As trauma teams push to improve survival, one intervention is gaining renewed attention: whole blood.

The U.S. military started using whole blood in World War I, but it fell out of favor with blood component availability. Military air evacuations revived whole blood use in the early 2000s, and by 2016, most civilian air medical services carried it. Since then, whole blood use has steadily grown, especially in high-volume and Level I trauma centers.

The 2024 ESO Trauma Index offers a detailed analysis of current trends and benchmarks in trauma care, setting a new standard for improvement and allowing healthcare professionals to get a closer look at the data, understand its impact, and explore best practices for enhancing patient outcomes. Pulling data from the world’s largest de-identified trauma registry data program, the Index’s insights reflect over 975,433 trauma patient records that took place between January 1 and December 31, 2023. One of the key metrics covered in the Trauma Index is whole blood usage.

Key Findings

The 2024 ESO Trauma Index, for the first time, looked at all patients who received blood/blood products. Some of the key findings include:

• Among the almost 70,000 trauma patients who received a blood transfusion, 5% received whole blood only, 87% received packed red blood cells (PRBCs), and 8% received both whole blood and PRBCs. 
  
• The median time to whole blood delivery among all patients who received whole blood was 13 minutes. That’s good news.  
• For patients who met the Early Blood Transfusion Needs Score (EBTNS), a score of greater than five and received whole blood, 98% received whole blood within four hours, the goal. 
• The median time to transfusion for trauma patients who received PRBCs was 12 hours. Considering that 87% of transfusion recipients receive PRBCs, 12 hours is concerning.
  
  

Are PRBCs Enough? 

PRBCs remain a mainstay of trauma care. They help stabilize patients and support volume replacement during hemorrhage. But PRBCs alone can lead to over-resuscitation, clotting problems, or metabolic disturbances. The 2024 ESO Trauma Index shows that more than 50% of trauma patients arrive hypocalcemic. 

The increase in EMS agencies and trauma centers administering whole blood is driven by military and civilian research showing that early whole blood transfusion can significantly improve outcomes for patients in hemorrhagic shock.

Key Recommendations from the 2024 ESO Trauma Index 

Hospital trauma centers looking to strengthen transfusion practices should consider these best practices: 

• Track and review all transfusions administered within three hours of injury. 
• Monitor calcium levels during transfusion and provide supplementation. 
• Implement or refine massive transfusion protocols.  
• Administer TXA early, ideally within three hours of injury. 
• Use point-of-care coagulation testing (e.g., TEG, ROTEM) to guide treatment. 
• Develop rapid-access systems for blood products, even in non-critical scenarios. 

Yet, for all its good, whole blood remains expensive and challenging to manage. For trauma centers committed to incorporating whole blood, hospitals and EMS partners should: 

• Set clear protocols for blood handling, transfusion, and storage. 
• Coordinate closely with trauma centers and blood banks to manage supply. 
• Support community blood drives to maintain availability. 
• Provide ongoing training to EMS professionals administering blood products. 
  
  

Whole blood isn’t new, but its return is evidence-backed and outcome-driven. For trauma centers committed to faster intervention and better survival, it may be one of the most powerful tools available.

Want more whole blood benchmarks and guidance? Download the full 2024 ESO Trauma Index for the complete picture. 

The post Why Whole Blood Is Gaining Ground in Trauma Care  appeared first on ESO.

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For example, the bakery needs food safety permits. The research lab needs special ventilation for hazardous materials. The kickboxing studio needs extra soundproofing to avoid disturbing the yoga studio below. And the doctor’s office on the ground floor must follow strict medical facility guidelines. 

This building can be completed only by knowing the requirements and following a specific order during construction. It starts with a strong foundation, then gradually adds each floor; the top floor can’t open before the first floor is built. Success depends on the architect’s master knowledge, collaboration from outside agencies, and a healthy dose of patience. 

This metaphor perfectly explains how patient registry compliance works and why it’s worth waiting to get the details just right.

“At ESO, we are partnering with our hospitals and regulatory organizations to ensure that we are improving community health and safety through the power of data. As your vendor, we are working diligently with regulatory organizations to which you must submit your data. These organizations can update their data annually. We are collectively working together to ensure that hospitals can accurately collect data on time to allow for successful submissions of trauma records. Compliance is a team effort internally and externally to ensure the data to be collected is the correct data being sent. We are all essential key players in data quality and integrity.”

