1. RENO FIRE DEPARTMENT EMERGENCY MEDICAL SERVICES (EMS) IMPLEMENTATION

2. StationsNumber of Responses StationsNumber of Responses Station 1 – 4 th Street6,832Station 12 - Damonte1,614 Station 2 – Sutro3,406Station 19 - Somersett104 Station 3 - Moana5,293Station 21 – Grand Sierra3,479 Station 4 - Ralston3,026Total33,534 Station 5 – Mayberry1,567 Station 6 – Mira Loma2,196*EMS25,685 76% Station 7 – Skyline432Other (False Alarms, Good Intent, etc.) 6,822 21% Station 8 – Kings Row2,109Fires607 2% Station 9 - Stead1,490Haz-Mat420 1% Station 10 – No. Virginia1,140 Station 11 - MaeAnne846Average Response time5:46 (En-Route to On- Scene) RFD CALLS FOR SERVICE – CY 2014

3.  All pediatrics (that is <12 years old)  Motor Vehicle Accidents  Arrests – Cardiac or Respitory  Difficulty Breathing  Explosions  Chest Pain  Carbon Monoxide/Haz-Mat  Electrocution  Gun Shot Wound/Stabbing  Unconscious Patient  Pregnancy Related Issues  Drowning/Choking  CVA  Multiple Casualty Incidents  Entrapment  All Other REMSA Requests Based on RFD Criteria RFD EMS RESPONSE TYPES

4.  Basic Life Support (BLS)  Performed by Emergency Medical Technician – Basic (EMT-B)  67 EMT-B’s Currently On-Staff  Provides Basic Life Support to Persons who are Sick, Hurt or Injured  EMT-B’s Perform CPR, Artificial Respiratory Basic Airway Management, Oxygen Administration, Vital Signs, Splinting and Bandaging  170 Hours of Training Required CURRENT LEVEL OF RFD EMS RESPONSE

5.  Intermediate Life Support (ILS)  Performed by Emergency Medical Technician – Intermediate (EMT-I) – Currently Called Advanced EMT  141 Advanced EMTs Currently On-Staff  Provides IV Therapy  Performs Enhanced Airway Management (Intubation)  Utilizes Expanded Drug Protocol (Dextrose, Albuterol, Diphenhydramine)  296 Hours of Training Required CURRENT LEVEL OF RFD EMS RESPONSE

6.  Advanced Life Support (ALS)  Performed by Emergency Medical Technician – Paramedic  27 Emergency Medical Technician - Paramedics Currently On-Staff  Highest Skilled Pre-Hospital Provider  Provides EKG Monitoring and Pediatric Advanced Life Support (Manual Defibrillation)  Utilizes Expanded Drug Protocol (Cardiac, Pain)  1,560 Hours of Training Required PROPOSED RFD ALS RESPONSE

7. PROPOSED RFD ALS RESPONSE NEEDS TIMELINE Process/ComponentDescriptionStatus Authority Under CBA/Staffing Authority – Approved with CBA Staffing – Currently 27 On-Line Increase Paramedics through new hires Administrative Tasks Prepare ALS Protocols Approval by Medical Director & State Update Internal Policies Equipment Needs 12-Lead Cardiac Monitors – Delivery Date - 6/15/15 ALS Medications/Storage Emergency Medical Dispatch Work with Comm/Tech on funding/implementation EMS Chief Position Approved in FY15/16 Budget Tentative start date 1/1/16 Training In-House/Contracted Training Funding available in FY15/16 Budget