My Boy Scout first-aid merit badge was a big achievement in my formative years. Little did I know that decades later as a professional paramedic I would get to consistently re-live the experience.

Pushing skills down to lower licensure levels has always been something that EMS has done. What skills should BLS providers have that they don’t currently have? Here’s my take on the debate.

Medicare’s new Pay-for-Performance rules are coming into effect. They will hit EMS hard and we need to be out in front of this. Don’t believe me? Please read this.

Two of my opinions on EMS are possibly in conflict with some other of my opinions on EMS. Am I a hypocrite? Come on and take your shots at me… because I haven’t changed any of my potentially offending opinions yet.

Charging fees for fire service – Is it a good idea? Or could the hook and ladder become the corporate ladder due to capitalism?

Have you ever been called to an emergency on the property of a hosptial? A case in Canada provides a teachable moment for our profession.

Have you ever made one silly mistake in a formula and screwed up your whole database? No? Not a nerd, eh? Well look at what happened in Houston.

I came across a company called “Mobile Doctors” and the seem to deliver what they promise. What can we learn from their business model?

The “Fee-for-Transport” revenue model has failed us. EMS has grown to fit the healthcare payment system and has limited so much of our profession’s evolution. We need new revenue streams and innovation, not archaic regulation. Viva EMS!

Tonight, I had a bit of a rant that I let fly… Who am I kidding, it was a full-blown Hissy. I’m tired of the politics in EMS and I’m ranting about it. If I start the change, will you join me?