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Wikipedia

Cleveland EMS

May 01, 2024

The City of Cleveland Division of Emergency Medical Service, also known as Cleveland EMS or CEMS, is the division of the municipal government tasked with emergency ambulance transport for the City of Cleveland, Ohio.[1]

Cleveland EMS ambulance

As of January 2019, the paramedics and EMTs of Cleveland EMS staff 25 Advanced Life Support (ALS) ambulances during the daytime, and 21 during the night shift. In addition, they also provide special event medical standby service upon request. They are supported by Emergency Medical Dispatchers who staff a communications facility known as Radio Emergency Dispatch (RED) center.[2] Counting supervisors and administrative staff, the division is budgeted for 333 employees, with an annual budget of $30.6 million and annual revenues of $14 million.[3]

Cleveland EMS is assisted in providing prehospital care by the Cleveland Fire Department, who provides non-transport "First Responder" services.[2]

Cleveland EMS' Headquarters is located at 1701 Lakeside Ave, Cleveland Ohio, 44114.[4] Cleveland Association of Rescue Employees local 1975, An ILA affiliate, is the primary labor union for Cleveland EMS paramedics, EMTs, and dispatchers.[5]

Cleveland EMS Call Volume edit

 
Inside of Cleveland EMS ambulance
Year 911 calls received EMS calls dispatched Patients transported to the hospital Staffed ambulances
2011[3] 94,307 80,267 61,751 15
2012[3] 96,359 83,971 63,501 15
2013[3] 106,385 93,389 67,532 18
2014[3] 109,045 97,028 71,128 18
2015[3] 115,303 103,574 74,658 18
2016[3] 116,056 104,048 75,428 18
2017[3] 116,751 105,714 77,266 21 daytime/19 night
2018[3] 120,487 107,213 79,395 25 daytime/21 night
2019[3] 123,364 109,633 80,602 25 daytime/21 night
2020[3] 119,272 104,937 73,117 25 daytime/21 night
2021[3] 124,842 109,370 74,400 25 daytime/21 night
2022[3] 120,383 106,106 73,655 25 daytime/21 night
2023[3] 120,017 105,570 73,676 23 daytime/19 night


History edit

1975-1979 edit

Prior to 1975, emergency ambulance transportation in Cleveland was provided by a combination of Cleveland Police patrol wagons, four Cleveland Fire rescue squads,[6] and private ambulances mostly run by funeral homes.[7] The June 3, 1974, death of Councilman Michael Zone exposed severe shortcomings in this existing system, as it took over 25 minutes for help to reach him after he suffered a heart attack.[6]

Due in part to the public outcry after Zone's death, Mayor Ralph Perk established the new City of Cleveland Division of Emergency Medical Service (CEMS) the following year with 120 Emergency Medical Technicians (EMTs) answering their first emergency calls on Monday, October 13, 1975.[8]

This new division of EMS, separate from the police and fire departments, immediately found itself very busy, answering over 60,000 calls annually by 1977.[9] While considered a vast improvement over the previous system, it also found itself to be the center of controversy. A 1976 feature in Cleveland Magazine illustrated several ways that Mayor Perk maximized the political gain from the new CEMS service just prior to the 1975 mayoral election. The same article also outlined problems within the CEMS leadership, a lack of continuing medical education, broken ambulances, a poor driving record with 84 accidents with 2 years, understaffing, and most disturbingly, that CEMS lacked Advanced Life Support (ALS) paramedic units and had no definite timetable to implement them.[6]

The lack of paramedic-level care would persist throughout the 1970s as the administration of Mayor Dennis Kucinich refused to allow those CEMS personnel who had trained as paramedics to perform advanced skills or administer medications. Assistant Safety Director Tonia Grdina told the Plain Dealer at the time, “The major criticism of the EMS is that its personnel frequently treat victims on the scene instead of transporting them to the hospital immediately.”[10]

1980-1989 edit

In 1980, Mayor George Voinovich recruited Mitchell Brown, a veteran of Pittsburgh's Freedom House Ambulance Service, to head CEMS in a move to improve the service.[11] Things would get worse before they got better, however, with budget cuts dropping the number of CEMS ambulances from 12 in 1982, to 8 by 1985.[12] Despite these budget challenges, Brown was able to implement a new in-house communications center, called Radio Emergency Dispatch (RED) center, and upgraded two CEMS units to ALS status on February 1, 1985.[13] Brown was later promoted to safety director, where he vetoed a 1988 proposal by the Cleveland Fire Department to take over CEMS.[14]

