I want to talk about a specific incident that happened on Monday, September 28th. A 14-year-old young man, student at St. Francis Preparatory High School, started to show signs of a stroke almost immediately upon entering school. He was slurring his words, his right and left eye began to droop, his right eye and arm and leg became weak and unstable.
This student is known— is a known cardiac patient. The nurse immediately called 911. The first call to 911 was made at 8:47 a.m. The second call was made at 9:14 a.m. And the third call was made at 9:22 a.m. As the parents rushed to the school upon hearing that FDNY had not yet responded with an ambulance, the child's father called 911 also at 9:22 a.m.
Still no ambulance responded. The mother arrived at the school at 9:22. And calls were made. When after 5 minutes there was still no response, she took the child and rushed him to the hospital in her own car without a paramedic, without an EMT treating her severely ill child. Why did the FDNY not respond to these frantic calls for help?
So first off, I just want to say that this is an extremely tragic situation. I am a father myself of 3 boys, and I could not imagine what those parents were going through at the school. What I can tell you is at the time that this call was coming in, EMS was experiencing a 100-plus call surge than what we normally see.
We normally see about 179 calls per hour, and during this hour that this assignment took place, we had a call volume of 274 calls for service into 911. An ambulance was Dispatched to this call. The ambulance was coming from a distance. They did arrive at the location, but they did arrive after the parents left to take the child to the hospital.
How long after? They actually arrived at 9:37, and it's believed that the child left to go to the hospital 5 minutes prior to that. So you were holding about 274 calls, right? We received 274 calls, which was about 100 above the normal at that time. Do you think that the disconnect was due to a lack of staffing or an EMS dispatcher was not available to speak to the caller?
So when someone calls 911, they initially talk to a police dispatcher. That police dispatcher asks questions, police, fire, EMS. When it is determined that it is a request for EMS service, it is transferred from NYPD to EMS. When there are no EMS alarm receiving dispatchers available, the NYPD dispatcher stays on the line, takes additional information, and then routes that call to EMS.
So the call itself is not lingering. It is in the EMS system. The system did, throughout this whole period of time, note that it was searching for ambulances, searching for ambulances, searching for ambulances, but due to the surge in calls that we had at that time, we had none available. As soon as an ambulance became available, the system the system alerted the radio dispatcher who then dispatched the ambulance to the location.
And like I said, they were coming from a distance and they did arrive at the scene, but unfortunately it was after the parent had left. And was there any notification back from 911 to the people who called saying, you know, there is a delay, we're holding, you know, we got an influx of calls, it'll be a matter of 15, 20, 25 minutes before an ambulance gets there.
Was that done? No. So there is no system in place where we advise the caller that there is a, you know, that an ambulance is delayed or will be an extended period of time before they arrive. So basically what you're saying is that a child who is a cardiac patient showing signs of a stroke was put into a system as an unknown condition.
Is that how it went into the system? That's correct. That's how it went into the system. And instead of a Level 1, which is the most serious of conditions, as it should have been coded, because of the lack of staffing for EMS and for the dispatchers at that moment, it was not put in as a Level 1.
Right. So first, the dispatch center was staffed adequately at that time for that time in the morning. The dispatch center does have staggered staffing in. to meet our call volume throughout the day and during high periods of demand. So we did have the proper amount of ARDs in that would be answering the phone for what the typical call volume would be for that day.
There were 26 alarm receiving dispatchers in at that time. Had this call been triaged by EMS, a series of questions would have been asked and the dispatcher would have entered this information into the system and the computer triage would have would have categorized this differently than an unknown. What category, based on the answers to the questions that the caller gave, I can't predetermine what it would be without asking those questions and getting the answers and inputting them.
But it would have most likely been classified as one of the— one of an incident that would have been around a Segment 3, which is a higher priority than an unknown, which is a Segment 4. But the reality is it never did get to an FDNY dispatcher. That's correct. It did not get to an EMS dispatcher. However, it was in the system to be dispatched.
At no time does any call get lost in the system. When we are unable to reach an EMS dispatcher, NYPD does put it into the system, and the system and the dispatchers are consistently looking for ambulances to respond to those calls. But there was no dispatcher that answered that could and then further ask questions and realize that this was a level 1.
And so, but it wasn't just 1 call, it was 4 calls that a dispatcher did not respond to and did not get further information for this child. So, so how many people do you estimate fall into this category where they are in the system A dispatcher has not gotten any additional information and lives could be at risk because those questions were not asked so that they could properly categorize them and get an ambulance there.