Excerpts from Chicago.cbslocal.com:
Mayor Lori Lightfoot has announced that Chicago will get more ambulances – in response to ongoing CBS 2 investigative reports documenting a serious shortage. But the problems continue. And recently, 911 Center dispatchers were juggling calls from the public and even
first respondersfirefighters needing ambulance assistance, but were told no ambulances were available.On Jan. 21 during a two-and-a-half-hour period, the city said there were 67 calls for ambulances on the South Side that lead to problems.
At 2:23 p.m., a caller told the 911 dispatcher: “There’s an accident. Somebody’s hurt real bad.” It was a two-car crash at 71st and State streets. One car was on fire. A firefighter on the scene called for an ambulance. “We’re out of ambulances,” the dispatcher responds. A firefighter made a second call and told the dispatcher: “We’re going to need a second ambulance at this address.” The dispatcher replied: “All right Truck 20, you need two?… We have no one.”
Three minutes later, another 911 call came in from the Ford Assembly Plant at 126th Street and Torrence Avenue. The 911 caller said: “There’s a lady that’s pregnant. She’s having pains. They say she’s having contractions.” A fire engine arrived first and called for an ambulance. The response from a dispatcher was, “We don’t have anybody right now.”
And then at 2:31 p.m., a call came in near 92nd Street and Perry Avenue. The dispatcher said: “Person down for (Engine) 82.” The homeowner ran to his neighbors for help after his wife fell and hit her head. The neighbor called 911 for an ambulance. The fire engine arrived with a paramedic on board. Engine 82 called the 911 center for a status report: “Eighty-two to Englewood. We’re doing CPR here.” Ambulance 22 arrived 15 minutes after the first call to 911.
Illinois Department of Public Health records show the Chicago Fire Department has committed to a response time goal of six minutes. In all these cases, the ambulance response times were three to five times longer than that six-minute goal.
Just hours after reporters started asking questions about these incidents, dispatchers at the got an email from Fire Commissioner Richard Ford who wrote, “The process of indicating that CFD is out of available ambulances or asking for any available ambulances over the radio will no longer be allowed.”
The question is when will Mayor Lightfoot do something about it?
A spokesman for the Chicago Fire Department denies the fire commissioner is trying to cover up the ambulance shortage problem, saying in a written statement that is not only unwarranted but demonstrably false. He said there were three other ambulances available in other parts of the city in the time period during which the people in this story were waiting for an ambulance. The fire department is now working with the Office of Emergency Management to develop specific language that will avoid future confusion. He also said that to improve ambulance response times, the fire department and University of Chicago Urban Labs are completing a comprehensive analysis of the ambulance fleet to ensure it meets the needs of the city. The study will focus on the impact of five new ambulances added to the fleet by the previous mayor following earlier investigative reports.
thanks Danny
#1 by Chuck on March 3, 2020 - 9:37 AM
JOBS, that will never work. First, they already separated Fire and EMS by shifts back in 1995, as a response to the FLSA lawsuit won by the paramedics. All this did was create more friction than was already in place and destroyed a great deal of the cohesiveness that existed from the same crews working together every day. They’ve tried the privatization threat, the twelve hour threat, the eight hour threat, and it all falls by the wayside because cooler heads REALIZE what a logistical and financial nightmare that would be.
#2 by Paul on March 3, 2020 - 4:41 AM
Here is food for thought. With the amount of EMS calls run by the city, why not separate the fire and Medic side completely? Put the crews on the street 24/7 working 12 hour shifts out of 2 or 3 garages as home bases instead of 24 on 72 off. This is the same system New Orleans runs! Then the Ambulance commander would take in calls at his discretion to assist, be first on scene, or supervise.. Keep the Ambos on the street and shorten the shifts to 12’s. This doesn’t help the ambulance shortage but add more Rigs to the fleet and this system would save money esp on OT.. ** Comments on this ?***
#3 by Wayne on March 1, 2020 - 10:01 AM
At a minimum NFPA has a standard for response times, NFPA 1710 I believe sets that. And the point of having ambulances respond is to transport patients, I don’t know what’s so hard about that. Patients need doctors, paramedics are there to provide care and keep people alive but heart attacks, strokes, traumas, all need doctors and interventions not available to paramedics. So having an ambulance to get them to the doctors is pretty important.