1990-1999 edit

Despite an increase in the late 1980s to 14 EMS units,[15] during the early 1990s many of the same concerns persisted regarding CEMS, including deaths due to delayed responses,[16] unreliable vehicles,[17] low employee pay, high turnover,[18] a large number of low-priority calls,[19][20] and an overall high call volume given the number available ambulances.[18] Public proposals to improve EMS very similar to those advocated during the mid 1980s[21][22][23] again graced the pages of the local newspaper, the Plain Dealer. Councilman Ken Johnson proposed forming a volunteer EMS first-response unit,[24] while Cleveland firefighters continued their campaign to take over EMS,[25] and the same ambulance company manager who penned a 1984 op-ed again proposed letting private ambulances respond to 911 calls.[26]

Mayor Michael R. White instead chose to embrace the recommendations of an EMS/Fire task force and invested heavily in CEMS.[27] RED center was upgraded with a new computer aided dispatching and call-prioritizing system in 1993,[28] and by 1997 20 CEMS ambulances were in service reducing response times by 28%.[29][30] This increased investment in CEMS was credited with helping Cleveland realize its lowest homicide rate in decades, with CEMS crews saving many victims of penetrating trauma who would otherwise have been perished.[29] During the 1990s working conditions for CEMS EMTs and paramedics also improved, as the city switched to from 8-hour shifts to 12-hour shifts.[31] Additionally after a protracted battle between the city administration and the Cleveland Association of Rescue Employees (CARE), the main labor union for CEMS, safety equipment such as ballistic vests, helmets and protective coats were obtained for the first time.[32]

It is also worth noting, that on November 5, 1993, CEMS came close to suffering its first line-of-duty death when paramedic Christopher Holt was struck by an automobile at the scene of a freeway accident. Through the incredible efforts of his CEMS colleagues and staff at Metro hospital, Holt not only survived critical injuries, but returned to work the following year.[33]

2000-Present edit

As the new century dawned, the 21 ambulances of CEMS took on increased importance as the region saw the first of several hospital closings, with St Luke's closing in 1999,[34] Mt Sinai in 2000,[35] and St Alexis/St Michael in 2003.[36] Through union concessions and chronic understaffing, CEMS was spared from the budget cuts that affected the police and fire departments in 2003.[37] The following year, 24 of the laid-off firefighters and police officers who had EMT or paramedic training were re-hired to work for CEMS to fill vacancies created as other employees left the division.[38]

 
Cleveland EMS mobile unit 1 provides special event medical standby services on public square during the 2016 World Series.

Attrition within CEMS accelerated greatly after a 2007 decision by Commissioner Edward Eckart to switch CEMS workers from the 12-hour shifts they had worked since the early 1990s, to 8-hour shifts in order to save money on overtime.[39] This move backfired, as 88 CEMS workers resigned within 2 years and overtime spending soared as the remaining personnel were forced to work extra mandatory shifts to provide ambulance coverage.[40] CARE challenged the schedule change, and ultimately prevailed in court. 12-hour work shifts were resumed.[39]

Despite the move back to 12-hour shifts, CEMS continued to face cutbacks, as the City of Cleveland was especially hard-hit by the global recession caused by the housing crisis. By 2010, despite no change in call volume, only 15 CEMS ambulances remained in service.[41] Further strain was added to CEMS when the Cleveland Clinic administration closed Huron Road Hospital in 2011, leaving the entire east side of Cleveland without a trauma center.[42]

In a bid to improve EMS, city officials decided to implement the long-proposed idea of merging its fire and EMS divisions, boldly announcing in November 2011 that the merger would be complete by the end of 2012.[43] As one of the initial steps, city officials ended the expensive and inefficient[44] practice of using fire department heavy rescue squads staffed with 4 firefighters as backup ambulances. The city then used the money saved to open three additional CEMS ambulances for a total of 18 CEMS units.[45] The city also cross-trained 6 CEMS paramedics at the Cleveland fire academy.[46] Despite these steps, city officials abandoned the merger plan after the firefighter's union voted down a merger proposal in May 2014.[47]

After the merger plan was abandoned, the city again decided to invest in CEMS to meet the demands of a rapidly increasing call volume. After the passage of an income tax levy in 2016, additional staff were hired and new ambulances were purchased to increase the total number of units to 25 during the daytime and 21 at night by the beginning of 2018.[48] During this time, local trauma care also improved, as University Hospitals attained Level 1 Trauma center status at the end of 2015. This relieved MetroHealth of the responsibility of being the sole Level 1 trauma center in Cuyahoga County and helped fill the void left by the sudden closure of Huron Road hospital 5 years earlier.[49]

