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N.C. county shifts to paramedic-first dispatch for assessment of low-priority 911 calls

Single Onslow County paramedics will handle lift assists and minor calls, keeping ambulances free for high-acuity emergencies

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An Onslow County EMS ambulance.

Onslow County Emergency Services/Facebook

ONSLOW COUNTY, N.C. — Onslow County Emergency Services has adopted a new paramedic dispatch model that does not automatically send an ambulance to every call.

Previously, EMS units responded to all six of the county’s emergency medical dispatch levels. Now, single paramedics are automatically sent to the lowest-priority calls and to lift-assist calls, giving first responders more flexibility and keeping ambulances available for higher-acuity emergencies, The Daily News reported.

| MORE: From sirens to solutions: Guiding paramedics to a patient-centered mindset

On lower-priority calls, a paramedic will assess the patient to decide whether an ED transport is needed or if referral to urgent care or a primary care provider is appropriate. The changes will make EMS response more agile and focused, said Bradley Kinlaw, Onslow County Emergency Services director.

“Not every medical call needs an ambulance,” Kinlaw said. “Now, when someone calls 911 for something like lift assistance or other minor issues, we can send a community paramedic, which ensures that ambulances are available for the most serious calls.”

County officials said the EMS dispatch changes align with Onslow County’s new strategic plan. The focus area for the “Healthy and Safe Community” plan prioritizes investing in first responder services to keep residents safe.

Do you think EMTs could effectively handle low-acuity calls in place of paramedics? Let us know.



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Bill Carey is the associate editor for FireRescue1.com and EMS1.com. A former Maryland volunteer firefighter, sergeant, and lieutenant, Bill has written for several fire service publications and platforms. His work on firefighter behavioral health garnered a 2014 Neal Award nomination. His ongoing research and writings about line-of-duty death data is frequently cited in articles, presentations, and trainings. Have a news tip? He can be reached at news@lexipol.com.