#4 by Jim on March 1, 2020 - 3:38 AM
Who decides the response time parameters for ambulances? If an ALS suppression vehicle is on scene are the patients not receiving ALS care? A municipality can only afford what the taxpayers give them money for. If the city of Chicago has 80 ambulances then that’s what they have. This notion that I will just have my neighbor respond to my call is abuse of a system never intended of working this way. The suburbs are even worse. You want to add capacity add additional units or consolidate with other jurisdictions
#5 by Tom Foley on February 28, 2020 - 11:12 PM
Lightfoot is out of her element saying “3 ambos were available”. An ambo from the north side could take a half hour or more to get to the south side.
I favor using mutual aide, but not making it the solution. You can’t put a strain on every one else’s resources to solve your own problems. The suburbs themselves are guilty of this.
The answer does lie with adding more staffed ambos which will require more funding from who knows where. Everyone is already taxed at a high rate.
#6 by Wayne on February 27, 2020 - 8:18 PM
Privates might be the most expedient option but that’s not the answer. Chicago putting up more ambulances, using community paramedicine (which has shown benefits everywhere it’s been tried) and the US opening up to paramedic initiated refusals are the answers. Sadly Chicago doesn’t usually go for bold and innovative so they’ll probably just keep throwing money at the current system.
#7 by Shemp on February 27, 2020 - 3:05 PM
Sadly, not a new problem
Back in about 1995 I called in a crash at Sheridan and Jonquil (just blocks before Evanston border) E102 was there in a flash. An ambulance showed up about 20 minutes later. A11. From Weiss (or whatever they’re called, live elsewhere now). If available Evanston could have had someone there in a third of that time.
It’s high time Chicago enters into some type of agreement with the Privates.
#8 by Marty Coyne on February 27, 2020 - 8:06 AM
Part of the issue is the ambulances aren’t the revenue generators they should be. In the article linked below you can see the numbers (toward the end of the article).
“The city bills up to $1,200 for ambulance services.
But in 2018, out of more than $289 million billed, only $64 million was collected. That’s just 22 percent.
In 2019, more than $264 million was billed and just $45 million collected – or 17 percent of the total due.”
https://chicago.cbslocal.com/2020/01/14/chicago-fire-department-ambulance-fees-misuse-of-ambulances/
#9 by Chuck on February 27, 2020 - 12:47 AM
The City has a financial interest in taking as many ambulance runs as possible. Here’s why.
1) It generates revenue. Even at minimal reimbursement levels, it generates millions and millions of dollars.
2) They’re worried about getting sued for NOT sending an ambulance, even for the most B.S. complaint.
3) Paramedics are getting burned out. When you are getting hammered with 20,25,30 runs a day EVERY day, like the busiest rigs are, and then due to manpower shortages you’re getting mandatorily rehired on the middle day of your three days off to do another 20-30 run day, it’s becoming physically impossible to do the job. And with Fire Department administration, project medical directors and the Illinois Department of Public Health looking to hang paramedics out to dry for alleged medical mistakes with no support from the union, it’s no wonder things are at crisis levels, and have been so for years. All adding ambulances is going to do is create more of these same issues, because the City will look at it as the chance to raise more revenue, not protect the citizens. or the paramedics, for that matter.
#10 by Crabbymilton on February 26, 2020 - 10:37 PM
That’s quite alright. We can agree that there is much abuse of the system.
#11 by DaveyB on February 26, 2020 - 9:17 PM
I apologize Crabby, I have a sensitivity on that issue, having worked for companies that handled 9-1-1 responses along side Fire Department first responders. Looks like we use different terminologies, too. I remember way in the past taking calls even in Chicago when the battalion chiefs were in Suburbans and did ambulance backup.
