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From YouTube: Committee on Ways & Means on May 21, 2018
Description
Docket #0559-0565- Fiscal Year 2019 Budget: Boston Emergency Medical Services (BPHC)
A
A
It
is
both
being
broadcast,
live
and
recorded
on
our
CN
80
to
Comcast
eight
Verizon
1964
and
streamed
at
Boston
gov
backslash
city
council,
TV
I'd,
ask
folks
in
the
chamber
to
silence
all
electronic
devices
at
the
conclusion
of
the
department's
presentation
and
questions
from
my
colleagues,
we
will
take
public
testimony.
There
is
sign-in
sheets
to
my
left
by
the
door
I
ask
that
you
state
your
name
affiliation
and
residence
and
please
check
the
box
if
you
do
wish
to
testify.
A
We
are
here,
as
I
mentioned
earlier,
with
good
friends
from
Boston
EMS,
as
it
pertains
to
dockets
zero
five,
five,
nine
through
zero
five,
six,
three
orders
for
the
fiscal
year.
Nineteen
up
rating
budget,
including
annual
appropriations
for
departmental
operations,
annual
appropriation
for
the
school
department,
appropriation
for
other
post-employment
benefits
appropriation
for
certain
transportation
and
public
realm
improvements
and
appropriation
for
certain
park.
Improvements
and
dockets
zero,
five,
six
four
and
zero
five
six
five
capital
budget
appropriation,
including
load
orders
and
lease
and
purchase
agreements.
A
B
C
Just
want
to
thank
the
body
again
for
the
proclamation,
and
the
moment
you
gave
us
in
this
chamber
a
week
ago
was
much
appreciated
and
again
we
never
take
that
for
granted.
It's
always
a
it's
a
great
opportunity
for
us
and
just
quickly
in
Europe,
we
already
distributed
some
about
packets
to
you
with
information
in
there,
but
one
of
the
things-
and
we
have
a
slight
small
side
presentation
to
go
with
my
opening
remarks
so
on
on
the
first
page.
C
I
do
refer
to
the
44th
annual
national
ems
week
thing
and
in
there
there
is
a
list
of
events
that
you
can
take.
A
look
at
and
I'll
just
point
out
that
tomorrow,
Tuesday
City
Hall
plaza.
We
will
have
some
personnel
out
here
from
10:30
to
1:30,
with
some
demonstrations,
some
materials,
some
equipment.
So
it's
a
short
walk
if
you're
available-
and
you
want
to
say
hello.
C
Think
we
have
any
of
the
new
councils
yet
today
with
us,
but
and
we're
gonna
make
some
time
to
sit
down
with
them
individually
and
you
know
try
to
give
them
a
bit
more
about
the
history
of
the
paavana,
where
we're
at
and
what's
going
on,
particularly
in
that
districts.
But
right
now
where
we
are,
we
are
across
a
Bureau
of
the
Boston
Public
Health
Commission.
We
offer
a
two
tiered
system
response.
C
C
Calls
for
specific
complaints
that
resulted
in
one
hundred
and
forty
nine
thousand
five
hundred
and
fifty
five
ALS
and
BLS
emls
responses,
as
I
said.
Sometimes
we
send
more
than
one
emails
to
particular
call
or
if
it's
an
MVA
that
may
have
several
angels
going.
So
that's
why
you
see
more
responses
than
incidents
and
that
result
in
an
eighty,
six
thousand
and
twenty
three
transports
to
Boston
hospitals,
we're.
C
Mayor
is
submitted
to
you
this
year
and
you
know
hopefully
you'll
be
approving.
We're
gonna
be
able
to
increase
our
FTE
count
by
twenty,
which
will
then
give
us
three
hundred
ninety
five
uniformed
EMTs
and
paramedics,
and
a
total
FTE
count
for
the
department
of
four
hundred
and
twenty
in
our
field
operations.
Just
a
quick
overview
right
now.
We're
operating
twenty
one
BLS
units
and
five
ALS
units
from
16
stations
citywide
during
peak
hours,
now
that's
peak
hours
alike.
Now,
so
that's
mostly
the
day
shift
and
evening
shift
and
a
Lois
tab
between
2:00
a.m.
C
and
6:00
a.m.
we
do
drop
down
to
14
MLS's
covering
the
city,
because
it
makes
more
sense
for
us
to
have
more
ambulances
on
a
2:00
in
the
afternoon
say
that
2:00
in
the
morning,
just
based
on
historical
precedent
need
several
crews
shift
change
at
us
station
and
then
they
repose
to
a
more
strategic
location,
determined
by
a
call
volume
and
I,
say
that,
because
even
though
we
have
26
ambulances
on
currently,
we
don't
have
21
26
stations
to
base
them
out
of
so
lots
of
times.
C
Dispatch
operations,
which
is
up
at
one
shorter,
Plaza
police
headquarters
with
a
9-1-1
center
for
the
city,
is
we
have
EMTs
and
supervising
EMTs,
who
are
all
Boston,
EMS,
Academy
trained
EMTs,
who
many
of
them
worked
in
the
field?
Some
still
do
on
occasion
they
go
out
as
well,
but
on
top
of
that,
they
received
additional
training
additional
certification.
