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[Dyersburg State Gazette]
Dyersburg, Tennessee ~ Friday, January 9, 2009
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Medical response by city fire department questioned

Wednesday, June 25, 2008
At Thursday's meeting of the city's Public Safety Committee, aldermen discussed whether rising fuel costs should affect the way the fire department responds to medical emergencies.

Discussions ranged from what fire vehicles are dispatched to the scene to whether to seek compensation from insurance companies or Dyersburg Regional Medical Center for the services provided by the Dyersburg Fire Department.

Noting rising fuel prices, alderman Shannon Walker opened the discussion by suggesting the city look into recouping some of the costs of responding to 911 calls.

"I don't want to remove the service, it is too valuable," said Walker. "I just wondered if we could ... charge the hospital for the calls we respond to or look into ambulances, (ourselves.)"

"We don't need to get into that business," said alderman Dennis Moody. "That's not our responsibility that they won't hire enough personnel."

"It's a great service," said alderman Bob Kirk. "You've got to make the determination of the level of service you provide."

"There are a lot of questions we need to ask ourselves when we start saying we are going to charge the hospital (for that service)," said Dyersburg Fire Chief Bob Veal. "If we have a fire and EMS calls and we can't go, are we going to be obligated when we start getting money?"

Collecting from private insurance companies was also suggested.

"We don't charge that because we are funded by the city," said Veal. "The county (volunteer) departments bill the insurance company $300. But our city attorney advised against that."

"To have a true First Responder Department, you are saying we need more people, more vehicles, more space," said Norman.

"Yes," said Veal.

Norman suggested sparing the large pumper truck for medical emergencies and only dispatching E-911 calls out of stations one or three.

"If we have a full arrest at Hillcrest, are we just going to sit there and (let someone farther away respond?)" asked Veal.

"It's hard to explain to John Q. Taxpayer that a pumper truck responds to Kroger for a woman who steps off the curb," said Norman.

"You can 'what if' something to death," said Veal. "If it's my mama that steps of the curb or my children locked in the car, I want the pumper truck to respond. Again, we go back to what do we want to do?"

"And what level of service do we want to provide?" asked Kirk.

"The police side of it is that we provide a service and we need to keep that service," said Ledbetter.

Norman made a motion that Holden make contact with the new CEO of Dyersburg Regional Medical Center to discuss reimbursement on a per call basis and if the city wants to be primary or secondary responder to medical emergencies. Kirk seconded the motion and it passed unanimously.


Comments
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To SAVEALIFE, since you have so much knowledge of the EMS, you are obviously an employee of the Dyersburg Regional EMS. But you do have a few things wrong. First of all, the Dyersburg Fire Department DOES NOT have a "first responder program." EVERY member of the Dyersburg Fire Department is an EMT, EMT-IV, or PARAMEDIC. They are dispatched and respond to 911 calls in the city, and those in the county when there assistance is needed, to assist however possible. I'm sure that EVERYONE realizes that each ambulance is staffed with a paramedic/paramedic crew, or paramedic/EMT crew. I'm sure that EMS responds quickly. However, I have seen numerous times that a call went out, and the fire truck responds, and a few minutes later, the ambulance service responds. Just out of curiosity, I would like to see the response times for the DFD vs. Dyersburg Regional EMS.

-- Posted by thisismysay on Sun, Jul 6, 2008, at 7:53 PM

tennessee_rambler you have no idea what you are talking about. EMS responds to calls as quickly, efficiently, and professionally as possible. EMS in dyersburg responds to over 600 calls per month. How many of these calls are really warranted? There have been calls for an ambulance to respond to an address for a sinus infection. . . Hmmm..... Sounds like that was a waste of time. Yes, some of the guys who get to the call from the fire dept are first responders, however, on the ambulance there is a paramedic and EMT. Sometimes two paramedics. If a call comes in, EMS responds and if no response is made then EMS is held liable. Its called neglect or abandonment. EMS personel hold a license as do physicians and nurses and are trained to be professional and to respond quickly. The fire dept is there to help EMS with whatever is needed (lift, moving, extrication, patient care, ect.) Dyersburg fire dept does an excellent job with their first responder program and without them EMS would be in a big jam with some of the calls they make.

-- Posted by savealife on Thu, Jun 26, 2008, at 4:02 PM

This is a shame. Not the fire department, they are doing an outstanding job. The shame is that the fire department is generally responding better and more efficiently then the ambulance service. Our medical service sometimes seem to be almost first responders.

I understand the DFD responds only as a back-up to the EMS.

What happened to the 'hypocritical' oath? I am sure it must have been lost in the fine print of some insurance policy.

As baby boomers age, there will be more call for Emergency Medical Service. The question is not how to configure the 'fire' department to respond to medical emergencies, but what is the medical community doing to meet the rising demands?

Constituitionally, our government is responsible to protect and defend the population. If there is a problem with medical response, which is jeapordizing our welfare, our government must respond. What a concept!

The onus is on the medical responders to be there, ready and willing to repond quickly, efficeintly and professionally. If they don't, they should be held accountable, their private owners, and their insurance companies.

The owners of our medical services must answer to the government in this respect.

-- Posted by Tennessee_Rambler on Thu, Jun 26, 2008, at 4:53 AM

why not start saving on fuel cost by stopping dept. head from driving city vehicles home. If stations 1 and 3 run the calls, the distance that they have to travel will be almost the same as 1 station running calls. leave it the way it is dont mess with our lives, cuts can be made else where.

-- Posted by medic11 on Wed, Jun 25, 2008, at 9:49 PM

Why is it necessary to send fire, police and ambulance for 911 calls?

-- Posted by jms58 on Wed, Jun 25, 2008, at 6:41 PM

The Dyersburg Fire Department does a good job. Lets not screw up a good thing. Send the closest fire truck you got, regardless of size. After all, how big or how little does not really matter with this subject.

-- Posted by ukwildcats on Wed, Jun 25, 2008, at 4:13 PM

all crooks.

-- Posted by tennessee9 on Wed, Jun 25, 2008, at 3:05 PM

there not gonna do that .that would back on there big bonuses,in a life or death situation i dont care who comes to my aid,i pay well enogh of taxes to beliueve if i or a family member needs asst. that they will come ,guess we will all hav to start wondering now hu..

-- Posted by blabbermouth on Wed, Jun 25, 2008, at 11:58 AM

sounds like medical costs just went up but we have to live.i thank God for fireman and ambulance personel.they saved my life once.maybe the mayor and aldermen should cut costs in other places and leave my medical costs alone.

-- Posted by ran66 on Wed, Jun 25, 2008, at 10:22 AM


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