Cleveland Emergency Medical Services began carrying nasal-spray Narcan, the opioid antagonist drug that reverses an opioid overdose in 1985. In 2016, the division's ambulances began offering Project DAWN (Deaths Avoided with naloxone) Narcan kits to citizens. Narcan, a naloxone nasal spray, can be used by untrained individuals relatively simply. The kits were also available at EMS headquarters.[50] Project DAWN is a community-based overdose education program that dispenses Narcan to combat Ohio's opioid overdose crisis.[51]

During the 2020 global pandemic, Cleveland EMS saw its first decline in call volume in several years. This mirrored local and national trends, where people avoided healthcare facilities because of concerns they might contract the CoVID-19 virus.[52] During this time, Cleveland EMS continued to answer emergency calls, with medics wearing increased personal protective equipment, including N95 respirators. Despite these measures, several EMS providers still contracted CoVID-19.[53] Cleveland EMS providers were among the first local healthcare providers to receive the CoVID-19 vaccine once it became available in late 2020. They also helped distribute the vaccine to others by staffing vaccination clinics.[54]

In 2022, Orlando Wheeler was appointed Interim Commissioner of EMS replacing Nicole Carlton. Cleveland EMS also began receiving 15 new ambulance funded by ARPA monies. [55] By September of 2023, Orlando Wheeler was appointed to the commissioner position permanently. [56]

