Ambulances are taking longer to get to low-priority calls but officials say it's allowed faster response to critically urgent calls.

Long ambulance waits for low-priority calls under fire

'Safer' service shift defended as equivalent of triage of hospital ER resources

B.C. firefighters say a downgrade in response priority for less urgent medical calls by the B.C. Ambulance Service has resulted in much longer waits for paramedics to arrive.

A reallocation of ambulance service last fall shifted dozens of call types – often for broken bones and other incidents where the patient is medically stable – so that those ambulances now roll at posted speed limits without lights and siren, rather than code 3 at high speed.

Officials say it’s meant an average of six minutes slower arrival times to those calls, but allowed one minute faster average responses to urgent life-or-death emergencies like heart attacks, while reducing the risk of high-speed crashes between ambulances and other vehicles.

B.C. Professional Fire Fighters Association president Mike Hurley said that doesn’t match what fire department first responders are seeing.

“Our experience in the field is it’s anywhere from 30 to 45 minutes and longer for an ambulance to show up,” Hurley said of the downgraded calls.

“They’ve lessened the service to the citizens of each community.”

He said the types of calls that are now dispatched at routine speeds include serious falls, serious hemorrhages and certain pregnancy calls.

They make up about nine per cent of overall ambulance calls, according to a report on the reallocation plan, and mean 800,000 fewer kilometres of lights-and-siren driving each year.

Dr. William Dick, vice-president of medical programs at B.C. Emergency Health Services, said the changes flow from a rigorous two-year expert review that assessed outcomes for patients and the risks of high-speed ambulance driving.

“It’s safer to the driving public, it’s safer for our paramedics and it’s safer for our patients,” Dick said Wednesday.

He likened the change to hospital triage policies that give the most urgent cases priority ahead of patients who can safely wait longer.

“We’re doing the same thing they’re doing in the emergency department but we’re doing it on the street or in people’s homes.”

Dick said a rolling analysis of the changes has so far found no change in medical outcomes for patients whose call priority was reduced.

Several fire departments and municipalities have criticized the change.

A report by the Vancouver Fire Department estimates ambulance response times there are an average of 21 minutes slower and Burnaby has also reported a jump in long ambulance waits.

Dick said he believes reports of extreme waits are anomalies and none of the cases involve people in medical danger.

Several Metro Vancouver mayors say the service change amounts to downloading of costs by the province because firefighters who respond first end up waiting longer with patients, sometimes incurring more overtime as well.

“They are reducing quality of service,” Port Coquitlam Mayor Greg Moore said. “Sometimes the patient’s family has driven someone to the hospital, which is just not appropriate.”

BCEHS maintains the changes are not a money-saving measure but are strictly to improve care by speeding response to those in most urgent need.

And it contends municipalities could make smarter use of their own resources by redeploying firefighters to other services if they didn’t opt to dispatch them to routine calls where first responders aren’t medically required.

Mike McNamara, president of the Surrey Firefighters Association, said firefighters fear fire halls won’t get dispatched to the calls deemed less urgent at all in the future, leaving patients to wait longer without aid.

“One crew waited over 45 minutes for a lady that fell and broke her hip,” he said, recounting one recent incident of ambulance delay in Surrey.

Of particular concern, he said, are cases when a panicked 911 caller gives unclear information that results in an ambulance being dispatched at low priority to a call that proves more urgent.

“There is room for error there,” McNamara said.

Because there are many more fire halls than ambulance stations, fire departments maintain they’re uniquely placed to act as first responders with quicker response times.

“What happens when [dispatchers] get it wrong?” McNamara asked. “We’re just down the street and it’s a real emergency. We’re just minutes away from helping this person and we’re not going.”

Dick said BCEHS is consulting cities on the changes and promised a further review of the results.

He said there are no plans to exclude fire halls from low priority calls if the local city still wants its firefighters to respond to provide “comfort care” while awaiting an ambulance.

“I will not arbitrarily cut anyone off,” Dick said. “I question the wisdom of spending a really expensive resource when it’s not required medically. But it’s not my decision to make.”

– with files from Diane Strandberg

Just Posted

Kootenay-Columbia incumbent MP responds to Trudeau brownface scandal

Stetski proud of NDP leader Singh’s reaction, which focused on people not power

Liberals’ Kootenay-Columbia candidate stands by Trudeau despite scandal

Robin Goldsbury says the prime minister’s racist photo is a learning opportunity

Aquifers, water quality exceedances, and concerns for drinking water in Golden and Area A

Water quality and quantity issues are reaching a pinnacle in Golden and… Continue reading

Golden Landfill receives second operational warning letter from MoE

The Ministry of Environment (MoE) has issued a second warning letter to… Continue reading

Two Global Climate Action Strikes taking place in Golden on September 20

Two events in Golden are taking place simultaneously as others across the… Continue reading

VIDEO: Trudeau asks Canada to look to current, not past, actions on race

Liberal leader says he never spoke about the racist photo because he was embarrassed

Woman stabbed in downtown Nelson

Victim is in hospital, suspect is in police custody

Horvat paces Canucks to 6-1 pre-season win over Oilers

Vancouver improves to 3-1 in NHL exhibition action

Legislature gifts, clothing, travel need better control, B.C. auditor says

Audit follows suspensions of managers by Speaker Darryl Plecas

‘Really disturbing:’ Trudeau’s racist photos worry B.C. First Nation chief

Wet’suwet’en Chief concerned the photos will sow fear in Indigenous communities

‘Unacceptable’: What politicians have to say about Trudeau in blackface

Calgary Mayor Naheed Nenshi: ‘When I saw that picture last night, certainly it was a sucker-punch’

‘He’s trying to kill me’: Victoria police commandeer boats to reach screaming woman

No charges laid and civilians to be awarded honours after incident on Gorge Waterway

VIDEO: B.C. man accused of assaulting sex worker loses temper in interrogation

Defence lawyer says statements made by accused Curtis Sagmoen should be deemed inadmissible

John Horgan promises action after fatal mid-Island bus crash

Premier cites students, local Indigneous community as reason to repair the road

Most Read