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Brentwood fire/EMS reports AI‑assisted narratives pilot, CodeStat rollout and Level 3 pediatric EMS accreditation

June 26, 2025 | Brentwood, St. Louis County, Missouri


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Brentwood fire/EMS reports AI‑assisted narratives pilot, CodeStat rollout and Level 3 pediatric EMS accreditation
Brentwood’s fire and emergency medical services reported technology and training updates to the Public Safety Committee on June 25, including a pilot of AI‑assisted patient narratives, deployment of Stryker’s CodeStat analytics and recognition for pediatric care standards.

Chief Cottrell (full name not provided in the transcript) said the department is piloting AI‑generated narratives in its ESO records system to standardize EMS reports and improve billing and quality‑control. The chief told the committee the ESO tool is HIPAA‑protected and hosted on restricted cloud devices; department staff including Lieutenant Herman and Assistant Chief Bernie will perform quality checks.

“On the backside of that, we we know there's going to be improvements perhaps in our billing practices,” the chief said, describing the goal of more consistent and complete reports.

The department has also purchased CodeStat (a Stryker product), which merges data from cardiac monitors, CPR assist devices and report software to produce performance reports for cardiac-arrest responses. Lieutenant Herman will lead related training; the chief said Brentwood averages roughly a dozen cardiac arrest responses a year.

Staff announced the Fire Training Facility groundbreaking with the four‑city partner municipalities for Tuesday, July 8, at 10 a.m.; the department reported the general contractor may have already begun mobilization.

On accreditation, the fire/EMS team said they received a Level 3 EMS recognition from the state program for Emergency Medical Services for Children, a designation the chief described as reflecting appropriate pediatric equipment and practices.

The chief also told the committee the city’s planning and development team is working to adopt the 2024 building and fire code updates; the 2024 changes include new language around EV charging stations and rooftop occupancies, which the department said it is reviewing for local applicability.

No committee votes were required; the report was provided for information and follow up as the department moves from pilot to broader implementation.

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