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EMS reports high ambulance volume, Narcan use and drop in "medic to follow" delays; community paramedics remain stretched
Summary
Deputy Chief Simon Pang reported a rise in ambulance dispatches and continued high Narcan administrations in August, a reduction in "medic to follow" events from last year and expanding community paramedicine activity including transports to new stabilization centers.
Deputy Chief Simon Pang told the Fire Commission on Sept. 10 that San Francisco Fire Department ambulances were dispatched 8,456 times in August, one of the year’s highest monthly totals, and that overall Fire Department involvement in medical response continues to rise.
Pang said paramedics administered Narcan 267 times in August to 201 unique patients; 63 percent of those later were verified as opioid overdoses. He said cardiac arrest survival at hospital reached 38 percent in August and that cases with bystander CPR and a shockable rhythm (Utstein 2) had roughly a 50 percent survival rate.
Pang described ambulance patient‑offload time and “APOD” dynamics: the reported average offload delay for August…
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