Res 27-03RESOLUTION NO. 27-03
A RESOLUTION OF THE CITY COMMISSION OF THE CITY
OF DELRAY BEACH, FLORIDA, REQUESTING FUNDS
FROM THE PALM BEACH COUNTY EMERGENCY
MEDICAL SERVICES GRANT AWARD PROGRAM FOR FY
2003/2004.
WHEREAS, the Delray Beach Fire and Emergency Medical Services Department
represents the emergency medical services interests of the City of Delray Beach; and
WHEREAS, the Delray Beach Fire Department is requesting funding for FY
2003/2004 through the Palm Beach County Emergency Medical Services Grant Award program
for the purchase of ten (10) Cardiac enzyme testing and monitoring units.
WHEREAS, the City of Delray Beach Fire Department is eligible to receive funds
collected by the Office of Emergency Medical Services pursuant to Chapter 401.113, Florida
Statutes; and
WHEREAS, the equipment to be purchased with these funds will enhance the
City's overall emergency medical services operation and improve the delivery and level of
emergency medical care provided to the citizens of and visitors to the City of Delray Beach.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
THE CITY OF DELRAY BEACH, FLORIDA, AS FOLLOWS:
~ That the Mayor of the City of Delray Beach is hereby authorized to
execute all documents, which are necessary to complete the request for, funds from the Palm
Beach County Emergency Medical Services Grant Award program.
PASSED AND ADOPTED in regular session on this the 6th day of May, 2003.
A'I'I'PLST:
City Clerk
£1T¥ DF DELRR¥ BER£H
DELRAY BEACH
NI-AmedcaCJty
1993
2001
CITY CLERK
100 N.W. 1st AVENUE . DELRAY BEACH, FLORIDA 33444 · 561/243-7000
CERTIFICATION
I, BARBARA GARITO, City Clerk of the City of Delray Beach, do
hereby certify that the attached document is a true and correct copy of
Resolution No. 27-03, as the same was passed and adopted by the Delray
Beach City Commission in regular session on the 6th of May, 2003.
IN WITNESS WHEREOF, I have hereunto set my hand and the
official seal of the City of Delray Beach, Florida, on this the 8th day of May,
2003.
Barbara Garito, CMC
City Clerk
City of Delray Beach, Florida
(SEAL)
THE EFFORT ALWAYS MATTERS
MEMORANDUM
TO:
FROM:
SUBJECT:
MAYOR AND CITY COMMISSIONERS
CITY MANAGER ~
AGENDA ITEM # ~ - REGULAR MEETING OF MAY 6. 2003
RESOLUTION NO. 27-03 (REOUESTING FUNDS FROM THE PALM
BEACH COUNTY EMERGENCY MEDICAL SERVICES GRANT?,
DATE: MAY 2, 2003
Each year the County Emergency Medical Services Grants Program makes funds available to
licensed E.M.S. Providers. To utilize these non-matching funds we must submit an application
requesting the purchase of equipment or services, which are not budgeted through the City and a
supporting resolution from the City Commission. The resolution is needed to demonstrate that the
Delray Beach Fire and Emergency Medical Services Department, in fact, represents the Emergency
Medical Services for the City and that the equipment or services purchased with these fi. rods expands
and improves the level of care provided to our citizens.
For FY 2003-2004, we wish to purchase ten (10) Cardiac enzyme testing and monitoring units at a
cost of $4,750.00 each. Purchasing this equipment will enhance and improve the City's emergency
medical services operation and delivery.
Recommend approval of Resolution No. 27-03 requesting funds from the Palm Beach County
Emergency Medical Services Grants Program.
&\City Clerk\cheveBe folder\agenda memo~\Res.27-03.EMSGrants.05.06-03
RESOLUTION NO. 2%03
A RESOLUTION OF THE CITY COMMISSION OF THE CITY
OF DELRAY BEACH, FLORIDA, REQUESTING FUNDS
FROM THE PALM BEACH COUNTY EMERGENCY
MEDICAL SERVICES GRANT AWARD PROGRAM FOR FY
2003/2004.
WHEREAS, the Dekay Beach Fire and Emergency Medical Services Department
represents the emergency medical services interests of the City of Delray Beach; and
WHEREAs, the Delray Beach Fire Department is requesting funding for FY
2003/2004 through the Palm Beach County Emergency Medical Services Grant Award program
for the purchase of ten (10) Cardiac enzyme testing and monitoring units.