– Julie Hollan, MSN, RN, Product Manager – Registry Compliance, ESO  

Laying the foundation: National standards first 

Annual compliance includes coding updates from national, state, regional, and other entities that together, create the annual compliance customization updates. 

Before your trauma registry software can be updated with the annual trauma standards, ESO must receive the foundational data standards from the American College of Surgeons (ACS) first. This toolkit includes:  

• Technical Specifications – A document that outlines the requirements for your software to work as expected. As your vendor, ESO is responsible for ensuring your software can to accurately, efficiently, and seamlessly collect and submit trauma records. 

• The Software Development Kit (SDK) – The technical toolkit for software developers to begin coding updates. 

• The Data Dictionary – This is the guiding documentation hospitals use to abstract trauma records. It details every data point your registry must collect, the values each field can hold, and how data must be formatted. The ACS provides the National Trauma Data Standard 2025 Data Dictionary. 

The ACS typically releases these essential components mid-year, setting off the national compliance update process. Without these files, the process cannot begin, delaying foundation construction.

Creating the structure: State and regional steps 

Once the ACS national requirements are in place, state and regional trauma systems release their own data dictionaries with specific requirements. These vary widely and can include new data elements, menu values, validation rules, and additional information for data abstraction. Most notably, data dictionaries detail the formats in which the data must be reported to your state or regional regulatory organizations.

ESO partners with each state and region to identify their changes and conduct a compliance review. Importantly, ESO cannot proceed with registry updates until each state, regional trauma system, or state trauma vendor formally approves their annual compliance update requirements. 

Finishing each floor: Customization 

With national, state, and regional compliance updates available, ESO develops specific updates based on compliance needs. Whether your trauma center is accredited, designated, and/or verified, your data submission must meet the requirements of the entities your facility is accountable to, like the ACS, American Burn Association, the state, region, and/or other regulatory organizations. 

The Centers for Medicare & Medicaid (CMS) is also involved in registry compliance software updates. CMS releases new ICD-10 coding sets (PCS & CM) twice a year. ESO ensures that these coding updates are added to your registry product.  

Abbreviated Injury Scale (AIS) is connected with registry compliance software updates too. AIS2015 was released on January 1, 2025, as the coding standard starting with 2025 admissions for the National Trauma Data Standard (NTDS) and Trauma Quality Improvement Program (TQIP). 

Grand opening: Deployment

Once these updates are reviewed, revised, and ready, ESO deploys updates to each product with the capability for data collection and submissions. ESO Patient Registry is deployed into production, and hospital administrator users can configure their system accordingly. The ability to self-serve with a few clicks reduces downtime. Facilities may still need to handle some installation steps for legacy products such as ESO-DI, ESO-Lancet, and ESO-CDM. If you need assistance with these installs, reserve a time with ESO Support using the support scheduling link provided in your deployment email.

A key takeaway for those on the registry compliance journey is that each step depends on the one before it. Each building phase requires attention to detail, analysis, and collective approval of changes. If updates are delayed in one area, all areas risk delay. As your vendor, we partner with regulatory organizations to ensure data quality and integrity. Collectively, we can improve community health and safety through the power of data.

Why compliance matters

The annual compliance update process is critical to ensuring your facility’s data submissions meet standards established by national, state, and regional regulatory organizations. While the process includes many dependencies, every step is essential to ensuring your facility can submit the highest quality trauma data possible.

Trauma program leaders can focus on benchmarking and quality improvement initiatives with confidence while hospitals address accreditation and verification initiatives, all while collectively improving trauma care. 

Visualize the compliance process

Here’s a simplified look at the full compliance lifecycle for facilities in states where ESO is the state vendor.

The following table outlines each step in more detail: 

*Estimated timelines are subject to change. ESO commits to providing transparent and timely updates to our state, regional, and facility partners as timelines evolve.  

Less hassle for you

Keeping your trauma registry compliant means keeping up with changes across national, state, and regional standards — a process ESO manages with you. Whether you use a legacy registry product or already upgraded to ESO Patient Registry, ESO collaborates with partners to offer technical assistance and resources to ensure your registry stays in lockstep with evolving standards.  

Every trauma registry vendor shares this responsibility, but ESO reduces the burden with ESO Patient Registry by applying updates automatically and keeping your registry up to date with minimal effort.  

