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ARDEN HILLS CITY COUNCIL WORK SESSION— SEPTEMBER 19, 2011 3 <br /> William Snoke stated that they look at what percentage of their calls are responded to in less than <br /> eleven minutes with the goal being to have an ambulance on the scene in less than 11 minutes at <br /> least 90% of the time. In Arden Hills, that number runs between 95%and 98%. <br /> Dr. Charles Lick, Medical Director, Allina Medical Transportation, stated that he and his <br /> colleague, the Associate Medical Director, are both emergency physicians and they have a <br /> physician advisory council of emergency physicians from each of the Allina locations that patients <br /> are taken to. He explained that their job is to be responsible for the clinical quality care that is <br /> delivered to the patients; everything from drugs, equipment, medical protocols, and education <br /> which he believes they do very well. They have been very aggressive in adopting the "latest and <br /> greatest" treatment strategies and they have had great success in treating cardiac arrests. Cardiac <br /> arrest is a big problem in this country and strikes over 350,000 people with an average survival <br /> rate in most communities of only 5%. AMT has been part of the "Take Heart America" program <br /> which was an effort to simultaneously implement all the highly regarded treatment strategies from <br /> the 2005 American Heart Association guidelines to markedly improve the survival rate of cardiac <br /> arrests. This effort includes having Automatic External Defibrillators (AED) in the community, <br /> educating the public, widespread citizen CPR training, make sure first responders are doing the <br /> new high performance CPR, and getting the patient to a hospital that is a resuscitation center of <br /> excellence with therapeutic hypothermia, intensive care medicine, and 24/7 Cath labs. As a result, <br /> the cardiac survival rate has improved from 8 '/2%to 19%. He further stated that they have placed <br /> over 1700 AED's in businesses, schools, and churches over the last ten years. They have also <br /> begun using a LUCAS device which is a mechanically powered CPR device; with one on each of <br /> • the 38 life support ambulances, 10 of their emergency departments, and ten in their Cath labs and <br /> Intensive Care Units. Based on the success of the "Take Heart America" program, the Medtronic <br /> Foundation has changed how they fund programs and will now focus on five expert groups around <br /> the country including the Minnesota Resuscitation Association based at the University of <br /> Minnesota. <br /> Councilmember Holmes questioned the difference in the training for the police, fire, and AMT <br /> staff. <br /> Dr. Lick responded that the AMT paramedics have the highest level of training, 1500 hours; the <br /> Lake Johanna Fire Department Emergency Medical Technicians (EMTs) have 130 hours of <br /> training; and the Sheriff's deputies have First Responder training which is a 40 hour course. <br /> Councilmember Holmes asked if all the AMT ambulance personnel are paramedics. <br /> Dr. Lick stated they are either paramedics or EMT's and added that there is at least one <br /> paramedic on each ambulance. <br /> Mayor Grant asked if the improved survival rate Dr. Lick referred to was aided by also having <br /> police and fire respond. <br /> Dr. Lick responded yes; dealing differently with cardiac arrest helped reduce some of the <br /> response time to less than 11 minutes. He explained that the sooner you shock a patient with an <br /> AED, the better their chance of survival. <br />