References edit

  1. ^ "Cleveland EMS homepage". City of Cleveland Division of Emergency Medical Services homepage. Retrieved 22 January 2019.
  2. ^ a b "CARE History page". Cleveland Association of Rescue Employees. Retrieved 22 January 2019.
  3. ^ a b c d e f g h i j k l m n "City Of Cleveland 2018 Budget Book" (PDF). City of Cleveland. Retrieved 22 January 2019.
  4. ^ "Cleveland EMS homepage". City of Cleveland Division of Emergency Medical Services homepage. Retrieved 8 April 2019.
  5. ^ "CARE main page". Cleveland Association of Rescue Employees. Retrieved 8 April 2019.
  6. ^ a b c Diana Tittle (1976). "EMERGENCY!". Cleveland Magazine. No. August. pp. 36–42, 94–97.
  7. ^ Ryan Corbett Bell (31 August 2012). The ambulance : a history. McFarland & Co. p. 71. ISBN 978-0-7864-7301-4.
  8. ^ Joseph L Wagner (11 October 1975). "New Ambulance Run Monday". The Cleveland Plain Dealer. p. 4A.
  9. ^ Michael Ward (3 March 1978). "Too many of CEMS' 60,000 calls were not true emergencies". The Cleveland Plain Dealer. pp. 4–7.
  10. ^ Diann Burns (6 November 1978). "City's curb on paramedics is questioned". The Cleveland Plain Dealer. p. 1.
  11. ^ Christine J Jindra (4 January 1980). "Pittsburgher to head city's Emergency Medical Service". The Cleveland Plain Dealer. p. 15A.
  12. ^ Steve Luttner (3 March 1985). "Cut in EMS fleet cost 100 lives last year, council told". The Cleveland Plain Dealer. p. 13A.
  13. ^ V. David Sartin (7 February 1985). "Ambulance radio link is off to a good start". The Cleveland Plain Dealer. p. 23A.
  14. ^ "Safety chief vetoes merger of EMS, Fire Department". The Cleveland Plain Dealer. 9 June 1988. p. 14E.
  15. ^ Mark Russell (30 September 1999). "White wants to add four EMS vehicles". The Cleveland Plain Dealer. p. 2B.
  16. ^ BENJAMIN MARRISON (19 March 1992). "Council sounds alarm over EMS tardiness". The Cleveland Plain Dealer. p. 1A.
  17. ^ Percy Allen (15 June 1991). "New ambulances bring some aid to city's EMS". The Cleveland Plain Dealer. p. 4B.
  18. ^ a b Benjamin Marrison (24 May 1992). "Stress, low pay prompt EMS workers to quit". The Cleveland Plain Dealer. p. 14A.
  19. ^ "Cleveland's $8 million taxi". The Cleveland Plain Dealer. 16 March 1992. p. 4C.
  20. ^ Karen Mcnally (20 September 1992). "Some use EMS for basic care". The Cleveland Plain Dealer. p. 6g.
  21. ^ Steve Luttner (24 November 1984). "Volunteer plan may assist Cleveland EMS". The Cleveland Plain Dealer. p. 6A.
  22. ^ David F Stahley (3 December 1984). "Don't rely on volunteers for city EMS". The Cleveland Plain Dealer. p. 4B.
  23. ^ Wally Guenther (27 May 1988). "Officials take shots at EMS merger plan". The Cleveland Plain Dealer. p. 6B.
  24. ^ "Councilman proposes volunteer EMS unit". The Cleveland Plain Dealer. 14 November 1990. p. 6B.
  25. ^ Anthony E Missig (5 December 1990). "Merge for safety". The Cleveland Plain Dealer. p. 8B.
  26. ^ David F Stahley (3 December 1990). "Who should answer the ambulance call?". The Cleveland Plain Dealer. p. 6B.
  27. ^ "EMS: Don't bet your life on it". The Cleveland Plain Dealer. 26 April 1992. p. 2C.
  28. ^ Catherine L Kissling (29 March 1993). "Call priorities a relatively new idea". The Cleveland Plain Dealer. p. 5A.
  29. ^ a b Christopher Quinn (4 July 1997). "Killings still on decline in Cleveland". The Cleveland Plain Dealer. p. 3B.
  30. ^ Robert K Vickers (19 December 1996). "Cleveland boosts emergency service EMS bases, hours, ambulances added". The Cleveland Plain Dealer. p. 7B.
  31. ^ Donna J Miller (8 April 2007). "EMS workers to protest change in hours, pay". The Cleveland Plain dealer. p. B4.
