Monthly Archives: November 2014

The Specter of Diversion

It seems that diversion is dead in Massachusetts, and even if it isn’t yet everywhere else in the country, it’s probably fair to say that it is fading away: diversion is falling out of favor with many in EMS and emergency medicine fields.

While the data on direct patient harm caused by diversion are inconclusive1, it is likely an ineffective strategy, at least in its “classic” form, when viewed from a system’s perspective. Diversion does nothing to increase ED throughput locally, and may in fact cause EMS offload delays2.