12/10/2026
Emergency Medicine News featured ESO twice in its October issue, and today we’re spotlighting a perspective from Antonio R. Fernandez and our Chief Medical Officer, Brent Myers, MD MPH.
In “When the Emergency Department is the Only Open Door,” they explain why a patient transported 12 times in a year looks like 12 separate events in most prehospital data, not one person who needs a different path to care. To change that, we linked 9.5 million EMS encounters from more than 3,000 agencies to the 6.6 million patients behind them. The analysis was published this year in Health Affairs Scholar.
The findings are hard to ignore. Patients with five or more EMS encounters in a year made up 3% of patients but 16% of all encounters. Those with 12 or more encounters, just 0.4% of patients, generated 5% of 911 responses, and half of that group had another EMS encounter within 10 days.
These authors make a straightforward ask. For many of these patients, calling 911 is the most accessible option because other pathways are not always available. Community paramedicine, expanded reimbursement for nontransport encounters, and data-sharing that gives EMS and emergency physicians the full picture can help the right patient reach the right care. The study is descriptive, so local work will be essential to find what fits each system.
Read the full piece at eso.com/news.
Missed the first byline? Nicholas Cozzi, MD, MBA, FACEP, FAEMS, and our CEO, Eric Beck, DO, MPH, make the companion case for delivering prehospital data to the emergency department the way a lab result arrives.