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Honolulu Emergency Medical Services
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Introduction
The EMTs and MICTs of the City & County of Honolulu Emergency
Services Division-EMS, respond to all 911 calls for emergency
assistance on the island of Oahu. In 2004, City & County Honolulu
Emergency Medical Dispatch received more than 81,000 calls for
assistance. Of this number, this led to 66,424 responses, from
which 40,932 patients were transported to hospitals.
Administration
The division is headed by a Chief of EMS with two assistant
chiefs: one for operations and another for quality assurance.
Districts
The island of Oahu is divided into two districts, each with
a EMS Field Operations supervisor. Operation of individual ambulance
units are directed to a unit supervisor. District 1 encompasses
West Oahu, while District 2 encompasses East Oahu.
EMS Fleet
Nineteen ambulances are classified as Advanced Life Support
units, which provide care to patients in a pre-hospital setting.
These ambulances are staffed by a Mobile Intensive Care Technician
(MICT), who are trained and authorized to perform invasive techniques
under off-line medical control and standing orders. A second MICT
or EMT constitutes the second member. On some calls, members of
the Honolulu Fire Department may assist EMTs or MICTs inside the
ambulance.
The Waipio EMS unit came online 6 January 2008.
Two rapid response units provide additional coverage for Leeward
and Windward Oahu. They are also designated as ALS units, and
are staffed by at least one MICT.
MEDEVAC is coordinated by the 68th Medical Company of the U.S.
Army (Wheeler AAF). Military Assistance to Safety and Traffic
(MAST) provides six Blackhawk UH-60 helicopters to evacuate patients
in critical condition from Oahu's rural areas to area hospitals
in Honolulu.
Radio Communications
Since late 2007, Honolulu EMS has been simulcasting dispatch
(and sometimes MEDICOM communications) on the City & County
of Honolulu 800 MHz radio system and UHF radio system.
The UHF radio system has 4 frequencies -- Dispatch, MEDICOM,
and Channels 3 and 4 for split-simplex communications.
Dispatches and routine radio traffic use Channel 1 (453.925)
and Talkgroup 1089 (800 MHz), while ambulance-to-hospital communications
use Channel 2 (453.700) and Talkgroup 1090 (800 MHz). When there
is more than normal traffic, units will be switched over to other
frequencies to ease the congestion of the main radio channels.
Non-routine and tactical traffic (especially during Mass Casualty
Incidents) are assigned Channel 3 or 4. Currently, there is no
simulcast of Channels 3 or 4 on the 800 MHz radio system.
During a dispatch sequence, a unit is alerted via two-tone page.
After a few moments, a series of numbers are exchanged between
dispatch and the ambulance unit. The ambulance unit gives its
"run number", while dispatch replies with a case, or
"Dispatch Card" number. Location, incident details are
also exchanged at this point.
For MEDICOM communications, an EMT or MICT will ask for an advisory
or communication with a particular hospital on Channel 2 (UHF)
or Talkgroup 1090 (MEDICOM). To a lesser extent, communications
can be done on Channels 3 or 4.
Advisories are usually shorter communications between the MICT
and the hospital. Basic patient information -- age, gender, orientation,
and background summary of the patients condition, including vital
signs, history, and what has been done for the patient. In a communication,
the MICT will request to speak to a doctor for orders to perform
invasive techniques or administer medication. EMTs are not allowed
to perform any technique or administer medication unless in the
presence of the MICT.
Cell phones and NEXTEL are used for off-air communiations.
Frequencies
CHANNEL OUTPUT INPUT DESCRIPTION
F-1 453.925 458.925 City & County EMS Dispatch
F-2 453.700 458.700 MEDICOM - Ambulance to Hospital
F-3 453.725 458.725 MEDICOM - Split Operations
F-4 453.875 458.875 MEDICOM - SPlit Operations
EMS Station Information
MEDIC ID TACTICAL ID LOCATION DISTRICT
Medic 1 Charlie 1 Hawaii Medical Center East District 1
Medic 2 Metro-1 1426 Young Street, Honolulu District 1
Medic 3 Kailua Kailua Fire Station #18 District 2
Medic 4 Kaneohe Kaneohe Fire Station #17 District 2
Medic 5 Pawaa-1 Waikiki Fire Station #7 District 2
Medic 6 Waialua Waialua Fire Station #14 District 1
Medic 7 Waianae Waianae Fire Station #26 District 1
Medic 8 Wailupe Wailupe Fire Station #23 District 2
Medic 9 Waimanalo Waimanalo Fire Station #27 District 2
Medic 10 Waipahu Waipahu Fire Station #12 District 1
Medic 11 Baker-1 Queens Medical Center District 1
Medic 12 Wahiawa Wahiawa General Hospital District 1
Medic 13 Kahuku Kahuku Fire Station #13 District 2
Medic 14 Aiea Kapiolani Hospital at Pali Momi District 1
Medic 15 Hawaii Kai Hawaii Kai Fire Station #34 District 2
Medic 16 Makakilo Kapolei District 1
Medic 17 Makiki 1426 Young Street, Honolulu District 2
Medic 18 Nanakuli 87-2114 Farrington Highway District 1
Medic 19 Waipio Kaiser Clinic Waipio District 1
Airport-1** 3375 Koapaka Street
Response 1 Hawaii Medical Center West District 1
Response 2 Kaaawa Post Office District 2
District 1 AOR: West Oahu
District 2 AOR: East Oahu
Hospital Paging Codes
These four-digit DTMF tones serve as paging tones to signal
the hospital of an incoming radio call. Some hospital codes were
difficult to get a hold of since they're rarely used. These DTMF
codes were decoded using WinTone 2.02.
CODE HOSPITAL
1210 Queen's Hospital
1211 Hawaii Medical Center East
1212 Kaiser Hospital - Moanalua
1213
1214
1215
1216
1217 Straub Clinic
1218 Kapiolani Hospital at Pali Momi
1219 Hawaii Medical Center West
1220 Castle Medical Center
1221 Wahiawa General Hospital
1222 Kahuku Hospital
1223
Work Schedules
DAY EVENING MIDNIGHT
0700-1500 1500-2300 2300-0700
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