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Backup Documents 05/22/2018 Item #11AAn Independent Marco Ambulance? What are the Facts? What is Primary Life Support (BLS)? (This is where lives are saved) Very time-dependent! •a.CPR/Automated External Defibrillators-provided by police and fire •b.Stopping bleeding/bandaging and splinting-provided by police and fire •c.Airway assistance and Oxygen •d. BLS medications-provided by fire Goal of Primary (BLS) Arrival is within 4 min of Dispatch Actual BLS Response Time in Marco averages almost 50% longer than National Recommendations! What is Secondary Life Support (ALS)? Much less time-dependent most of time •Normally occurs 15-25 minutes into call –mostly during transport •IV fluids and medications •Cardiac monitoring and 12-lead ECG •More invasive airway management •ALS Response times are 90+% within National Guidelines of 8-12 minutes What is Closest Unit Dispatch? Sending the closest available fire engine or ambulance to the next call. All 5 Fire Agencies and CCEMS participate in this coordinated Closest Unit Response Protocol for the benefit of all county residents and visitors. Fragmentation of Integrated System •One consolidated county-wide EMS system allows for seamless movement of ambulances throughout the County to provide rapid response. •Ambulances are moved to Marco Island to answer concurrent calls an average of 7/day •No clear direction on expectations from Marco or how an independent system would affect CCEMS operations. Actual could almost double No Clear and Itemized Budget Shortage of Paramedics Marco could need 12-18 additional paramedics causing severe shortages at CCEMS. CCEMS would need 2-4 years to train this many new paramedics. Marco pledges to exceed the excellence of CCEMS All Marco Island apparatus are currently ALS and contribute to the response time. The response times will not improve if Marco has an ambulance. 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