healthcare Executive's Healthcare Executive Magazine. You can access a free PDF copy of the article...
The Summer edition of Ambulance Today, Europe's leading ambulance magazine, featured an article authored by David M. Williams, Ph.D. The piece focused on efforts in the U.S.A. to use paramedics to provide alternative services in the out-of-hospital environment frequently referred to as Community Paramedicine of...
