STAT213

Here's my experience with staffing levels. Worked in Syracuse, NY back in the 1990s and 2000s. City of 100000 or so. Daytime EMS including transfers was a max of 10. Unit hour utilization was tracked meticulously. Night time was 4 ambulances over night. That was usually enough.
Where I work now, I'm in a town of 35k. We have one ambulance staffed and cross staff three others. We get mutual aid in very infrequently, maybe once a week.
Mt. Pleasant is the same geographic size about - 35 square miles. So, five dedicated BLS trucks seems a bit much. Probably do it with three. Depends what benchmarks for response time you want to hit, and how much to spend. I bet you could do it with three trucks and one ALS unit if you triaged a good number of calls down to BLS or AEMT level.
There are formulas for this. If you want service at your door in four minutes or less 90 % of the time, add more trucks and stations. It's not rocket science. The city of Syracuse (Fire, not ambulance) has their stations arranged to be anywhere in the city in four minutes. For a city of 100k that's 10 stations. EMS does system status management to position units to be on scene within 8 minutes 90 percent of the time.

Wow. Those are ALL rare benefits for private EMS.
So, costs are mostly the same, reimbursement should be fairly equal, depending on collection rates and ability.
First question that comes to my pea brain is .... If empress can do it, and clearly do it fairly well, why can't everyone else?
And my second question is for those other companies: WHERE DOES THE MONEY GO?

A lot of places with scary staffing out there.
Newburgh is way understaffed.
Plenty of towns near me who staff with two on an engine. Buddy of mine works in California, no different out there.
I'm lucky to work for a town that staffs at 15. Though 10 years ago we had 20.
Elections matter. Get involved!!!

Here's my experience with staffing levels. Worked in Syracuse, NY back in the 1990s and 2000s. City of 100000 or so. Daytime EMS including transfers was a max of 10. Unit hour utilization was tracked meticulously. Night time was 4 ambulances over night. That was usually enough.
Where I work now, I'm in a town of 35k. We have one ambulance staffed and cross staff three others. We get mutual aid in very infrequently, maybe once a week.
Mt. Pleasant is the same geographic size about - 35 square miles. So, five dedicated BLS trucks seems a bit much. Probably do it with three. Depends what benchmarks for response time you want to hit, and how much to spend. I bet you could do it with three trucks and one ALS unit if you triaged a good number of calls down to BLS or AEMT level.
There are formulas for this. If you want service at your door in four minutes or less 90 % of the time, add more trucks and stations. It's not rocket science. The city of Syracuse (Fire, not ambulance) has their stations arranged to be anywhere in the city in four minutes. For a city of 100k that's 10 stations. EMS does system status management to position units to be on scene within 8 minutes 90 percent of the time.

A lot of places with scary staffing out there.
Newburgh is way understaffed.
Plenty of towns near me who staff with two on an engine. Buddy of mine works in California, no different out there.
I'm lucky to work for a town that staffs at 15. Though 10 years ago we had 20.
Elections matter. Get involved!!!

A lot of places with scary staffing out there.
Newburgh is way understaffed.
Plenty of towns near me who staff with two on an engine. Buddy of mine works in California, no different out there.
I'm lucky to work for a town that staffs at 15. Though 10 years ago we had 20.
Elections matter. Get involved!!!

What he said ^^^^
If you haven't watched the Boston Fire video, you need to.
Wear your damn mask.

It's the nice thing to do, easy and same as liking something on Facebook. Give people some credit for posts you like.

So, by your argument, county run systems like those in Maryland, Virginia, Florida and California are failures due to costs and subsidies of smaller communities. Hmmm. Really?
You wouldn't be paying for larchmont to have fire protection equal to that of Yonkers, you would be paying to have your fire protection. All pay the same for the same coverage. That's like saying one neighborhood in Boston should pull out of the BFD because they don't like that from time to time their engine leaves to cover calls in another district.
That's why the mess that exists now, exists. If you consolidate all the resources, the system becomes more efficient. Is it THAT hard to see? It's managed and run as a SYSTEM, not a bunch of independent entities.
If you live on the border of say Yonkers and what used to be a volunteer town, you may just get your second engine or ladder WAY faster than you used to, because it's not coming from the other side of Yonkers, but from the next CLOSEST fire house.
How exactly is this bad? Uniform training, uniform standards and staffed fire stations. None of those are bad.

I really hope you're joking, quickness.

