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Paramedics Diana Brandt, left, and Scott Byous inspect emergency equipment as their ambulance idles outside the Grape Bowl on Wednesday while an unidentified trainee looks on from inside. Ambulances have been stationed all over the city on streets and in parking lots as part of strategic "posting locations" meant to speed up response time. (Scott Kaul/News-Sentinel)

'Highly effective method'

Paramedics say idling ambulances in Lodi are efficient, not lazy

By Scott Kaul
News-Sentinel Staff Writer
Updated: Wednesday, September 20, 2006 6:38 AM PDT

Have you ever noticed ambulances around the city idling by the side of the road or in a parking lot? Perhaps you've seen paramedics seemingly lounging at one of Lodi's many coffee shops.

"We're out here every day," said American Medical Response paramedic Diana Brandt, while standing by an ambulance parked near the Grape Bowl recently. "From here we can get to people faster who need help."

Brandt and her partner, fellow paramedic Scott Byous, said they weren't just hanging out, but had been deployed at one of many strategic "posting locations" that put paramedics in position to reach emergencies as soon as possible.

"It drastically speeds up response time to do it this way," Byous said.

Placing the emergency vehicles around the city, rather than having them stationed at a fixed location like a fire station, allows the paramedic service to be much more effective, he said.

"It's a highly effective method for handling emergencies," said AMR spokesman Jason Sorrick.

Sorrick said ambulance crews are always stationed in public areas for safety reasons. They need to be highly visible to protect the crews, as well as the equipment and materials that need to be kept inside the ambulances.

"That's why you see them a lot of times at parks, stores or even the local Starbucks," he said.

Deciding where ambulances need to be positioned is complicated business. A computer-aided dispatch system, or CAD, computes past history and patterns of emergencies and figures out the best location for a response team to set up a staging area, Sorrick said.

"It allows the system to be very fluid," he said. "This way, ambulances aren't tied to specific locations or routes."

Posting locations are constantly updated, changing as often as daily or even hourly. The CAD monitors variables such as population, traffic patterns and accidents and positions ambulances accordingly. All ambulances are monitored by GPS, so when an emergency call comes in, the system can automatically decide which ambulance will be able to respond to an emergency in the shortest amount of time.

"It's very scientific," Sorrick said.

Major posting locations in Lodi

Ambulances are often stationed within a half-mile of these intersections, depending on day and time, for heightened response time:
Church Street and Lodi Avenue.
Church and Lockeford streets.
Kettleman Lane and Lower Sacramento Road.
Kettleman and Cherokee lanes.
Turner and Lower Sacramento roads.
Turner Road and Cherokee Lane.
Lodi Avenue and Lower Sacramento Road.
Lodi Avenue and Hutchins Street.
Highway 12 and Bruella Road.
Source: American Medical Response.

Lodi currently has four regular units that are stationed around the city, with additional units coming in from surrounding areas as needed, he said.

Brandt and Byous said they prefer the computer system than being dispatched from a central location.

"It allows us to get more familiar with the city," Brandt said. "And we can get to emergencies faster."

And although the posting location system costs far more than having a central dispatch location, Sorrick says that its effectiveness outweighs its cost.

"We want to be able to help people as quickly as possible," he said. "If it costs a little more, then so be it."

AMR plans to test pilot an advanced GPS system in Auburn that speeds up response time even further and gives ambulance drivers multiple route options, with street and location information updated every three minutes. If everything goes well, the system will be installed in ambulances nationwide.

"We may not be able to predict when and where an emergency will happen," he said. "But we'll be close to it."

First published: Wednesday, September 20, 2006

Reader Feedback

I'm an EMT wrote on Sep 26, 2006 10:30 AM:

" For the people who favor station trucks need to look at a couple of factors. Where I live the avg crew runs 5-6 calls a day which means they are not in there unit for appx 4 and a half hours per shift dealing with calls.We cover cover an area of 2400 sq miles which makes having the trucks at a central station irresponsible to our patients. We avg a response time of 8 minutes in our metro area and15 minutes in the rural areas. If at a central station, you could easily double these times. "

my back is killin me wrote on Sep 22, 2006 10:51 PM:

" who knows what kind of reprocussions this will have on the crews down the road. we have people who have dedicated their lives and bodies to this line of work for many years. my point being injury will eventually come to us all!!! "

OTH wrote on Sep 22, 2006 7:25 PM:

" HELP........So what's the diferrece in the time it takes one or more of them to get back inside and buckle up and the time it takes to turn the key? "

HELP wrote on Sep 22, 2006 12:58 PM:

" First, I have never know a crew to sit 12 hours straight. If that is the case you live in a very lucky area, as most crews I know answer 2 to 4 calls a shift. So I think this is complete exagerated. Crews I know love to have the down time in or out of the rig. I mean these are clinicial professionals, so if they are feeling a little cramped, I think they are perfectly capable to get out of the rig and walking around. "

