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Insights and Best Practices for EMS Agencies

Understand the big-picture performance of EMS agencies across the United States as outlined in the 2021 ESO EMS Index. Based on data from more than 2,000 agencies and departments across the country and representing 8.8 million 911 calls (out of 10.5 million total calls) between January 1, 2020-December 31, 2020, the Index helps EMS leaders answer questions such as: 

  • Is my organization performing similarly to other organizations around the country when it comes to best practices surrounding certain clinical presentations, such as stroke identification and assessment? 
  • Are we above or below the national average when it comes to responding to overdose events?
  • Are we properly monitoring our use of ketamine in emergent situations? 
  • Are we adequately equipped to handle a spike in flu-related calls (especially in light of the coronavirus)?
  • Are we practicing judicious use of lights and siren? 
  • How do our responses ending in non-transport compare to the national average? 
  • What are the best practices for each metric in this Index and how can I make sure we are following these at our organization? 

Now in its fourth year, this Index not only examines the performance, but makes comparisons to the previous year’s data. Therefore, the best practices are informed by several years of data, as well as the practical, firsthand experience of seasoned medical professionals. 

2021 ESO EMS Index


Read the Index for analysis of stroke assessment performance, aspirin administration, influenza-like illness, overdose encounter trends, and more. Access the Index here or, to have it delivered to your inbox, complete the form. 


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