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6 <br /> 1 - Under what conditions <br /> 2 <br /> 3 Consequences of increased response times for cardiac arrest/stroke: <br /> 4 <br /> 5 0-1 minute; cardiac irritability <br /> 6 0-4 minutes; brain damage not likely <br /> 7 4-6 minutes; brain damage possible <br /> 8 6-10 minutes; brain damage very likely <br /> 9 >10 minutes; irreversible brain damage <br /> 10 <br /> 11 Response Time <br /> 12 <br /> 13 ".....have recommended that EMS vehicles should respond to deliver BSL (basic life <br /> 14 support) skills within 3 to 4 minutes, with ALS (advanced life support) skills available <br /> 15 within 6 to 8 minutes. The ALS-within-8-minute concept was developed from research <br /> 16 that showed the survival rate of cardiac arrest victims decreases significantly with each <br /> 17 passing minute, and that optimal probabilities for survival increase when BLS has been <br /> 18 provided within 4 minutes followed by ALS within 8 minutes." <br /> 19 <br /> 20 American College of Emergency Physicians <br /> 21 American Heart Association <br /> 22 American Association of Orthopedic Surgeons <br /> 23 National Fire Protection Association <br /> 24 <br /> 25 He said that it is a concern that the average response time in 2011 was 10:47. <br /> 26 <br /> 27 Response Time <br /> 28 <br /> 29 OCEMS Agency Standards per System Plan: <br /> 30 <br /> 31 For Emergency Responses; <br /> 32 .....a paramedic on scene within 12 minutes 90% of the time <br /> 33 <br /> 34 For Non-Emergency Responses; <br /> 35 ......a paramedic on scene within 15 minutes 90% of the time <br /> 36 <br /> 37 Although not acceptable to the referenced standards setting and professional <br /> 38 organizations cited, concern can be offset somewhat by effective and timely response <br /> 39 from certified BLS responders; i.e. certified Medical Responders (MR) and Basic Level <br /> 40 Emergency Medical Technicians (EMT's). <br /> 41 <br /> 42 In Orange County, these responders-per the OEMS System Plan-are comprised of <br /> 43 members of the 12 municipal and community Fire Departments. <br /> 44 <br /> 45 South Orange Rescue Squad (SORS): <br /> 46 - 57 certified EMT's <br /> 47 - 36 on OEMS Roster w/NCOEMS <br /> 48 - Share duties w/OEMS on Medic 8 <br /> 49 - 3-4-3-4-3 alternating schedule <br /> 50 - Includes use of SORS' 2-BLS ambulances <br />