R e s o u r c e m a n u a L

STATEWIDE EMS OPERATIONS AND COMMUNICATIONS RESOURCE MANUAL
Revisions Prepared by:
The California Emergency Medical Services Authority

Tonya Thomas, EMT-B

EMS Communications Coordinator

California EMS Authority


Donna Nicolaus, Manager

EMS Systems Division

California EMS Authority

Bonnie Sinz, RN

EMS Systems Division Chief

California EMS Authority

Daniel R. Smiley

Chief Deputy Director

California EMS Authority

Steven Tharratt, MD, MPVM

Director

California EMS Authority

Kimberly Belshé

Secretary

California Health and Human Services Agency

Arnold Schwarzenegger

Governor

Table of Contents

INTRODUCTION 3

PURPOSE 3

SUMMARY 3

OPERATIONAL INFORMATION 3

FCC RULES AND REGULATIONS 3

2. Station Identification 4

3. Operator Requirements 4

OPERATING PRACTICES 5

1. Equipment Familiarization 5

2. Communications Skills 5

RADIO THEORY 7

1. Land Mobile Radio Frequency Bands 7

2. VHF Low Band 7

3. VHF High Band 8

4. UHF BAND 8

5. 700 MHz Band 8

6. 800 MHz Band 9

RADIO FREQUENCY INTERFERENCE 9

1. Co-Channel Interference 9

2. Receiver Desensitization 9

3. Transmitter Noise 10

4. Intermodulation Interference 10

5. Equipment and Interference Rejection 10

CONCEPTS OF EMS COMMUNICATIONS 11

1. General 11

2. Citizen Access 11

3. Vehicle Dispatch and Response (VDR) 11

4. Automatic Vehicle Location 11

5. Crew Alert Paging 11

6. Local Medical Coordination (LMC) 12

7. Statewide Medical Coordination (SMC) 12

8. On-Scene Coordination (OSC) 12

9. Medical Resource Coordination (MRC) 12

CALIFORNIA EMS ALLOCATIONS 13

GENERAL 13

INTRODUCTION TO TABLES 13

1. Radio Channel Information 13

2. Emergency Department Information 15

3. EMS Provider 15

Alameda County EMS Agency 16

Contra Costa County EMS Agency 19

El Dorado County EMS Agency 22

Central California EMS Agency 24

Coastal Valleys EMS Agency 29

Imperial County EMS Agency 33

Inland County EMS Agency 35

Kern County EMS Agency 41

Los Angeles County EMS Agency 44

Marin County EMS Agency 55

Merced County EMS Agency 57

Monterey County EMS Agency 59

Mountain Valley EMS Agency 63

North Coast EMS Agency 72

Northern California EMS Agency 76

Orange County EMS Agency 84

Riverside County EMS Agency 89

Sacramento County EMS Agency 93

San Benito County EMS Agency 98

San Diego County EMS Agency 99

103

San Francisco City and County EMS Agency 104

San Joaquin County EMS Agency 108

San Luis Obispo County EMS Agency 111

San Mateo County EMS Agency 113

115

Santa Barbara County EMS Agency 116

Santa Clara County EMS Agency 119

Santa Cruz County EMS Agency 123

Sierra-Sacramento Valley EMS Agency 125

Solano County EMS Agency 130

Tuolumne County EMS Agency 132

Ventura County EMS Agency 134

FCC CODES AND NAMES OF RADIO SERVICES 140

GLOSSARY 141

ADDENDUM 170

This document was supported by the Preventive Health and Health Services Block Grant from the Centers of Disease Control and Prevention (CDC) and a grant from the Department of Commerce.  Points of view or opinions expressed in this document are those of the authors and do not necessarily represent the official views of CDC or policies of the Department of Commerce.

INTRODUCTION

PURPOSE

This Emergency Medical Services (EMS) Operations and Communications Resource Manual has been developed by the State of California Emergency Medical Services Authority (EMS Authority) primarily as an operational manual to be available to all local EMS agencies. It contains useful information for EMS operations, as well as provides the data necessary to enable radio communications during transport operations within the state.

The manual is also intended to be useful for instructional purposes in training programs for Emergency Medical Technicians (Basic, Intermediate, and Paramedics) through its operational approach and sections on radio frequency communications.

SUMMARY

The Operational Information section of this manual contains requirements of the Federal Communications Commission (FCC) rules relating to communications operations, information on standard operating practices, discussion of the various radio frequency bands, and an explanation of primary sources of interference which can disrupt normal communications, as well as a definition of the concepts involved in EMS communications.

The California EMS Allocations section contains an alphabetical listing, by local EMS agency, of all radio frequencies for EMS operations within the state, as well as hospital emergency department addresses, telephone information, and helipad coordinates. Radio dial codes are shown for those counties using selective addressing for radio communications with hospitals. In addition, the telephone number of each ground and air ambulance provider is included showing the quantity of ALS, BLS, and air transport permitted vehicles licensed to each. The most recent information added to this manual for each local agency are coordinates for commonly used helispots for ground to air transfers that may be designated as an emergency landing zone.