Your County of Renfrew

Paramedic Service

Service Delivery Statement

Mandate
To create an efficient and effective organizational model that is capable of
responding to the evolving emergency services needs of the community,
while fulfilling all of the legislative requirements related to the provision of
these services.
Procedure
This service delivery statement outlines the intended actions of the
Paramedic Service and the Ministry of Health and Long Term Care,
Central Ambulance Communications Centre to maximize the effectiveness
and efficiency of resource utilization within the Paramedic Service while
relying upon neighboring municipalities for assistance as required.

Total number of paramedic assignments

26000
24000
22000
20000
18000
16000
14000
2007

2008

2009

2010

2011

2012

2013

2014

The annual trend, total number of calls per year including standbys and all dispatched priority calls.
This information does not indicate the Canadian Triage Acuity Score on arrival or return priority.

2015

Call demand patterns by day of week and hourly segments

Glossary of terms
Provincial Call Assignment Categories

Priority 1 Non Emergency

Priority 2 Non Emergency (Scheduled)
Priority 3 Serious
Priority 4 Life Threatening

Canadian Acuity Triage Score (CTAS)

CTAS 1 Life Threatening ie Cardiac Arrest
CTAS 2 Potentially Life Threatening ie Heart Attack
CTAS 3 Serious Fractured Hip
CTAS 4 Non - Emergent

Total call distribution

Priority 1
Priority 2
Priority 3

9079

3770

18131

61818

The call distribution from 2007 up to 2015.

This does not include standbys.

Percent call volume increase

30.00
25.00
20.00
15.00
10.00
5.00
0.00

2007

2008

2009

2010

2011

2012

2013

2014

-5.00
The percentage of call volume increase (not including standbys) between the years 2007 and 2015.
The baseline year is 2007 as it is the first year we have on record.
There was a 29.8% increase from 2007 up to 2015. Over the past 8 years there was an average annual
increase of 4.2% compared to the previous year.

2015

Emergency vs Non urgent calls

9000
8000
7000
6000
Priority 3

5000

Priority 4

4000

Priority 1+2

3000
2000
1000
0

2007

2008

2009

2010

2011

2012

2013

A comparison between Priority 3, Priority 4 and Non urgent calls done from 2007 up to 2015.
Non urgent calls include Priority 1 and Priority 2 calls.

2014

2015

Total number of emergency calls

12000

11000

10000

9000

8000

7000
2007

2008

2009

2010

2011

2012

2013

The comparison of the number of emergency calls done from 2007 up to 2015.
Emergency calls include all Priority 3 and Priority 4 calls.

2014

2015

Non-emergency transfers
Increasing Minimum Emergency Coverage
from 5 to 7 units;
Decrease the number of resources available for out of
County transfers to 2 vehicles;
Increase the number of vehicles remaining in the
County of Renfrew;
Maintain/decrease the response times in the
communities of the County of Renfrew.

Emergency call percentage increase

40
35
30
25
20
15
10
5
0
2007

2008

2009

2010

2011

2012

There was a 17.8% increase from 2007 up to 2015. Over the past 8
years there was an average annual increase of 5.77% compared to
the previous year.

2013

2014

2015

Out of County Response

We will only respond to life threatening calls when we
are the closest available resource.
We will only transport the patient if they are CTAS 1 or
2, meaning that they have an immediate need for
treatment & transportation.
We will be relieved by the host paramedic service for
CTAS 3-5 acuity, non-life threatening conditions at
scene.
We will not respond to non-life threatening calls for
service in another jurisdiction.

A.E.D.
Locations

Time / Distance
for Stroke, STEMI
& Trauma

Community Paramedic Response Unit

North
North
West
East

Central

South
Wellness clinics
Heartwise
Aging at home

Community Paramedic
Response Units

Ruest et al, Journal of Paramedic Practice, July August, 2012

Questions?

Chief Michael Nolan

mnolan@countyofrenfrew.o
n.ca