1. Sun Valley Fire Department Emergency Call Response Asst. Fire Chief Charlie Butterfield Sun Valley City Council Meeting August 7 th, 2014 Asst. Fire Chief Charlie Butterfield Sun Valley City Council Meeting August 7 th, 2014

2. Sun Valley Fire Department Overview of the response to Emergency Medical calls Methods of improving the response to calls for service Overview of the response to Emergency Medical calls Methods of improving the response to calls for service

3. Sun Valley Fire Department Terminology EMS (Emergency Medical Services) All encompassing term of pre-hospital emergency medical care Three levels of pre-hospital emergency medical care provider EMR- Emergency Medical Responder EMT- Emergency Medical Technician Paramedic Terminology EMS (Emergency Medical Services) All encompassing term of pre-hospital emergency medical care Three levels of pre-hospital emergency medical care provider EMR- Emergency Medical Responder EMT- Emergency Medical Technician Paramedic

4. Sun Valley Fire Department Current Fire Department Staffing: There are 4 career members at the Fire Station on weekdays All four are Emergency Medical Service (EMS) providers 2 temporary Firefighter/EMTs on weekdays 1 full-time, 1 part-time 24 Paid-Per-Call firefighters (5-EMTs) Current Fire Department Staffing: There are 4 career members at the Fire Station on weekdays All four are Emergency Medical Service (EMS) providers 2 temporary Firefighter/EMTs on weekdays 1 full-time, 1 part-time 24 Paid-Per-Call firefighters (5-EMTs)

5. Sun Valley Fire Department No staffing on weeknights and weekends at the either Fire Station (no living quarters at the fire station) Four career members live outside of the City of Sun Valley One member always “on-call” on nights and weekends (dedicated response) Travel into the City on weeknights and weekends for emergency calls This results in longer time delay of response to calls on nights and weekends No staffing on weeknights and weekends at the either Fire Station (no living quarters at the fire station) Four career members live outside of the City of Sun Valley One member always “on-call” on nights and weekends (dedicated response) Travel into the City on weeknights and weekends for emergency calls This results in longer time delay of response to calls on nights and weekends

6. Sun Valley Fire Department Of all Paid-per-call firefighters on SVFD- 6 live in the City Those firefighters are not required to respond to all calls Of all Paid-per-call firefighters on SVFD- 6 live in the City Those firefighters are not required to respond to all calls

7. Emergency Call Response 2013 Total of 212 emergency calls for service 89 Emergency Medical Calls in Sun Valley 52 calls were during nights or weekends 37 calls were during weekdays 2013 Total of 212 emergency calls for service 89 Emergency Medical Calls in Sun Valley 52 calls were during nights or weekends 37 calls were during weekdays

8. Emergency Call Response Response Times on EMS calls for 2013: Average of 6 minutes 30 seconds on nights and weekends Average of 3 minutes 20 seconds on weekdays Time difference due to no staffing at the fire stations on nights and weekends _________________________________________________ 3 minute 10 second difference between time periods- 2013 Response Times on EMS calls for 2013: Average of 6 minutes 30 seconds on nights and weekends Average of 3 minutes 20 seconds on weekdays Time difference due to no staffing at the fire stations on nights and weekends _________________________________________________ 3 minute 10 second difference between time periods- 2013

9. Emergency Call Response 2014 Total of 109 emergency calls for service- January to July 36 Emergency Medical Calls in Sun Valley 25 calls were during nights or weekends 11 calls were during weekdays 2014 Total of 109 emergency calls for service- January to July 36 Emergency Medical Calls in Sun Valley 25 calls were during nights or weekends 11 calls were during weekdays

10. Emergency Call Response Response times on EMS calls 2014 to Jan- July: Average of 8 minutes 34 seconds on nights and weekends Average of 3 minutes on weekdays _________________________________________________ 5 minute 34 seconds difference between time periods- 2014 Jan- July Response times on EMS calls 2014 to Jan- July: Average of 8 minutes 34 seconds on nights and weekends Average of 3 minutes on weekdays _________________________________________________ 5 minute 34 seconds difference between time periods- 2014 Jan- July

11. Emergency Call Response January 2013 Response Data January weekdaydispatchon sceneResponse time 31-Jan11:5311:580:05 20-Jan12:2412:250:01 Avg Response time0:03 January weekend and nightdispatchon sceneResponse time 12-Jan0:220:280:06 20-Jan21:1421:230:09 Avg Response time0:07

