County Changes Ambulance Dispatch Protocol
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Moore County has changed the way emergency responders get dispatched to calls following an incident in the Seven Lakes West community.
At Tuesday’s regular monthly meeting of the Moore County Board of Commissioners, Seven Lakes West resident Max Foley spoke of the early morning this past July when his wife woke with an erratic heartbeat and blood pressure. Foley called 911, and after a delay, a volunteer emergency medical technician from West End arrived in a pickup.
“Why wasn’t the ambulance from West End dispatched?” Foley asked in his address to the board. “With heart problems, time is of the essence. I have since found out that the ambulance dispatch priority for our area is West End, Pinehurst, Aberdeen, the Airport, Vass, and then Carthage.”
Since the West End unit was unavailable, an ambulance from Pinehurst was summoned, but the responders were stopped by a locked gate and had to circle six miles to enter the gated community.
While Foley said he had “nothing bad to say” about the responders, it took 90 minutes from the time he made the 911 call for his wife to reach the hospital in Pinehurst.
“That's too long,” he said. “Things worked out all right, but it might’ve been different.”
This past April, emergency management officials realigned county response districts to improve efficiency. As a result, the Seven Lakes West area was divided between the Seven Lakes and the West End districts, which has sometimes resulted in frustration on the part of area residents.
“I’ve received about 47 emails on this subject,” said Commissioners’ Chairman Larry Caddell. “Since it is a pressing issue for you, it is a pressing issue for us.”
Saying that “we’ve got a problem we’ve got to fix,” Caddell asked Emergency Manager/Deputy Director Scot Brooks if 911 could dispatch units from Seven Lakes and West End at the same time to prevent the same type of incident from happening again.
“We used to do that ‘shotgun’ approach, but it is expensive and inefficient to send multiple units to the same call,” Brooks said. “Also, once a truck is on-scene, it is tied up. The next emergency would have to wait, which is why we went to a tiered response. We try not to send three times as much as needed.”
Brooks said that the issue of the closed gate was already being addressed.
“We didn’t know we had an issue with these gates until recently,” Brooks said. “We’ve issued orders for these gates to be repaired and brought up to code.”
Others from the community spoke before the board on the issue.
“Residents of Seven Lakes West are very concerned about the recent changes that happened to our EMS coverage,” said Jane Sessler, of Seven Lakes West. “As of April 1 the community has been split between the Seven Lakes and the West End stations. Prior to that, the community was serviced entirely by Seven Lakes.
“Ambulance drivers (from Seven Lakes) knew to enter directly through the gates … with easy access to our neighborhoods.”
Sessler said that with the new division, first responders are not always familiar with the area.
“None of the changes to the system have improved the efficiency or the efficacy of our emergency services,” she said.
On behalf of Seven Lakes West residents, Sessler asked that the board “return our assignment of the EMS response areas back to the Seven Lakes station. At the very least, please establish a cooperative dual-call system that can be effective immediately.”
As board members deliberated the issue, Caddell asked Brooks how soon a dual-call system could be enacted. This arrangement would direct EMS staff to dispatch the next closest available truck to calls when a district’s own truck is responding to another call.
In the case of Seven Lakes West, it would clear the way for a West End or Seven Lakes ambulance to respond to a call when the other is engaged, thus eliminating the need to wait for a Pinehurst ambulance to arrive.
Brooks said such an arrangement could be put into place as early as the next morning. The motion to authorize responders to alter their protocol was passed unanimously by the board. Seven Lakes residents who attended the meeting applauded the action.
Caddell addressed the audience following the vote.
In other board news, a decision that was postponed from a previous meeting regarding the ongoing debate about the county veterans memorial came back up again Tuesday night.
At the Aug. 21 meeting, Commissioner Tim Lea asked his fellow commissioners to pass a motion directing County Attorney Misty Leland to draft a nonbinding document pertaining to the joint ownership of the veterans memorial and adjacent property between the county and the memorial committee.
The issue, which has been debated in recent weeks by the board, is the result of closed session minutes that revealed the board was considering the sale of land adjacent to the memorial to a Bojangles’ restaurant.
The motion ended during the earlier meeting in a 2-2 tie with Lea and Nick Picerno for and Caddell and Jimmy Melton against. Commis-
sioner Craig Kennedy was absent from the August meeting. Kennedy, who agreed with Caddell and Melton that a committee was the best format in which to decide the issue, broke the tie this week by casting a third vote against passing the motion.
Lea called the decision a “stalling tactic.”
“I’ve found that in eight years on this board, when we want to delay something, we form a committee. We’ve been working on this for five months. It’s time to move on,” he said.