  32. ^ Benjamin Marrison (29 January 1994). "EMS wins grievance over safety equipment". The Cleveland Plain Dealer. p. 2B.
  33. ^ Michael O'Malley (16 July 1994). "Recovering medic returns to work". The Cleveland Plain Dealer. p. 1B.
  34. ^ Diane Solov; Olivera Perkins (13 May 1999). "St Luke's mum after emergency room stops taking severely injured patients". The Cleveland Plain Dealer. p. 1C.
  35. ^ Regina Mcenery (16 February 2000). "Mt Sinai closing hospital releasing patients, workers". The Cleveland Plain Dealer. p. 1A.
  36. ^ SARAH TREFFINGER (19 December 2003). "St Michael hospital can't escape fate this time". The Cleveland Plain Dealer. p. B1.
  37. ^ Lilia j Mills (19 December 2003). "EMS-city talks were long but civil". The Cleveland Plain Dealer. p. A12.
  38. ^ Mike Tobin (12 November 2004). "Laid-off safety workers set to fill EMS vacancies Police, firefighters will fill positions by end of year under mayor's plan". The Cleveland Plain Dealer. p. B3.
  39. ^ a b Mark Puente (29 December 2007). "Cleveland EMS employees win ruling over work shifts". The Cleveland Plain Dealer. p. B3.
  40. ^ Henry J Gomez; Gabriel Baird (29 March 2008). "EMS workers bolt for Memphis Cleveland staff shrinks because of schedule, salary". The Cleveland Plain Dealer. p. B1.
  41. ^ Mark Puente (11 January 2010). "Cleveland EMS changes call policy Agency puts brakes on non-emergencies". The Cleveland Plain Dealer. p. A1.
  42. ^ Angela Townsend. "Trauma transport time rises after Huron Hospital closing". Cleveland.com. Retrieved 22 January 2019.
  43. ^ Thomas Ott. "Cleveland moves to merge Fire Department, ambulance service". Cleveland.com. Retrieved 22 January 2019.
  44. ^ "CEMS Ambulance vs CFD Rescue Squad.pdf". CARE history. Retrieved 22 January 2019.
  45. ^ Laura Johnston. "Cleveland takes first step toward integrating the Fire Department with Emergency Medical Services". Cleveland.com. Retrieved 22 January 2019.
  46. ^ Dave Davis. "Cleveland.com Metro News Cleveland's goal is to merge EMS and fire divisions by year's end". Cleveland.com. Retrieved 22 January 2019.
  47. ^ Leila Atassi. "Cuyahoga Prosecutor says former Cleveland Fire Chief Paul Stubbs ignored payroll abuses; Mayor has remained steadfast in defense". Cleveland.com. Retrieved 22 January 2019.
  48. ^ Courtney Astolfi. "More ambulances coming to Cleveland in effort to cut down response times". Cleveland.com. Retrieved 22 January 2019.
  49. ^ Brie Zeltner. "University Hospitals to join MetroHealth, Cleveland Clinic in regional trauma network". Cleveland.com. Retrieved 22 January 2019.
  50. ^ Neidermier, Kevin (10 March 2017). "Cuyahoga County and Cleveland are Stepping Up Narcan Distribution". WKSU 89.7.org. Kent OH: Kent State University.
  51. ^ "Cleveland EMS Providers to Distribute Overdose Kits". EMSWorld. Malvern PA: HMP Global. 2 September 2016.
  52. ^ Moinca, Robins (31 January 2021). "Patients Avoiding Local Emergency Rooms to Steer Clear of COVID-19". wkyc.com. Cleveland Oh: WKYC.
  53. ^ Gallek, ed (31 January 2021). "Could EMS Crew Coming to You Have COVID-19 and Not Know It?". fox8.com. Cleveland Oh: Fox news.
  54. ^ Goldenberg, Sarah (31 January 2021). "Paramedic of Frontlines of Coronavirus Pandemic: Get the Vaccine". cleveland19.com. WOIO.
  55. ^ Astolfi, Courtney (17 February 2023). "Potential ambulance reduction, changes to police inspector general, and other takeaways from Cleveland's public safety budget". cleveland.com. Advance Ohio.
  56. ^ Astolfi, Courtney (19 September 2023). "Cleveland EMS looks to boost staffing by upping entry wages for experienced paramedics". cleveland.com. Advance Ohio.

