Pulsara Blog

Several healthcare emergencies are unique to EMS. However, much of prehospital and out-of-hospital medical practice is based on standards from other disciplines of health care. Over the years, we’ve attempted to apply science from traditional medicine that fits in the setting of an emergency department or ICU, not necessarily in the back of the ambulance. 

EDITOR'S NOTE: In July, EMS1, Fitch & Associates, and the National EMS Management Association released their third 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. This excerpt is from The Consequences of Lost Passion for the Job, the third entry in the 2020 Trend Report. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS. 

About the Author: Anthony Minge, EdD, is a senior partner at Fitch & Associates. Prior to joining the firm, he was the business manager for Northwest MedStar in Spokane, Washington, one of the largest air medical programs in the Pacific Northwest. He holds a Doctor of Education degree in organizational leadership.

Improve compensation, career path and safety to recruit the next generation, and retain the current EMS workforce

Parents typically hope for more for their children. This is not just a financial goal, but one of happiness and satisfaction, including a career that is gratifying. Parental encouragement and influential adults are contributing factors in young people’s career decisions that cannot be discounted. Many have followed in the footsteps of a parent, teacher, or other mentor who provided encouragement and endorsement of a particular field. There was a time when children took their parents to school and presented them to the class, bragging about what mom or dad did for a career. This year’s data suggests that not as many public safety/EMS parents are guests at show-and-tell.

In the largest pandemic of our lifetime, learn how clinical leaders in Colorado Springs, CO, are using mobile technology to not only manage the COVID-19 crisis, but also lay the foundation for the new reality of EMS, including 911-initiated telemedicine, Mobile Integrated Healthcare, Community Paramedicine, and telehealth. For the first time ever, the presenters will outline their modernized management system and share case studies and key takeaways that will help you improve patient care, upgrade team communication, reduce cost of care, and increase EMS agency and hospital revenue. Clinicians and thought leaders are creating a new path forward, based around the HIPAA-compliant, secure, mobile-first telehealth communication platform Pulsara.

What: 911-Initiated Telemedicine: How Colorado Springs, CO, Clinical Leaders Are Revolutionizing Emergency Medicine via Mobile Technology

When: Tuesday, Sept 8, 2020 | 1:00 pm EST /  12:00 pm CT / 11:00 am MT / 10:00 am PT

How: SIGN UP HERE

Keep reading to learn more!

EDITOR'S UPDATE: The ET3 program is mentioned in the article below. Please note that, as reported by JEMS.com on 6/28/23, the federal government is ending the ET3 program. According to the Centers for Medicare & Medicaid Services, “This decision does not affect Model Participants’ participation in the Model through December 31, 2023.” Read the full article on JEMS for more details: ET3 Program Comes to an Abrupt End. Be advised that Mobile Integrated Healthcare and Community Paramedicine are separate initiatives and are unaffected by the ET3 program termination.

EDITOR'S NOTE: Last month, EMS1, Fitch & Associates, and the National EMS Management Association released their third 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.

About the Author: Rob Lawrence is the principal of Robert Lawrence Consulting. He previously served as the chief operating officer of Paramedics Plus in Alameda County, California. Before that, Rob was the COO of the Richmond Ambulance Authority. Rob is a former board member of the American Ambulance Association and currently serves as chair of its Communications Committee and a member of the media rapid response task force.

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Examining how the COVID-19 pandemic, civil unrest, and reimbursement are impacting prehospital medicine, and how leaders can care for the workforce

This data for this year’s EMS Trend Report was collected in 2019 B.C. – before COVID-19. At the time, we didn’t know what was just round the corner. This year’s report provides a real indicator of the circumstances and challenges we have already seen in the COVID-19 era. As EMS staff were the first warriors into the battle and onto the front line, mental health, post-traumatic stress injury and burnout have elevated to the top of the chart.

Every second counts in the prehospital environment. As we learn more about better ways to provide care, it’s important for EMS providers to stay informed about the latest skills and strategies for saving lives. Last week, EMS1 published an eBook compilation of articles that each detail ten things you need to know to saves lives.

