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REQUEST FOR COUNCIL ACTION Date:February 28, 2022 Item No.: 7.a Department Approval City Manager Approval Item Description:Fire Department Advanced Life Support(ALS)First Response Presentation 1 B ACKGROUND 2 In November 2020 the Fire Department commencedan ALS First Response Committee consisting of 3 representation from the Roseville Fire Department, Regions EMS (ourMedical Director), and Allina 4 Medical Transportation. The role of this committee was to assess the benefits and impacts to the 5 community for the Fire Department to performAdvanced Life Support (ALS) first response at the 6 Paramedic-level. The Fire Department has been working towards program and service enhancements 7 related to ourPhase II staffing initiative that was implemented with additional staffing at the beginning 8 of 2021; the ALS first response service enhancement planhas been a part of the original Phase II 9 staffingstrategicplan that started in 2018. This service enhancement continues the Fire Department’s 10 approach towards innovative service and collaboration. 11 In September 2021 the Fire Department provided an update in regards to the progress made by the 12 Committee to Council. In that meeting, staff provided an overview of emergency medical services in 13 Roseville, the status of the Committee, and goals of the Committee with potential timelines as we 14 progressed forward. 15 The emphasis and focus of ALS first response is to enhance the current service level of emergency 16 medicalcare performed pre-hospital in the City of Roseville. This increase in service level will 17 improve emergent care in the City, save lives, and improve patient outcomes.The Fire Department will 18 continue to work with Allina Medical Transportation for transportation of patients to the hospital. 19 However, the ability to reduce the amount of time it takes for a paramedic level provider to arrive at an 20 emergency with advancedlife-saving procedures and medications will improve patient outcomes and 21 be a significant step forward in medical care to the community. 22 In 2021 the Fire Department responded to over 5,600 EMS-related calls; current 2022 data indicates we 23 will see a likely increase in emergency responses over 2021. The total number of emergency medical 24 incidents in which an ALS intervention would be utilized is difficult to predict due to several variables; 25 response time to the scene, medical signs and symptoms,ambulance arrival time, etc. However, the 26 enhancement of service level with this program will positively impact patient outcomes on nearly all 27 medical emergencies that are responded to. 28 The purpose of this presentation is to update Council with the committee’s recommendations, seek 29 feedback, and seek direction on the fire department implementing ALS first response. Members of the Page 1 of 2