Understanding EMS in Logan City and Cache County
The Fire Department is a multi-hazard response agency for Logan City and several other surrounding cities, except, of course for law enforcement situations. We must be capable of handling a wide diversity of emergencies from 12 - 20 times a day.
Many people ask why the Logan Fire Department responds with large pumpers on medical emergencies.
Because we need to take the "fire station" with us to the call!
The majority of emergency medical incidents require additional staffing (more than the two personnel staffed on a Rescue/Ambulance) to treat the patient and prepare him or her for transportation to the hospital. This additional staffing enables the responding crew to simultaneously complete different tasks for the patient's care. For instance, when a patient has a heart attack, hooking up the defibrillator, CPR, rescue breathing, starting an IV, and administering life saving drugs may all need to be accomplished quickly and simultaneously in order to give the patient the best chance for survival. By having additional EMTs on hand, the care of the patient is improved, and the preparation time before transportation to the hospital is significantly shortened.
Many times when a critical patient is loaded into an ambulance and ready for transport to the hospital, someone has to join the ambulance crew to assist with maintaining all of the critical interventions en route to the hospital. One person in the back of an ambulance simply cannot do it at all with any positive outcome expected.
Secondarily, to get personnel back in-service as quickly as possible for any type of emergency.
All our personnel are cross trained and generally switch between riding a fire engine and a medic unit on a regular basis. The fire engine crew can provide a similar level of care as the ambulance, with the exception of transport. Many times, given the call volume for our department, simultaneous calls may be received which means that our ambulances are committed to a medical emergency. In these situations, one of our fire apparatus can arrive more quickly to begin life saving care.
When a life-threatening condition occurs, such as sudden cardiac arrest or severe allergic reaction, minutes, even seconds make the difference. The fire engine crew can respond and begin treatment to prepare the patient for transportation before an ambulance arrives. The medics on the fire engine are capable of completing these tasks because of the equipment in place on each fire engine. On some medical calls the fire engine may remain on the scene for assistance, but is available to respond to another emergency if another emergency call comes in.
We also must have enough “redundancy” in our emergency response system to be capable of handling multiple, simultaneous emergencies, which occur frequently in Logan City (eg., looking at just medical emergencies, we have a 55% likelihood of having two or more medical calls, a 43% chance of three or more medical emergencies at the same time, and most troubling, four or more requests for medical assistance 24 percent of the time).
Logan Fire Department uses a callback system where four designated firefighters carry pagers at all times during a given day. They are paged to return to the station when the staffing at the station falls below a certain level. This saves the cost of having firefighters on staff all the time but ensures that personnel are on hand for high call volume periods.
Logan Fire Department is one arm of CCEMS (Cache County Emergency Medical Services) which was created by a joining of Cache County medical resources into one entity. In cases where multiple calls are out and no resources are available from Logan City, ambulances from Cache County Ambulance are able to cover the call responding from Hyrum or Smithfield. This system offers great redundancy while disseminating resources for effective coverage. All ambulances are owned by CCEMS.
The ambulance billing office offers many options to make payment quick and easy. You can make payment over the phone by calling (435) 563-0357. Debit cards, Visa and Mastercard are accepted over the phone. Flex spending accounts are also accepted. Exact cash only payment may be made at Station 70, 76 E 200 N, during business hours (8:00 am - 5:00 pm). Please have your billing statement.
Contact us if you need any of the following:
- Accident Claim information
- Update your auto insurance information
- Pay a bill
- Have questions about charges
- Any other questions
The CCEMS billing office is separate from the fire stations.
Why are some of your ambulances called RESCUES instead of ambulances?
Any of our vehicles meeting certain ALS (Advanced Life Support) standards can be called rescues. The vehicles can be an ambulance, fire engine, or squad truck. The thing that makes a vehicle a "rescue" is that they carry at least two paramedics and provide advanced life support. That means that you receive an unequalled level of care. We currently have two front run ambulances marked as rescues. Does that mean that if you get an ambulance instead of a rescue you get a lesser level of care? No, paramedics are the difference and we can staff the ambulances with paramedics as well. All ambulances are maintained with exactly the same equipment so they are all capable of providing advanced life support. Logan Fire Department provides advanced life support for the entire county as part of CCEMS.
Click below to learn more about our vehicles.
Rescue 70 (2011)
Rescue 70 is one of the newest ambulances in the fleet. This paramedic ambulance is the busiest in the county. This ambulance is owned by Cache County EMS (CCEMS) and operated by Logan Fire Department.
