How Is Peak Load Staffing, Unit Hour Utilization and System Status Management Used in the Fire Service and Ambulance.

Also, EMS works best with multiple different smaller objects working together to be come one large functional unit. At one time each shift can carry up to 30 people divided into two supervisors. This is the definition of chaos that brings order. Each crew member can run 15 different calls at one time. Some of these calls require a supervisor’s

Emergency telecommunications otherwise known as 911 dispatching is a fast paced and exciting work environment. During a twelve hour shift, the dispatchers never know what is going to occur, nor do they know when it is going to occur. Hours of boredom can be followed by minutes of sheer panic and terror. They deal with everything from domestic violence to medical calls, traffic stops to house fires. A 911 dispatcher doubles as a communications liaison for police officers, deputies, medical personnel, and fire fighters. Emergency telecommunications often known as dispatching can be broken down into four major categories: law enforcement, fire, emergency medical, and call taking/administrative.

Inherently the fire service operates in high-risk environments to facilitate the role of preserving life safety and property conservation. How these incidents are managed and safeguarded by our administration

Each year in the United States approximately 114 million people visit their local Emergency Department (ED), and 16 million of these patients arrive by Emergency Medical Services (EMS). (Board et al.) Health care in America has moved from an individual, fee-for-service health care system, towards a more integrated healthcare system i.e., The Affordable Care Act (ACA), which is a government controlled healthcare system, and is set up to be a value-based payment system. The ACA will expand and transform the roles of EMS within the healthcare system. EMS’s ability to survive and thrive in this new era of healthcare, will revolve, in part, on its ability to articulate its value to healthcare providers, healthcare organizations, hospital systems, and payers, as well as patients and family members. (Smith) EMS can thrive in the future, if it embraces change. John F. Kennedy had this to say about change, “Change is the law of life. And those who look only to the past or present are certain to miss the future.” (BrainyQuote) In order for EMS to thrive in the changes that the future is bringing, it must: focus on mobile integrated healthcare, be data driven in their clinical practices. There are three other areas that will be discussed at length, EMS agencies should be actively pursuing a community paramedicine program, EMS using remote telemedicine and EMS moving towards a value-based payment system.

Having adequate resources, including personnel, equipment, and water is essential to a successful operation. Improper implementation of the ICS system, as well as not having accountability for the firefighters involved in a fire as large as the Pawtucket event, are serious safety issues that could have proved disastrous for the firefighters in this incident. Safety is the first rule in firefighting with the end goal that everyone goes

Most, if not all of EMS agencies nationwide are already running short to under-staffed, and these higher prices mean that they have to run more calls to bring in more revenue for the company they work for.

There are several positive advancements that have been realized in fire emergency response over time. Benchmarking on the current status, the Houston Fire Department is likely to evolve in three key areas. First, technological advancement. At the moment, Project Ethan has brought a revolution in emergency response service. Project Ethan has been rolled out across the firehouses in the city. Project Ethan is a solution where people used video chats to communicate with medical doctors on emergencies and receive emergency care services. At the moment, referrals are made between 10am and 6pm on weekdays. From the trends seen with this product, many people are adopting this technology. As a matter of fact, there is a

Urgent Ambulance Services is a company that is to service its community by providing urgent and non-emergency medical pre hospital care. The organization would be serving their communities by promoting health, and safety educations in the communities they service. The organization is to educated young and old of First Aid, CPR, and safety to install the awareness and promote healthy choices. The organization is to also provide effective and prompt pre-hospital Medical services to community that calls for any non-emergent and emergency medical help, and transportations.

The Emergency Medical Service(EMS) are the people who will usually respond to a 911 call relating to medical emergency.

A literature review was conducted on the subjects of time management, staffing, and hour allocation for the environmental factors. The same review was conducted on the attitudinal factors of firefighters related to preplanning. The National Fire Protection standard 1620 Standard for Pre-Incident Planning (NFPA 2015) was reviewed along with reviews of past research papers and emails to fire departments to see what procedures have been used

The emergency care system works under the Seattle Fire Department and operates with emergency departments at local hospitals, dispatch centers, and private ambulance providers, as well as the fire departments (“About the EMS Division,” 2016). The system consists of many providers who are working as a team to provide the necessary treatment in both life threatening and non-urgent situations. Providing the best quality care to their residents is a policy.

As with most fire departments, medical emergencies account for the majority of the call volume for the District. However, a full complement of services including fire, medical, technical rescue, wildland suppression, hazardous material, fire inspection, fire investigation, code enforcement, public education, CPR classes, and various public services are offered by the District ("GRFD," 2015).

When coming up with what land the emergency services in the area covers, government officials calculate the land in a area and how much taxes the land have in a given year and whether or not they can afford emergency medical services. If a small town can not afford the cost of a full time medical service, the government then puts the small town in the hands of the neighboring community that can afford the emergency medical services. Sometimes the neighboring emergency medical services will establish a volunteer EMT station in the small town to try and get as many emergency calls answered as quickly as possible.“Emergency medical systems are evaluated according to how they respond to and treat out-of-hospital cardiac arrest patients” (Sunarin, Mayorga,and Mclay 134). The rural and small town areas are not able to respond in time do to lack of resources,

When people think of EMS, they often think of dramatic life-saving adventures, saving people from car accidents, and racing around in an ambulance. This is rarely the case. The life-or death cases are usually few and far between, and the majority of calls are medical rather than interesting car crashes. Also, the majority of all EMTs and paramedics are cross trained as firefighters. The reality of EMS is not as easy and exciting as it appears. Volunteer EMS now faces a larger strain of budget constraints and often a larger call volume, with a decrease in both staff numbers and availability. Due to this, EMS in the United States has many different approaches to the same problems. Some of the main problems that many services in Kansas deal with are the reliance on volunteers, long training times for new staff, and the low numbers, or

The EMS business model of the future, unfortunately, will be based more off of the money-oriented side, and reimbursement from insurance or federal agencies, rather than the patient care side. The minimal reimbursements that ambulance services receive today, will no doubt only get lower as the level of care increases. Although the current model calls for a unified system with equal certification levels and care across the board, the difficulty in achieving this results in part due to these low reimbursements causing many agencies to operate in the red, continually attempting to stay above going out of business.