External links edit

Official website

  • Cleveland Association of Rescue Employees 1975 Homepage

May 01, 2024
cleveland, city, cleveland, division, emergency, medical, service, also, known, cems, division, municipal, government, tasked, with, emergency, ambulance, transport, city, cleveland, ohio, ambulance, january, 2019, paramedics, emts, staff, advanced, life, supp. The City of Cleveland Division of Emergency Medical Service also known as Cleveland EMS or CEMS is the division of the municipal government tasked with emergency ambulance transport for the City of Cleveland Ohio 1 Cleveland EMS ambulance As of January 2019 the paramedics and EMTs of Cleveland EMS staff 25 Advanced Life Support ALS ambulances during the daytime and 21 during the night shift In addition they also provide special event medical standby service upon request They are supported by Emergency Medical Dispatchers who staff a communications facility known as Radio Emergency Dispatch RED center 2 Counting supervisors and administrative staff the division is budgeted for 333 employees with an annual budget of 30 6 million and annual revenues of 14 million 3 Cleveland EMS is assisted in providing prehospital care by the Cleveland Fire Department who provides non transport First Responder services 2 Cleveland EMS Headquarters is located at 1701 Lakeside Ave Cleveland Ohio 44114 4 Cleveland Association of Rescue Employees local 1975 An ILA affiliate is the primary labor union for Cleveland EMS paramedics EMTs and dispatchers 5 Contents 1 Cleveland EMS Call Volume 2 History 2 1 1975 1979 2 2 1980 1989 2 3 1990 1999 2 4 2000 Present 3 References 4 External linksCleveland EMS Call Volume edit nbsp Inside of Cleveland EMS ambulance Year 911 calls received EMS calls dispatched Patients transported to the hospital Staffed ambulances 2011 3 94 307 80 267 61 751 15 2012 3 96 359 83 971 63 501 15 2013 3 106 385 93 389 67 532 18 2014 3 109 045 97 028 71 128 18 2015 3 115 303 103 574 74 658 18 2016 3 116 056 104 048 75 428 18 2017 3 116 751 105 714 77 266 21 daytime 19 night 2018 3 120 487 107 213 79 395 25 daytime 21 night 2019 3 123 364 109 633 80 602 25 daytime 21 night 2020 3 119 272 104 937 73 117 25 daytime 21 night 2021 3 124 842 109 370 74 400 25 daytime 21 night 2022 3 120 383 106 106 73 655 25 daytime 21 night 2023 3 120 017 105 570 73 676 23 daytime 19 nightHistory edit1975 1979 edit Prior to 1975 emergency ambulance transportation in Cleveland was provided by a combination of Cleveland Police patrol wagons four Cleveland Fire rescue squads 6 and private ambulances mostly run by funeral homes 7 The June 3 1974 death of Councilman Michael Zone exposed severe shortcomings in this existing system as it took over 25 minutes for help to reach him after he suffered a heart attack 6 Due in part to the public outcry after Zone s death Mayor Ralph Perk established the new City of Cleveland Division of Emergency Medical Service CEMS the following year with 120 Emergency Medical Technicians EMTs answering their first emergency calls on Monday October 13 1975 8 This new division of EMS separate from the police and fire departments immediately found itself very busy answering over 60 000 calls annually by 1977 9 While considered a vast improvement over the previous system it also found itself to be the center of controversy A 1976 feature in Cleveland Magazine illustrated several ways that Mayor Perk maximized the political gain from the new CEMS service just prior to the 1975 mayoral election The same article also outlined problems within the CEMS leadership a lack of continuing medical education broken ambulances a poor driving record with 84 accidents with 2 years understaffing and most disturbingly that CEMS lacked Advanced Life Support ALS paramedic units and had no definite timetable to implement them 6 The lack of paramedic level care would persist throughout the 1970s as the administration of Mayor Dennis Kucinich refused to allow those CEMS personnel who had trained as paramedics to perform advanced skills or administer medications Assistant Safety Director Tonia Grdina told the Plain Dealer at the time The major criticism of the EMS is that its personnel frequently treat victims on the scene instead of transporting them to the hospital immediately 10 1980 1989 edit In 1980 Mayor George Voinovich recruited Mitchell Brown a veteran of Pittsburgh s Freedom House Ambulance Service to head CEMS in a move to improve the service 11 Things would get worse before they got better however with budget cuts dropping the number of CEMS ambulances from 12 in 1982 to 8 by 1985 12 Despite these budget challenges Brown was able to implement a new in house communications center called Radio Emergency Dispatch RED center and upgraded two CEMS units to ALS status on February 1 1985 13 Brown was later promoted to safety director where he vetoed a 1988 proposal by the Cleveland Fire Department to take over CEMS 14 1990 1999 edit Despite an increase in the late 1980s to 14 EMS units 15 during the early 1990s many of the same concerns persisted regarding CEMS including deaths due to delayed responses 16 unreliable vehicles 17 low employee pay high turnover 18 a large number of low priority calls 19 20 and an overall high call volume given the number available ambulances 18 Public proposals to improve EMS very similar to those advocated during the mid 1980s 21 22 23 again graced the pages of the local newspaper the Plain Dealer Councilman Ken Johnson proposed forming a volunteer EMS first response unit 24 while Cleveland firefighters continued their campaign to take over EMS 25 and the same ambulance company manager who penned a 1984 op ed again proposed letting private ambulances respond to 911 calls 26 Mayor Michael R White instead chose to embrace the recommendations of an EMS Fire task force and invested heavily in CEMS 27 RED center was upgraded with a new computer aided dispatching and call prioritizing system in 1993 28 and by 1997 20 CEMS ambulances were in service reducing response times by 28 29 30 This increased investment