But Caddell said there was no rush, unlike with the earlier ambulance issue.
“I don’t think there’s anything wrong with taking time and deliberating something, and I think Jimmy (Melton) and his committee are more than capable of ironing out these details,” he said.
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Comments
OneNativfe 8 months, 2 weeks ago
I thought the EMS base at 7 Lakes moved to West End and only 7 Lakes rescue are stationed in 7 Lakes now. 7 Lakes rescue goes to all calls in 7 Lakes already. Very confusing article. I don't understand what has changed.
skylinefirepest 8 months, 2 weeks ago
More change is needed. The two new trucks will not put the county back into efficient status until we do something about the multitude of "taxi" runs that our expensive trucks and paramedics are forced to make under the current system. Possibly one or two dedicated small trucks could be used for the "walk-ins" and that would free up the bigger trucks for the emergencies. I doubt that a member of the general public can tell you where his ambulance is responding from and how long it will take to get there when he calls 911. I doubt that the general public is aware that there are several times a week ( five times in the last 3-4 days this week ) when NO TRUCK IS AVAILABLE. Are we going to wait until someone dies because all the trucks were tied up on non-emergency crap calls before we correct this?? We currently put the fire stations on stand-by but we don't run ambulances or have the same equipment or medical certification that our EMS system is supposed to have. We can do some good, of course, but basically we are hand holders until an EMS truck arrives.
skylinefirepest 8 months, 2 weeks ago
Just for giggles it's now about five thirty Friday afternoon and the fire departments have been put on stand-by because there are NO ambulances available in the county, once again.
Middle_of_the_road 8 months, 2 weeks ago
If the Seven Lakes Rescue would have not tried to make the county pay so much to house the EMS truck there, chances are it would still be there. I think the residents of Seven Lakes are not aware of why the truck was moved from Seven Lakes to West End. Seems that Seven Lakes Rescue was more interested in making money from the county than having a quick response from the ALS truck.
moorecitizen 8 months, 2 weeks ago
Middle of the Road basically has no idea what he/she is talking about. Seven Lakes EMS attempted to negotiate with the county based on nearly 20 years of "free" room and board and offered a fair market value lease agreement. It wasnt in the county budget and West End Fire made an offer that was in the budget. Its as simple as that. There is still a paramedic level truck in the community. Middle of the Road should check their facts before slandering a great community based EMS service.
mcguy1 8 months, 2 weeks ago
understand this, every medical call that comes into the 911 center, one of the 6 sometimes 7 moore county paramedic level als truck is dispatched to it. it might not be the truck that is usually based in that area because it is out on another call, but one is dispatched and enroute. also some of the rescue and fire/rescue departments throughout the county have different responce protocols to medical emergencies based on priority of the call type. so if it is an alpha, bravo, or charlie which are priority 2 calls chances are an additional station will not get dispatched with the responding county ems truck, if a delta or echo being priority 1 then an additional station will get sent. the only departments that get paged to all medical calls no matter priority is robbins rescue, seven lakes 69, west end fire/rescue, whispering pines, and highfalls. carthage, cypress pointe, crains creek, southern pines, and aberdeen only get paged to delta echo level medical calls. and some of these departments are volunteers which means you are not guarnteed a responce from them(but more than likely will get one). remember your taxes are paying for paramedic level service from moore county ems system, some of the people on the volunteer department may or may not be medically trained or certified, that is up to the department responce protocol. as for the article at hand, do not blame the county for the complaint, the telecommunicators done their job correctly as did the responding truck. there are quiet a bit of non emergency medical calls(stump toe, tooth ache, my finger hurts etc.) that county trucks have to be sent to and transport patient to the hospital if they request, just because the patient is too lazy to drive themselves or do not have a ride to get there. they have to do this becasue of the agreements in the contract of tax payers monies being used to provide a county wide ems service.
wildwil2008 8 months, 2 weeks ago
I believe that the citizens of the county and the public officials are under educated on what BLS and ALS service is. That’s the main thing I believe. The West End Station is closer sometimes or the Seven Lakes EMS is closer sometimes it just depends. And it really does not really matter if you send West End or Seven Lakes because they are both going to do the exact same care; Seven Lakes EMS provides the exact same level of care that any department in the county does. The only difference between West End and Seven Lakes EMS then other departments are they both have ambulances. However neither Seven Lakes EMS nor West End are going to put a patient in their ambulance and transport an ALS patient because they are no qualified to do so and do not have the equipment or the certifications to properly take care of a patient.