WHEREAS, the City of Delray Beach Fire Department is eligible to receive funds
collected by the Office of Emergency Medical Services pursuant to Chapter 401.113, Florida
Statutes; and
WHEREAS, the equipment to be purchased with these funds will enhance the
City's overall emergency medical services operation and improve the delivery and level of
emergency medical care provided to the citizens of and visitors to the City of Delray Beach.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
THE CITY OF DELRAY BEACH, FLORIDA, AS FOLLOWS:
Section 1, That the Mayor of the City of Dekay Beach is hereby authorized to
execute all documents, which are necessary to complete the request for, funds from the Palm
Beach County Emergency Medical Services Grant Award program.
PASSED AND ADOPTED in regular session on this the 6m day of May, 2003.
A'ITEST:
MAYOR
City Clerk
FIRE-RESCUE DEPA
RECE1VED
APR 1 7 Zfl0 l
CiTY I~IANAGE~
DELRAY BEACH
Ali-America City
MEMORANDUM
1993
2001
TO:
THRU:
FROM:
DATE:
David T. Harden, City Manager
Kerry B. Koen, Fire Cl~e'~''"F~k'-
Robert B. Moreland, Division Chief- EMS
April 15, 2003
SUBJECT: Information Requested for Inclusion in Resolution
HrGHLAND BEACH
Delray Beach Fire-Rescue will be applying for an annual, non-matching
grant from Palm Beach County, Department of Emergency Medical Services for
ten (10) cardiac enzyme test meters which will allow us to detect and analyze
heart enzymes while actually on the scene of many cardiac emergencies. Each
unit will cost $4,750.00 and they are sole source items provided by Biosite, Inc.
In order to proceed with the grant application process, a Resolution of the
City Commission is required indicating their support of the application. A similar
Resolution will be sought from the Town of Gulf Stream and the Town of
Highland Beach as our application will be made in the name and interest of all
three communities,
A draft Resolution is attached, and I request that this item be placed on
the next regular City Commission agenda as a consent item. A position paper on
this technology and impact from Dr. Randall Wolff, Medical Director, is attached
as well.
Attachments: 2
FIRE-RESCUE DEPARTh ENT HEADQLA!;! RS. 5(:! WES[ A! /,t, TIC AVENUE · DELRAY BEACH FLORIDA 33444
WHY PRE-HOSPTIAL CARDIAC ENZYME DETECTION
MAKES SENSE
EMS personnel presently perform 12 lead EKG's on patients with chest pain and other symptoms
suggestive of cardiac problems. The practice of performing EKG's in the field began over ten
years ago. The purpose of paramedics performing this test before transport is to identify patients
who have suffered a heart attack. Paramedics identify characteristic changes in the EKG and if
an acute injury pattern is identified, the patient is transported to hospitals with the ability to
perform emergency cardiac catheterization with balloon angioplasty. Hospitals with the ability to
perform this emergency procedure are the best destinations for patients with heart attacks. The
improved survival is not only the result of balloon angioplasty with placement of stents, but also
specialized cardiac centers provide the patient and medical team more options, such as placement
of a device to assist the pumping action of the heart. These options are only available in a cardiac
catheterization laboratory.
If identification of patients with heart attacks is important in the prehospital setting because it
changes transport destination and saves valuable time and heart muscle, then it is critical to know
how sensitive the EKG is in identifying patients with an acute cardiac injury. Data shows that
one third of patients with an acute myocardial infarction are missed by EKG's. Therefore, by
using only EKG as the detection device, a significant proportion of patients with heart attacks are
not being provided the opportunity that a cardiac catheterization laboratory provides.
.In. the hospital, tests performed on a patient's blood provide a more sensitive indicator of cardiac
~njury by detecting chemicals that have leaked out of injured heart cells. These substances are
referred to as cardiac enzymes. Their levels begin to rise soon after a patient has had a heart
attack and remain eievated for many hours.
It is now possible to detect cardiac enzymes in the field by use ora small portable machine that
accurately measures these chemicals on a small amount of blOod. The test is simple to perform
and is similar in technique to measuring blood glucose. The results are available within fifteen
minutes. In addition, the test will detect ifa patient has developed fluid in their lungs, a frequent
complication of a failing heart. If these tests are initiated soon after patient contact, the results
will be available in time to assist the paramedic in determining the proper transport destination
and allowing the paramedic to alert the hospital that the patient has suffered heart damage. This
gives the hospital time to properly prepare for the incoming emergency.
Ten years ago EMS broke new ground by performing EKG's in the field. We are now on the
brink of a new era of paramedics measuring cardiac enzymes prior to patient transport. The use
of these devices by EMS will make a difference for our patients, just as EKG machines have for
the past ten years.
Randall L. Wolff, M.D.
Medical Director, 3/25/03