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First Response and Medical Transport 9/4/00
200 US city survey in Feb 1999 Journal of Emergency Medical Services (JEMS)
First Responder Agencies
85.0% Fire Department - Dual Role
7.9% Fire Department - Single Role
2.4% Private For-Profit Ambulance Company
2.4% Police Department
Transport Agencies
32.7% Private For-Profit Ambulance Company: example American
Medical Response
32.1% Fire Department - Dual Role (both first responder AND transport)
12.2% Third Service
9.2% Fire Department - Single Role
6.9% Private Non-Profit Ambulance Company
5.3% Hospital
Number of vehicles in large county EMS systems
| Population | System | First Resp. | Transport |
| 3,510,000 | Los Angeles - CA | 240 | NR |
| 1,900,000 | Miami - FL | 75 | 56 |
| 895,000 | Pinellas - FL | 59 | 54 |
| 810,000 | Montgomery - MD | 33 | 45 |
| 780,000 | Baltimore - MD | 118 | 41 |
| 776,000 | Prince-Georges - MD | 118 | 41 |
| 750,000 | East Texas Med Center | NR | 85 |
| 650,000 | Salt Lake - UT | 21 | NR |
NR = not reported
Reasons for Transport of Patent
From American Journal of Emergency Medicine March 2000
Patterns of Use of Emergency Medical Transport: A Population-Based Study
Study of 255,000 transports for 3 years ending during 1997
in 52 counties in Kentucky - including rural areas without 9-1-1 service
16% Cardiac
16% Unspecified Medical
14% Motor Vehicle related (very high for ages 15-29)
12% Respiratory
10% Falls (big increase for patients 70+)
3% Stroke
3% Seizure