In this free eBook, you’ll find four articles that each contain a list of ten things you need to know about a major care topic. Three cover different critical-care scenarios you’re likely to face in the field (cardiac arrest, major blood loss, and acute pain), and the fourth discusses best practices for handling patient handovers.

EDITOR'S NOTE: This article originally appeared on EMS1.com. Special thanks to our guest author, Sarah Salams of EMS1 BrandFocus.

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At the beginning of each year, many people make resolutions to either accomplish a personal goal or improve their life in one way or another. These resolutions, both large and small, include goals like eating healthier, exercising regularly, and learning a new skill.

Staying focused on a resolution year-round is difficult even under the most normal circumstances. This year, the COVID-19 pandemic has upended first responders’ lives as they continue to serve and take care of patients.

It’s easy to place your own needs on the back burner while taking care of others who are suffering and need help. However, it is important to recognize that your health – both physically and mentally – is more important than ever right now.

EDITOR'S NOTE: Last month, EMS1, Fitch & Associates, and the National EMS Management Association released their third 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.

About the authors: Jay Fitch, PhD, is a founding partner of Fitch & Associates and is internationally recognized for leadership as a consultant, educator and innovator in EMS and public safety.

Anthony Minge, EdD, is a senior partner at Fitch & Associates. Prior to joining the firm, he was the business manager for Northwest MedStar in Spokane, Washington.

TECHNOLOGY ADOPTION, PROVIDER RESILIENCY AND PREPAREDNESS: INTERPRETING THE EMS TREND REPORT 2020

EMS leaders anticipated a linear progression in 2020 – managing a slight increase in call volume and reimbursement, while trying to become more efficient and otherwise hold down costs. COVID-19 certainly changed the definition of normal, and perhaps how EMS will evolve in the future.

The EMS Trend Report asks a number of questions each year to ascertain industry perception of a wide variety of key issues and related trends, from measures used to track cardiac arrests, to clinical interventions, ePCR satisfaction, use of lights and sirens for 911 responses, budget changes, and the degree to which agencies are prepared for disruptive events.

Early on in my career, I remember hearing the old military adage: “Proper Preparation Prevents Poor Performance.” Those 5 P’s made a deep impression on me and have had a dramatic impact on how I’ve approached and shaped my career.

Emergency preparedness is a vital part of emergency response. As paramedics, we constantly enter situations where we can’t always anticipate what’s going to happen. And there’s always the chance that tomorrow, we could walk into a major emergency we’ve never had to face before. Having a plan in place for the worst-case scenario can make a huge difference in the case that you have to use it.

As EMS agencies all over the country have struggled to handle COVID-19, many are searching for answers. How do we prepare for possible future waves of COVID-19? Outdated technology cannot keep up with the variety of new challenges. Is there a way to streamline communication and use mobile technology to solve problems and still deliver high-quality patient care? Could such a solution be flexible and scalable, able to handle any situation—even a pandemic?

When COVID-19 hit, Austin-Travis County EMS, serving the Austin, Texas area, had the tools at their disposal to build an efficient system to help mitigate the crisis. They embraced mobile technology in an effort to improve communication, minimize the risk of exposure to healthcare providers, and continue to provide patients with the smartest and most effective quality of care.

There’s one thing in EMS that we don’t often talk about but can all relate to: making stupid decisions.

What causes us to do stupid things, and what can we do to avoid those risks? Pulsara’s CMO Kris Kaull recently made a remote guest appearance on The MCHD Paramedic Podcast to talk with Dr. Casey Patrick, Assistant Medical Director for the Montgomery County Hospital District EMS service, about what we can do to better handle the situations that put us at the greatest peril of making mistakes. Read on for the highlights of the discussion, or listen to the full recording below.

EMS.gov recently published a list of best practices for medics to implement during periods of heightened community tension. Since the services offered by EMS are often needed during situations of civil unrest or social upheaval, it's crucial that medics are equipped with plans and protocols specific to these scenarios ahead of time, in efforts to reduce their risk of personal harm.

The list includes practical suggestions for EMS personnel, stations, apparatus, and communication with the community. The guide also covers recommendations to keep in mind for operations, covering topics like coordinating response activities, modifying operations based on perceived threat or risk, maintaining situational awareness, and recommendations for responding to tense situations during COVID-19.