So, by your argument, county run systems like those in Maryland, Virginia, Florida and California are failures due to costs and subsidies of smaller communities. Hmmm. Really?
You wouldn't be paying for larchmont to have fire protection equal to that of Yonkers, you would be paying to have your fire protection. All pay the same for the same coverage. That's like saying one neighborhood in Boston should pull out of the BFD because they don't like that from time to time their engine leaves to cover calls in another district.
That's why the mess that exists now, exists. If you consolidate all the resources, the system becomes more efficient. Is it THAT hard to see? It's managed and run as a SYSTEM, not a bunch of independent entities.
If you live on the border of say Yonkers and what used to be a volunteer town, you may just get your second engine or ladder WAY faster than you used to, because it's not coming from the other side of Yonkers, but from the next CLOSEST fire house.
How exactly is this bad? Uniform training, uniform standards and staffed fire stations. None of those are bad.

I really hope you're joking, quickness.

Is this for fires or for their SCBA tech to go from station to station to service and inspect BAs?

had issues with the nut in the front right seat.

So, by your argument, county run systems like those in Maryland, Virginia, Florida and California are failures due to costs and subsidies of smaller communities. Hmmm. Really?
You wouldn't be paying for larchmont to have fire protection equal to that of Yonkers, you would be paying to have your fire protection. All pay the same for the same coverage. That's like saying one neighborhood in Boston should pull out of the BFD because they don't like that from time to time their engine leaves to cover calls in another district.
That's why the mess that exists now, exists. If you consolidate all the resources, the system becomes more efficient. Is it THAT hard to see? It's managed and run as a SYSTEM, not a bunch of independent entities.
If you live on the border of say Yonkers and what used to be a volunteer town, you may just get your second engine or ladder WAY faster than you used to, because it's not coming from the other side of Yonkers, but from the next CLOSEST fire house.
How exactly is this bad? Uniform training, uniform standards and staffed fire stations. None of those are bad.

I asked our ambulance builder for seats like that about six years ago. Looked at me like I had two heads.
We did a VERY similar design and after a few tweaks, it's worked well for us. Goal was to have most used equipment within arms reach, to limit getting up and out of your seat.

What I don't get is why it seems that volunteer = respond from home? Why is that? Why not be in the station?
Why not try this as well? Have the staffed ambulance move around? Have each vac take turns?
How many calls are each of the agencies doing?
There are many steps between fully paid and volunteer from home. Are you trying any of them?

I asked our ambulance builder for seats like that about six years ago. Looked at me like I had two heads.
We did a VERY similar design and after a few tweaks, it's worked well for us. Goal was to have most used equipment within arms reach, to limit getting up and out of your seat.

To me, it's all about options and flexibility. Know your tools, train with them and use what will work best for the given scenario.
You're lost and stumbling through some smoke, low on air. Another crew finds you and can walk you out. You run out of air before you make it out. Would you rather share air and walk out or take in smoke and have to be dragged? That's a no brainer. Plug in and walk out together. Use the EBSS. If you don't spec it, you can't use it.
Should the EBSS be used by RIT teams as the first line? Nope. Does having it increase your options. Yup. Be smart people.

To me, it's all about options and flexibility. Know your tools, train with them and use what will work best for the given scenario.
You're lost and stumbling through some smoke, low on air. Another crew finds you and can walk you out. You run out of air before you make it out. Would you rather share air and walk out or take in smoke and have to be dragged? That's a no brainer. Plug in and walk out together. Use the EBSS. If you don't spec it, you can't use it.
Should the EBSS be used by RIT teams as the first line? Nope. Does having it increase your options. Yup. Be smart people.

To me, it's all about options and flexibility. Know your tools, train with them and use what will work best for the given scenario.
You're lost and stumbling through some smoke, low on air. Another crew finds you and can walk you out. You run out of air before you make it out. Would you rather share air and walk out or take in smoke and have to be dragged? That's a no brainer. Plug in and walk out together. Use the EBSS. If you don't spec it, you can't use it.
Should the EBSS be used by RIT teams as the first line? Nope. Does having it increase your options. Yup. Be smart people.

What's in em?

What's in em?

To me, it's all about options and flexibility. Know your tools, train with them and use what will work best for the given scenario.
You're lost and stumbling through some smoke, low on air. Another crew finds you and can walk you out. You run out of air before you make it out. Would you rather share air and walk out or take in smoke and have to be dragged? That's a no brainer. Plug in and walk out together. Use the EBSS. If you don't spec it, you can't use it.
Should the EBSS be used by RIT teams as the first line? Nope. Does having it increase your options. Yup. Be smart people.

To me, it's all about options and flexibility. Know your tools, train with them and use what will work best for the given scenario.
You're lost and stumbling through some smoke, low on air. Another crew finds you and can walk you out. You run out of air before you make it out. Would you rather share air and walk out or take in smoke and have to be dragged? That's a no brainer. Plug in and walk out together. Use the EBSS. If you don't spec it, you can't use it.
Should the EBSS be used by RIT teams as the first line? Nope. Does having it increase your options. Yup. Be smart people.