The City of Rogers Arkansas

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EMS Protocols/Guidlines

Emergency Medical Services

We respond to over 4000 medical calls each year. Non-emergency ambulance calls are handled locally by other private ambulance companies, leaving our ambulances available for life-threatening emergencies. The average response time for an ambulance in the city is 4-5 minutes, compared to the national average of 9-12 minutes.

The RFD operates 4 ALS Ambulances, 3 ALS Engines, 2 BLS Engines, and 2 BLS Trucks. The RFD also has special events medics that operate on bicycles and ATVs. Medical care begins at our 9-1-1 center. There, all of our dispatchers are certified Emergency Medical Dispatchers. This training, along with sophisticated medical software, allows us to gather important information from callers and deliver dispatch life support until paramedics arrive. The City of Rogers has one dispatch center for all entities. This saves confusion and lost time that may occur when transferring from one dispatch center to another.

When appropriate for the patients condition, The RFD utilizes medical helicopters to provide direct flight from the scene of an incident to the closest level 1 trauma center(s). At this time all local hospitals are level 3 and 4 trauma centers. Bypassing these types of hospitals and getting the patient directly to a level 1 trauma center has proven to decrease mortality rates by an average of 25%. Although other services may be used when closer, Air Evac has agreed to auto-launch based on the 9-1-1 call type and be ready to land if needed. Other services utilize included: Lifeline and EagleMed

Standard of Care

The City of Rogers strives to use the best technology and equipment available. Our ambulance coverage, equipment, and protocols rank us among the best emergency medical agencies in the multi-state region. The RFD utilizes the Northwest Arkansas Regional Protocols, with some exceptions for our particular needs. Some equipment and procedures utilizes by RFD include:

Zoll E Series Cardiac Monitor with 12-Lead, NIBP, Spo2, Bluetooth, and Capnography
EZ-IO
CPAP
Mobile Data Computer with GPS and AVL
Stryker Power-PRO Stretcher
Automatic Ventilator
STEMI Alert System
EMD Trained Priority Dispatchers
RSI Protocols
Induced Hypothermia Protocols
Use of METI patient simulators for training
Use of Zoll Autopulse

STEMI "Heart Attack" Alert System

Coronary heart disease is the number one cause of death in the United States. The RFD is working to decrease the mortality rate of persons suffering from an Acute Myocardial Infractions (AMI), or "heart attack".. Although paramedics carry drugs to reduce the effects of an AMI, surgery is the first treatment of choice. Seconds mean the difference between life and death or between ability and disability. Heart damage can greatly impact your quality of life after an event. Once our paramedics recognize a S-T elevated Myocardial infarction (STEMI) in the field, we use our cardiac monitors to send a patient's EKG to the waiting hospital's computer system to activate the surgical resources necessary to fix the problem. While patients are treated and transported, the receiving hospital is already preparing for emergency surgery. In most cases, patients completely bypass the emergency room and go straight from our stretchers to the Cath Lab table for surgery. with exceptional equipment and responders. All members of RFD are Emergency Medical Technicians, with over sixty Paramedics. Medical emergencies are prioritized and triaged through our 9-1-1 center and managed by both ambulances and fire trucks. This tiered response model allows our citizens to receive quick, effective, and professional emergency care.

The national goal is for heart attack victims to make it from call to surgery in under an hour. With the help of this program, Rogers Fire consistently gets this done in around 30 minutes.

Time related to heart muscle loss:

    30 min. = 10% loss of affected heart muscle.
    60 min. = 30% loss of affected heart muscle.
    2 hrs. = 50% loss of affected heart muscle.
    4 hrs. = 70% loss of affected heart muscle.
    6 hrs. = 90% loss of affected heart muscle.
    24hrs. = 100% loss of affected heart muscle.

Learn more about how to recognize and react to a Heart Attack, Stroke, or Cardiac Arrest CLICK HERE.

EMS Advisory Committee

The EMSAC is comprised of paramedics from all shifts and a variety of ranks. EMS related equipment, training, and protocols are determined and reviewed in monthly meetings. This committee reviews personnel performance and incident reports as necessary.

EMS Advisory Committee Members

Howard, Brandon	Brent Rush	Hulsey, Wade
Jones, Al	Josh Terrell	Greg, Bray
Warzecha, Eric	Teetzen, Chad	Thomas, Aaron
Mason, Nick

Medical Director

Dr. Brad. Johnson