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09-19-11-WS
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09-19-11-WS
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ARDEN HILLS CITY COUNCIL WORK SESSION—SEPTEMBER 19, 2011 5 <br /> Tim Boehlke explained that Allina, including Dr Lick, is the medical director for LJFD and they <br /> provide all the EMS in-house training along with the initial training for new firefighters. He <br /> explained that as well as cardiac arrest calls there are a lot of calls for advanced life support. <br /> Councilmember Holmes asked what vehicle LJFD uses to respond to such calls. <br /> Tim Boehlke explained that there are two LJFD stations staffed; the first station would respond to <br /> a medical call in a utility-type vehicle and if there is an additional medical call, the other station <br /> will respond in a ladder truck. He stated that their focus is fire calls and it's very rare that LJFD is <br /> out on a medical call when a fire call comes in. He added that since the Sheriff and AMT will be <br /> responding, if LJFD gets a fire call, their units will cancel off the EMS call and advise the <br /> dispatcher. He concurred with Mr. Dascalos' comment that responding to EMS calls is very much <br /> a team effort; they work closely on a daily basis and have an excellent relationship; everyone <br /> plays a role. Getting the right first responders to the scene to determine the level of emergency <br /> makes it possible to slow units down or release units and get them back in service. He also <br /> pointed out that statistically people are bigger than they've ever been and having sufficient <br /> manpower there can be beneficial to getting a large patient loaded in an ambulance. <br /> Kevin Miller stated that only AMT staff members are authorized to drive AMT vehicles, so when <br /> a patient is critical, they take a firefighter with them to help manage the patient on the way to the <br /> hospital. He added that the even though the <br /> p y g y have a fairly good idea of the emergency based on <br /> the information provided by dispatch, they "don't know what they don't know" until they actually <br /> • get to the patient. He also stated that there are occasions when the patient is extremely large so <br /> having the extra personnel on hand is helpful. <br /> Mayor Grant asked what percentage of their calls is from Presbyterian Homes. <br /> Mark Dascalos stated approximately 20% of their calls are from extended care facilities. He <br /> explained that they work with Presbyterian Homes staff to educate them in emergency procedures. <br /> He added that if the call is an emergency situation, they will bring in the Sheriff and LJFD, but <br /> they try not to ask for their support unless it's absolutely necessary. <br /> Kevin Miller explained that they work with Presbyterian Homes and other extended care facilities <br /> to identify those patients who have a medical directive so that a 911 call isn't necessary. <br /> Dr. Lick explained that the nursing homes try to limit the emergency calls because it is upsetting <br /> to their residents and the staff when an ambulance arrives. <br /> William Snoke explained it can take up to six hours to get the extended care operation back on <br /> track after the disruption caused by the arrival of an ambulance. <br /> Mayor Grant commented that Presbyterian Homes is undergoing a major construction project <br /> which will continue over the next four years. He encouraged AMT to keep in contact with them <br /> because their entrances and exits may change. <br /> Councilmember Holmes stated one of their biggest concerns is that over 50% of the LJFD calls <br /> are to medical emergencies. <br />
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