Team Pulsara

Team Pulsara is a diverse group of talent with a common purpose: To improve the lives of patients and caregivers through innovative communication.

Team Pulsara

Team Pulsara

Team Pulsara is a diverse group of talent with a common purpose: To improve the lives of patients and caregivers through innovative communication.

Recent posts by Team Pulsara

7 min read

Navigating Healthcare Technology: How to Recognize Quality Solutions

By Team Pulsara on Feb 14, 2024

On any given day, healthcare providers interact with many forms of technology. Communication apps, EHRs, ePCRs, patient portals, and digital health trackers are just a few of the types of technology designed to make life easier for clinicians. From fostering better communication to digitizing patient information, mobile technology platforms are intended to help medical professionals in a number of areas. 

Unfortunately, despite the best intentions, expectations don't always match reality.

Topics: Healthcare
2 min read

Case Study: Arkansas EMS Dept. Enhances Pediatric Behavioral Health Services

By Team Pulsara on Jan 25, 2024

With a new protocol and Pulsara, Metropolitan Emergency Medical Services can now transport eligible pediatric behavioral health patients directly to behavioral health facilities—resulting in a 44% decrease of pediatric behavioral health patients transported to the ED. 

Metropolitan Emergency Medical Services (MEMS) is a public, non-profit EMS entity serving Little Rock, Arkansas, and its surrounding counties. The organization’s service area covers approximately 1,800 square miles and nearly half a million Arkansans. MEMS transports around 77,000 patients each year. In 2020, MEMS adopted Pulsara to improve communication with area hospitals for time-sensitive emergencies such as stroke, STEMI, and trauma. 

In the wake of the COVID-19 pandemic, MEMS faced a new challenge: a growing number of pediatric behavioral health cases. Between 2022 and 2023, mental health calls accounted for 10% of MEMS’ overall call volume, with a noticeable surge in pediatric mental health cases. MEMS was transporting every behavioral health patient under 18 to Arkansas Children’s Hospital, creating a bottleneck in the emergency department as patients wait to be transferred to a behavioral health facility. Mack Hutchison, Clinical Manager for MEMS, explains: “Many of these patients do not need medical clearance and can occupy a room in the ED for up to 24 hours before a bed is found for them at a behavioral health facility.” Hutchison had an idea: what if those who didn’t need medical clearance could be routed directly to a behavioral health facility, relieving pressure on the ED and getting patients care more quickly?

Download the case study or read on to learn more!

Topics: EMS Press Customer Success Behavioral Health
8 min read

Tech Meets Tradition: Wristband Technology and Software Transform Emergency Response

By Team Pulsara on Jan 17, 2024

EDITOR'S NOTE: This article originally appeared on EMS1.com. Special thanks to our guest author, John Erich, for EMS1 BrandFocus Staff.

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How a state’s wristband system and Pulsara redefined safety at the Texas Renaissance Festival

Imagine you’re an ambulance service director in a rural county. At the last minute, you’re responsible for staffing a 40,000-visitor-per-day event – more than your county’s entire population. In addition, it’s scheduled to last for eight consecutive weekends. This is on top of your already busy 911, nonemergent transport, and standby responsibilities.

Oh, and you only have a month to prepare. Sound daunting?

That’s the predicament Billy Rice, director of EMS for Texas’ St. Joseph Health, found himself in.

After using St. Joseph Health EMS for several years, organizers of the Texas Renaissance Festival decided in 2023 to switch medical providers for the event. As opening day approached, however, they concluded St. Joseph Health EMS was the only provider that could handle an event of the festival’s magnitude.

“About a month before the festival, they realized it wouldn’t work. They called us and asked us to help,” said Billy Rice. “Of course, it’s our people and our county, so we stepped up and pulled it off.”

A major component involved the patient wristbands now being used across Texas, paired with the Pulsara platform for tracking patients and managing events.

Topics: EMS
6 min read

Community Paramedicine and the Fire Service: Making Your Plan Work

By Team Pulsara on Jan 05, 2024

EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin, for FireRescue1 BrandFocus Staff.

