SECH Ambulance Service: Where We Are Today

SECH-Ambulance-2010-Dodge

Southeast Colorado Hospital (SECH) Ambulance Service is owned and operated by the SECH District which encompasses the western two-thirds of Baca County and is under the authority of the governing body of Southeast Colorado Hospital. Based in Springfield, SECH Ambulance Service provides basic and advanced life support coverage to a population of about 2,800 living in an area of approximately 1,900 square miles. This includes the towns of Springfield, Pritchett, and Campo as well as Two Buttes Reservoir. SECH Ambulance Service also periodically helps to provide coverage to the edges of several neighboring counties – Prowers, Las Animas and Bent. At times, the coverage zone has expanded south to assist Oklahoma and southwest to New Mexico as well. In addition, SECH Ambulance Service provides transfer services from SECH to higher level hospitals out of the area and from these hospitals back to SECH.

In 2014, SECH Ambulance Service responded to 487 calls many of which involved multiple patients. Of those calls, 204 were 9-1-1 related medical or trauma incidents, 111 were interfacility hospital transfers, 85 were flight shuttles, 55 were standbys, 31 were cancelled calls, and one was an Advanced Life Support intercept with another agency. This is a significant change over the last 25 years as the call volume in the early 1990s was only about 70 to 100 calls per year – a nearly 600% increase in activity. In the last year our service logged over 45,000 miles. This 24 hour per day/seven day per week coverage is provided by one full-time paid Paramedic, two full-time paid Emergency Medical Technician (EMT)-Intermediate/99s, one full-time Emergency Medical Technician, two volunteer EMT-Basics and a small handful of volunteer First Responders and drivers. SECH Ambulance Service has come a long way since its inception.

No one understands the work and sacrifice that has been required to make our service what it is today better than Rick Hartley, current EMS Director. Hartley took the EMT-Basic Picture 1course in Springfield in 1984 and volunteered with SECH Ambulance Service until he took over as EMS Director in 1992. His tireless efforts in grant writing have resulted in nearly 1.5 million dollars of funding to dramatically improve our service. This includes acquiring better supplies, purchasing new ambulances, and providing training for the community, SECH Ambulance Service employees and volunteers, SECH District and the Walsh Hospital District Ambulance Service. Recognizing the need for an advanced level of pre-hospital care in our rural area, Hartley chose to increase his own level of training becoming an EMT-Intermediate/85 in 1995 then an EMT- Intermediate/99 in 1999 and finally Southeast Colorado Hospital’s first Paramedic in 2008. Injury prevention and training has been at the forefront of Hartley’s dedication to his community. He spends countless hours teaching EMT and CPR classes as well as a variety of other related courses. During his 23 year period as SECH EMS Director and 31 year career in EMS, he has been an instrumental leader in Baca County’s Emergency Medical Services.

More than 25 EMT classes have been offered through SECH Ambulance Service and the Springfield EMS Association in the last 30 years and a fairly significant number of Baca County’s residents trained and practiced as EMTs at one point or another. Unfortunately, in recent years, the number of people taking these classes and completing the certification process has declined. Very few of those previously trained have retained their certification for various reasons, so the number of EMTs available to the community has significantly decreased. Volunteers are still needed. Even basic CPR and First Aid skills are extremely valuable regardless of whether you want to become a volunteer. SECH Ambulance Service and Springfield EMS Association offer a free CPR class to any in the community on the last Wednesday of each month. As a state approved training center, SECH Ambulance Service also periodically offers First Responder and EMT basic and advanced level training.

If you are interested in learning more about becoming a First Responder or an EMT or simply becoming certified in CPR, come talk with us at 972 Kansas St in Springfield or call 719-523-2186. You can also check out the following websites:

www.nremt.org

https://springfieldemsassociation.org/

By Cherilyn England, NREMT-Intermediate 99

Advertisements

Baca County: EMS Strong

On a sunny summer day, you decide to enjoy the weather and the scenery and take a short Baca County road trip. Unfortunately, while you are out, you come upon a two vehicle collision involving multiple people. It appears that you are the first to arrive on the scene. What do you do? Grabbing your smart phone, you dial 9-1-1 and the calm voice of the dispatcher reaches your ear. You describe the situation and location and she keeps you on the phone while paging out the appropriate agencies to respond – EMS, Fire, and Law Enforcement.

With the approach of National EMS Week, May 17-23, 2015, I’d like to take a few moments of your time to introduce or re-introduce you to the history of EMS with a special emphasis on our local system. It’s a system we often take for granted. Many adults born and raised in the United States now almost do not remember a time before 9-1-1 or at least some method of calling for professional services during an emergency.

The history of 9-1-1 in Baca County is less than 25 years old, and the history of organized emergency medical services (EMS) in Baca County and the United States as a whole is only slightly older—developing in the late 1960s and 1970s. However, the past 50 years is marked by constant and rapid change.

Once upon a time, before ambulances, before Emergency Medical Technicians (EMTs) or Paramedics… but not quite before doctors and hospitals, pre-hospital transport was available, if somewhat rudimentary. We have watched, for example, the old western movies as they throw the gunshot cowboy face down over the back of the horse and race into town after the doctor. Talk about a bumpy ride! In a similar manner, after the development of the motorized car, the injured or ill were loaded in the back of the pickup or car and transported. Sometimes, this responsibility fell to the mortician or coroner (often one in the same) since he owned the best transport vehicle for horizontal persons— the hearse.