Rescue 71 (2011)
Rescue 71 is the first out paramedic ambulance assigned to station 71 near the USU campus. This ambulance is owned by Cache County EMS (CCEMS) and operated by Logan Fire Department.
Rescue 72 (2011)
Rescue 72 is the first out paramedic ambulance assigned to station 72 near the Logan River Golf Course. This ambulance is owned by Cache County EMS (CCEMS) and operated by Logan Fire Department.
Ambulance 70 (2005)
Ambulance 70 is the back line ambulance at station 70. This is a cover unit that responds after the front line ambulance is already assigned to a call, or if the front line ambulance is out of service for maintenance.
Ambulance 71 (2002)
Ambulance 71 is the back line ambulance at station 71. This is a cover unit that responds if the two front line paramedic ambulances are already assigned to calls, or if they are out of service for maintenance.
Ambulance 72 (2005)
Housed at station 72, Ambulance 72 is the second out paramedic ambulance from that station.
Squad 70 (2004)
Squad 70 is a second paramedic squad that serves an additional role as the Technical Rescue Squad. Squad 71 carries paramedic equipment for all medical calls, but carries additional equipment for ice rescue, swift water rescue, trench rescue, structure collapse, large vehicle stabilization and extrication, and other specialized tools for the many types of calls firefighters are expected to respond to.
Squad 71 (2011)
Squad 71 is a first response vehicle used to get paramedics from Logan Fire Department to outlying areas within Cache County where they have ambulance service, but not at the paramedic level. This allows our paramedics to get out into those areas to provide the highest care possible to all patients within our county. This squad is owned by Cache County EMS (CCEMS) and operated by Logan Fire Department.
Squad 72 (2012)
Squad 72 is a first response vehicle used to get paramedics from Logan Fire Department to outlying areas within Cache County where they have ambulance service, but not at the paramedic level. This allows our paramedics to get out into those areas to provide the highest care possible to all patients within our county. This squad is owned by Cache County EMS (CCEMS) and operated by Logan Fire Department.
CCEMS (Cache County Emergency Medical Services)
CCEMS or Cache County Emergency Medical Services is a joining of Logan City's and Cache County's emergency response units to create a unified response system. The goal of CCEMS is to provide faster ambulance and paramedic response in outlying parts of Cache County while maintaining the same high level of care to the county core. CCEMS also provides ambulance redundancy and backup to create a unified county-wide EMS system.
CCEMS has stationed ambulances in the cities of Smithfield and Hyrum. These ambulances are staffed with EMT-A's which will handle the BLS (Basic Life Support) calls. Paramedics are still called to respond from Logan in a squad truck to provide ALS (Advanced Life Support) when needed. The closest extrication equipped station is called to respond to auto accidents.
CCEMS has been hailed by the Utah Bureau of Emergency Medical Services as a model of efficiency and cooperation in the delivery of EMS.
When a resident calls 9-1-1 for an ambulance a medically trained emergency dispatcher must quickly answer and start a conversation with the caller in order to classify the severity of the medical problem. The goal of this phone conversation is to, within seconds; match the identified medical problem with the correct medical response to provide care. Cache County EMS Authority (CCEMS) uses the most up-to-date version of the Medical Priority Dispatch System published by Priority Dispatch Corporation (the "Clawson" system), which is approved as the "gold" standard for medical triage dispatching by the National Academy of Emergency Medical Dispatch (NAEMD).
That system uses a response determinant methodology that effectively triages medical emergencies into one of five categories of seriousness, from Alpha through Echo (A,B,C,D, and E), with each successive level representing a progressively more serious likely medical condition.
No one truly knows how severe the emergency call really is until they arrive on the scene. For your safety and survival, we work from a premise that it's better to be safe and send apparatus than sorry that we don't have the personnel on scene to take care of you. A medic unit is staffed with a paramedic and emergency medical technician. This staffing allows a medic unit to handle a majority of the routine medical calls with no assistance. Depending on the severity, a fire engine with a medically trained crew is sent to provide needed assistance to the medics on the ambulance. The medics on the fire engine help reduce the time it takes to assess a patient and prepare them for transport to a medical facility. They also provide a level of safety for the personnel on the ambulance and the patient by assisting with removal of patients in tight quarters or large patients. The fire engine often remains on the scene for assistance, but is available to respond to another emergency if another emergency call comes in.
