West Skagit Regional Fire Authority Planning Committee.
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Transcript of West Skagit Regional Fire Authority Planning Committee.
West Skagit Regional Fire Authority
Planning Committee
Fire Suppression and EMS Deployment Fire Department Organization and
the Local EMS System Works: Chief Curtis
Washington Survey and Rating Bureau Standards: Chief Taylor
National Fire Protection Association Standards: Chief Horn
This Session
Fire Department Demographics Skagit 911 System Measuring Response Times Time Temperature Curve Firefighter Personnel Demands EMS System
Fire Department Organization
Para-military Organization Chain of Command
Directors
Fire Chief
Functional
Fire Prevention
Training Division
Operations
Battalions A, B, C Shifts
National Incident Management System (NIMS)
Mission of the Fire Service
Protect Life and PropertyFire SuppressionEmergency Medical ServicesHazardous MaterialsTechnical RescuePublic Service
Fire Departments Demographics
Volunteer Firefighters
71%
Paid Fire-fighters
29%
Nationwide
Volunteer Firefighters
42%
Mostly Volunteer
37%
Mostly Paid9%
Paid Firefighters12%
Washington State
Volunteer Firefighters
Home/work, Assigned Shift, or Sleeper program.
County Firefighter Academy130 Hours
Reimbursement/stipend Firefighter Association
Paid Firefighters
24 Hour Rotating Shift North Bend or Bates Firefighter
Academy 360 Hours
Respond from Fire Station/Unit Paid a salary Belong to IAFF
Part-Time Paid Firefighters
Paid an Hourly Rate Trained at County or State
Academy Work at Several Departments Goal is to get a Full-time Job May belong to IAFF
Questions?
Skagit 911 Center• County-wide/Centralized• Police/Fire/EMS
Funding Sources
*Skagit 911 2011 Annual Report
Skagit 911 Call Load
Fire Districts4%
Munic-ipal Fire9%
EMS14%
Law En-force73%
Measuring PerformanceEvent Initiation
Emergency Event
Alarm
Notification
Alarm Processing
Turnout Time
Travel Time
Pre-ResponseElements
ResponseTime
Post-ResponseElements
Distribution/Concentration
Measuring PerformanceEvent Initiation
Emergency Event
Alarm
Notification
Alarm Processing
Turnout Time
Travel Time
Arrive On Scene
Initiate Action (Set-Up)
Mitigation of Incident
Pre-ResponseElements
ResponseTime
Post-ResponseElements
Average Response Times
1 min 1.5 min
2 min 2.5 min
3 min 3.5 min
4 min 4.5 min
5 min 5.5 min
6 min 6.5 min
7 min 7.5 min
8 min
Fractal Response Times
1 min 1.5 min
2 min 2.5 min
3 min 3.5 min
4 min 4.5 min
5 min 5.5 min
6 min 6.5 min
7 min 7.5 min
8 min
90%
Level of Service Statement
Within urban areas an ALS ambulance will arrive from time of dispatch within 8 minutes or less 90% of the time
Questions?
Time Temperature Curve
Flashover(12-1400)(7-12 Minutes)
Time Temperature Curve
Flashover(12-1400)(7-12 Minutes)
Time Temperature Curve
Flashover(12-1400)(7-12 Minutes)
Time Temperature Curve
Flashover(12-1400)(7-12 Minutes)
Variables in the Standard Time Temperature Curve
Fuel Load (Quantity) Fuel Property (Material) Configuration (Arrangement) Position (Location) Fuel Surface Exposed (Density) Room Dimensions Ventilation Openings
Arrival, Setup, Fire Attack
Flashover(12-1400)(7-12 Minutes)
2 FF IN
IncidentCommand
Operator
2 FF IN
StandbyOr RIC
Ventilation
Utilities Hose LinesForcible Entry
ReplacementFirefighters
Safety Officer
ReplacementFirefighters15 Firefighters
NIST STUDYCrew Size Effectiveness Two (2) Person crews
8 FFs + Chief and Aide = 10 FF Three (3) Person crews
12 FFs + Chief and Aide= 14 FF Four (4) Person crews
16 FFs + Chief and Aide = 18 FF Five (5) Person crews =
20 FFs + Chief and Aide = 22 FF
22 Fireground Tasks
Burn Simulation Building
Interior Fire Attack
Search for Victims
Results of Crew Size Effectiveness
Crew Size Total Time Diff
2 Person 22:16
3 Person 20:30 8% Faster
4 Person 15:44 23% Faster
5 Person 15:13 3% Faster
Questions?
American Heart Association5 Min for BLS or Less10 min for ALS or Less
EMS System Goals
EARLY ACCESS
EARLY CPR
EARLY DEFIBRILLATION
EARLY ALS
EMS System Goals
Influence of Early CPR and Early Defibrillation on Cardiac Arrest Survival
Collapse to Defibrillation
Collapse to CPR < 10 Mins > 10 Mins
< 5 Mins 37% 7%
> 5 Mins 20% 0%
*Cummins RO, Eisenberg MS, Hallstrom AP, Litwin PE. Survival of out-of-hospital cardiac arrest with early initiation of cardiopulmonary resuscitation. Am J Emerg Med. 1985;3:114–119.
SOURCE: Downloaded from http://circ.ahajournals.org/ by guest on January 25, 2012
Trauma – Surgeon/OR STEMI Patients – Cath Lab
Improved Patient Outcomes
County-Wide EMS System
Tiered Response System Initial Basic Life Support (BLS-
EMT) Response. 22 Fire Districts 10 Municipalities
Followed by Advanced Life Support (ALS-Paramedic)
Contracted Providers
County EMS System Contracted Providers
Aero-Skagit Non-Profit One 24 Hour ALS Unit 1100 Square Miles
Wilderness and Rural Transports 366 Patients
County EMS System
CVAA Central Valley Ambulance Authority Public Entity under Skagit County
Commissioners Four 24 Hour ALS Units 703 Square Miles
Rural, Suburban, Urban Transport 5900 Patients
County EMS System
Anacortes Fire Department Department of the City of Anacortes Two 24 Hour ALS Units 85 Square Miles
Urban, Suburban, Rural Transports 1600 patients
EMS System Funding
County-wide EMS Property Tax Timber Tax Billable Services Supplemented by Local Taxes
Projected Senior Population
Years 2010 2015 2020 2025
60 & Older 23% 26% 29% 31%
*State Department Office of Financial Management
Payor Type CVAA Anacortes FD Aero-Skagit
Medicare 58.16% 62.17% 40.29%
Medicaid 15.21% 6.21% 29.11%
Insurance 20.40% 26.68% 21.43%
Private Pay 6.23% 4.95% 9.17%
Questions?