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City Council Meeting <br />Aug. 12. 2002 <br />Page 11 <br /> <br />Mr. Klinkerman explained that the rescue truck goes on the premise that we <br />had rather have the appropriate resources there as quickly as possible than to <br />be sitting there waiting on them. He advised that in the 1980's the rescue truck <br />did not go to the scene until EMS requested them. He said they found <br />themselves delaying patient care, delaying extrication time for no apparent <br />reason. If your goal is quality patient care, and that is the way the city has <br />always run this service, then the city wants to do whatever needs to be done to <br />take care of the patients in the best possible way. All that had to be done was <br />to dispatch the fire engine when the ambulance rolls. They roll for the <br />protection of the people. If extra manpower is needed the rescue truck is there <br />with it' s specialized equipment and a trained crew who can get the people out. <br />This is called the golden hour. The quicker you can get a patient to definitive <br />care the better their chances are of survival. Mr. Klinkerman stated that if you <br />save five or ten minutes on the scene, that is five or ten minutes of their grace <br />period that they have at the hospital. <br /> <br />On a question by Councilman McCarthy, Mr. Klinkerman explained that if <br />there is a wreck in Paris, an ambulance, the rescue truck, a fire engine, and the <br />police will be dispatched. If the wreck is outside the city an ambulance and the <br />rescue truck will be dispatched as well as the Volunteer Fire Department for <br />that area because they are the First Responder Organization. <br /> <br />Mr. Anderson advised that in the letter that the county wrote to the city <br />concerning what they wanted to discuss at the meeting, they wanted a kind of <br />reconciliation between the contract estimate, contract settle up, the city's <br />budget, and the city' s copies of annual financial reports, CAFR. He said on the <br />CAFR issue, the contract specifically says that the contract will be figured and <br />calculated on the cash basis. Mr. Anderson said he pretty much dismissed that <br />first issue with Mr. Bass because CAFR plays no part. CAFR is prepared on <br />an accrual basis and does not play a part in the settle-up agreement. <br /> <br />City Attorney Schenk informed the council members that they could look at the <br />correspondence between himself and Mr. Bass concerning the meeting on <br />August 6, 2002. Mr. Bass's list refers to the CAFR review. During the <br /> <br /> <br />