I'm A Paramedic wrote on Sep 22, 2006 7:26 AM:

" And hell, I wouldn't want a rig parked outside my freakin window either. "

To AMR Employees wrote on Sep 21, 2006 11:33 PM:

" I hope you have a good Union. As a resident I'd rather you be refreshed and coming to help me from your station. Maybe your Union can insist you get more comfortable units so you don't all have to file injury claims for backs give out after sitting for 12 hours! "

Keith wrote on Sep 21, 2006 9:18 PM:

" Just remember, when you have that one call where "Posting" made the difference, it will no longer be an issue for you--you will be glad you were there. "

Keith wrote on Sep 21, 2006 9:17 PM:

" Believe me, it will take a little while, but you will get use to the new system and you will find ways to pass the time; study, read a book, and etc. I speak from experience, I was in EMS when the system of "Posting" first began. We didn't have advanced CAD systems, and we moved around alot as "posts" were changed almost everytime one unit got a call. Sometimes all we did was go from one post to another for the entire shift. "

Keith wrote on Sep 21, 2006 9:04 PM:

" The system of "Posting" ambulances is not new but has been in use for at least 15 years that I know of. What is new is the use of GPS systems and advanced CAD dispatch systems. It is rare that a crew sits in a rig for 12 hours straight. It is unfair to say that the response time saved with this system is no more than 30 seconds. A review of response times will show times can vary up to several minutes depending on such variables as time of day,weather, traffic and etc. "

Mark wrote on Sep 21, 2006 7:04 PM:

" That 30 seconds may not be "significant" unless it is you or a loved one who needs any type of medical attention. AMR does this, as well as many EMS systems that are not private (like Denver, CO), because it is better than the station response model. What happens with many station models, is that the ambulance does not move from one station towards the other when the ambulance has been dispatched. That means the ambulance comes from even farther aay. "

Ira wrote on Sep 21, 2006 8:30 AM:

" 30 seconds faster is not clinically significant except for cardiac arrest. "

Ira wrote on Sep 21, 2006 8:28 AM:

" Its not healthy to be sitting in an idling vehicle for 12 hours straight. truck drivers and pilots have rules about how long they can be in their vehicle between rest. How does the fire department manage to provide stations and EMS is unable to. Purely shameful thats its all about money. "

Living the Life wrote on Sep 20, 2006 10:11 PM:

" There are trends in an area that normally has a volume of calls. Who's to say that they will be busy there all the time? You cannot predict a call, just be prepared. "

Living the Life wrote on Sep 20, 2006 10:10 PM:

" One final note, the last statement by AMR is its own contridiction. You don't know where a call will be. One day north Lodi could be busy. The next day south. Or east for that matter. If you change the system one day, the next day you will be getting calls where you had a unit before, but moved them to get to calls faster from the day before. "

Living the Life wrote on Sep 20, 2006 10:06 PM:

" I would rather be doing something productive and not be a nusance. But we all have to realize that this is the way that things are and they are not going to change. I for one appologize if we disturb anyone in our 12 hours of misery. Living the Life "

Living the Life wrote on Sep 20, 2006 10:06 PM:

" The reason the company is held to 90% and not a hundred? Because the goal has to be attainable. There is no way that we will always make every time all the time. People just need to realize one thing. Most of us don't enjoy sitting in a vehicle not moving for 12 hours, especially if it's not a busy day, which no one asks for. There are some days that we have no calls on a unit. "

Living the Life wrote on Sep 20, 2006 10:05 PM:

" In Stockton there have been instances where crews were sitting parked and witnessed violent acts. One crew was within no more thand 20-30 feet from a shooting that occured in a parking lot while they were outside of their vehicle. There are issues with the new system. There were issues with the old system. There will always be issues. "

Living the Life wrote on Sep 20, 2006 10:04 PM:

" Is it healthy? No. The types of ambulances that we have are basically vans that are specifically built for the job. They are not catered to be sat in for hours on end. Other locations atleast have the bigger ambulances that offer more room in the cab and the rear compartment. Not to mention not all of our locations are safe. "

Living the Life wrote on Sep 20, 2006 10:03 PM:

" I won't get onto a soap box and degrade what the company's purpose is here, to adhere to the contract that they have been awarded. My job on the other hand is to take care of people. My only complaint is the sore back that I now have after every shift. Not to mention that a lot of our fellow employees are working 24 hours straight to help fill the vacant shifts. Ever wonder what that feels like? Not good. They obviously have to sleep at some point and time. Is time being saved there? No. "

Living the Life wrote on Sep 20, 2006 10:02 PM:

" In reality we might change every month or two. Yes it does depend on the call volume or where the company is not meeting times, then those locations are made a higher priority to fill than others. The funny thing about this whole matter is this. Most of the locations are within a mile, most with in half of where most of the stations were prior to the change. The wheel wasn't reinvented here, just modified. I for one am not a favorite of the new system. Panic management brought on the change. "

