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Emergency medical services budget draws debate over staffing, ambulance procurement and community paramedicine expansion
Summary
Madison County EMS leaders requested added staffing, outlined a community paramedicine pilot and presented capital needs including ambulances, cardiac monitors and mechanical CPR devices; board members and staff discussed leasing ambulances to spread cost and how community paramedicine might reduce future transports.
Madison County emergency medical services staff presented a budget request that proposed additional part‑time staffing to cover peak call times, funding to formalize a community paramedicine position and a capital package that includes ambulances, cardiac monitors and mechanical CPR devices.
Noah, the county's EMS leader, told supervisors the department seeks one additional full‑time community paramedic position (to formalize work already being done by Tiffany Rannenbarger) and a “power shift” of part‑time staff to cover peak periods. Staff described the power shift as targeting busy daytime hours to reduce instances of “no units available” (NUA) but cautioned scheduling and…
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