San Francisco Fire Department reports 85% rise in EMS call volume over 20 years

San Francisco's emergency response services are facing significant challenges, as highlighted in a recent city meeting. Chief Sandy Tong reported a concerning increase in response times for emergency medical services (EMS), attributing the delays to obstacles encountered once fire engines leave the station. This issue has raised awareness among officials about the need for improved infrastructure to facilitate quicker access to emergency services.

In January 2023, the San Francisco Fire Department (SFFD) maintained a steady call volume of approximately 348 calls per day, with a notable 85% increase in EMS call volume since 2003. This surge is partly linked to the ongoing opioid crisis, which has led to a rise in overdose incidents. Chief Tong emphasized the importance of addressing the transfer times at hospitals, where medics often wait to hand off patients, thus impacting their availability for new emergencies.

The meeting also discussed the successful implementation of the Basic Life Support (BLS) ambulance pilot project, which has been averaging around 30 calls per day. This initiative aims to alleviate pressure on Advanced Life Support (ALS) units, allowing them to respond more effectively to critical emergencies.

In a move to enhance service efficiency, the city plans to reconfigure its street crisis response teams. This restructuring aims to streamline operations and improve the availability of resources for individuals in need of mental health support. Chief Tong noted that while the changes are expected to enhance service delivery, they also highlight the ongoing challenge of connecting individuals with available resources.

The meeting concluded with a presentation from Lieutenant Nick Oxford, who shared insights from his year-long data analysis on community paramedicine. He emphasized the need for continuous evaluation of service models to ensure they meet the evolving demands of the community. Oxford's work aims to identify high-utilizer addresses and improve resource allocation, ultimately enhancing the effectiveness of the fire department's response to public health issues.

As San Francisco grapples with increasing demand for emergency services, the city is committed to addressing these challenges through strategic planning and community engagement. The ongoing efforts to improve response times and resource availability are crucial for ensuring the safety and well-being of residents.