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SFFD reports rising ambulance calls, long hospital offloads; Sixth Street triage center operating on limited hours

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Summary

Deputy Chief Simon Pang told the Fire Commission on Feb. 12 that ambulance call volume and hospital offload delays rose in January, straining field resources and prompting proposals to streamline APOT alerts and hospital redirection.

Deputy Chief Simon Pang reported to the Fire Commission that the San Francisco Fire Department saw increasing ambulance dispatch volume in January and substantial ambulance patient offload time (APOT) delays at area hospitals.

Pang said nearly 12,000 ambulance dispatches occurred citywide in January and San Francisco Fire Department ambulances responded to slightly more than 9,000 of those calls, representing about a 78% market share. He said the department's rescue captains handled roughly 1,100 high-acuity calls that month and that paramedics performed advanced skills (airway, intraosseous access) on 135 occasions.

Pang described hospital offload delays as a major operational problem. He said APOT averages in January were around 50 minutes for many transports and provided counts of extended delays: 1,366…

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