That means your hospital only has one requirement: Activate your compliance updates with the click of a button once your national, state, and regional updates are available. 

Ready to upgrade?

Are ready to move away from manual updates? Visit the ESO Patient Registry page and fill out the Start My Upgrade form today.
 

The post Understanding Trauma Registry Annual Compliance Updates appeared first on ESO.

Despite its benefits, many customers are hesitant to make the switch from their legacy ESO registry to this upgraded version, waiting instead for an event like a product end-of-life announcement. While ESO plans on announcing end-of-life dates for our legacy products over the next few years (with 12–18 months’ notice, of course), there’s no need to delay your upgrade. In fact, there are multiple reasons why you should make the switch today. Here are the top five reasons to upgrade to ESO Patient Registry:  

1. Future-proofing your registry 

Get ahead of any and all industry changes by establishing a foundation that promotes both future development and innovation. Even in its short life, ESO Patient Registry has gone through updates and iterations to ensure your team has the best possible product, setting the tone for the years to come.

2. Automating your data exchange

ESO Patient Registry now connects hospital data through FHIR for both EPIC and Cerner Millennium Electronic Health Records (EHRs), along with data from EMS partners through the ESO Health Data Exchange (HDE). This not only ensures a smoother transition of patient care but also that no data gets lost in the process, while creating some workflow efficiencies with data collection. Additionally, it automatically deploys updates for everything from bi-annual ICD-10 codes to helping maintain compliance without the unnecessary workload or downtime.

3. Controlling your transition timeline 

Transitioning to a new product isn’t without its growing pains, which is why it’s best to do so when you’re not in a time crunch. To ensure that all departments within your organization have time to get a new product approved and to account for any unexpected competing priorities that may slow down onboarding, it’s best to build in some additional time.

4. Building the registry your organization needs

By starting the upgrade process before it becomes a necessity, your team will feel less pressure and can focus instead on configuring the Patient Registry to your organization’s exact needs, which can be a time-consuming yet incredibly beneficial undertaking.   

If you’re worried about feeling overwhelmed, it’s important to know that the ESO team has developed a self-paced onboarding process to empower your team to build the registry that works best for your needs. You will also be supported by an ESO onboarding specialist, who will be with you every step of the way to guide your team through the onboarding process.  

5. Giving your team time to train 

ESO Patient Registry is an incredibly powerful tool with a ton of intuitive features designed to make your team’s job easier, and training is key to making the most of them. Although intimidating, training and education on the product will lead to a successful launch and allow your team to feel more confident in adopting ESO Patient Registry organization-wide. From advice to site visits to questions, our subject matter experts will work with you to devise an onboarding process that works best for your needs and timeline.  

Don’t delay – start your upgrade today 

Interested in seeing the benefits of ESO Patient Registry firsthand?  

By requesting a demo, you’ll learn how transformative upgrading your data collection and processing capabilities can be for your organization.  

You can also get any questions answered by an ESO account representative by submitting this form to let us know you are ready to start talking about your upgrade.

The post Five Reasons to Start Your ESO Patient Registry Upgrade appeared first on ESO.

The findings may surprise you.  

The Leading Causes of Trauma – And Who Is Most at Risk 

Data from the ESO Data Collaborative, which includes nearly 1 million anonymized patient records, show that the top three causes of trauma injuries are consistent across all age groups: 

1. Falls 
2. Motor Vehicle Crashes (MVCs) 
3. Struck by/against  

The number one reason a person receives trauma care is from a fall, accounting for 52% of all injuries.  However, following the top three leading causes of injury, age-related differences emerge: 

• As a cause of trauma injury, firearms ranked fifth for pediatric patients (ages 1-18), fourth for adults (19-64 years), and tenth for older adults (65 and older)
• Interpersonal violence was 115 times more likely to be reported in pediatric patients compared to older adults, with 3% of children under 18 reporting interpersonal violence, compared to less than 1% of adults or older adults

These findings reinforce what many trauma professionals already know: Violence disproportionately affects children, and firearm-related injuries continue as a major public health crisis.  

Firearm Injuries: A Rising Concern in Trauma Centers 

According to the CDC, firearms are the leading cause of death for youth ages 1-17 years for the third year in a row. Between 2019 and 2020, firearm homicides and nonfatal firearm-related trauma increased by approximately 35–37%, marking one of the most significant spikes in recent history.  

