EMS Training Captain,
Medical Director: Dr. Stephanie Gardner, M.D.
Affiliate Hospital: St. Vincent Hospital and Health Services
EMS Division: 317-571-2663
Mobile Integrated Health Program
In the wake of a public outcry for more efficient and accountable use of public resources, the Carmel Fire Department is seeking to expand beyond its traditional Fire Department Emergency Response Model. Our vision is for Fire Service Based EMS to be viewed and utilized in an expanded role through the implementation of this Community Health Service Delivery Model. Focusing on Education/Prevention, Resources, Guidance/Navigation and Patient Care Plans will ensure all community members benefit from an improvement in the delivery of care, improved health at a reduction in overall healthcare cost.
Carmel Fire Department - EMS Division
The Carmel Fire Department (CFD) is dedicated to providing the best Emergency Medical Services (EMS) care for the full spectrum of medical emergencies. Our duty is to protect and preserve human life in the event of a trauma-related incident or serious medical condition. EMS responds by assessing, treating, stabilizing, and transporting patients until definitive medical care is available at an appropriate hospital facility. Each CFD EMS apparatus is staffed by certified Firefighter/Emergency Medical Technicians (EMT’s) and licensed Firefighter/Paramedics.
Carmel Fire Departments apparatus are strategically located in fire stations throughout the City and Clay Township. All apparatus are equipped with state-of-the-art equipment, and coupled with our highly trained personnel, are capable of handling a variety of life saving procedures.
Prior to 1995, Riverview Hospital in Noblesville, Indiana, provided Advanced Life Support (ALS) service with one paramedic. Carmel Fire Department realized that we could provide better EMS coverage for our citizens by taking over ALS services on October 1, 1995. Since that time CFD’s paramedic workforce grew from the initial 8 Firefighter/Paramedics that CFD hired in August of 1995 to the current 52 sworn firefighters/paramedics. This growth has allowed CFD to staff (6) primary Engines, (2) Tiller, (4) Ambulances, and (3) Staff vehicles with ALS coverage from all (6) fire stations throughout the City and Clay Township, covering approximately 50 square miles.
This EMS configuration has allowed CFD to exceed the standards set forth by NFPA 1710 which states, a fire department that provides ALS beyond the first responder and BLS level, shall deploy sufficient mobile resources to arrive within an eight-minute response time frame for 90% of all incidents.
EMS Quality Improvement Program
The Carmel Fire Department EMS Division is committed to continuous evaluation and improvement of the process we use to provide quality emergency medical care. The EMS Division treats all clinical review with respect and confidentiality with the goal of improving communication and team work with field practitioners and receiving hospitals.
The Carmel Fire Department EMS Division, under the guidance of the Department’s Medical Director, Dr. Michael Kaufmann, oversees and manages the delivery of emergency medical services in the following ways:
Clinical Performance Management - ensures that CFD is providing the highest quality out-of-hospital health care to the public through compassionate, proficient firefighters.
System Operations - focuses on the means by which CFD directly delivers its services to the public, assuring continuity of service with a fully integrated Engine-based first response and a dynamic transport ambulance workforce. Issues of fleet deployment and management, unit staffing and configuration, and logistics are examples of functions that fall within systems operations.
Risk Management - seeks to identify, evaluate, and reduce opportunities for injury to the public or CFD members as a result of Department activities, with a strong emphasis on prevention and error reduction.
Education and Training - provides CFD personnel with the education and training skills necessary to maintain a high degree of proficiency in the delivery of emergency care and services. The EMS Training Division staff is responsible for curriculum development and training oversight while the Medical Director ensures the training program reflects the best contemporary practices in EMS education. This includes an online education system developed by our Medical Director, Dr. Michael Kaufmann.
Administration - focuses on management through support and oversight functions necessary to ensure effective and efficient Department operations. Examples of administrative functions include customer service, finance and budgeting, compliance with federal and state regulations, human resource management, medical records management.
Research - CFD strives to provide the best service by evaluating new practices, techniques, and equipment with the intent to improve emergency care. Activities include sponsored clinical trials, pilot projects, and exploration of new treatment modalities.
EMS Clinical Programs & Research
The Carmel Fire Department EMS Division continues to develop and improve our system by way of clinical programs. They include:
Use of the non-invasive Continuous Positive Airway Pressure (CPAP) device for patients in respiratory failure.
Use of the LifePak 15 monitoring system for 12-Lead Electrocardiogram (EKG) for early identification of patients experiencing an ST segment Elevation Myocardial Infarction (STEMI), benefiting those patients needing timely angioplasty or clot busting drugs.
Use of Adult/Child Interosseous Infusion System provides CFD personnel with immediate vascular access to the central circulation within seconds, delivering medications and intravenous fluids, when peripheral access is otherwise unobtainable.
Use of Video Laryngoscopes allow CFD personnel direct visualization via a monitor screen and camera verifying direct endotracheal tube placement.
Use of Pulse Oximetry, Capnography, External Cardiac Pacing, Defibrillation, Synchronized Cardioversion, and Carbon Monoxide detection, all via the LifePak 15.
Use of electronic documentation program to record the medical treatment provided to improve monitoring of patients, and to comply with Federal, State and Local requirements.
The Carmel Fire Department has Paramedics currently assigned to the Carmel Police Departments SWAT (Special Weapons and Tactics) Team. SWAT Medics are utilized for law enforcement officers, civilians and even suspects who may require emergency medical attention during an elevated event. SWAT Medics provide tactical medical care in situations that are often too dangerous for non-tactical paramedics or ambulance crews.
SWAT medics are paramedics who have received specialized training in both Basic and Advanced tactical medicine. They are required to attend monthly training with Carmel Police Departments SWAT Team, and are an intricate part of that team.
Frequently Asked Questions
A city ordinance requires Carmel Fire Department EMS Services be billed directly to the patient. This ordinance helps to ensure the availability of qualified medical response.
Learn more about the Carmel Fire Department's Emergency Medical Services Division through the following links:
- Frequently Ask Questions (FAQ) about our EMS
- 20 Medical Reasons to Call 911
- Proper Disposal of Medications, Sharps, and Hazardous Materials
EMS Medical Reports and EMS Billing Reports are available upon request.
Learn more about ordering Fire & EMS Reports, including contact information and needed forms through the following links:
- GovPayNet - more information
- PWW Model AOB Signature Form
- Ambulance Insurance Form
- Notice of Privacy Practice
The following are some links we think could be useful to you:
* The City of Carmel cannot and does not guarantee the accuracy of the information supplied to them by others, or any information on pages linked to the City of Carmel pages. No responsibility for this information can be, or is, assumed. Inclusion on this site does not indicate or imply an endorsement by the City of Carmel of any site or information.