Sun Valley Fire Department Emergency Call Response

Sun Valley Fire Department Emergency Call Response

Asst. Fire Chief Charlie Butterfield

Sun Valley City Council Meeting

August 7th, 2014

Asst. Fire Chief Charlie Butterfield

Sun Valley City Council Meeting

August 7th, 2014

Sun Valley Fire DepartmentSun Valley Fire Department

Overview of the response to Emergency Medical calls

Methods of improving the response to calls for service

Overview of the response to Emergency Medical calls

Methods of improving the response to calls for service

Sun Valley Fire DepartmentSun Valley Fire Department

TerminologyEMS (Emergency Medical Services)

All encompassing term of pre-hospital emergency medical care

Three levels of pre-hospital emergency medical care providerEMR- Emergency Medical Responder

EMT- Emergency Medical Technician

Paramedic

TerminologyEMS (Emergency Medical Services)

All encompassing term of pre-hospital emergency medical care

Three levels of pre-hospital emergency medical care providerEMR- Emergency Medical Responder

EMT- Emergency Medical Technician

Paramedic

Sun Valley Fire DepartmentSun Valley Fire Department

Current Fire Department Staffing:There are 4 career members at the Fire Station on weekdays

All four are Emergency Medical Service (EMS) providers

2 temporary Firefighter/EMTs on weekdays1 full-time, 1 part-time

24 Paid-Per-Call firefighters (5-EMTs)

Current Fire Department Staffing:There are 4 career members at the Fire Station on weekdays

All four are Emergency Medical Service (EMS) providers

2 temporary Firefighter/EMTs on weekdays1 full-time, 1 part-time

24 Paid-Per-Call firefighters (5-EMTs)

Sun Valley Fire DepartmentSun Valley Fire Department

No staffing on weeknights and weekends at the either Fire Station (no living quarters at the fire station)

Four career members live outside of the City of Sun ValleyOne member always “on-call” on nights and weekends (dedicated response)

Travel into the City on weeknights and weekends for emergency calls

This results in longer time delay of response to calls on nights and weekends

No staffing on weeknights and weekends at the either Fire Station (no living quarters at the fire station)

Four career members live outside of the City of Sun ValleyOne member always “on-call” on nights and weekends (dedicated response)

Travel into the City on weeknights and weekends for emergency calls

This results in longer time delay of response to calls on nights and weekends

Sun Valley Fire DepartmentSun Valley Fire Department

Of all Paid-per-call firefighters on SVFD- 6 live in the City

Those firefighters are not required to respond to all calls

Of all Paid-per-call firefighters on SVFD- 6 live in the City

Those firefighters are not required to respond to all calls

Emergency Call ResponseEmergency Call Response

2013Total of 212 emergency calls for service

89 Emergency Medical Calls in Sun Valley52 calls were during nights or weekends

37 calls were during weekdays

2013Total of 212 emergency calls for service

89 Emergency Medical Calls in Sun Valley52 calls were during nights or weekends

37 calls were during weekdays

Emergency Call ResponseEmergency Call Response

Response Times on EMS calls for 2013:

Average of 6 minutes 30 seconds on nights and weekends

Average of 3 minutes 20 seconds on weekdays

Time difference due to no staffing at the fire stations on nights and weekends

_________________________________________________

3 minute 10 second difference between time periods- 2013

Response Times on EMS calls for 2013:

Average of 6 minutes 30 seconds on nights and weekends

Average of 3 minutes 20 seconds on weekdays

Time difference due to no staffing at the fire stations on nights and weekends

_________________________________________________

3 minute 10 second difference between time periods- 2013

Emergency Call ResponseEmergency Call Response

2014Total of 109 emergency calls for service- January to July

36 Emergency Medical Calls in Sun Valley25 calls were during nights or weekends

11 calls were during weekdays

2014Total of 109 emergency calls for service- January to July

36 Emergency Medical Calls in Sun Valley25 calls were during nights or weekends

11 calls were during weekdays

Emergency Call ResponseEmergency Call Response

Response times on EMS calls 2014 to Jan- July:

