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Committee asks staff to compile data for possible ALS paramedic service after reports of long waits
Summary
Members instructed staff to assemble dispatch and ImageTrend data to evaluate converting to advanced life support (paramedic) service — including call acuity, response times, and funding options such as a potential voter measure — before any decision on staffing or a reserve program.
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The committee asked staff to gather historical response and ambulance-dispatch data to assess whether adding paramedic-level (ALS) capability is warranted and affordable.
Staff summarized the differences between ALS and BLS and argued ALS could improve outcomes on high-acuity calls. "Advanced life support... significantly does significantly better your odds for survival on a critical medical event," a staff presenter said, noting examples such as cardiac arrest and severe diabetic emergencies.
Committee members and staff emphasized the need for precise numbers before any policy steps: how many annual calls are ALS-level, transport and on-scene times, and how often the district waited extended periods for ambulance response. Staff suggested measures to raise funds (for example, a local $10-per-month measure) could both support paramedic staffing and revive a reserve program, but members warned that community appetite and long-term costs must be carefully analyzed.
Staff also noted regulatory and system constraints: the county EMS authority (EMSA) must approve provider changes and data-sharing with the contracted ambulance firm has been inconsistent, complicating quick assessments. Staff recommended a targeted feasibility study using ImageTrend and ECC dispatch cross-references to identify high-acuity incidents, quantify potential outcome differences, and model several funding scenarios. The committee directed staff to return with the requested data and a feasibility report before taking any funding or staffing action.

