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San Francisco EMS reports improved offload times, high cardiac arrest survival and paramedic buprenorphine use
Summary
San Francisco EMS reported a year-over-year improvement in ambulance patient offload times and a 35% cardiac arrest survival rate; the agency highlighted ImageTrend implementation, RediNet upgrades, PulsePoint outreach and paramedic-initiated buprenorphine (179 doses since April 2023).
San Francisco’s EMS Agency presented its 2025 priorities and data to the Health Commission, reporting incremental improvements in ambulance patient offload times (APOT) and strong cardiac arrest outcomes while outlining system upgrades and public‑facing outreach.
EMS Director Andrew Holcomb and Medical Director Dr. Amelia Breyer described a shift to a single digital platform (ImageTrend) to consolidate ambulance permitting, complaints, inspections and fiscal activities, funded in part through grant support. Holcomb highlighted an updated RediNet platform that gives hospitals earlier visibility into incoming ambulances and…
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