County Emergency Services Director outlines ambulance call volume and response time challenges

In the heart of Cooke County, Texas, the Special Commissioners Court convened on July 10, 2025, to discuss pressing budgetary needs and future planning for the county's emergency services. The atmosphere was charged with urgency as officials reviewed the increasing demands on the county's ambulance services, which have seen a significant rise in call volume.

As the meeting unfolded, the county's emergency services director highlighted the need for additional funding to enhance training programs and maintain critical medical equipment. A proposed increase of $1,000 for training was discussed, aimed at ensuring that personnel are well-prepared for the challenges they face. The director noted that while the maintenance of cardiac monitors and other essential equipment has been effective, the growing number of calls—projected to exceed 6,200 this year—necessitates further investment in resources.

The conversation turned to the county's response times, which have crept up to an average of 9 minutes and 7 seconds, a concerning increase from previous years. This delay is attributed to the rising call volume and the frequency of "level 0" situations, where no ambulances are available due to being on other calls. The director emphasized the importance of addressing these issues, as response times are critical in emergency situations.

In light of these challenges, the need for a new ambulance and potentially a new station was raised. However, officials acknowledged that such expansions would require careful planning and significant financial investment. The discussion also touched on salary comparisons with neighboring departments, revealing that while Cooke County is competitive with starting pay, it lags in top-out salaries, which has contributed to personnel turnover.

The meeting concluded with a sense of urgency to secure funding, particularly with a new grant for rural counties expected to be available in September. This grant could provide much-needed financial support for purchasing ambulances, a crucial step in addressing the county's growing emergency service demands.

As Cooke County navigates these challenges, the discussions from this meeting underscore the importance of proactive planning and investment in public safety to ensure that residents receive timely and effective emergency care. The road ahead may be complex, but the commitment to improving services remains steadfast.