Study to Determine if Paramedic Engine Companies Would Provide a More Efficient Level of Service for the Alhambra Fire Department [open pdf - 134KB]
"The increasing role of emergency medical services (EMS) in the Fire Service forces fire administrators to look at alternatives to providing these services. The purpose of this research project was to establish if the Alhambra Fire Department could provide a more efficient and cost effective delivery of EMS through the implementation of Paramedic Engine Companies using existing resources. This would include maintaining ambulance transportation utilizing (non-sworn) Emergency Medical Technician - 1's (EMT-1's). Evaluative and action research methodologies were used in this research to answer the following questions: 1. Is the Department efficiently and effectively utilizing its personnel resources? 2. Does the Department have resources in place to establish paramedic engine companies? 3. Does the Department meet its operational objective of providing equal levels of emergency medical services to all four fire station jurisdictions on an initial response basis? 4. Does historical data support the implementation of basic life support (BLS) ambulances? 5. Is research available to support the concept of paramedic engine companies? An assessment was conducted on how the Department currently delivers emergency medical services. Fire Department resources were evaluated to establish if they were effectively utilized in an efficient manner. Historical data was analyzed to establish patient populations based on call type and level of care provided. Literature was reviewed from a company that provides contract employees for two other fire departments in Southern California. Financial data was obtained and reviewed from the city finance department detailing the personnel cost of firefighter paramedics."
United States. Federal Emergency Management Agency, Learning Resource Center: http://www.lrc.fema.gov/