Now that you’ve developed the initial groundwork, these next steps are key to finding success

The fire service is pivotal in caring for their community’s underserved population. Introducing a community paramedicine program allows public safety to dynamically meet those needs.

Yet, developing and successfully implementing a community paramedic program can be daunting. “Generally, anytime you’re implementing a new program, specifically a community paramedicine program, the challenge is you’re doing something you haven’t done before  and there’s nothing more comforting than tradition,” said Kris Kaull, chief growth officer at Pulsara. “If you lead the change, it means you’re a disruptor. There’s certainly something glamorous about that, but there’s also something very disrupting about being a disruptor.”

Developing a community paramedicine program involves several steps before visiting your first patient. After creating departmental buy-in from the top down, thoroughly evaluating the medical needs of those in your community, and selecting a few specific areas for your program to focus on, it’s time to put your plans into action. Yet even if it appears that your department has crossed every t and dotted every i, you might still find the execution of your program doesn’t start smoothly.

Topics: Community Paramedicine
7 min read

Community Paramedicine: Where Does The Fire Service Fit In?

By Team Pulsara on Jan 03, 2024

EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin, for FireRescue1 BrandFocus Staff.

Departments can play a large role in supporting the health and safety of underserved residents

The inherent nature of the fire service means that responses to community needs are usually reactive. Whether a 911 call is for a fire, a serious vehicle collision, or a medical emergency at someone’s home, firefighters can’t predict ahead of time where these instances will occur.

That’s not to say the fire service hasn’t made great strides to be proactive about their day-to-day operations when and where they can. For example, departments routinely engage in fire inspections to bolster the safety of local buildings. After all, reducing the likelihood of a fire starting is certainly a more preventative route to take than fighting a fire once it’s begun.

Proactivity isn’t limited to structure fires, though. Fire departments can also apply this line of thinking to the individual residents in their community by developing a community paramedicine program.

[While we are using the term “community paramedicine” for simplicity, there are other similar terms, including “mobile integrated health” and “community integrated health.”]

Many EMS agencies across the country already engage in community paramedicine programs, and the fire service can and should play an important role in those programs. Whether your area already has this type of care in place or not, there’s always an opportunity to provide greater support for the underserved residents in your community.

Topics: Community Paramedicine Mobile Integrated Health
3 min read

Colorado Springs Fire Department Pairs Wristbands with Pulsara to Improve Communication

By Team Pulsara on Dec 13, 2023

The following is an excerpt from an article bKasia Kerridge, originally published on kktv.com on December 12th, 2023. Check out the full article here. 


COLORADO SPRINGS, Colo. (KKTV) - Colorado Springs firefighters are reflecting on how to better communicate with local hospitals after Club Q.

11 News spoke with the Colorado Springs Fire Department one year after Club Q, which has rolled out a tracking technology by Pulsara. Firefighters put wristbands on patients, connecting to an app, which gives real-time information to hospitals so medical staff can prepare. This is especially important for mass casualty events like Club Q.

Topics: Press Communication Customer Success
4 min read

New University of Dundee Abstract Shows Improved Door-to-CT Times with Pulsara

By Team Pulsara on Dec 06, 2023

Initial data shows improvement in door-to-CT times for thrombolysis patients

Earlier this year, the University of Dundee, Scotland became the first facility in Europe to implement Pulsara. In combination with radiology AI solution Brainomix, the University began using Pulsara to improve patient care and enhance communication around stroke patients. According to a recently approved abstract submission to the Scottish Heart & Arterial Disease Risk Prevention (SHARP) released by the University entitled “Addressing Cardiovascular Disease Using a Novel Communication Tool Pulsara: Digital Communication Pathway of Excellence in Scotland,” the implementation of Pulsara has significantly improved patient care in several areas, including improved door-to-CT times and a reduced risk of communication errors.