Even more people suffer nonfatal firearm-related injuries than die, with effects reverberating across families, neighborhoods, and communities. The impact is staggering: 

• More than 40,000 people experience traumatic firearm-related injuries each year
• Youth exposed to gun violence are at higher risk of becoming victims themselves
• Firearm-related injuries and fatalities cost an estimated $410 billion annually in medical care, lost work, and quality of life losses

Firearm Injury Prevention: Recommendations for Trauma Centers 

• Hospital systems and trauma centers looking to reduce firearm-related injuries can follow these best practices: 
• Screen early – Identify risk factors for firearm-related injuries in trauma patients 
• Provide mental health support for firearm -injury victims and their families 
• Participate in the CDC’s National Syndromic Surveillance Program to track trends in gun violence by geographic area 
• Promote firearm safety – Offer free gun locks and safety resources, especially for families with children 
• Improve access to firearm injury prevention programs, particularly in under-resourced communities 
• Ensure your trauma centers follow updated trauma-informed prevention and intervention protocols to address violence effectively 

Interpersonal Violence: A Critical but Overlooked Factor in Trauma Care 

For the first time, the 2024 ESO Trauma Index also examined interpersonal violence as a mechanism of injury. Interpersonal violence – including physical, sexual, and psychological aggression – has long-term effects on victims. Interpersonal violence was 115 times more likely to be reported in pediatric patients compared to older adults, with 3% of children under 18 reporting interpersonal violence, compared to less than 1% of adults or older adults.  

It increases risks for: 

• Chronic health issues 
• Mental health disorders 
• Repeat injuries and hospital visits 

Thanks to leadership from The American College of Surgeons (ACS), all Level I trauma centers now screen for interpersonal violence, abuse, and mental health disorders. This ensures that patients receive comprehensive care beyond their physical injuries. 

Interpersonal Violence: Recommendations for Trauma Centers

• Use standardized screening protocols for all patients
• Train staff in how to recognize and document signs of abuse
• Ensure privacy and support for patients disclosing abuse
• Provide referrals to social services while using non-triggering language (e.g., labeling resources as “women’s health” or “social services” rather than “domestic violence”)

Data Drives Action 

Understanding the mechanisms of injury in U.S. populations is more than an exercise in data analysis; it’s about turning data insights into action that improves patient care and community safety. With falls, MVCs, firearms, and violence shaping trauma cases nationwide, hospitals and EMS providers must adapt protocols to better identify, treat, and prevent these injuries. 

Want to see how your trauma center compares? 

Download the 2024 ESO Trauma Index today to find trends, benchmarks, and best practices for improving trauma care in your community. 

The post A Closer Look at Trauma: What Mechanism of Injury Reveals appeared first on ESO.

Delays from communication breakdowns, logistical issues, or procedural bottlenecks can make the difference between life and death. Specifically, traumatic brain injury, complex orthopedic injuries, and hemodynamic instability issues like hemorrhage all require rapid, specialized surgical intervention at higher-level trauma centers.

Key Findings: How Fast Are Trauma Patients Moving? 

In this first exploration of time to transfer data, ESO considered time to transfer for emergency department patients, time to transfer for inpatient patients, and if trauma center level mattered. Data from the ESO Data Collaborative, which includes nearly 1 million anonymized patient records, show: 

Emergency Department Transfers 

• The median time to transfer was 78 minutes (Range: 63–84 minutes) 
• Time to transfer varied by trauma center level but not significantly  

Inpatient Transfers 

• The median time to transfer was 141 minutes, nearly 2.5 hours (Range: 132–152 minutes)  
• There was no clear trend between trauma center levels and inpatient transfer time  

These findings challenge the assumption that higher trauma center levels always transfer patients more quickly. They also show that the proverbial ‘golden hour’ is rarely met, especially with inpatient transfers. There is room for improvement. 

A Successful Reduction in Time to Transfer

The Oregon Health and Science University conducted a three-year quality improvement project on patient transfers. Measurable improvements include:  

• Decreased the number of transfers that arrived with incomplete (or missing) medical records from more than 17% to just over 1%  
• Decreased arrival-to-procedure time for patients being transferred for a procedure from 51 hours to 35 hours  
• Decreased unnecessary transfers from 15% to 3%  
• Increased case mix index by one-third, corresponding to about a 60% jump in reimbursement 
  

How Can Trauma Centers Reduce Transfer Delays? 

