San Francisco fire commissioners address ambulance delays and staffing concerns

In a recent meeting of the San Francisco City Council, officials addressed critical issues surrounding emergency medical services (EMS) and the challenges faced by first responders in the city. A significant focus was placed on the delays experienced during patient transfers at hospitals, which have been causing frustration and burnout among paramedics.

The discussion highlighted the need for immediate action to tackle what is known as "APOD delays," which refer to the time ambulances spend waiting to offload patients at hospitals. These delays have been linked to an increase in "medic to follow" events, where paramedics are required to stay with patients longer than necessary due to hospital bottlenecks. Council members expressed concern that these delays not only impact patient care but also contribute to the moral injury and burnout of first responders.

Commissioner Lowell emphasized the importance of gathering feedback from first responders to better understand their experiences and the challenges they face. He noted that data alone is insufficient; real-life accounts from those on the front lines are crucial for identifying areas for improvement. The council is considering organizing an APOD summit that would bring together emergency room staff and first responders to address these issues collaboratively.

Another point of discussion was the financial implications of these delays. Officials proposed exploring reimbursement options for services rendered by the fire department when private ambulance companies are involved. This could help alleviate some of the financial burdens on the city while ensuring that emergency services remain effective and responsive.

The meeting underscored the urgent need for a reevaluation of the current EMS staffing model, which has been criticized for being inadequate in meeting the demands of the city. Chief Pang pointed out that the existing model, developed by private ambulance companies, does not provide sufficient surge capacity for emergencies, raising concerns about public safety during large-scale incidents.

As the city grapples with these pressing issues, officials are committed to finding solutions that enhance the efficiency of emergency services and support the well-being of first responders. The outcomes of these discussions will be pivotal in shaping the future of emergency medical care in San Francisco, ensuring that residents receive timely and effective assistance when they need it most.