Cutting-Edge Technology


One of the initiatives that we are currently supporting is the TeleHealth program. With this system, Excelsior will bring physician care straight to the scene remotely. Excelsior currently provides ambulance services for Hancock County, which has no local hospital. Unlike many of the big ambulance providers in larger cities, Excelsior understands the many issues faced by rural hospitals, nursing homes, and rural counties that have no local hospital. In Hancock the average distance to a hospital is over 40 miles round trip. This decreases the coverage of the county and increases the chance a patient may not have access to ambulance transportation when truly needed. Consequently, Excelsior will be training our paramedics on new equipment to do a remote physician’s physical exam and evaluation. This new equipment will allow local hospitals, such as Putnam, to evaluate patients remotely from their Emergency Room. An ER physician will be able to speak to the patient “live.” But what makes this even more impressive is the ER physician will be able to listen to the patient with a stethoscope that can transmit sounds directly over our system. Imagine, listening remotely to a patient’s lungs and heart! This equipment also includes the ability to look at a patient’s throat, ears, and eyes, as well as a dermascope to look at skin. Patients’ vitals can also be transmitted. If the ER room physician determines the patient can be seen at a local physician office then our team will set up a same-day or follow-up appointment.

Mobile X-Rays

Another initiative we are adding for our Nursing Homes is mobile x-ray. Excelsior will be offering this service to our local nursing homes to help reduce unnecessary transports of elderly patients to Emergency Rooms. And when unnecessary emergency transports are eliminated, so are the associated interminable waits for return trips to nursing homes following release from the ER. This will also greatly benefit Swing Beds. Excelsior’s goal is to help bring care straight to the nursing home patient who needs an x-ray. From the patient suffering an injury to the wrist after a fall on an outstretched hand to the patient with a cough and fever, we will be able to service them remotely. While Paramedics can be trained to take simple AP/Lateral films, imagine the benefit of taking multiple types of x-rays and having them available for follow-up care with a specialist. Remote x-ray service will allow emergency room physicians and trauma surgeons to request films that help with the management of their patients, enabling them to provide direct care of a patient that is still hours away from the nearest hospital.


Currently, the majority of the EMS community utilizes “tackle boxes” for prescription medication. Imagine how frustrating it is for a Paramedic to properly account for the medications in this outdated storage method. Even finding the right medication at the right time is more difficult than it should be, particularly when seconds translate into saving lives. Dr. Graham noticed this from the very beginning and has devoted both time and money to the research and development of the “MediBox.” The best way to describe this new equipment is a small portable Pyxis SupplyStation system. This MediBox has the ability to audit, track, and report all medications used along with upcoming expirations. Even better, the Paramedic does not have to worry about losing a key anymore! The Paramedic uses a PIN to access the box, and when he enters a drawer number he will have access to the right medication and not have to search for it in the “tackle box.” This new system will allow medical directors and pharmacists to better track and manage medications, but it can also be used to monitor Paramedics and the medications they use during patient treatment.