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?