Average of 8 minutes 34 seconds on nights and weekends

Average of 3 minutes on weekdays

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5 minute 34 seconds difference between time periods- 2014 Jan- July

Response times on EMS calls 2014 to Jan- July:

Average of 8 minutes 34 seconds on nights and weekends

Average of 3 minutes on weekdays

_________________________________________________

5 minute 34 seconds difference between time periods- 2014 Jan- July

Emergency Call ResponseEmergency Call Response

January 2013 Response Data

January weekday dispatch on scene Response time

31-Jan 11:53 11:58 0:0520-Jan 12:24 12:25 0:01

Avg Response time 0:03

January weekend and night dispatch on scene Response time

12-Jan 0:22 0:28 0:0620-Jan 21:14 21:23 0:09

Avg Response time 0:07

Emergency Call ResponseEmergency Call Response2013 EMS CALLS FOR SVFD

Total number of EMS Calls in 2013 94 *5 calls were Backcountry Rescues

Total number of EMS calls52

on nights and weekends

NIGHT AND WEEKEND EMS calls by month WEEKDAY EMS calls by monthand associated response times of first due SVFD responder and associated response times of first due SVFD responder

Number of calls Avg response time Number of calls Avg response timeJanuary 2 7:00 January 2 3:00February 1 6:00 February 2 5:00March 6 5:00 March 3 4:00April 1 5:00 April 3 3:00May 3 5:00 May 1 2:00June 3 9:00 June 2 3:00July 8 8:00 July 8 3:00August 12 7:00 August 3 3:00September 4 6:00 September 4 3:00October 2 5:00 October 1 3:00

November 1 7:00 November 2 3:00

December 9 8:00 December 6 5:00

Total calls 52 Total calls 37Average Response 6:30 Average Response 3:20

Emergency Medical CallsEmergency Medical Calls

What is the significance of response times to EMS calls?88% of cardiac arrests occur at home¹

Effective CPR can double or triple a victim’s chance of survival¹

With each minute of delay in defibrillation (shocking the heart), nearly 10 percent fewer people survive, so that at 10 minutes, survival is dismal²

The optimum time for defibrillation is 3 to 5 minutes after the onset of the cardiac arrest²

What is the significance of response times to EMS calls?88% of cardiac arrests occur at home¹

Effective CPR can double or triple a victim’s chance of survival¹

With each minute of delay in defibrillation (shocking the heart), nearly 10 percent fewer people survive, so that at 10 minutes, survival is dismal²

The optimum time for defibrillation is 3 to 5 minutes after the onset of the cardiac arrest²

1 http://www.heart.org/HEARTORG/CPRAndECC/WhatisCPR/CPRFactsandStats/CPR-Statistics_UCM_307542_Article.jsp2 https://www.osha.gov/dts/tib/tib_data/tib20011217.html

Emergency Medical CallsEmergency Medical Calls

2007 McGrath Report The McGrath Report (p.45) points to the importance of recommended response time of 6 minutes or less to EMS calls.

The McGrath Report (p.290) states, ”Paid-on-call housing at this site (Elkhorn Fire Station) will allow apparatus response times to improve, especially in the evenings and nights”

Should we be meeting the less than 6 minute response time- all the time?

2007 McGrath Report The McGrath Report (p.45) points to the importance of recommended response time of 6 minutes or less to EMS calls.

The McGrath Report (p.290) states, ”Paid-on-call housing at this site (Elkhorn Fire Station) will allow apparatus response times to improve, especially in the evenings and nights”

Should we be meeting the less than 6 minute response time- all the time?