Living the Life wrote on Sep 20, 2006 9:59 PM:

" So was time really saved? Since we're a private company, we have been told not to park in emergency lanes. That means that we have to park our ambulances at some distances if we cannot find close parking, what happens then? Isn't the call delayed? Another example and food for thought. "

Living the life wrote on Sep 20, 2006 9:58 PM:

" I'm glad to see that there are people who have an opinion in this matter. I work for AMR in San Joaquin County so my opinion is some what biased. Does sitting in an ambulance get paramedics to a call faster? Yes and no. If we sit in the ambulance and stay there yes, we turn the key or put it in drive for that matter and start driving. But, like the article said, we don't always sit in the ambulance. "

Ignition? wrote on Sep 20, 2006 6:20 PM:

" 30 seconds seems like 30 minutes when your waiting for an ambulance to take care of a loved one who is passed out from a heart attack. "

Ignition? wrote on Sep 20, 2006 6:19 PM:

" It takes 15-20 seconds to walk out the door and open the ambulance. 3 seconds to turn on the battery switch, 4-10 seconds for the glow plug to warm up (diesel) before they go en route. Posting with the engine going? Immediate. Difference in saving a life? Priceless. "

T & C wrote on Sep 20, 2006 5:23 PM:

" Would you sit in any vehicle in 90+ degree weather without the engine running so you can keep cool with the air conditioner and without the use of your communication system? With those two accessories alone running, your battery would be dead in 30 minutes. The same holds true with the cold weather. How'd you like to just sit in that ambulance for 12 hours, running or not? Keep up the great work AMR. "

resident wrote on Sep 20, 2006 4:19 PM:

" LodiEileen, the bill is appropriate for a ride in a mobile emergency room staffed by a highly trained crew capable of saving your life. You're paying for the cost of having that care available. It's more than a ride. "

Lodi Resident wrote on Sep 20, 2006 3:16 PM:

" I'm just not convinced I want a paramedic cooped up sitting in an ambulance for 12 hours on a street corner to save 30 seconds of response time. I'd rather have them relaxed and refreshed coming from their station to treat me. "

resident wrote on Sep 20, 2006 11:58 AM:

" 2XLT, Have you tried calling AMR directly and politely asking if the ambulance can park away from your window? If not, keep your window shut and deal with it! "

LodiEileen wrote on Sep 20, 2006 11:52 AM:

" Just wait until you receive the bill for their service. Urgent Care is directly across the street from Memorial hospital, the bill was $658.00 including oxygen ($69.00 not used) "

Weezer wrote on Sep 20, 2006 11:50 AM:

" To thank you AMR, have you taken your pills yet? You must be sick to wish some bad thing happen to me just because of one blog that's not even addressed to you. "

OTH wrote on Sep 20, 2006 11:49 AM:

" How long does it take to turn the key in the ignition? "

Anthems182 wrote on Sep 20, 2006 11:45 AM:

" I think the new systems is a great asset to the community. From working in the medical field for years that response time is so critical, even though I feel for the medics who have to sit in those rigs 12 hours a day. In the situation that you need immediate medical attention do you even consider cost? In a true emergency money is not option to me, life is more important. "

2XLT wrote on Sep 20, 2006 11:40 AM:

" Take your "thanks" to a for-profit corporation and leave me alone. You wish illness or accident on me and Wheezer because of a post on a blog? How psycho are you? I didn't say do away with ambulances, I said park it where the noise and stink doesn't matter. Unless it is parked outside YOUR window, you can shut up. "

not the only city wrote on Sep 20, 2006 11:36 AM:

" I lived in Reno for 5 years and they do the same thing. I was always seeing an ambulance at either the Burger King or parked by down the road from my house. I asked them what they were doing out here and they said they can get to the emergency faster this way. They never left their engine running. "

Happy wrote on Sep 20, 2006 11:10 AM:

" It is very comforting to know AMR is now available more timely. Who can argue with that? "

thank you AMR wrote on Sep 20, 2006 10:04 AM:

" 2XLT, weezer. you should be ashamed of your comments. If it were your family member that died because of a slow response time you would be SCREAMING that something needed to be done. I think its wonderful that AMR is thinking ahead to help improve response times. I sure hope that someday you two need this service and maybe only then will you think that saving a life is more important than the noise it creates outside your window or how much its costing. how much do you think a life is worth? "

2XLT wrote on Sep 20, 2006 9:13 AM:

" There has to be a better plan than to have a diesel ambulance rattling and smoking outside peoples windows for 15 hours a day. It's too loud and it stinks. Park the stupid thing in the city lot and let it idle 24 hours a day, just get it away from my bedroom. "

Weezer wrote on Sep 20, 2006 8:27 AM:

" Cost over benefit or benefit over cost? Who's shouldering the extra cost? "

Comments on this story are now closed.