According to their website, Dykes Memorial Services out of Walsh states the first service of that kind provided in that area was by Dykes and Morich Furniture and Undertaking when Mr. Dykes transported many patients back in the 1930s to the hospital in Halstead, Kansas when they became ill from “dust pneumonia.” In Springfield, Rich Funeral Home, now Maltbie Funeral Services, began around the same time. Some of you still remember how Mr. Bob Rich responded to vehicle accidents with his hearse and transported patients either to the hospital in Walsh or to the funeral home in Springfield. Paramedic Rick Hartley, long-time Baca County resident and current EMS director at Southeast Colorado Hospital Ambulance, recalls when he was just a young boy, his mother rode as an untrained attendant in the back of Mr. Rich’s hearse along with two critically-injured patients from a vehicle accident while Mr. Rich drove them all the way to a hospital in Denver.

This scenario was not unique to Baca County. Across the nation, it became more and more evident that a system was needed to better deal with the injured and ill. In 1966, the National Academy of Sciences and the National Research Council published an article titled “Accidental Death and Disability: The Neglected Disease of Modern Society” which soon came to be known as the “White Paper.” The paper pointed out the striking number of individuals who had died or experienced permanent disability from trauma, just the previous year, from preventable causes. In addition, it noted a lack of training for those caring for patients in the prehospital setting. On the heels of this paper came an increased recognition for training and a purposeful organization of training programs for what would come to be known as “paramedics”. As a result, the National Highway Safety Bureau, today’s National Highway Traffic Safety Administration (NHTSA) was developed as the founding federal organization for EMS. The now internationally recognized “Star of Life”, representing EMS, was developed by the NHTSA in 1977.

One of the industry’s first training programs was in the Los Angeles, California area. Shortly after this program was implemented, the nation was introduced to organized emergency medicine via paramedics through a television show called Emergency! when it debuted in 1972. In this show, you may fondly recall John Gage and Roy DeSoto, two fictional L.A. County Firefighters trained as paramedics, responding from “Station 51” to all kinds of calls and putting their newly-acquired skills to good use. Few who have been around EMS any length of time doubt that this show did much to educate the public on the growing need for, and proper use of, pre-hospital care and training. Though many of the practices and supplies used in those early days of EMS have changed, old and young alike are now enjoying Emergency! again as several seasons have been released on DVD as well as the internet through streaming video sites like Hulu and Netflix.

While Johnny and Roy were impressing and educating the general public on the future of emergency medicine, Baca County had already begun developing our emergency services system. Two ambulance services evolved: Southeast Colorado Hospital Ambulance out of Springfield and Walsh Ambulance Service based in Walsh. In addition, Quick Response Teams (QRT) were started in Campo, Two Buttes, and for a time, Pritchett, in conjunction with Kim out of Las Animas County. Though Two Buttes and Pritchett no longer have a QRT, Campo’s QRT is still active and now functions as a subsidiary service of Southeast Colorado Hospital Ambulance. Walsh and Springfield both still operate ambulance services with 24/7 coverage in each of their districts and Kim also operates an ambulance service based in Las Animas County.

Numerous Baca County residents trained as EMTs and began volunteering to help their communities. A man who has “worn many hats” in our county as the local dentist, county coroner, former Walsh EMS Director and Fire Chief, and currently still practicing as a firefighter and EMT, Dr. Bob Morrow commented on how he got involved in EMS. Morrow notes “like most people”, he got into it because he wanted to help and was “willing to do things for the community”. After first volunteering as a firefighter, he recognized the need to become an EMT and once he “got a taste of it, just stuck with it.” His wife, Dolly, who also spent time volunteering as an EMT remarked, “It just seemed like the natural thing to do. In a small community, you look out for each other.” These and many, many others have spent countless hours caring for residents and visitors to this county day and night over the past several years.

Communication is the next obstacle to be tackled now that ambulances and EMTs are in place. LeRoy England, former law enforcement officer for Campo and current Emergency Medical Technician with Campo QRT notes how communications have changed over the years. “At first, our response was by phone or through the law enforcement radio. Then we purchased pagers that operated on the state EMS radio system.” Later, they had portable handheld analog radios. Now, Baca County has switched to the nationwide 800 digital system. With the advance of cellular phone technology, EMS communication is sometimes no longer broadcast even across the digital radio system. However, the 9-1-1 system is still a very important link in the EMS chain.

According to the Baca County Sheriff’s Office, in June of 1991, a letter of agreement initiating the process to bring the 9-1-1 system to our area was signed by then-commissioner, Roy Brinkley. The following year, dispatcher Devonn Rider spent several months driving all over the county to correct addresses for the new 9-1-1 system database. On January 1, 1993, at 00:33 (that is the middle of the night for those of you who may be unfamiliar with military time), the first 9-1-1 call came in. It was a single vehicle rollover south of Springfield. Springfield Fire Department, Springfield EMS, Baca County Sheriff’s Office and Colorado State Patrol were all dispatched to respond.

And as they say, “the rest is history.” The truth is, there is a lot more to this history, so tune in next time for part two as I take you on a reminiscing journey through the story of Southeast Colorado Hospital Ambulance.

In the meantime, to each of you who have sacrificed your time and energy, who have gone without sleep, missed family events, worked in bitter cold and suffocating heat, faced death and disaster in order to bring aid to those in need right here in Baca County, thank you. You deserve our most heartfelt respect and appreciation.

More information:

EMS Strong Campaign

Dykes Memorial Chapel

Maltbie Funeral Services

The History of EMS at NHTSA

EMS World: The Show That Started It All

The Formation of EMS

JEMS: Birth of EMS

By Cherilyn England, NREMT-Intermediate 99