in CEMS was credited with helping Cleveland realize its lowest homicide rate in decades with CEMS crews saving many victims of penetrating trauma who would otherwise have been perished 29 During the 1990s working conditions for CEMS EMTs and paramedics also improved as the city switched to from 8 hour shifts to 12 hour shifts 31 Additionally after a protracted battle between the city administration and the Cleveland Association of Rescue Employees CARE the main labor union for CEMS safety equipment such as ballistic vests helmets and protective coats were obtained for the first time 32 It is also worth noting that on November 5 1993 CEMS came close to suffering its first line of duty death when paramedic Christopher Holt was struck by an automobile at the scene of a freeway accident Through the incredible efforts of his CEMS colleagues and staff at Metro hospital Holt not only survived critical injuries but returned to work the following year 33 2000 Present edit As the new century dawned the 21 ambulances of CEMS took on increased importance as the region saw the first of several hospital closings with St Luke s closing in 1999 34 Mt Sinai in 2000 35 and St Alexis St Michael in 2003 36 Through union concessions and chronic understaffing CEMS was spared from the budget cuts that affected the police and fire departments in 2003 37 The following year 24 of the laid off firefighters and police officers who had EMT or paramedic training were re hired to work for CEMS to fill vacancies created as other employees left the division 38 nbsp Cleveland EMS mobile unit 1 provides special event medical standby services on public square during the 2016 World Series Attrition within CEMS accelerated greatly after a 2007 decision by Commissioner Edward Eckart to switch CEMS workers from the 12 hour shifts they had worked since the early 1990s to 8 hour shifts in order to save money on overtime 39 This move backfired as 88 CEMS workers resigned within 2 years and overtime spending soared as the remaining personnel were forced to work extra mandatory shifts to provide ambulance coverage 40 CARE challenged the schedule change and ultimately prevailed in court 12 hour work shifts were resumed 39 Despite the move back to 12 hour shifts CEMS continued to face cutbacks as the City of Cleveland was especially hard hit by the global recession caused by the housing crisis By 2010 despite no change in call volume only 15 CEMS ambulances remained in service 41 Further strain was added to CEMS when the Cleveland Clinic administration closed Huron Road Hospital in 2011 leaving the entire east side of Cleveland without a trauma center 42 In a bid to improve EMS city officials decided to implement the long proposed idea of merging its fire and EMS divisions boldly announcing in November 2011 that the merger would be complete by the end of 2012 43 As one of the initial steps city officials ended the expensive and inefficient 44 practice of using fire department heavy rescue squads staffed with 4 firefighters as backup ambulances The city then used the money saved to open three additional CEMS ambulances for a total of 18 CEMS units 45 The city also cross trained 6 CEMS paramedics at the Cleveland fire academy 46 Despite these steps city officials abandoned the merger plan after the firefighter s union voted down a merger proposal in May 2014 47 After the merger plan was abandoned the city again decided to invest in CEMS to meet the demands of a rapidly increasing call volume After the passage of an income tax levy in 2016 additional staff were hired and new ambulances were purchased to increase the total number of units to 25 during the daytime and 21 at night by the beginning of 2018 48 During this time local trauma care also improved as University Hospitals attained Level 1 Trauma center status at the end of 2015 This relieved MetroHealth of the responsibility of being the sole Level 1 trauma center in Cuyahoga County and helped fill the void left by the sudden closure of Huron Road hospital 5 years earlier 49 Cleveland Emergency Medical Services began carrying nasal spray Narcan the opioid antagonist drug that reverses an opioid overdose in 1985 In 2016 the division s ambulances began offering Project DAWN Deaths Avoided with naloxone Narcan kits to citizens Narcan a naloxone nasal spray can be used by untrained individuals relatively simply The kits were also available at EMS headquarters 50 Project DAWN is a community based overdose education program that dispenses Narcan to combat Ohio s opioid overdose crisis 51 During the 2020 global pandemic Cleveland EMS saw its first decline in call volume in several years This mirrored local and national trends where people avoided healthcare facilities because of concerns they might contract the CoVID 19 virus 52 During this time Cleveland EMS continued to answer emergency calls with medics wearing increased personal protective equipment including N95 respirators Despite these measures several EMS providers still contracted CoVID 19 53 Cleveland EMS providers were among the first local healthcare providers to receive the CoVID 19 vaccine once it became available in late 2020 They also helped distribute the vaccine to others by staffing vaccination clinics 54 In 2022 Orlando Wheeler was appointed Interim Commissioner of EMS replacing Nicole Carlton Cleveland EMS also began receiving 15 new ambulance funded by ARPA monies 55 By September of 2023 Orlando Wheeler was appointed to the commissioner position permanently 56 References edit Cleveland EMS homepage City of Cleveland Division of Emergency Medical Services homepage Retrieved 22 January 2019 a b CARE History page Cleveland Association of Rescue Employees Retrieved 22 January 2019 a b c d e f g h i j k l m n City Of Cleveland 2018 Budget Book PDF City of Cleveland Retrieved 22 January 2019 Cleveland EMS homepage City of Cleveland Division of Emergency Medical Services homepage Retrieved 8 April 2019 CARE main page Cleveland Association of Rescue Employees Retrieved 8 April 2019 a b c Diana Tittle 1976 EMERGENCY