Rich Dickerson Assistant Chief Captiva Island Fire Control District
Background Definitions of BLS and ALS providers History of ALS implementation Overall start up cost and implementation
Public expectation for emergency medical services. Current use of only basic life support Island’s remote location Long mutual aid response time Needed transition to improve medical service
Basic Life Support EMTs who provide basic support such as simple airway opening, breathing support, CPR, splint fracture, bleeding control, defibrillation Advanced Life Support Paramedics who provide advanced support function as the eyes and ears of an emergency room physician. Advanced skills include advanced airway control and management, drug therapy, fluid replacement, 12 Lead cardiac interpretation
In the beginning - all Lee County Fire Departments provided Basic Life Support except Fort Myers Beach and Lehigh (both do ALS transport) 1992 – Automatic External Defibrillators utilized by fire departments Late 1990’s – LCEMS requests fire departments to consider ALS non- transport support
March 1999 – ALS Non-transport begins Sanibel Fire and Rescue District Bonita Springs Fire District Today – 10 Fire Districts provide this service 5 of these Fire Districts function under LCEMS’ Certificate of Public Convenience and Necessity (COPCN)
Captiva FD - average response time 2:58 LCEMS -average response time 15:42 Medic 5 stationed at Sanibel FD #1 Sanibel FD – provides mutual aid from Sanibel Station #2 When Medic 5 is on an emergency response on Sanibel or Captiva a stand-by EMS unit is sent to Sanibel Station # 1 to cover other calls
Echo Level Three Cardiac Arrests One Trauma Alert Delta Level Heat Exhaustion Cardiac Emergencies Respiratory Emergencies Syncopal Episodes (unconscious, unknown cause)
• Use existing personnel and resources • Personnel attend local Paramedic Training Program • Personnel will conduct ride time with LCEMS transport units during the Training Program Advantages • Improved level of care provided to residents and visitors on Captiva Island • Captiva paramedic on scene in under 3 minutes
Piggyback on Lee County EMS Certificate of Public Convenience and Necessity (COPCN) Start up cost total – $101,075 Malpractice Insurance increase - $175.00* Lifepak - $30,000.00 Drugs and Equipment - $8500.00* ALS Training Manikin – $14,000.00 Edison State College Program – $5200.00 X 3 Salary Increase - $8200.00 per employee X 4* Recurring Cost Total - $41475.00* per year
Certificate of Public Necessity and Convenience Fire Department Administration selection of personnel for paramedic training. Training center coordination for the personnel selected. Set goal of completion time frame. EMS Officer needed to administer program and to participate on Lee County Medical Care Council
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