Missoula Emergency Service, Inc.Missoula Emergency Service, Inc.

Ambulance HistoryAmbulance History

Fred Nelson purchased Arrow Ambulance Fred Nelson purchased Arrow Ambulance from Elmer Harringar May 1978from Elmer Harringar May 1978

Fred started Arrow Medical Services in Fred started Arrow Medical Services in 1980 which sold medical supplies1980 which sold medical supplies

Fred sold the ambulance service and Fred sold the ambulance service and medical supply division to Norco in medical supply division to Norco in December 1988December 1988

Norco sold the ambulance service to our Norco sold the ambulance service to our current owner August 1993current owner August 1993

Arrow also operated an Air Arrow also operated an Air Ambulance with Minute Man Ambulance with Minute Man

AviationAviation

Missoula Emergency Service Missoula Emergency Service Current StaffCurrent Staff

2 Medical Directors2 Medical Directors 1 Crew Chief1 Crew Chief 1 Education / Training Director1 Education / Training Director 1 Office Administrator 1 Office Administrator 18 EMT-Basic18 EMT-Basic 25 Paramedics (12 Critical Care 25 Paramedics (12 Critical Care

Paramedics)Paramedics)

Missoula Emergency Service Missoula Emergency Service Scheduled CoverageScheduled Coverage

Medic 1: 24-Hours (2 Paramedics)Medic 1: 24-Hours (2 Paramedics) Medic 2: 24-Hours (Combination 1-2 Medic 2: 24-Hours (Combination 1-2

Paramedics)Paramedics) Medic 3: 24 Hours ( Mon- Sat in shop Medic 3: 24 Hours ( Mon- Sat in shop

double down with paramedic car from double down with paramedic car from 06:00 to 22:00)06:00 to 22:00)

Medic 4: 12 Hours on-call (Mon – Sat.)Medic 4: 12 Hours on-call (Mon – Sat.)

Missoula Emergency Service FleetMissoula Emergency Service Fleet7 - Type III (Box)7 - Type III (Box)2 - Type II (Van)2 - Type II (Van)1 - Medical Trailer1 - Medical Trailer1 - GMC Yukon Administration Vehicle 1 - GMC Yukon Administration Vehicle

Coming December 2006Coming December 20061 - Type II1 - Type II1 - Type III1 - Type III

Services OfferedServices Offered

Non-Emergency Transport Non-Emergency Transport 911 Emergency Response911 Emergency Response Public AssistsPublic Assists Stand-By CoverageStand-By Coverage Will Respond As Far As RequestedWill Respond As Far As Requested EMT-Education For All Levels, EMT-Basic To EMT-Education For All Levels, EMT-Basic To

ParamedicParamedic Transports With Flight TeamsTransports With Flight Teams Critical Care TransportsCritical Care Transports Re-stocking Fire DepartmentsRe-stocking Fire Departments

Call VolumeCall Volume

5860 57456441

8213 81178850

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

911 Only All Calls

200320042005

8 Minute Response Time8 Minute Response Time

97.93%

96.82%

97.55%

97.31%

96.20%

96.40%

96.60%

96.80%

97.00%

97.20%

97.40%

97.60%

97.80%

98.00%

2003 2004 2005 2006

Response TimesResponse Times

8 Minutes ?8 Minutes ? Full-arrests this year - 17Full-arrests this year - 17 Average response time is less than 4:00 Average response time is less than 4:00

minutesminutes

Levels of Emergency Medical Levels of Emergency Medical TechniciansTechnicians

EMT-BasicEMT-Basic SplintingSplinting BandagingBandaging Apply OxygenApply Oxygen De-fibrillationDe-fibrillation Basic airway maneuversBasic airway maneuvers

EMT-Basic EndorsementsEMT-Basic Endorsements

EMT-B1EMT-B1 Airway Airway EMT-B2EMT-B2 EMTB-Monitoring EMTB-Monitoring EMT-B3EMT-B3 IV / IO Initiation IV / IO Initiation EMT-B4EMT-B4 IV / IO Maintenance IV / IO Maintenance EMT-B5 ET (> 12 years old)EMT-B5 ET (> 12 years old) EMT-B6EMT-B6 Medications Medications

EMT-IntermediateEMT-Intermediate

Same as EMT-B with first-line cardiac Same as EMT-B with first-line cardiac meds and some more limited medicationsmeds and some more limited medications

Endo-tracheal Intubations for Airway Endo-tracheal Intubations for Airway Control Control

Intravenous (IV) SolutionsIntravenous (IV) Solutions

EMT-Intermediate EndorsementsEMT-Intermediate Endorsements

EMT-I1EMT-I1 Needle Decom / Surg AirwayNeedle Decom / Surg Airway EMT-I2EMT-I2 ImmunizationsImmunizations EMT-I3EMT-I3 Drips and PumpsDrips and Pumps EMT-I4EMT-I4 12 Lead Transmit12 Lead Transmit

ParamedicParamedic

All ACLS medications for cardiac patientsAll ACLS medications for cardiac patients Other medication Other medication CricothyrotomyCricothyrotomy Needle ThoracentesisNeedle Thoracentesis Pericardio-centesisPericardio-centesis 12 Lead12 Lead

EMT-Paramedic EndorsementsEMT-Paramedic Endorsements

EMT-P1EMT-P1 12 Lead Interpretation12 Lead Interpretation EMT-P2EMT-P2 MedicationsMedications EMT-P3EMT-P3 Fibrinolytics with 12 Lead Fibrinolytics with 12 Lead

InterpretationInterpretation EMT-P4EMT-P4 Critical Care TransportCritical Care Transport

Donated Community ServiceDonated Community Service YMCA 3 on 3 Tournament YMCA 3 on 3 Tournament MarathonsMarathons Scholarships for Fire DepartmentsScholarships for Fire Departments Blood Pressure ClinicsBlood Pressure Clinics TEMSTEMS Heart WalkHeart Walk Relay for LifeRelay for Life Structure Fire stand-byStructure Fire stand-by Hazardous Material stand-byHazardous Material stand-by Public AssistPublic Assist Senior OlympicsSenior Olympics Grizzly DipGrizzly Dip Stevensville Fire DepartmentStevensville Fire Department Victor Fire Department Victor Fire Department

Donated Community Service continued…Donated Community Service continued…

Home for the Holiday’sHome for the Holiday’s First Night MissoulaFirst Night Missoula Walmart Safety DayWalmart Safety Day Code Blue Code Blue Missoula Raptors Missoula Raptors Little Grizzly FootballLittle Grizzly Football Law Enforcement TestingLaw Enforcement Testing Refresher CoursesRefresher Courses High School Football, Soccer, Cross CountryHigh School Football, Soccer, Cross Country Missoula City Fire Department OxygenMissoula City Fire Department Oxygen U of M Athletics U of M Athletics Western Montana Fair (Paramedic)Western Montana Fair (Paramedic) Donated 249 hours this year ($18,675.00)Donated 249 hours this year ($18,675.00)

2005 Missoula Community2005 Missoula CommunityWrite-offWrite-off

Write-Down - $1,023,619.65Write-Down - $1,023,619.65Write-off - $577,087.02Write-off - $577,087.02

Fire / Hazmat Stand-by 171Fire / Hazmat Stand-by 171$29,070.00$29,070.00

____________________________________________________________________________________________________

2005 Total Write-off2005 Total Write-off$1,600,706.67$1,600,706.67