As one of the UK’s leading public research universities, The University of Dundee, Scotland is recognized worldwide for its expertise across multiple disciplines including art, science, engineering, and medicine. The University has been awarded “Scottish University of The Year” and named top university for teaching excellence in Scotland by Sunday Times University Guide. The University of Dundee Medical School is also connected to the UK’s three most-cited scientists, and the majority of the medical institute’s research is of national or international distinction.

Read the Abstract 

Topics: Press Customer Success United Kingdom
7 min read

Can The Feds Help? 5 Things To Know About Disaster Communications And Care

By Team Pulsara on Nov 29, 2023

EDITOR'S NOTE: This article originally appeared on EMS1.com. Special thanks to our guest author, John Erich, for EMS1 BrandFocus Staff.

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Assistance is available from the U.S. government, but local systems have important responsibilities

When a major disaster strikes, Americans are used to seeing FEMA rush in. The Federal Emergency Management Agency is typically among the first nonlocal entities to get boots on the affected ground, with a mission of evaluating damages and needs, and then activating additional federal resources as appropriate.

But while your FEMA rep might be your best friend throughout the duration of response and recovery, they’re not the only one able to assist; nor is FEMA the only body. Other arms of the federal government can be involved and provide important assets, too – for both communication and victim management.

Here are five things to know about disaster response, keeping connected, and federal assistance if and when the big one surfaces in your area.

Topics: Emergency Management Mass Casualty Incidents Funding
6 min read

Making Technology Work for You Instead of Against You

By Team Pulsara on Nov 20, 2023

EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin, for FireRescue1 BrandFocus Staff.


This platform helps ensure consistent and reliable communication when it matters most

Think about the last 10 conversations you had with someone who wasn’t standing right next to you. There’s a pretty good chance you communicated through text, FaceTime, social media messaging or even a good old-fashioned phone call. It’s highly unlikely you sent them a page, much less a fax.

Today’s communication technology has grown in leaps and bounds. We have confidence that our voicemails are heard and our texts are read, but older methods of communication can leave the sender wondering if their message was received.

When so many millions of people use their smartphones to relay simple information – “Remember to stop at the store to buy milk on the way home” – why would first responders continue to trust older technology to communicate vital information?

“You don’t know what you don’t know,” said Brandon Means, senior vice president of sales at Pulsara. A career paramedic and flight nurse, he was formerly a firm believer in using radios to relay critical patient data.

“I thought our radios worked fine – until they didn’t,” he explained. “They may be working fine on my end, but on the other end, it may sound garbled. There’s a reason we use modern technology in our daily lives. Firefighters, paramedics, nurses and physicians push back and say, ‘No, my pager works fine.’ Well, there’s also a reason they don’t use their radio to call their child riding their bike down the street. It’s just not reliable or consistent.”

Topics: Communication Technology
4 min read

Retention Issues Loom Large in EMS. Can New Programs and Technologies Help?

By Team Pulsara on Nov 15, 2023

Editor's Note: On July 21st, 2023, EMS1, Fitch & Associates, and the National EMS Management Association released their annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. This fifth and final entry for 2023 is contributed by  Pulsara.

Pioneering patient management and communication tools may be the answer to enhancing provider job satisfaction and combating EMS retention problems

With staff retention emerging as a top concern in EMS, the need for effective solutions to combat this critical issue is apparent. As revealed by the 2023 EMS Trend Survey – a joint effort of EMS1, Fitch & Associates, EMS Survey Team, and the National EMS Management Association – retention, recruitment, and career development significantly influence the effectiveness of EMS services.

Numerous factors play a role in these challenges, with compensation, leadership quality, late calls, and hospital wait times being the key issues. With a staggering 87% of respondents citing compensation as a major influence on retention, followed by poor leadership (72%), late calls (66%), hospital delays (53%), and the criminalization of medical errors (40%), the complexity and depth of the problem become evident.

However, these hurdles aren’t insurmountable. Innovative strategies such as wellness programs, alternative service models, and technology solutions can help reduce irritations, bolster employee satisfaction, and improve staff retention.