12. Emergency Call Response 2013 EMS CALLS FOR SVFD Total number of EMS Calls in 201394 *5 calls were Backcountry Rescues Total number of EMS calls 52 on nights and weekends NIGHT AND WEEKEND EMS calls by monthWEEKDAY EMS calls by month and associated response times of first due SVFD responder Number of callsAvg response timeNumber of callsAvg response time January27:00January23:00 February16:00February25:00 March65:00March34:00 April15:00April33:00 May35:00May12:00 June39:00June23:00 July88:00July83:00 August127:00August33:00 Septembe r46:00September43:00 October25:00October13:00 November17:00November23:00 December98:00December65:00 Total calls52Total calls37 Average Response6:30Average Response3:20

13. Emergency Medical Calls What is the significance of response times to EMS calls? 88% of cardiac arrests occur at home¹ Effective CPR can double or triple a victim’s chance of survival¹ With each minute of delay in defibrillation (shocking the heart), nearly 10 percent fewer people survive, so that at 10 minutes, survival is dismal² The optimum time for defibrillation is 3 to 5 minutes after the onset of the cardiac arrest² What is the significance of response times to EMS calls? 88% of cardiac arrests occur at home¹ Effective CPR can double or triple a victim’s chance of survival¹ With each minute of delay in defibrillation (shocking the heart), nearly 10 percent fewer people survive, so that at 10 minutes, survival is dismal² The optimum time for defibrillation is 3 to 5 minutes after the onset of the cardiac arrest² 1 http://www.heart.org/HEARTORG/CPRAndECC/WhatisCPR/CPRFactsandStats/CPR-Statistics_UCM_307542_Article.jsp 2 https://www.osha.gov/dts/tib/tib_data/tib20011217.html

14. Emergency Medical Calls 2007 McGrath Report The McGrath Report (p.45) points to the importance of recommended response time of 6 minutes or less to EMS calls. The McGrath Report (p.290) states, ”Paid-on-call housing at this site (Elkhorn Fire Station) will allow apparatus response times to improve, especially in the evenings and nights” Should we be meeting the less than 6 minute response time- all the time? 2007 McGrath Report The McGrath Report (p.45) points to the importance of recommended response time of 6 minutes or less to EMS calls. The McGrath Report (p.290) states, ”Paid-on-call housing at this site (Elkhorn Fire Station) will allow apparatus response times to improve, especially in the evenings and nights” Should we be meeting the less than 6 minute response time- all the time?

15. Emergency Medical Calls Methods to improve response time on nights and weekends: Add Firefighter/EMT living quarters at Elkhorn Fire Station and staff the quarters Firefighter/EMTs staff City owned Elkhorn Springs Units Methods to improve response time on nights and weekends: Add Firefighter/EMT living quarters at Elkhorn Fire Station and staff the quarters Firefighter/EMTs staff City owned Elkhorn Springs Units

16. Elkhorn Fire Station

17. Elkhorn Fire Station- Background 1980- Analysis performed by fire protection consultant William Miller suggesting a fire station and firefighter living quarters in the Elkhorn area 1982- Elkhorn Fire Station constructed- East wing of Station intended to be for firefighter living quarters per plan Interior of East wing left uncompleted, has been used for storage 1980- Analysis performed by fire protection consultant William Miller suggesting a fire station and firefighter living quarters in the Elkhorn area 1982- Elkhorn Fire Station constructed- East wing of Station intended to be for firefighter living quarters per plan Interior of East wing left uncompleted, has been used for storage

18. Elkhorn Fire Station City has recently looked at adding Firefighter/EMT living quarters to Elkhorn Station December 5 th 2013, Motion was passed by S.V. City Council to for architectural drawings, an estimate, and bid process for the proposed Elkhorn Fire Station remodel for Firefighter/EMT sleeping quarters City has recently looked at adding Firefighter/EMT living quarters to Elkhorn Station December 5 th 2013, Motion was passed by S.V. City Council to for architectural drawings, an estimate, and bid process for the proposed Elkhorn Fire Station remodel for Firefighter/EMT sleeping quarters

19. Elkhorn Fire Station Construction of living quarters is interior – very little change to exterior aesthetics Consist of two bedrooms, bathroom, small kitchen and living area Construction of living quarters is interior – very little change to exterior aesthetics Consist of two bedrooms, bathroom, small kitchen and living area

20. Elkhorn Fire Station SCOPE OF WORK Living and kitchen area 2 bedrooms 1 bathroom SCOPE OF WORK Living and kitchen area 2 bedrooms 1 bathroom

21. Firefighter/EMT Living Quarters Estimated Cost: $ ~198,000 Construction Estimate from Sawtooth Construction $ ~30,000 Architectural Plans $ ~20,000 Furniture, Appliances, Cabinets, Finishes, etc $ 248,000 total estimated cost for firefighter living quarters Estimated Cost: $ ~198,000 Construction Estimate from Sawtooth Construction $ ~30,000 Architectural Plans $ ~20,000 Furniture, Appliances, Cabinets, Finishes, etc $ 248,000 total estimated cost for firefighter living quarters