Emergency Medical CallsEmergency Medical Calls

Methods to improve response time on nights and weekends:

Add Firefighter/EMT living quarters at Elkhorn Fire Station and staff the quarters

Firefighter/EMTs staff City owned Elkhorn Springs Units

Methods to improve response time on nights and weekends:

Add Firefighter/EMT living quarters at Elkhorn Fire Station and staff the quarters

Firefighter/EMTs staff City owned Elkhorn Springs Units

Elkhorn Fire StationElkhorn Fire Station

Elkhorn Fire Station- BackgroundElkhorn Fire Station- Background

1980- Analysis performed by fire protection consultant William Miller suggesting a fire station and firefighter living quarters in the Elkhorn area

1982- Elkhorn Fire Station constructed- East wing of Station intended to be for firefighter living quarters per plan

Interior of East wing left uncompleted, has been used for storage

1980- Analysis performed by fire protection consultant William Miller suggesting a fire station and firefighter living quarters in the Elkhorn area

1982- Elkhorn Fire Station constructed- East wing of Station intended to be for firefighter living quarters per plan

Interior of East wing left uncompleted, has been used for storage

Elkhorn Fire StationElkhorn Fire Station

City has recently looked at adding Firefighter/EMT living quarters to Elkhorn Station

December 5th 2013, Motion was passed by S.V. City Council to for architectural drawings, an estimate, and bid process for the proposed Elkhorn Fire Station remodel for Firefighter/EMT sleeping quarters

City has recently looked at adding Firefighter/EMT living quarters to Elkhorn Station

December 5th 2013, Motion was passed by S.V. City Council to for architectural drawings, an estimate, and bid process for the proposed Elkhorn Fire Station remodel for Firefighter/EMT sleeping quarters

Elkhorn Fire StationElkhorn Fire Station

Construction of living quarters is interior – very little change to exterior aesthetics

Consist of two bedrooms, bathroom, small kitchen and living area

Construction of living quarters is interior – very little change to exterior aesthetics

Consist of two bedrooms, bathroom, small kitchen and living area

Elkhorn Fire StationElkhorn Fire Station

SCOPE OF WORK

Living and kitchen area

2 bedrooms

1 bathroom

SCOPE OF WORK

Living and kitchen area

2 bedrooms

1 bathroom

Firefighter/EMT Living QuartersFirefighter/EMT Living Quarters

Estimated Cost:$ ~198,000 Construction Estimate from Sawtooth Construction

$ ~30,000 Architectural Plans

$ ~20,000 Furniture, Appliances, Cabinets, Finishes, etc

$ 248,000 total estimated cost for firefighter living quarters

Estimated Cost:$ ~198,000 Construction Estimate from Sawtooth Construction

$ ~30,000 Architectural Plans

$ ~20,000 Furniture, Appliances, Cabinets, Finishes, etc

$ 248,000 total estimated cost for firefighter living quarters

Firefighter/EMT Living QuartersFirefighter/EMT Living Quarters

Staffing the new living quarters?Current budget request:

1 temporary employee converted to fulltime position of firefighter/EMT

1 new proposed career firefighter/EMT position

These positions could be placed into night and weekend coverage shifts to provide the 24 hour emergency response

Paid-call Firefighter/EMTs and career staff cover as needed

This would utilize the living quarters and decrease response times to calls-meeting the 6 minute response time

Staffing the new living quarters?Current budget request:

1 temporary employee converted to fulltime position of firefighter/EMT

1 new proposed career firefighter/EMT position

These positions could be placed into night and weekend coverage shifts to provide the 24 hour emergency response

Paid-call Firefighter/EMTs and career staff cover as needed

This would utilize the living quarters and decrease response times to calls-meeting the 6 minute response time

Firefighter/EMT Living QuartersFirefighter/EMT Living Quarters

Consolidation of fire departments?Currently- No formal talks of consolidating fire departments

Between SVFD and KFD

Elkhorn Station will always be needed for ISO rating

With consolidation- Living quarters could still be staffed with one EMT to maintain the less than 6 minute response time to calls in Elkhorn area

Consolidation of fire departments?Currently- No formal talks of consolidating fire departments

Between SVFD and KFD

Elkhorn Station will always be needed for ISO rating

With consolidation- Living quarters could still be staffed with one EMT to maintain the less than 6 minute response time to calls in Elkhorn area

Firefighter/EMT Living QuartersFirefighter/EMT Living Quarters

New Fire Station the West Side of the City with living quarters?