Topics: EMS Trend Report
6 min read

2023 EMS Trend Report: What Is the EMS Leader's Role in Managing Provider Stress?

By Team Pulsara on Nov 08, 2023

Editor's Note: On July 21st, 2023, EMS1, Fitch & Associates, and the National EMS Management Association released their annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is written by Chris Cebollero, nationally recognized EMS leader, advocate, best-selling author, and president/CEO for Cebollero & Associates.

4 Steps to Stopping the Stress Cycle

Let me share a secret: EMS can be a very stressful job. I know what you are thinking: “no joke, Sherlock” (or perhaps a more colorful version). But, if we as leaders know that EMS is a stressful career field, what are we doing as leaders to help our workforce decrease their stress levels?

The EMS Trend Survey identified several factors that compound stress for our workforce. It’s not just the trauma, death, and horrors they experience every day, but also the short staffing, equipment challenges, late calls, and schedules that pile on for them.

Of course, we know that some level of stress is inevitable and unavoidable. Heck, dealing with traffic every day was a horrible source of stress for me in the field. But we know that prolonged levels of intense stress will cause long-term mental and physical challenges for employees. Finding ways to mitigate stress for our workforce must be foremost in our focus as leaders.

Topics: EMS Trend Report
4 min read

[PRESS RELEASE] Baptist Health Medical Center in Little Rock, AR, Reduces Door-to-Puncture Time for Stroke Patients by 58% in 5 Months

By Team Pulsara on Oct 18, 2023

How one Arkansas hospital is using healthcare communication technology to dramatically improve time-to-treatment for stroke patients

BOZEMAN, Mont., October 17, 2023Pulsara, the leading mobile telehealth, communication, and logistics platform that unites health care teams and technologies across organizations during dynamic events, published new details on Arkansas-based Baptist Health Medical Center-Little Rock’s record improvements in treatment time for stroke patients. The Baptist Health Medical Center-Little Rock Case Study showcases the work the facility has put towards improving communication among EMS and hospital stroke teams and highlights the resulting decrease in time-to-treatment for stroke patients.

Topics: Stroke STEMI Press Customer Success
3 min read

Arkansas DOH Announces Pulsara Now Available Statewide

By Team Pulsara on Oct 05, 2023

On September 27th, 2023, the Arkansas Department of Health announced in a press release that the Pulsara platform will be available to all ambulance services, acute care, sub-acute care, long-term acute care, nursing homes, behavioral health hospitals, and other affiliated healthcare facilities in Arkansas through funding by the Arkansas Department of Health, starting October 1st. 

"Arkansas is the first state in the country to make the full functionality of this platform available to all EMS agencies, hospitals, affiliated healthcare facilities, public health, public safety, and emergency management," said Bala Simon, MD, DrPH, Deputy Chief Medical Officer at the Arkansas Department of Health. “This will help our healthcare providers improve communication to improve patient care and outcomes.”

Topics: Press Customer Success
8 min read

2023 EMS Trend Report: Are We Causing the Stress in EMS?

By Team Pulsara on Sep 20, 2023

Editor's Note: On July 21st, 2023, EMS1, Fitch & Associates, and the National EMS Management Association released their annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is written by Anthony Minge, EdD, senior partner at Fitch & Associates. 

 

A closer look at the causes and effects of pressure, strain, and anxiety on the EMS workforce

Stress is taking a monumental toll on EMS. This year’s EMS Trend Survey found more than 80% of respondents experience moderate job stress, with 11% categorizing it as extreme. Over 40% of those completing this year’s survey felt that stress is negatively impacting their professional development, 30% feel it is negatively impacting the quality of service they provide, and more than 50% feel it is having debilitating effects on their health.

Topics: EMS Trend Report
6 min read

Journey to Success: How This Department Implemented a New Tech Tool

By Team Pulsara on Aug 23, 2023

EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest authorCourtney Levin, for FireRescue1 BrandFocus Staff.

Colorado Springs Fire Department has significantly improved patient outcomes with Pulsara

When you work in a busy fire department, it seems as if there’s never enough time to learn and implement a new piece of technology. Such was the case for Colorado Springs Fire Department (CSFD), an agency that currently encompasses 23 stations with over 500 firefighters. Serving the second largest city in Colorado, they run about 80,000 calls per year across a large service area of over 195 square miles. 

