By Austin De Dios
oregonlive.com
MULTNOMAH COUNTY, Ore. 鈥� Interim Portland Fire Chief Ryan Gillespie is the imploring Multnomah County commissioners and health officials to address dangerously slow ambulance response times by changing the staffing model the county imposes on its ambulance provider.
鈥淭he shortage of ambulances is putting the community鈥檚 lives in jeopardy and it is also putting our firefighters鈥� lives in danger,鈥� Gillespie wrote to Dr. John Jui, the county鈥檚 medical director, and Aaron Monnig, its health office operations manager, in a letter dated Jan. 23.
Gillespie joins Multnomah County Commissioner Sharon Meieran, an emergency room doctor, and Portland Commissioner Rene Gonzalez, who oversees the Fire Bureau, in demanding that county officials pilot a program to staff ambulances with an EMT and a paramedic, instead of two paramedics, as they do now. Meieran submitted a proposal to change the staffing requirement Dec. 14.
Multnomah County has contracted with American Medical Response to send ambulances to emergency medical calls since 1995 but is unique among public agencies in requiring two paramedics per ambulance. AMR officials have said that dropping the requirement would allow them to put more vehicles on the road and respond to more emergencies faster.
County officials recognize the growing problem of slow response times. In November it for failing to meet 911 response time requirements spelled out in its contract with the county, which include arriving within eight minutes for emergency calls. But those same officials about whether a shift to EMT staffing would solve the issue.
Multnomah County health officials have insisted ambulances need two paramedics because that has helped the county maintain one of the highest cardiac arrest survival rates in the country, according to a November statement.
Refusing to pilot this model 鈥渋s irresponsible at best,鈥� Gillespie wrote.
During the snow storm that pounded the city last week, Gillespie said that a firefighter broke several bones while battling a blaze. But no ambulances were available at the time, so firefighters transported the firefighter themselves, Gillespie wrote. That鈥檚 not something they can do for everyone.
In the early morning hours of New Year鈥檚 Eve, firefighters responded to a call of someone with chest pain. No ambulance was available to respond, a status known as 鈥淟evel 0,鈥� and firefighters worked with TriMet staff to take the man to the hospital on a bus, as first reported by . The driver, Joe Wiggins, and other TriMet employees won praise in a TriMet board meeting Wednesday, but the man could have died had the situation been more dire.
The problem requires immediate action, Gillespie said.
鈥淭his is extremely unsafe for the patients and for the firefighters providing medical care as these vehicles are not licensed, nor set up to transport critical patients,鈥� Gillespie wrote.
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