Las Vegas and North Las Vegas Fire and EMS Cultivate Blended System - @

Las Vegas and North Las Vegas Fire and EMS Cultivate Blended System


A.D. HOPKINS | | Tuesday, February 23, 2010

A few areas have resolved the duplications inherent in public/private "dual response" emergency medical services. The EMS role can be assigned entirely to private ambulance companies. Many jurisdictions, including the city of Henderson, have fire personnel provide emergency ambulance service as well as first response.

"Blended" systems also exhibit wrinkles specific to the locality, said John Wilson, general manager of American Medical Response, the ambulance company that provides emergency service in the Las Vegas Valley.

"When you've seen one EMS system," he quipped, "you've seen that one."

Las Vegas, North Las Vegas, and Clark County voluntarily belong to a regional franchise jurisdiction that establishes uniform practices for emergency medical services. Each of those jurisdictions negotiates its own emergency ambulance franchise contracts. MedicWest, the ambulance company that serves North Las Vegas, and Mercy, the one that serves Clark County and Las Vegas, are both owned by the same parent company, American Medical Response. Other ambulance companies are free to provide nonemergency transport.

By mutual agreement among participants, all responders to medical emergencies are dispatched by Las Vegas Fire Station No. 1. When someone calls the area-wide 911 system, operated by Las Vegas police at a different location, the person is asked whether the emergency is "police, fire or medical." If the answer is fire or medical, it is switched to the fire alarm office.

That dispatcher asks the location of the emergency and types it; locator software produces a map that will appear not only on her computer screen but also on the computers of emergency response units assigned to the call. The dispatcher then begins asking questions according to protocols which branch in different directions according to the last answer given. Anywhere in the United States, if the dispatcher asks, "Is the person conscious," and the answer is negative, the next question is, "Are they breathing?" If not, the dispatcher will always tell the caller how to do CPR. She doesn't ask whether the caller wishes to do CPR because it's better not to offer the option of saying, "I don't think I can!"

The protocols are the quickest way to determine the seriousness of the call .

Read More, 'Dual' doesn't always mean redundant

Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Leadership and Professionalism, Operations and Protcols

What's Your Take? Comment Now ...

Buyer's Guide Featured Companies

Featured Careers & Jobs in EMS

FEBRUARY 25-28, 2015

Baltimore Convention Center
Baltimore, Maryland USA






Get JEMS in Your Inbox


Fire EMS Blogs

Blogger Browser

Today's Featured Posts


EMS Airway Clinic

Innovation & Advancement

This is the seventh year of the EMS 10 Innovators in EMS program, jointly sponsored by Physio-Control and JEMS.
More >

Multimedia Thumb

Wesleyan Students Hospitalized for Overdose

11 students transported to local hospitals.
Watch It >

Multimedia Thumb

Denver Medic's Family Says Job Stress Contributed to Suicide

Veteran of over 25 years took her own life after a call.
Watch It >

Multimedia Thumb

Denver First Responders Join to Remember Paramedic

Veteran medic took her own life after fatal accident.
Watch It >

Multimedia Thumb

Rigs Going in Service from EMS Today 2015

Snap shots of some of the vehicles at EMS Today that will be on the streets soon
More >

Multimedia Thumb

Florida Hospital Fire

Fire halts construction project at Tampa cancer center.
More >

Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >

Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >

Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >

More Product Videos >