Despite having a full plate already, CSFD has long recognized the importance of continuously striving to improve patient outcomes. After hearing about Pulsara, a communication tool that works to bridge gaps between providers, they realized their department could benefit from such technology.

“I think the transition of care and communication between prehospital medical care and a hospital-based system is fraught with peril,” said Matthew Angelidis, M.D., co-chief medical director at CSFD. “As you’re trying to give a report and information about a patient and the care that’s been rendered to a health care provider in a hospital, lots of information can be lost in translation. I think we struggled to have effective, high-quality patient care information communicated between firefighters and paramedics and the hospital-based resources the patients were transitioning to.”

Joey Buttenwieser, a lieutenant at CSFD, agrees communication challenges were a huge area of opportunity for their agency. He notes that consistent communication has now become the norm since the department implemented Pulsara.

“This system helps first responders talk to a handful of our medical directors directly through Pulsara instead of calling the hospital and getting whichever emergency room doctor happens to be rotating through that day,” said Buttenwieser.

Topics: Customer Success
11 min read

2023 EMS Trend Report Roundtable: Reducing the Burden on EMS Providers

By Team Pulsara on Aug 16, 2023

Editor's Note: On July 21st, 2023, EMS1, Fitch & Associates, and the National EMS Management Association released their annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is written by Kerri Hatt, Editor-in-Chief of EMS1.

Adopting programs to improve service delivery and agency culture

Our goal in measuring and analyzing EMS trends is to identify areas for growth: both where it is needed and where it is succeeding at improving operations. When agencies and providers are feeling the brunt of staffing challenges in levels that have nearly half of providers (45%) considering leaving EMS, and 97% of agencies struggling with turnover – it’s time to change the way we deliver EMS.

In year-over-year comparisons, we’ve seen incremental growth in agencies adopting alternate service models and tools, including telemedicine, nurse triage of 911 calls, alternate means of transportation, and alternate destinations. By getting patients to the right definitive care and reducing the volume of patients delivered straight to the ED, patients are better served and turnaround times are decreased, reducing the burden on providers.

While these downstream impacts of adjusting service delivery will improve EMS for providers, we cannot ignore the impact leadership has on their stress. EMS Trend Survey respondents made that impact loud and clear, citing agency leadership and their direct supervisors as the biggest drivers of stress in EMS.

We asked a panel of EMS innovators and experts to share their experiences, successes, and tips for adopting programs to both improve EMS service delivery and agency culture – creating a safe space where wellness is appreciated, and seniormost staff lead the ship – rather than create additional stress. Here’s what they have to say.

Topics: EMS
8 min read

2023 EMS Trend Report: What Paramedics Need to Persevere

By Team Pulsara on Aug 09, 2023

Editor's Note: On July 21st, 2023, EMS1, Fitch & Associates, and the National EMS Management Association released their annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. Today's entry is written by Jay Fitch, PhD, founding partner at Fitch & Associates. 

EMS1’s state-of-the-industry survey provides targets for reducing stress, staffing challenges, and leadership shortfalls

For the past 8 years, the EMS Trend Survey has chronicled what our profession feels are key concerns. Several overarching issues that continue to impact EMS include the post-pandemic labor environment, financial factors that appear to be causing EMS to careen toward financial ruin, as well as an increase in violent interactions. These issues certainly provide a context against which we can interpret the survey results.

Labor shortages across all business sectors (including EMS) have continued since the pandemic. Retention has remained the No. 1 critical issue facing EMS for 4 straight years. In EMS, recruitment and retention efforts have been exacerbated by the inability of agencies to provide competitive compensation packages as compared to other healthcare and public safety positions. For the past 2 years, pay and benefits have been consistently identified by nearly 9 out of 10 respondents as an issue impacting retention. Interestingly, career development and advancement were rated as a higher critical factor than in past years, which is also likely impacting retention.