Trauma leaders, including the American College of Surgeons (ACS), emphasize the importance of rapid – and accurate – injury identification, established transfer protocols, and seamless communication between referring and receiving facilities. 

Best practices for improving time to transfer include: 

• Quickly identify trauma patients requiring transfer – ideally within 30 minutes of arrival 
• Establish clear criteria for transfer, prioritizing patients needing specialized surgical care 
• Create predefined agreements with higher-level trauma centers to streamline transfers 
• Facilitate direct physician-to-physician communication for quicker acceptance 
• Appoint a dedicated transfer coordinator to reduce logistical delays
• Focus on stabilization without unnecessary imaging or procedures that slow down the process 
• Set and track a decision to transfer time as part of your trauma performance improvement program
• Regularly review transfer times with staff and provide feedback on identified delays 
• Ensure compliance with state and regional trauma guidelines, some of which mandate specific transfer timeframes  

The Bottom Line: Faster is Better 

The data is clear: time to transfer can be improved, and hospital systems and trauma centers that optimize transfer times can improve patient survival and recovery. 

Want to see how your facility compares to national benchmarks?

Download the full 2024 ESO Trauma Index to learn how your trauma center could improve patient outcomes and community health. 

The post The Clock Is Ticking on Trauma Center Time to Transfer  appeared first on ESO.

Critical incident reporting metrics are designed to measure the events that have the most potential to be psychologically traumatizing for first responders and are closest linked to PTSD and suicide. While the list is not exhaustive and critical incidents can vary from person to person, their documentation is crucial for protecting your own team and further improving research for the entire industry.  

Here are the nine psychologically traumatizing events (PTE) you should be documenting:  

• Serious injury or line-of-duty death  
• Suicide of a co-worker  
• Death or serious injury to a child  
• Prolonged failed rescue  
• Multi-casualty incident disaster  
• The victim is known to the responder  
• Any incident where the personal safety of the responder is jeopardized  
• Incidents with excessive media interest  
• Any incident with a powerful emotional component 
  
  

It’s important to note that nearly 79% of records did not mention the circumstances surrounding critical incidents, which means there is a major opportunity for improving documentation. This could be in part due to the fact there is still a stigma around mental health within first response. 

So, what else can your organization do? 

With the alarming rise in suicide amongst first responders, the tracking of critical incidents should be a top priority within your organization and is one of many steps you can take toward improving the wellbeing of your team. Below are some recommended best practices as outlined in the 2024 ESO Fire Service Index and 2024 ESO EMS Index.

• Cultivate a supportive organizational culture where team members feel comfortable reporting critical incident exposure. Put organizational procedures and zero-harassment policies in place to promote a positive atmosphere of respect, fairness, and employee appreciation. 
  
  
• Documenting exposure to critical incidents is key. Enable incident tracking and take action when any events are reported. Ask clinicians how they prefer to be contacted when an incident occurs.  
  
  
• Consult the 2022 Public Safety Officer Support Act, which provides line-of-duty benefits for first responders experiencing PTSD due to critical incident exposure. 
  
  
• Since critical incidents can differ from person to person, provide training to your entire team based on the latest evidence for potentially psychologically traumatizing events to help them better recognize PTSD within themselves and their peers.  
  
  
• Invest in training and continuing education on delivering death notifications to ease the stress associated with performing this difficult task. 
  
  
• Ensure access to appropriate mental health resources. If possible, partner with local mental health clinicians who have experience working with first responders and consider establishing peer support teams. 
  
  

It’s important to remember that everyone reacts differently to the same or similar incidents, so personalize treatment to each person’s individual needs. Finally, ensure your team has the right support resources, including the National Suicide Prevention Lifeline (1-800-273-TALK [8255]) and pocketpeer.org.  

For more insights regarding improving your response to critical incidents, check out the 2024 ESO Fire Service Index and the 2024 ESO EMS Index.  

The post Why Critical Incident Reporting Matters appeared first on ESO.

Tracking your department’s data year after year helps you see where you’re doing well and where there’s room to improve. Understanding the types of incidents you handle most often, the areas that need prevention efforts, and ways to protect your firefighters are all steps toward improving your response.

