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DRAFT Comprehensive Fire Service Study MEDINA, MINNESOTA <br /> <br />Matrix Consulting Group Page 36 <br /> 4 Emergency Service System Dynamics <br /> <br />In making decisions about the emergency services system, it is important to understand <br />the science behind the location of resources, the deployment strategies of those <br />resources and other factors necessary to form an effective emergency services system. <br />For many years, the Insurance Services Office (ISO) had set the standard for deployment <br />through their Public Protection Classification system. This system was designed to <br />provide insurers a basis for setting insurance rates and to limit their exposure to lar ge <br />losses and catastrophic events. While these efforts provided a good starting point, there <br />is much more for the leadership to know while making decisions about the emergency <br />services in Medina. <br /> <br />Nationally, a great deal of effort and research has been put into developing performance <br />objectives for the delivery of fire and emergency medical services. This effort is critical for <br />local governments making decisions about deployment and location of emergency <br />resources. The objectives promoted for Fire/Rescue and EMS providers have their basis <br />derived from research that has been conducted in these two critical issues: <br /> <br />• What is the key point in a fire’s “life” for gaining control of the blaze while minimizing <br />the impact on the structure of origin and on those structures around it? <br /> <br />• What is the impact of the passage of time on survivability for victims of cardiac <br />arrest? <br /> <br />1 Emergency Medical Services <br /> <br />Emergency medical services (EMS) are a significant part of the emergency services <br />system. Not only are these types of calls rising but they are also wide ranging in terms of <br />the types of service calls. Emergency medical response systems must account for this <br />variability and ensure appropriate care is provided in a timely manner. In Medina , the fire <br />departments provide first responder services while the transport of patients is handled by <br />a third-party organization. <br /> <br />From a scientific position, the American Heart Association states that brain and <br />permanent death starts to occur in 4 to 6 minutes following cardiac arrest. Trauma events <br />are also at the forefront of time sensitive response. In 2015, a national awareness <br />program was launched called “Stop the Bleed”. This program is based on a person that <br />is bleeding profusely could die within five minutes without intervention. <br />