In accordance with the recommendations of the NAEMD protocols, CCEMS' Medical Control Doctor, Dr. Porter, acting under the authority granted him by Utah State law via the regulations of the Utah State Department of Emergency Medical Services, authorized a graduated level of vehicle and EMS staffing response based upon a number of dynamic factors that endeavor to match the criticality of the patientâ€™s likely condition with: 1) the needed speed of response (i.e., red lights and siren, or not); 2) number and proximity of needed vehicles; 3) staffing level; and 4) level of training of the responders (basic, intermediate, or advanced life support).
As a result, on November 29, 2004, CCEMS issued the "Vehicle Response for Clawson System" matrix. As a result, after consulting first with the CCEMS Authority Board and Dr. Porter, as Service Area Directors of CCEMS charged with overseeing tactical operations for all CCEMS affiliated medical operations county-wide, we issue the following further guidelines for matching our medical staffing levels with patient criticality: For medical conditions only (excluding trauma) --
- Alpha Level: Initially, only two personnel shall enter the immediate scene*
- Bravo Level: Initially, only two personnel shall enter the immediate scene*
- Charlie Level: Initially, only four personnel shall enter the immediate scene*
- Delta Level: Initially, only four personnel shall enter the immediate scene*
- Echo Level: Five personnel or maximum available shall enter.
No such limitations are recommended within this guideline for reports of a trauma patient, as all available personnel may be needed to provide for C-spine and other spinal precautions, while simultaneously providing other necessary care.
Visit the CCEMS website to learn more about CCEMS.
This is a map of Cache County. Logan Fire Department covers the entire county for paramedic response. We cover the cities of Logan, College Ward, Providence (the yellow area between Millville and Logan) and Young Ward (just north of College Ward), for fire coverage. There are First Responders and Fire Departments in most of the other towns in the county.
Logan City Fire & EMS - Effective April 14, 2003
This notice describes the privacy practices of our organization. It also describes the privacy practices of affiliated providers while they are performing services on our behalf unless they provide you with a notice of their own privacy practices. Affiliated providers are not employed by us but are either authorized for providing services to our organization or are approved participants for providing services to our organization. Other organizations may have differing privacy practices from those described in this notice.
Please Read Carefully
YOUR PRIVACYWe understand that medical and health information should be protected. We have taken steps to insure that your personal healthcare information (PHI) will be strictly maintained and remain confidential.
PERMITTED USES OF PHIWhen you receive care from us, we must obtain certain information that will allow us to treat, bill for services rendered, follow-up, and conduct our normal business operations. We may use your PHI for the following.
TREATMENTWe must keep records of the services that are provided to you and in some cases share that information with doctors, hospitals, and other related healthcare providers for the purpose of diagnosing and treating your healthcare needs. Some disclosures of your PHI may have additional restrictions as dictated by State and Federal Laws.
PAYMENTThe PHI we obtain from you as well as financial information may be used to obtain payments from you, your insurers, or other applicable third parties. Verification of insurance coverage and notification for ongoing treatments and payments is a permissible use of your PHI.
OPERATIONSYour information may also be used to evaluate internal policies, procedures, cost management, quality control, customer service, training, and other related operational activities.
WHERE TO LEARN MOREFor more information on HIPAA (Health Insurance Portability and Accountability Act and it's impact on you and your family, you may contact the U.S. Department of Health and Human Services.
Some of the other possible uses of your PHI include:
- Utilizing your information with other agencies that may assist us in treatment, payment, or operations such as hospitals, collection agencies, and billing companies.
- Your information may be shared with family or friends for the purpose of treatment and payment decisions when applicable.
- Our business associates must protect your information by ad hearing to the same privacy practices as regulated by State and Federal Law.
YOUR RIGHTS - you may....
- Request copies of your PHI for inspection and corrections where applicable. Access may be denied under certain circumstances at which point a review may be requested. (Must be in writing)
- Ask for restrictions on usage of your PHI, which may or may not be considered.
- Request certain communication processes such as address and phone numbers.
- Ask for a copy of this notice. Receive this notice electronically.
- Request an accounting in writing of certain disclosures that do not fall under the uses allowed under the provisions of treatment, payment, and operations as well as some disclosures as required by law. Any such requests must include the time period (limited to the last 6 years and exclude any disclosures prior to April 14, 2003). A fee may apply for such requests.
- File a written complaint with the Office of Civil Rights of the U.S. Department of Health and Human Services.