Understanding incident types and trends

Knowing the types of incidents your department responds to most often is a good place to start. The 2024 ESO Fire Service Index shows that:

• 67% of all calls are EMS-related, while 3% are fire-related.
• Among fire-related calls, the top three incident types are:
  
  1. Structure fires (36%)
  2. Natural vegetation fires (21%)
  3. Outside rubbish fires (21%)
     
     

For departments serving wildland-urban interface (WUI) areas, the rise in natural vegetation fires highlights the importance of being ready for these incidents. Community education programs focused on fire-wise practices, such as clearing debris and managing controlled burns, can help reduce risks and prevent fires from starting in the first place.

Safety is more than a priority – it’s essential

Firefighter safety extends beyond the fireground and has long-lasting effects on their health. Research from ESO, based on data from more than 31,000 personnel across 581 agencies, shows that:

• Only 8% of firefighters documented fire-related exposure, but 82% of those performed at least one on-scene decontamination procedure.
• Fewer than 4% documented all recommended best practices, such as using soapy water to clean PPE, wiping exposed areas, and sealing contaminated gear.
  
  

These practices are critical in reducing exposure to harmful carcinogens. Studies, including those conducted by the National Institute for Occupational Safety and Health (NIOSH), show that firefighters are at a 9% higher risk of cancer diagnoses and a 14% higher risk of cancer-related deaths compared to the general U.S. population. The longer a firefighter spends on the fireground, the greater their risk.

Learn more about these risks and actionable solutions in the ESO white paper, The Threat That Burns On: Carcinogenic Exposure and the Importance of Decontamination Procedures for Firefighters.

So, what can your department do to improve your response?  

Track and improve response times

Your response time is a good place to begin. The 2024 ESO Fire Service Index shows that the median turnout time for fire calls was 1 minute, 12 seconds, which is better than the NFPA benchmark of 1 minute, 20 seconds. The median travel time for fire calls was 4 minutes, meeting the NFPA standard.

To improve further, incorporating a timer with a notification system into your processes can help track turnout times and identify delays. Immediately completing reports once all units are cleared also allows your department to more accurately track data and provide actionable feedback to your crew about performance.

Be prepared for wildland fires

Wildland fire incidents are on the rise, with over 42,000 calls recorded in 2023, according to the 2024 ESO Fire Service Index. Early detection plays an important role in reducing delays, especially in wildland-urban interface (WUI) areas where the combination of vegetation and structures increases fire risks. Collaborating with landowners to install detection systems and investing in foundational training programs like S-130/190 can help crews respond effectively and safely.

WUI environments present unique challenges, requiring careful preparation. Strategies such as creating evacuation plans, identifying staging areas, and conducting controlled burns are essential for limiting the spread of fires. These proactive measures, paired with prevention efforts tailored to WUI-specific risks, can significantly improve outcomes during fire responses.

Focus on firefighter health

Firefighter health is a key priority as departments work to reduce the risks associated with carcinogenic exposure. The ESO Research Roundtable: The Importance of Firefighter Decontamination Procedures is a resource created to help departments start meaningful conversations about improving decontamination practices. Building on insights from ESO’s white paper, The Threat That Burns On, the ESO Research Roundtable offers practical talking points and strategies to address gaps in safety protocols. Departments can use this guide to review current practices, identify areas for improvement, and encourage consistent habits, such as cleaning PPE thoroughly, documenting exposures, and isolating contaminated gear. These steps, supported by structured discussions, can lead to safer outcomes for crews both on and off the fireground.

Better decisions start with better data

Big changes are happening in the fire service industry, and data is at the forefront.  On the industry level, the upcoming transition from NFIRS to NERIS as the new emergency reporting standard in the U.S. introduces changes in how data is collected and reported, making it important for departments to have reliable systems in place. On the organizational level, accurate data helps fire departments track performance, improve safety, and adjust to the evolving reporting standards. ESO Fire RMS meets state and national compliance requirements – including NERIS – and supports these efforts by helping departments manage incident reporting, inspections, hydrants, and other operational needs.

Good data is more than numbers – it’s a resource for making informed decisions that improve outcomes for firefighters and the communities they serve. Compiled from 2,269 departments and representing over 6.5 million incidents from January 1 through December 31, 2023, the 2024 ESO Fire Service Index is designed to be used as a baseline to see how your organization aligns nationally across key performance metrics, such as the documentation of decontamination procedures, call response times, most common response types and more. Interested in seeing how your department compares? Read the full 2024 ESO Fire Service Index.

The post Timing Isn’t Everything: Key Factors for Fire Response appeared first on ESO.