Recommendations for EMS personnel are as follows:

On May 26th, NAEMT hosted a webinar roundtable discussion featuring three distinguished medical directors to discuss how their organizations have been handling triage and transportation decisions during COVID-19, what processes they’ve put in place, and how they hope to continue these practices in the future. Watch the full webinar below, or continue reading for our top seven highlights.

In 2017, a group of doctors and scientists conducted a survey study with paramedics to find out their thoughts on the future of EMS. More specifically, they were interested in finding out what paramedics thought about the possibility of using telemedicine in the back of the ambulance. Would video communication technology be able to help paramedics deliver higher quality care for their patients? Or would it be a time-consuming hindrance?

At the time, using video communication for pre- and out-of-hospital care was still considered a novel idea. Many paramedics expressed that the concept was a new one to them, which possibly accounted for the large number of neutral responses. There were also a number of potential problems with telehealth services that concerned them, including background noise, connection errors, interference with patient care, difficulty in set-up and use, equipment damage, and poor video quality.

As EMS agencies all over the country have struggled to handle COVID-19, many are searching for answers. How do we prepare for possible future waves of COVID-19? Outdated technology cannot keep up with the variety of new challenges. Is there a way to streamline communication and use mobile technology to solve problems and still deliver high-quality patient care? Could such a solution be flexible and scalable, able to handle any situation—even a pandemic? 

When COVID-19 hit, UCHealth Memorial Central and the Colorado Springs Fire Department were more ready than they anticipated. They had already put in place a communication solution that would enable them to better manage and mitigate the crisis. Though the pandemic brought unprecedented challenges, Colorado Springs used Pulsara to remedy many of the communication issues created by COVID-19. They were able to provide faster, safer patient care by improving care team communication and collaboration across organizations. This is their story.

EMS Week this year comes in the midst of a global pandemic. Every day, EMS teams across the country and around the world are risking their lives to bring aid to those in need. Today is EMS Recognition Day: a day devoted to honoring first responders for their unwavering commitment to serving their communities. In light of that, we’d like to take today to recognize Pulsara’s very own EMS personnel. 

During the 2019 EMS World Expo last year, Pulsara CMO Kris Kaull sat down with Mike Verkest, EMS Training Officer and Host of "Tales and Stories from EMS World," to talk about success, failure, and his experience working in EMS. In celebration of EMS Week, we're sharing our highlights from that interview. (To watch the full interview, check out the video below).

EMS has traditionally been built around well-established response, treat, and transport protocols. The COVID-19 crisis upended this, expanding the focus beyond time-sensitive emergencies to things like mitigating the demand on local healthcare systems and securing communication for outpatients in medical isolation. These new requirements revealed a deep need for better mobile-first technologies that would enable dynamic communication between the EMS prehospital care teams and all the other hospital clinicians connected to the patient journey. As EMS agencies look for ways to better support patients, telehealth technologies are quickly becoming an indispensable part of their care systems.

In April of 2019, long before COVID-19, the Journal of Emergency Medical Services published a study that followed the success of the Houston Fire Department in using telehealth to provide patients with out-of-hospital care, effectively decreasing costs and hassle for patients who didn’t need transport. They concluded that “given the increase in costs associated with prehospital emergency care, and the increasing burden on these resources from continuous increased calls to 9-1-1, it’s imperative to redesign the traditional delivery system.” And further, they added: “We propose a model where more EMS agencies pursue adoption of telehealth on a pilot basis to determine their role for both acute and non-acute care.”

Privacy, Safety, and How Telehealth Technology Could Be the Answer

COVID-19 causes tension between pandemic mitigation measures and patient privacy

One of the most pressing questions to come out of the COVID-19 pandemic is the issue of patient privacy. The latest of many questions about patient privacy involves who has the right to know who has the virus, and when—specifically, EMS and first responders.

A few weeks ago, NPR reported on what’s becoming a national debate: whether or not first responders should be told when a call that is not about a potential case of COVID-19 occurs in a home that has one.

Recently, the Journal of Emergency Medical Services interviewed Pulsara's Chief Marketing Officer Kris Kaull for his thoughts on the future of EMS and the need for improved communication in healthcare. Read the full article here.