1. West Skagit Regional Fire Authority Planning Committee

2. Fire Suppression and EMS Deployment Fire Department Organization and the Local EMS System Works: Chief Curtis Washington Survey and Rating Bureau Standards: Chief Taylor National Fire Protection Association Standards: Chief Horn

3. This Session Fire Department Demographics Fire Department Demographics Skagit 911 System Skagit 911 System Measuring Response Times Measuring Response Times Time Temperature Curve Time Temperature Curve Firefighter Personnel Demands Firefighter Personnel Demands EMS System EMS System

4. Fire Department Organization Para-military Organization Para-military Organization Chain of Command Chain of Command Directors Fire Chief Functional Fire Prevention Training Division OperationsBattalionsA, B, C Shifts

5. National Incident Management System (NIMS)

6. Mission of the Fire Service Protect Life and Property Protect Life and Property Fire Suppression Fire Suppression Emergency Medical Services Emergency Medical Services Hazardous Materials Hazardous Materials Technical Rescue Technical Rescue Public Service Public Service

7. Fire Departments Demographics

8. Volunteer Firefighters Home/work, Home/work, Assigned Shift, or Assigned Shift, or Sleeper program. Sleeper program. County Firefighter Academy County Firefighter Academy 130 Hours 130 Hours Reimbursement/stipend Reimbursement/stipend Firefighter Association Firefighter Association

9. Paid Firefighters 24 Hour Rotating Shift 24 Hour Rotating Shift North Bend or Bates Firefighter Academy North Bend or Bates Firefighter Academy 360 Hours 360 Hours Respond from Fire Station/Unit Respond from Fire Station/Unit Paid a salary Paid a salary Belong to IAFF Belong to IAFF

10. Part-Time Paid Firefighters Paid an Hourly Rate Paid an Hourly Rate Trained at County or State Academy Trained at County or State Academy Work at Several Departments Work at Several Departments Goal is to get a Full-time Job Goal is to get a Full-time Job May belong to IAFF May belong to IAFF

11. Questions?

12. Skagit 911 Center County-wide/Centralized Police/Fire/EMS

13. Funding Sources *Skagit 911 2011 Annual Report

14. Skagit 911 Call Load

15. Measuring Performance Event Initiation Emergency Event Alarm Notification Alarm Processing Turnout Time Travel Time Pre- Response Elements Response Time Post- Response Elements

16. Distribution/Concentration

17. Measuring Performance Event Initiation Emergency Event Alarm Notification Alarm Processing Turnout Time Travel Time Arrive On Scene Initiate Action (Set-Up) Mitigation of Incident Pre- Response Elements Response Time Post- Response Elements

18. Average Response Times

19. Fractal Response Times 90%

20. Level of Service Statement Within urban areas an ALS ambulance will arrive from time of dispatch within 8 minutes or less 90% of the time Within urban areas an ALS ambulance will arrive from time of dispatch within 8 minutes or less 90% of the time

21. Questions?

22. Time Temperature Curve Flashover (12-1400) (7-12 Minutes)

23. Time Temperature Curve Flashover (12-1400) (7-12 Minutes)

24. Time Temperature Curve Flashover (12-1400) (7-12 Minutes)

25. Time Temperature Curve Flashover (12-1400) (7-12 Minutes)

26. Variables in the Standard Time Temperature Curve Fuel Load (Quantity) Fuel Load (Quantity) Fuel Property (Material) Fuel Property (Material) Configuration (Arrangement) Configuration (Arrangement) Position (Location) Position (Location) Fuel Surface Exposed (Density) Fuel Surface Exposed (Density) Room Dimensions Room Dimensions Ventilation Openings Ventilation Openings

27. Arrival, Setup, Fire Attack Flashover (12-1400) (7-12 Minutes) 2 FF IN

28. Incident Command Operator 2 FF IN Standby Or RIC Ventilation Utilities Hose Lines Forcible Entry Replacement Firefighters Safety Officer Replacement Firefighters 15 Firefighters

29. NIST STUDY Crew Size Effectiveness Two (2) Person crews Two (2) Person crews 8 FFs + Chief and Aide = 10 FF 8 FFs + Chief and Aide = 10 FF Three (3) Person crews Three (3) Person crews 12 FFs + Chief and Aide= 14 FF 12 FFs + Chief and Aide= 14 FF Four (4) Person crews Four (4) Person crews 16 FFs + Chief and Aide = 18 FF 16 FFs + Chief and Aide = 18 FF Five (5) Person crews = Five (5) Person crews = 20 FFs + Chief and Aide = 22 FF 20 FFs + Chief and Aide = 22 FF

30. 22 Fireground Tasks

31. Burn Simulation Building

32. Interior Fire Attack

33. Search for Victims

34. Results of Crew Size Effectiveness

35. Questions?

36. American Heart Association American Heart Association 5 Min for BLS or Less 5 Min for BLS or Less 10 min for ALS or Less 10 min for ALS or Less EMS System Goals EARLY ACCESS EARLY CPR EARLY DEFIBRILLATION EARLY ALS

37. EMS System Goals SOURCE: Downloaded from http://circ.ahajournals.org/ by guest on January 25, 2012

38. Trauma – Surgeon/OR Trauma – Surgeon/OR STEMI Patients – Cath Lab STEMI Patients – Cath Lab Improved Patient Outcomes

39. County-Wide EMS System Tiered Response System Tiered Response System Initial Basic Life Support (BLS- EMT) Response. Initial Basic Life Support (BLS- EMT) Response. 22 Fire Districts 22 Fire Districts 10 Municipalities 10 Municipalities Followed by Advanced Life Support (ALS-Paramedic) Followed by Advanced Life Support (ALS-Paramedic) Contracted Providers Contracted Providers

40. County EMS System Contracted Providers Aero-Skagit Aero-Skagit Non-Profit Non-Profit One 24 Hour ALS Unit One 24 Hour ALS Unit 1100 Square Miles 1100 Square Miles Wilderness and Rural Wilderness and Rural Transports 366 Patients Transports 366 Patients

41. County EMS System CVAA Central Valley Ambulance Authority CVAA Central Valley Ambulance Authority Public Entity under Skagit County Commissioners Public Entity under Skagit County Commissioners Four 24 Hour ALS Units Four 24 Hour ALS Units 703 Square Miles 703 Square Miles Rural, Suburban, Urban Rural, Suburban, Urban Transport 5900 Patients Transport 5900 Patients

42. County EMS System Anacortes Fire Department Anacortes Fire Department Department of the City of Anacortes Department of the City of Anacortes Two 24 Hour ALS Units Two 24 Hour ALS Units 85 Square Miles 85 Square Miles Urban, Suburban, Rural Urban, Suburban, Rural Transports 1600 patients Transports 1600 patients

43. EMS System Funding County-wide EMS Property Tax County-wide EMS Property Tax Timber Tax Timber Tax Billable Services Billable Services Supplemented by Local Taxes Supplemented by Local Taxes

44. Projected Senior Population

45. Questions?