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Emergency Medical Services

Operations Division Chief Kevin McGee

EMS Battalion Chief Matt Smolsky

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EMS Program Career Emergency

response budget $11,177,926 EMS and Fire Suppression

FY 99 - 17,686 EMS calls 73% of all incidents were

EMS related

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What is EMS?

Federal Impact EMSState Impact on EMSCounty Code relating

to EMS

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EMS Skills BLS

– CPR, early defibrillation– Basic airway management,

oxygen– Bleeding control,

bandaging– Splinting– Uncomplicated childbirth

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EMS Skills ALS

– All BLS skills, plus

– Cardiac monitoring and interpretation

– IV and fluid administration

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EMS Skills

ALS, continued–Medication administration

–Advanced airway management

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Training Required of EMS Providers

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Training Required of EMS Providers

CPR for healthcare providers-8 hours

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Training Required of EMS Providers

EMT Basic- 120 hour minimum

Career department has 112 EMT-basics

Volunteer department has 250 EMT-basics

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Training Required of EMS Providers

EMT Cardiac- 262 total hours

An intermediate level

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Training Required of EMS Providers

EMT Paramedic- 700 total hours

Career department has 122 ALS certified

Volunteer departments have 54 ALS certified

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Chain of Survival Early Access Early CPR Early Defibrillation Early Advanced Life

Support

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Chain of Survival Early Access

– Citizen recognition

– Calling enhanced 9-1-1

– The Emergency Medical Dispatch system

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Chain of Survival

Early CPR – CPR can be

provided by trained bystander

– CPR may be instructed by dispatcher

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Chain of Survival

Early Defibrillation – Provided by

trained non-medical personnel

– Provided by BLS providers or first responders

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Chain of SurvivalEarly ACLS

Provided by Advanced Life Support providers on medic units

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Equipment Carried

BLS unit –AED lifepack 300

–Basic airway equipment

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Equipment CarriedBLS Unit–Splints–Dressings and bandages

–Supplies–Equipment and supplies $20,000

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Equipment Carried Advanced Life

Support Unit– Same as

BLS, plus– Life pack 12– Advanced

airway management equipment

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Equipment Carried

ALS Unit (continued)– IV supplies, needles, and fluids

–Medication kit–Equipment and supplies $50,000

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Responding to Emergencies

9-1-1 call is received at Communications

Call is categorized by call type and ALS or BLS

Pre-arrival EMD instructions are given

Units are dispatched

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Responding to BLS Emergencies BLS emergencies include

– lacerations– fractures– labor of childbirth

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Responding to ALS Emergencies

ALS emergencies include – Heart attacks– Stroke– Severe trauma– Unconsciousness– Stopped or trouble

breathing

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Responding to Emergencies

Medic, Ambulance and support units may be dispatched as needed

Units may be staffed by career or volunteer providers

EMS incidents are labor intensive

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Responding to Emergencies

Units arrive and assess scene for safety

Crews assess patient

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Responding to Emergencies

EMS crews need assistance from support units for rapid treatment and transport

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Responding to Emergencies

Transport may be by ambulance, medic or helicopter

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EMS Program

Any Questions ?