22. Firefighter/EMT Living Quarters Staffing the new living quarters? Current budget request: 1 temporary employee converted to fulltime position of firefighter/EMT 1 new proposed career firefighter/EMT position These positions could be placed into night and weekend coverage shifts to provide the 24 hour emergency response Paid-call Firefighter/EMTs and career staff cover as needed This would utilize the living quarters and decrease response times to calls-meeting the 6 minute response time Staffing the new living quarters? Current budget request: 1 temporary employee converted to fulltime position of firefighter/EMT 1 new proposed career firefighter/EMT position These positions could be placed into night and weekend coverage shifts to provide the 24 hour emergency response Paid-call Firefighter/EMTs and career staff cover as needed This would utilize the living quarters and decrease response times to calls-meeting the 6 minute response time

23. Firefighter/EMT Living Quarters Consolidation of fire departments? Currently- No formal talks of consolidating fire departments Between SVFD and KFD Elkhorn Station will always be needed for ISO rating With consolidation- Living quarters could still be staffed with one EMT to maintain the less than 6 minute response time to calls in Elkhorn area Consolidation of fire departments? Currently- No formal talks of consolidating fire departments Between SVFD and KFD Elkhorn Station will always be needed for ISO rating With consolidation- Living quarters could still be staffed with one EMT to maintain the less than 6 minute response time to calls in Elkhorn area

24. Firefighter/EMT Living Quarters New Fire Station the West Side of the City with living quarters? Elkhorn Station living quarters could become a firefighter live-in program similar to KFD Station 2- PPC firefighters pay rent Living quarters become equivalent to an apartment The firefighter living quarters will be utilized in some fashion indefinitely New Fire Station the West Side of the City with living quarters? Elkhorn Station living quarters could become a firefighter live-in program similar to KFD Station 2- PPC firefighters pay rent Living quarters become equivalent to an apartment The firefighter living quarters will be utilized in some fashion indefinitely

25. Firefighter/EMT Living Quarters City owned Elkhorn Springs Units? Can these units be utilized for firefighter/EMT quarters? Long term sustainability? Complaints from neighbors? Fire calls still need a response to the fire station for a fire engine City owned Elkhorn Springs Units? Can these units be utilized for firefighter/EMT quarters? Long term sustainability? Complaints from neighbors? Fire calls still need a response to the fire station for a fire engine

26. Emergency Medical Calls Police response to EMS calls? Beneficial when it occurs Patient care is not their primary training or scope They could be on another call or in Ketchum assisting KPD Not required to respond Police response to EMS calls? Beneficial when it occurs Patient care is not their primary training or scope They could be on another call or in Ketchum assisting KPD Not required to respond

27. Emergency Medical Calls Ambulance response from Ketchum for transport Through a contract with Blaine County Ambulance District Ambulance is staffed 24/7 in downtown Ketchum (KFD Station 1) Response time to Elkhorn Area of Sun Valley Approx. 11 min EMS providers of both departments work very well together Sun Valley EMS providers often first on scene and render immediate medical care/sometimes assist with transport to hospital Ambulance response from Ketchum for transport Through a contract with Blaine County Ambulance District Ambulance is staffed 24/7 in downtown Ketchum (KFD Station 1) Response time to Elkhorn Area of Sun Valley Approx. 11 min EMS providers of both departments work very well together Sun Valley EMS providers often first on scene and render immediate medical care/sometimes assist with transport to hospital

28. Emergency Medical Calls The availability of housing for full time and paid-per- call firefighters/EMTs in Sun Valley is decreasing Response times on nights and weekends to emergency calls are increasing The availability of housing for full time and paid-per- call firefighters/EMTs in Sun Valley is decreasing Response times on nights and weekends to emergency calls are increasing

29. Emergency Medical Calls Firefighter living quarters at Elkhorn Fire Station would address these concerns Utilizing Elkhorn Springs Units would be a step in the right direction, if possible to utilize Health, Safety, and Welfare of the citizens is paramount Firefighter living quarters at Elkhorn Fire Station would address these concerns Utilizing Elkhorn Springs Units would be a step in the right direction, if possible to utilize Health, Safety, and Welfare of the citizens is paramount

30. Emergency Medical Calls We can continue with the current method of different levels of response time on weekdays verses weeknights and weekends or We can deliver a more consistent level of service meeting the standard for emergency medical response We can continue with the current method of different levels of response time on weekdays verses weeknights and weekends or We can deliver a more consistent level of service meeting the standard for emergency medical response

31. Emergency Medical Calls What are the expectations of the citizens and visitors of Sun Valley from the Sun Valley Fire Department when they call 911? Questions? What are the expectations of the citizens and visitors of Sun Valley from the Sun Valley Fire Department when they call 911? Questions?