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Regular City Council Meeting <br /> Monday,March 20,2023 <br /> Page 5 <br /> Chief Brosnahan indicated that was correct.He reviewed the interventions provided <br /> by the Fire Department in the first six months. <br /> Councilmember Strahan asked as far as Narcan or other reversal of fentanyl and <br /> other opioids, if that is a part of this or something the Fire Department was already <br /> administering. <br /> Chief Brosnahan indicated the Fire Department was already administering Narcan. <br /> Now because of their ALS the Fire Department can do it both in a nasal form and <br /> also through IV. <br /> Chief Brosnahan continued his presentation, including options to participate in <br /> patient transport to provide ALS services in certain circumstances. <br /> Councilmember Strahan asked regarding the options presented by Allina if the Fire <br /> Department was billing directly to Allina, and would it be a flat fee. <br /> Chief Brosnahan indicated it would be a flat fee agreement. He thought both the <br /> options between ALS intercept and the mutual aid probably would have different <br /> costs but it would be a flat fee billed. <br /> Councilmember Groff asked if this would require a new specific vehicle. <br /> Chief Brosnahan indicated it potentially could. For the ALS intercept, where it is <br /> just the Fire Department's paramedic in their ambulance, would not but for an <br /> ambulance, yes. A cursory look has been done, as far as ambulance options and <br /> there is the potential to lease an ambulance if the Fire Department was interested in <br /> a pilot program for twelve to twenty four months, the department could lease an <br /> ambulance. One thing the department is seeing with rising costs and looking at <br /> their CIP in the future is the medic vehicles, the pickup trucks, are not far off from <br /> the cost of an ambulance. <br /> Mr. Trudgeon explained the response issue is a major issue, the Council is aware <br /> of that, and it is something that Chief Brosnahan has identified for the past couple <br /> of years. Staff has been talking a lot about different ideas and purposes. He has <br /> generally not been too interested in going down the transport route for the City for <br /> lots of reasons but given some of the response times and challenges the City has <br /> with current Primary Service Area(PSA), those things are coming to bear. He did <br /> not want to alarm the Council but this is something the City has to seriously <br /> consider if the City wants to truly continue to deliver the great service that the Fire <br /> Department provides. There has also been additional conversations with Allina and <br /> demand for better service and better response times. He thought Allina had gotten <br /> the message and continues to struggle with labor force and other issues as well but <br /> at some point, some action will need to be taken. There is also some conversation <br /> at the State level regarding legislation about PSA's and where they go and the City <br />