Topics: EMS Trend Report
7 min read

Getting Your Community Paramedicine Program Off the Ground

By Team Pulsara on Jun 29, 2023

EDITOR'S NOTE: This article originally appeared on EMS1.com. Special thanks to our guest author, John Erich, for EMS1 BrandFocus Staff.

Topics: EMS Community Paramedicine
5 min read

Practice Makes Perfect: Simplify MCI Management with Regularly Used Tools

By Team Pulsara on Jun 14, 2023

EDITOR'S NOTE: This article originally appeared on FireRescue1.com. Special thanks to our guest author, Courtney Levin, for FireRescue1 BrandFocus Staff.

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Building muscle memory eases stress during critical emergencies

According to the U.S. Census, 29.15 million people lived in Texas in 2020. Estimates for 2022 show that figure has likely surpassed the 30 million mark as the Lone Star State continues to see a huge influx of new residents. Providing emergency medical care to that many people is an extraordinarily tall task, but one the state has worked to improve upon in recent years.

The tipping point came in 2020 as COVID-19 presented the United States with unprecedented medical challenges. Residents in Texas who needed specialized hospital care due to the virus were often caught in a tangle of delays, as medical teams weren’t always working from the same playbook.

“We heard stories across the state where multiple fixed-wing aircraft showed up at the wrong airport to pick up the wrong patient,” said Joey Branton, senior vice president of strategic initiatives at Pulsara. “They were making a minimum of 30 phone calls per patient transfer.”

While the pandemic put immense pressure on first responders and the health care system, mass casualty incidents like active shooters and natural disasters didn’t stop. It quickly became clear that those in Texas needed a better way to manage patients from start to finish.

A statewide wristband system was put in place to give every patient a unique ID that could be used across organizations. But it was the coupling of that initiative with the Pulsara platform which enabled fire and EMS providers to significantly improve their level of care.

Pulsara helps streamline communication between first responders during single-patient events and mass casualty incidents. As with any skill, confidence in using this tool comes through the muscle memory built up through regular use. “First responders in Texas realized to be truly proficient at using the efficiencies provided by the Pulsara platform, they needed to use it every day,” said Branton.

Topics: EMS Regional Systems of Care Emergency Management Mass Casualty Incidents Incident Management
8 min read

Setting the Table for Community Paramedicine

By Team Pulsara on Jun 07, 2023

EDITOR'S NOTE: This article originally appeared on EMS1.com. Special thanks to our guest author, John Erich, for EMS1 BrandFocus Staff.

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It’s not as hard to get started as you might think – follow these initial steps

Few experienced paramedics need to be persuaded of the value of community paramedicine – they’ve seen the repeat 911 callers, the chronic problems and the social factors that trap people in cycles of poor health. But against so many problems so large, it’s hard to know where to begin. Who should a CP program serve? What should it try to do?

The good news is, the answers to those questions aren’t unknowable, and it’s not as hard as you might think to get a basic program up and running. Here is a guideline for departments willing to take that step toward more comprehensive care for the vulnerable in their communities.


Step #1: Assess your needs

You might have certain interventions in mind from the outset. But whatever your program does should be based on data, not impressions or anecdotes. Focus on what your population needs, not what you want.

“It really is important that you do what’s right for your community,” said veteran EMS writer and educator Hilary Gates, MAEd, NRP, director of educational strategy for Prodigy EMS and a volunteer paramedic with the Alexandria Fire Department in Virginia, whose community paramedic program she helped found in 2017. “If you start by saying, ‘I’d like to help solve the opioid crisis,’ you might find there’s actually more meth in your community than opioids.”

Identifying appropriate areas for intervention best begins with a needs assessment – an evaluation of areas where current conditions fall short of expectations. Veteran providers may already have a sense of such areas in their communities, and agency ePCR data can yield insights into call types and frequencies. Sources like NEMSIS (the National EMS Information System), CARES (the Cardiac Arrest Registry to Enhance Survival) and top EMS software companies can also provide data to get you started.

Topics: EMS Community Paramedicine