#12 by Paul on February 26, 2020 - 6:22 PM
Marty: The response I was referring to was not sending a North Side rig like (20) to a south side call, that is nonsense and makes no sense. but here is an example. ( above one of the calls came in from 92nd & Perry the ambulance arrived 15 minutes after the engine arrived on scene that is 20 minutesish from the time the 911 call took place ) ( Evergreen Park is 12 minutes West ) you just shaved 8 minutes by hoping on IFERN and asking Oak Lawn Central for an ambulance…
Now I do realize there are cases within the city where the suburban Dept may be further then the next due CFD rig. But this can be a bandaid fix for all the calls left hanging near the borders.. 1,175 Fire Departments in the State utilize MABAS of those 3/4’s of the Depts have 1 ambulance and ask for neighboring help all the time “ALL THE TIME”..
Chicago needs to get off the high horse of sitting above the rest of the state in the Fire Department world and start playing nice with the Suburbs “go to the suburbs with out playing the telephone telechief game for approval” and ask the suburbs for help without making it a Inter-divisional task force request for 20 ambulances.
#13 by Marty Coyne on February 26, 2020 - 11:06 AM
There are a few “ready spares” that are stocked and generally used when a regular rig is expected to be down for maintenance for a short time (usually less than a day). They use a ready spare instead of spending the hours to switch out and then right back.
The city does have the capability to surge ambo’s which do get put into play when needed. During things like intense heat waves, heavy blizzards, special events, the city can and has surged 10 or so additional rigs. The issue is this has to be preplanned. They need to rehire medics to staff them and then place them in various quarters. They cannot just staff them on the fly for two hours when there is a surge in calls.
One other point. Yes, ambos will usually be available in other parts of the city, however sending a far northside rig all the way south will take even longer than ambo 22 did. Unless the city does some kind of COQ for ambo’s or stages them closer when one are is oversaturated with calls (highly unlikely given the relatively short run times vs fire calls when they do COQ) there is no real solution other than more and more rigs.
#14 by Crabbymilton on February 26, 2020 - 9:56 AM
I meant ambulance calls that just transport to the hospital non emergency with no lights or siren. My then 76 year old Mom fell and broke her hip last year. She’s ok now. But I called for an ambulance to take her in. I wasn’t about to try to get her in my car all by myself and her condition wasn’t such where a full MED unit was needed. Just a simple transport via private ambulance. Then they took her to rehab via private ambulance non emergency of course after her stay.
#15 by DaveyB on February 26, 2020 - 8:39 AM
Crabby, care to explain what a private “non-emergency” ambulance is? I’m an ambulance jockey from the 70’s, and all ambulances are governed by the same rules, and all are “emergency” ambulances.
#16 by JBavitz on February 26, 2020 - 8:02 AM
I believe the biggest part of this problem is citizens using the EMS as a taxi to the ER and the mindset that if they come in via EMS they go to the head of the treatment list.
There is no easy answer but with the world gearing up to fight a virus, this should be a indicator that something better be done!
#17 by CrabbyMilton on February 26, 2020 - 6:22 AM
We get that up here too Harry. There’s no excuse not to have enough Ambulances available but that’s a separate issue and generally stops at silly hall. But you are correct, people with such minor issues ought to call a private non emergency ambulance or find some other way to get to a place for medical attention instead of tying up units designed for life threatening issues.
#18 by Paul on February 25, 2020 - 11:36 PM
Not for nothing, maybe if the city started utilizing Mutual Aid from neighboring Departments? I don’t mean call a box for an ambulance task force, but if they have a call holding down south ask Blue Island, Dolton, Oak Lawn for a Mutual Aid Ambo. Or if they are West ask Cicero, Berwyn, Oak Park Ext.. Get on IFERN ask that town if they have an ambulance available send them. Done !!
#19 by harry on February 25, 2020 - 10:27 PM
there are a lot of non sense calls if u cut your finger people call 911
#20 by Wayne on February 25, 2020 - 9:57 PM
The spares are not stocked, and on top of that putting spares in service wouldn’t be necessary if the city had an appropriate number of ambulances staffed.
#21 by John on February 25, 2020 - 8:24 PM
Don’t they have any spares they could put in service,at least for transport? Kinda stick ’em in and go?