Elkhorn Station living quarters could become a firefighter live-in program similar to KFD Station 2- PPC firefighters pay rent

Living quarters become equivalent to an apartment

The firefighter living quarters will be utilized in some fashion indefinitely

New Fire Station the West Side of the City with living quarters?

Elkhorn Station living quarters could become a firefighter live-in program similar to KFD Station 2- PPC firefighters pay rent

Living quarters become equivalent to an apartment

The firefighter living quarters will be utilized in some fashion indefinitely

Firefighter/EMT Living QuartersFirefighter/EMT Living Quarters

City owned Elkhorn Springs Units?Can these units be utilized for firefighter/EMT quarters?

Long term sustainability?

Complaints from neighbors?

Fire calls still need a response to the fire station for a fire engine

City owned Elkhorn Springs Units?Can these units be utilized for firefighter/EMT quarters?

Long term sustainability?

Complaints from neighbors?

Fire calls still need a response to the fire station for a fire engine

Emergency Medical CallsEmergency Medical Calls

Police response to EMS calls?Beneficial when it occurs

Patient care is not their primary training or scope

They could be on another call or in Ketchum assisting KPD

Not required to respond

Police response to EMS calls?Beneficial when it occurs

Patient care is not their primary training or scope

They could be on another call or in Ketchum assisting KPD

Not required to respond

Emergency Medical CallsEmergency Medical Calls

Ambulance response from Ketchum for transportThrough a contract with Blaine County Ambulance District

Ambulance is staffed 24/7 in downtown Ketchum (KFD Station 1)

Response time to Elkhorn Area of Sun Valley Approx. 11 min

EMS providers of both departments work very well together

Sun Valley EMS providers often first on scene and render immediate medical care/sometimes assist with transport to hospital

Ambulance response from Ketchum for transportThrough a contract with Blaine County Ambulance District

Ambulance is staffed 24/7 in downtown Ketchum (KFD Station 1)

Response time to Elkhorn Area of Sun Valley Approx. 11 min

EMS providers of both departments work very well together

Sun Valley EMS providers often first on scene and render immediate medical care/sometimes assist with transport to hospital

Emergency Medical CallsEmergency Medical Calls

The availability of housing for full time and paid-per-call firefighters/EMTs in Sun Valley is decreasing

Response times on nights and weekends to emergency calls are increasing

The availability of housing for full time and paid-per-call firefighters/EMTs in Sun Valley is decreasing

Response times on nights and weekends to emergency calls are increasing

Emergency Medical CallsEmergency Medical Calls

Firefighter living quarters at Elkhorn Fire Station would address these concerns

Utilizing Elkhorn Springs Units would be a step in the right direction, if possible to utilize

Health, Safety, and Welfare of the citizens is paramount

Firefighter living quarters at Elkhorn Fire Station would address these concerns

Utilizing Elkhorn Springs Units would be a step in the right direction, if possible to utilize

Health, Safety, and Welfare of the citizens is paramount

Emergency Medical CallsEmergency Medical Calls

We can continue with the current method of different levels of response time on weekdays verses weeknights and weekends

or

We can deliver a more consistent level of service meeting the standard for emergency medical response

We can continue with the current method of different levels of response time on weekdays verses weeknights and weekends

or

We can deliver a more consistent level of service meeting the standard for emergency medical response

Emergency Medical CallsEmergency Medical Calls

What are the expectations of the citizens and visitors of Sun Valley from the Sun Valley Fire Department when they call 911?

Questions?

What are the expectations of the citizens and visitors of Sun Valley from the Sun Valley Fire Department when they call 911?

Questions?