Brandon Means

Brandon Means

Brandon Means is Pulsara's Regional Vice President for the Western United States. Brandon started his EMS career in 2002 as a firefighter and paramedic and shortly after became a flight paramedic. He has also worked as an EMS educator, an ICU charge nurse, and a flight nurse. Brandon maintains double board certifications in critical care and flight nursing and recently obtained his B.S. in Nursing at Texas A&M University.

Recent posts by Brandon Means

3 min read

Putting a [Pit] Stop to Bottlenecks in Healthcare Communication

By Brandon Means on Feb 05, 2021

What do EMS and hospital care teams have in common with NASCAR drivers?

Quite a bit, as it turns out. The success or failure of both hinges on one thing: time. 

It might surprise even dedicated fans to learn that all of the cars on the track are limited to the same top speed and horsepower range. With this being the case, how can it be that there is such a large disparity between first and last place?

The answer: The race is won and lost during the pit stop.

Topics: Stroke STEMI Coordinators' Corner Sepsis Trauma Time Sensitive Emergencies Connected Teams
2 min read

What Healthcare Teams Can Learn From NASCAR Pit Crews

By Brandon Means on Feb 12, 2020

Even if you aren’t a diehard NASCAR fan, you’ve likely still heard the same champion names over and over. But it might surprise even dedicated fans to learn that all of the cars on the track are limited to the same top speed and horsepower range. With this being the case, how can it be that there is such a large disparity between first and last place? The answer is that the race is won and lost during the pit stop!

During the longer races, drivers will make up to a dozen pit stops. Instead of victory being about having the fastest speed down the stretch, it’s more about identifying bottlenecks and delays while eliminating mistakes.

Topics: Connected Teams Interoperability Systems of Care
2 min read

The Critical Role EMS Plays in Stroke Patient Survival [New Data]

By Brandon Means on Jan 19, 2017

We’ve known for a while now that when EMS providers are properly trained, they perform at a high level when it comes to treating and assessing patients. For example, past studies have shown that paramedics who had formal training in identifying STEMI on a 12-lead ECG could do so with the same level of proficiency as most ED Physicians (1). The same goes for identifying stroke. A similar study showed that paramedics were on par with ED physicians when it comes to identifying stroke using simple stroke scales such as the CPSS or FAST (2). 

Topics: Stroke EMS
2 min read

The “Pit Crew” Approach to Endovascular Therapy for Large Vessel Strokes: A Success Story

By Brandon Means on Aug 04, 2016


We all know that for any complex problem, there is rarely a simple solution. Endovascular stroke, with its many moving parts, is no exception. Trying to mobilize multiple disciplines and processes simultaneously (like a pit crew does in a NASCAR race) during one of the most time-sensitive emergencies is no easy task. But, as you may remember from a previous blog post I wrote, 
parallel processing of tasks is a key element to reducing treatment times.

Topics: Stroke
2 min read

Consensus Definitions of Sepsis and Septic Shock: Agree to Disagree!

By Brandon Means on Apr 20, 2016

Defining Sepsis and Septic shock has been a hot topic since 1991, when the first definitions and clinical criteria for these conditions were published. After Emmanuel Rivers published “Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock” in 2001, the Surviving Sepsis campaign kicked off, significantly increasing awareness of Sepsis.

Topics: Sepsis