1. Missoula Emergency Service, Inc.
No Tax Support
Fee for Service

2. Ambulance History
Fred Nelson purchased Arrow Ambulance from Elmer Harringar May 1978
Fred started Arrow Medical Services in 1980 which sold medical supplies
Fred sold the ambulance service and medical supply division to Norco in December 1988
Norco sold the ambulance service to our current owner August 1993
Medic 5 program ran from 1981 through 1991
There has never been a gap in service.

3. Arrow also operated an Air Ambulance with Minute Man Aviation

4. Missoula Emergency Service Current Staff
2 Medical Directors
1 Crew Chief
1 Education / Training Director
1 Office Administrator
18 EMT-Basic
25 Paramedics (12 Critical Care Paramedics)
One from SPH and one from CMC

5. Missoula Emergency Service Scheduled Coverage
Medic 1: 24-Hours (2 Paramedics)
Medic 2: 24-Hours (Combination 1-2 Paramedics)
Medic 3: 24 Hours ( Mon- Sat in shop double down with paramedic car from 06:00 to 22:00)
Medic 4: 12 Hours on-call (Mon – Sat.)

6. Missoula Emergency Service Fleet
7 - Type III (Box)
2 - Type II (Van)
1 - Medical Trailer
1 - GMC Yukon Administration Vehicle
Coming December 2006
1 - Type II
1 - Type III

7. Services Offered Non-Emergency Transport 911 Emergency Response
Public Assists
Stand-By Coverage
Will Respond As Far As Requested
EMT-Education For All Levels, EMT-Basic To Paramedic
Transports With Flight Teams
Critical Care Transports
Re-stocking Fire Departments
Rock Creek,
Lincoln

8. Call Volume

9. 8 Minute Response Time

10. Response Times 8 Minutes ? Full-arrests this year - 17
Average response time is less than 4:00 minutes
4 and 8 minute standards were derived from a 1979 report of Dr. Eisenberg from Seattle, which reported maximal survival (43%) in those patients with witnessed cardiac arrest due to primary heart disease who had CPR within 4 minutes of the time of collapse and “definitive care” ALS within 8 minutes.

11. Levels of Emergency Medical Technicians EMT-Basic
Splinting
Bandaging
Apply Oxygen
De-fibrillation
Basic airway maneuvers

12. EMT-Basic Endorsements
EMT-B1 Airway
EMT-B2 EMTB-Monitoring
EMT-B3 IV / IO Initiation
EMT-B4 IV / IO Maintenance
EMT-B5 ET (> 12 years old)
EMT-B6 Medications

13. EMT-Intermediate
Same as EMT-B with first-line cardiac meds and some more limited medications
Endo-tracheal Intubations for Airway Control
Intravenous (IV) Solutions

14. EMT-Intermediate Endorsements
EMT-I1 Needle Decom / Surg Airway
EMT-I2 Immunizations
EMT-I3 Drips and Pumps
EMT-I4 12 Lead Transmit

15. Paramedic All ACLS medications for cardiac patients Other medication
Cricothyrotomy
Needle Thoracentesis
Pericardio-centesis
12 Lead

16. EMT-Paramedic Endorsements
EMT-P1 12 Lead Interpretation
EMT-P2 Medications
EMT-P3 Fibrinolytics with 12 Lead Interpretation
EMT-P4 Critical Care Transport

17. Donated Community Service
YMCA 3 on 3 Tournament
Marathons
Scholarships for Fire Departments
Blood Pressure Clinics
TEMS
Heart Walk
Relay for Life
Structure Fire stand-by
Hazardous Material stand-by
Public Assist
Senior Olympics
Grizzly Dip
Stevensville Fire Department
Victor Fire Department
We take the public assist liability when we help patients up. No bill sent (public Assist)

18. Donated Community Service continued…
Home for the Holiday’s
First Night Missoula
Walmart Safety Day
Code Blue
Missoula Raptors
Little Grizzly Football
Law Enforcement Testing
Refresher Courses
High School Football, Soccer, Cross Country
Missoula City Fire Department Oxygen
U of M Athletics
Western Montana Fair (Paramedic)
Donated 249 hours this year ($18,675.00)

19. 2005 Missoula Community Write-off
Write-Down - $1,023,619.65
Write-off - $577,087.02
Fire / Hazmat Stand-by 171
$29,070.00
__________________________________________________
2005 Total Write-off
$1,600,706.67