Cleveland Magazine No August pp 36 42 94 97 Ryan Corbett Bell 31 August 2012 The ambulance a history McFarland amp Co p 71 ISBN 978 0 7864 7301 4 Joseph L Wagner 11 October 1975 New Ambulance Run Monday The Cleveland Plain Dealer p 4A Michael Ward 3 March 1978 Too many of CEMS 60 000 calls were not true emergencies The Cleveland Plain Dealer pp 4 7 Diann Burns 6 November 1978 City s curb on paramedics is questioned The Cleveland Plain Dealer p 1 Christine J Jindra 4 January 1980 Pittsburgher to head city s Emergency Medical Service The Cleveland Plain Dealer p 15A Steve Luttner 3 March 1985 Cut in EMS fleet cost 100 lives last year council told The Cleveland Plain Dealer p 13A V David Sartin 7 February 1985 Ambulance radio link is off to a good start The Cleveland Plain Dealer p 23A Safety chief vetoes merger of EMS Fire Department The Cleveland Plain Dealer 9 June 1988 p 14E Mark Russell 30 September 1999 White wants to add four EMS vehicles The Cleveland Plain Dealer p 2B BENJAMIN MARRISON 19 March 1992 Council sounds alarm over EMS tardiness The Cleveland Plain Dealer p 1A Percy Allen 15 June 1991 New ambulances bring some aid to city s EMS The Cleveland Plain Dealer p 4B a b Benjamin Marrison 24 May 1992 Stress low pay prompt EMS workers to quit The Cleveland Plain Dealer p 14A Cleveland s 8 million taxi The Cleveland Plain Dealer 16 March 1992 p 4C Karen Mcnally 20 September 1992 Some use EMS for basic care The Cleveland Plain Dealer p 6g Steve Luttner 24 November 1984 Volunteer plan may assist Cleveland EMS The Cleveland Plain Dealer p 6A David F Stahley 3 December 1984 Don t rely on volunteers for city EMS The Cleveland Plain Dealer p 4B Wally Guenther 27 May 1988 Officials take shots at EMS merger plan The Cleveland Plain Dealer p 6B Councilman proposes volunteer EMS unit The Cleveland Plain Dealer 14 November 1990 p 6B Anthony E Missig 5 December 1990 Merge for safety The Cleveland Plain Dealer p 8B David F Stahley 3 December 1990 Who should answer the ambulance call The Cleveland Plain Dealer p 6B EMS Don t bet your life on it The Cleveland Plain Dealer 26 April 1992 p 2C Catherine L Kissling 29 March 1993 Call priorities a relatively new idea The Cleveland Plain Dealer p 5A a b Christopher Quinn 4 July 1997 Killings still on decline in Cleveland The Cleveland Plain Dealer p 3B Robert K Vickers 19 December 1996 Cleveland boosts emergency service EMS bases hours ambulances added The Cleveland Plain Dealer p 7B Donna J Miller 8 April 2007 EMS workers to protest change in hours pay The Cleveland Plain dealer p B4 Benjamin Marrison 29 January 1994 EMS wins grievance over safety equipment The Cleveland Plain Dealer p 2B Michael O Malley 16 July 1994 Recovering medic returns to work The Cleveland Plain Dealer p 1B Diane Solov Olivera Perkins 13 May 1999 St Luke s mum after emergency room stops taking severely injured patients The Cleveland Plain Dealer p 1C Regina Mcenery 16 February 2000 Mt Sinai closing hospital releasing patients workers The Cleveland Plain Dealer p 1A SARAH TREFFINGER 19 December 2003 St Michael hospital can t escape fate this time The Cleveland Plain Dealer p B1 Lilia j Mills 19 December 2003 EMS city talks were long but civil The Cleveland Plain Dealer p A12 Mike Tobin 12 November 2004 Laid off safety workers set to fill EMS vacancies Police firefighters will fill positions by end of year under mayor s plan The Cleveland Plain Dealer p B3 a b Mark Puente 29 December 2007 Cleveland EMS employees win ruling over work shifts The Cleveland Plain Dealer p B3 Henry J Gomez Gabriel Baird 29 March 2008 EMS workers bolt for Memphis Cleveland staff shrinks because of schedule salary The Cleveland Plain Dealer p B1 Mark Puente 11 January 2010 Cleveland EMS changes call policy Agency puts brakes on non emergencies The Cleveland Plain Dealer p A1 Angela Townsend Trauma transport time rises after Huron Hospital closing Cleveland com Retrieved 22 January 2019 Thomas Ott Cleveland moves to merge Fire Department ambulance service Cleveland com Retrieved 22 January 2019 CEMS Ambulance vs CFD Rescue Squad pdf CARE history Retrieved 22 January 2019 Laura Johnston Cleveland takes first step toward integrating the Fire Department with Emergency Medical Services Cleveland com Retrieved 22 January 2019 Dave Davis Cleveland com Metro News Cleveland s goal is to merge EMS and fire divisions by year s end Cleveland com Retrieved 22 January 2019 Leila Atassi Cuyahoga Prosecutor says former Cleveland Fire Chief Paul Stubbs ignored payroll abuses Mayor has remained steadfast in defense Cleveland com Retrieved 22 January 2019 Courtney Astolfi More ambulances coming to Cleveland in effort to cut down response times Cleveland com Retrieved 22 January 2019 Brie Zeltner University Hospitals to join MetroHealth Cleveland Clinic in regional trauma network Cleveland com Retrieved 22 January 2019 Neidermier Kevin 10 March 2017 Cuyahoga County and Cleveland are Stepping Up Narcan Distribution WKSU 89 7 org Kent OH Kent State University Cleveland EMS Providers to Distribute Overdose Kits EMSWorld Malvern PA HMP Global 2 September 2016 Moinca Robins 31 January 2021 Patients Avoiding Local Emergency Rooms to Steer Clear of COVID 19 wkyc com Cleveland Oh WKYC Gallek ed 31 January 2021 Could EMS Crew Coming to You Have COVID 19 and Not Know It fox8 com Cleveland Oh Fox news Goldenberg Sarah 31 January 2021 Paramedic of Frontlines of Coronavirus Pandemic Get the Vaccine cleveland19 com WOIO Astolfi Courtney 17 February 2023 Potential ambulance reduction changes to police inspector general and other takeaways from Cleveland s public safety budget cleveland com Advance Ohio Astolfi Courtney 19 September 2023 Cleveland EMS looks to boost staffing by upping entry wages for experienced paramedics cleveland com Advance Ohio External links editOfficial website Cleveland Association of Rescue Employees 1975 Homepage Retrieved from https en wikipedia org w index php title Cleveland EMS amp oldid 1211879662, wikipedia, wiki, book, books, library,

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