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We staffed ambulances with two certified
EMT's in 1976 before this was required by Ohio law.
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1981, we introduced the first Paramedics
in a private service based in Warren.
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1985, all dispatchers were trained as
Emergency Medical Dispatchers. However, medical directors in the area were
hesitant to write a protocol because the concept was so new. In the early
1990's, we again trained all dispatchers as EMD's to coincide with the opening
of the 9-1-1 call centers. However, we were advised by the Trumbull Co. 9-1-1
center that they would be coordinating all medical dispatch programs &
protocols in the County. To date, this has not become a reality. I believe
that Medical Dispatching should be in place.
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In the late 1980's, Action Ambulance was
instrumental in writing and bringing into law, the Ohio Ambulance Licensing
Board. (Now the Ohio Medical Transportation Board, ORC. 4766). In fact, Warren
Fire Department Captain John Bettiker was recruited by Jack Popadak to serve
on the very first Licensing Board, which he did for 10 years.
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1988, we started a wheelchair transport
division in response to a need for this type of service. Wheelchair Transport
Service can be & is used routinely in the delivery of E.M.S. When obese
patients can sit, but are too big for stretchers, they are legally transported
in a wheelchair transport vehicles with the care administered by EMS personnel
on-board the wheelchair van. Also, in the event of a mass casualty incident,
wheelchair transport vans can move any patients in a short period of time.
Action currently has regular vans & 1, 6-passenger Para-transit bus.
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In 1990, Action Ambulance purchased a
"non-transport vehicle". This Ford Bronco is licensed by the Transportation
Board and is used for Paramedic intercept, (when we send a paramedic to
intercept and upgrade a Basic Life Support ambulance) and, to bring extra
personnel & equipment to scenes where such back-up help is required. this
vehicle can also be used for EMS incident Command and size-up response when
necessary.
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A recent project of Action ambulance is
Tactical Medics. Tactical Medics are E.M.S. personnel who are crossed-trained
as commissioned police officers. They are then specifically trained to
function in the S.W.A.T environment, utilizing police tactics and "tactical
medical skills". The utilization of these medics is already in place with the
Trumbull County Sheriff's Tactical Team and is exclusively sponsored by Action
Ambulance. By making the Tactical Medic a functioning member of the
S.W.A.T. Team, the morbidity and mortality rates of Police officers injured
during special operations decreases dramatically.
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NIMS- the National Incident Management
System, is required training for all Action Ambulance field supervisors and
managers. The knowledge contained in learning this system is extremely
beneficial to Warren's safety forces because this new system is now the
National Standard for disaster command. Action Ambulance now has a distinct
compatibility in executing smooth intra-departmental operations with Warren's
safety forces.