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City Ambulance Service_City of Port Arthur Presentation (3) (1) Presented To City of Port Arthur Who We Are Established in 2006 Family Owned and Operated One of the Largest Private Ambulance Service in Texas Fully Licensed and Credentialed as Critical Care Transport Headquartered in Houston Operates in over 85% of Texas Partners Not Vendors Dedicated to Patient Outcomes Dedicated to serving the community Dispatch/Stations Number and Location of trucks Over 186 Statewide Types & Capabilities Of Trucks Critical Care/MICU/ALS/BLS Total Number Of Employees 846 National & Regional Organizational Memberships SETRAC, NETRAC, ENA, TAFEC/NAFEC, TEXAS EMS, TAA Local Leadership & Contact Numbers Moe Massoud, CEO- 713-530-1902 Alex Fawaz, COO/CFO -832-371-6887 Andre Ruby, VP- 281-849-7751 Rebecca Williams, DO- 832-552-6676 Providing 9-11 Services in Multiple Counties Proudly Serving Over 85% of Texas Serviced Cities and their Surroundings: Basic Life Support: BLS provides that fundamental basic care within the scope of an EMT. From oxygen administration to basic airway and splinting interventions, the EMT is able to stabilize and transport a lower acuity of patients. BLS ambulances are equipped with an AED to deliver early intervention and defibrillation to the heart in life threatening rhythms. All BLS ambulances are staffed with two EMTs who perform within the scope of practice set by the TXDHS for EMT level of care. Advanced Life Support: ALS providers provide care in accordance to the scope of practice of a Paramedic. ALS care provides more invasive and complete EMS care. The paramedic can administer multiple IV medications to ensure the stabilization and management of the complex patient. Paramedics manage higher acuity patients who require cardiac monitoring and/or IV medication administration. Paramedics can monitor and continue blood products. ALS care also includes a wide variety of vasoactive medication to ensure the stability of acute patients. Paramedics can also perform advanced airway interventions. Critical Care Transport: CCT transports provide the ICU level of care in the mobile unit. The CCT team brings the ICU to you. With a large variety of medications and interventions, this team can manage any complex patient. CCT transports are staffed with a minimum of at least One credentialed Critical Care Provider who provide the highest level of Care possible. At CAS our CCT program is directed and monitored by a Board Certified Critical Care and Pediatric Emergency Medicine Physician, who maintains the highest level of training and management. At CAS it is our mission to ensure every patient has access to the highest level of care in transport Level of Service BLS- Two EMT Level Providers ALS- One EMT, One Paramedic CCT- One CCP-C or FP-C, One Paramedic, One EMT ECMO- One CCP-C or FP-C, One Paramedic, One EMT, One Perfusionist (Provided by hospital) All ALS and Higher Crews are PALS Compliant Team Composition Houston Region- 75 Ambulances Dallas Region- 29 Ambulances Austin Region- 28 Ambulances San Antonio Region- 23 Ambulances Corpus Christi Region- 17 Ambulances East Texas Region- 14 Ambulances 34 Back Up Ambulances Fleet Type 2 Ambulance Type 3 Ambulance Type 1 Ambulance Ground Transportation Limitations No Geographic Limitations No Weather Limitations No Clinical Limitations Our pediatric capabilities allow us to provide transport services to children who require an increased level of care not readily available at outlying medical facilities. Ventilator, Braselow Tape, CO2, Pedi Mate. We have specialized equipment and training that allow us to transport any critically ill or injured child during transport. Our transport personnel has to maintain all their certifications and training, including PALS, to work our units. Pediatric patient transfer capabilities Our Bariatric unit is fully equipped with a bariatric stretcher capable of handling up to 1,200 pounds. Our wide box ambulance enable us to provide comfort, dignity, and peace of mind during transport Bariatric patient transfer capabilities Our protocols and training ensure we maintain a high level of safety when transporting behavioral health patients. The goal is always to maintain safety, work with the facility and keep the patient as comfortable as possible, however, if needed we do have the capabilities and training to use soft restraints or chemical restraints. Non-Violent Crisis Intervention Strategies utilized Online Medical Control with Pediatric Medical Director Restraints are only used if ordered by Physician or Medical Control Behavioral Health Training Conducted Annually Parent must accompany only when required by sending or receiving facility Behavioral Health patient transfer capabilities Director involvement in Monthly Meetings Month Data and Statistics provided as requested CQI involvement with City of Port Arthur and CAS collaboratively Daily Availability for any and all feedback or request for information Full Time Patient Advocacy Program to ensure highest level of satisfaction Expectations CONCLUSION Full-time Availability to communicate with our Medical Director and Pediatric Medical Director Full-Time access to Senior Leadership Liaison Provided for Partnership DISPATCH: 281-894-7100 INFO@CITYAMBU.COM WWW.CITYAMBU.COM 7111 FIVE FORKS DR. SPRING,TEXAS 77379