Administration and Leadership, Patient Care, Training

2007 JEMS 200-City Survey

Issue 2 and Volume 33.

The U.S. is heading into an election year, and hopeful candidates grace our TV screens nightly, commenting on the current state of our nation and the direction they believe it needs to go. There are visions of safe borders, a strong economy and universal health care. Each candidate has their own opinion, but they’re all looking ahead with their sights set on leading change. Regardless of your political leaning or pick for the presidency, the words they speak lend a sense of hope for the future and set a direction for progress.

If you’ve been in emergency services for any length of time, you’ll agree much change has occurred in the past 40 years. Paramedics no longer flip caps in the air, administer medications based on the color of the box or call physicians on their “Biophone” for instructions.

Training has gone from a few hours to associate’s degrees. And people have expectations about the EMS care they receive. With this change has come a responsibility for community and EMS system leaders to always act in the direction of improvement and to continually follow the charge: We can do better!

After 25 years of reporting data from the most populous cities in America, this report drew a line in the sand last year. Recognizing too much comfort with the status quo and not enough effort toward substantive improvement, the focus switched from just reporting the state of what is and turned to highlighting what should be in hopes of redirecting attention to the potential of EMS. This year continues that effort.