Good afternoon Everyone. This post may only appeal to a few of my regular readers, but it is something I have been thinking about a long time and finally decided to put to "paper". Basically, its an expanded suggestion on how the CFD could address the future of their EMS system. It is not meant to union bash, or suggest reducing headcount-- only applying some critical lessons learned, with available technology, to address the realities of providing EMS in a major American City that needs a much larger fire department than it currently has.
2. Dispatching algorithms can be developed, based on call type and level, which
then nearest AvailableEngine to evaluate patient and determine if Ambulance needed.
“Bravo Response” [BLS--Emergency]
Nearest Available BLS Ambulance; if ETA > 8 Minutes then:
If no ALS AMB closer but Engine/Rescue/Ladder is- dispatch as first responder
“Charlie Response” [ALS- Level-1]
“Echo Response” [ALS Critical]
- Prioritize lower priority calls to CFD units—preserving automatic aid medic units for ALS/serious incidents
A related potential solution exists as a part of the same effort regarding the response of
Heavy Rescue assigned on initial only if <10 minute ETA
Reported Pin; Highway incident or working Extrication:
Reported Fire; Gas Leak; etc.
From the above adjustments in Call-Typing, unit assignment and deployment; the following realignments in the daily resources deployed by the department will permit management of the new call-flow and response procedures:
Daily Assigned Medics: 109 Minimum on Duty: 63
o With streamlining of Kelly Day and Vacation Schedules:
Taken together, the service enhancements to the EMS program; improvements in Dispatching methodology; improved resource management and deployment; and related adjustments to the amount of Apparatus and number of firehouses will significantly improve the effectiveness of the Columbus Division of Fire while improving the cost-benefit relationship. Beyond the ideas contained within this brief plan, there are likely many other solutions to the challenges inherent in providing Fire/EMS services in an expanding City without dramatically increasing costs. Many of these solutions will be found by partnering with the members of the department and the firefighters union—IAFF 67. If each of the stakeholders involved participates with honesty and openness and the desire to truly find solutions to the challenges the CFD faces; then the department can truly begin a new era of dedication and effective service.