C
They
all
went
to
a
aapko
emergency
medical
dispatcher
training,
which
is
what
teaches
them
to
use
the
medical
guide
cards,
to
give
details
of
pre-arrival
instructions
and
to
pick
the
best
resource
to
send
to
the
calls
in
to
how
to
prioritize
because
is
as
much
as
we're
staffed
up.
There
are
times
when
we
have
to
prioritize
calls
and
triage
them
to
see
which
ones
to
give
out
first
see
med,
which
is
our
coordinating
Center
for
the
region
for
the
62
cities
and
towns.
C
Next
division:
our
department
is
our
research,
training
and
quality
improvement
and
it's
a
full-time,
accredited
training
academy
accredited
by
the
Commonwealth.
It
provides
continuing
education
for
all
uniformed
personnel.
All
members
of
department
are
signed
routinely
to
training
several
times
a
year
to
get
required,
updates
and
refresher
training
and
with
a
weather
certificate
at
different
techniques.
It
could
be
no
Commission
policies,
EMS
policies,
city
policies.
We
write
to
know
anything
that
we
have
to
go
over.
We're
able
to
do
that
by
scheduling
by
people
bringing
people
in,
and
we
do
that
training
and
also
chef's.
C
If
you
work
the
nightshift,
you
got
if
a
child
week
to
go
to
training
you
go
to
you
go
to
training,
then
that
way
we
had
those
people
available.
We
have
to
pull
them
out
on
occasion,
sometimes
with
some
of
the
songs
we've
had
this
past
couple
of
winters,
we
made
cancel
training
yeah
so
that
we
can
get
extra
unit
cells
in
the
field.
So
that's
why
it's
wise
for
us
to
train
on
all
three
shifts.
C
Are
in
the
profit
as
I
sit
here
today,
we've
begun
interviews
for
the
next
recruit
class,
which
is
scheduled
to
start
second
week
of
July.
So
we
did
our
written
exam.
Two
weeks
ago,
our
practical
exam
was
yesterday
and
we're
really
trying
to
make
haste
so
that
we
can
take
the
opportunity
to
get
this
class
in
once.
It's
funded
for
July.
B
C
Have
simulation
labs
we've
been
buying
more
state-of-the
out
of
equipment,
with
the
idea
of
being
able
to
enhance
our
skills
and
just
be
safer
for
patients
in
the
field.
We
offer
an
affordable,
basic
EMT
course,
which
is
open
to
the
public.
We
offer
twice
a
year
at
our
training
facility
and
we
offered
it
at
a
cost.
That's
about
half
of
what
you
would
pay
at
a
community
college,
and
we
only
and
even
at
that
we
only
charge
enough
to
cover
our
expenses
for
materials
and
an
instructor
time
up
there.
C
That
one
class
we've
conducted
for
many
years
now
has
in
proven
to
be
our
most
effective
tool
for
recruiting
and
developing
talent
from
Boston's
neighborhoods
to
help
us
with
diversity,
language,
race,
ethnicity.
A
lot
of
people
who
work
here
now
have
come
through
that
class
and
I'll
speak
more
about
that
later.
C
Emergency
preparedness,
they've
supported
786
special
events
in
2017.
Many
of
those
events
took
place
on
this
Plaza
right
out
here,
a
lot
of
the
potties
of
festivals,
but
also
the
larger
ones.
Like
the
marathon,
a
4th
of
July
celebration,
Tall
Ships,
you
didn't
even
write
down
two
races
bought
parties
and
neighborhoods
elderly
events,
other
things
that
may
require
an
EMS
response
or
an
EMS
standby,
and
the
coordination
of
that
is
very
important,
because
otherwise
the
analysis
for
those
events
would
be
coming
from
the
neighborhood's.
C
If
we
didn't
replan
and
have
effective
plans
in
place
for
that,
we're
gonna
be
having
personnel
posted
from
lost
and
calling
out
at
hava
stadium
coming
up
this
weekend.
That
was
particularly
busy
event
for
us
last
year.
We
want
to
make
sure
that
that's
covered,
so
we're
not
dragging
resources
out
of
Brighton
and
Austin
to
be
serviced
in
a
private
venue.
C
C
C
We
did
a
lot
of
a
lot
of
training
for
that,
a
lot
of
outfitting
practicing
using
protective
equipment
for
us
and
how
to
package
and
care
for
patients,
and
you
know
now
with
keeping
an
eye
on
what's
going
on
in
the
Congo
and
the
potential
that
statins
spread
into
municipal
areas
there
and
coming
out
of
the
countryside.
You
know
we
want
to
make
sure
if
we
have
to
dust
those
plans
off
we'll
be
ready
to
go.
C
So
that's
what
that
area
handles
our
community
initiatives,
people,
public
safety,
life-saving
skills,
education,
they
participate
in
countless
community
events
and
meetings.
We
regularly
schedule
kasi
checks
and
do
installations,
many
of
them
at
low
cost
and
no
cost.
If
people
qualify
for
them,
we
do
that
out
of
our
garage
in
Mattapan
and
people
call
up
and
make
appointments.
C
C
Groups,
we've
do
senior
safety,
presentations
on
file
of
life
and
other,
and
other
programs
and
I'll
get
to
the
importance
of
being
in
an
upcoming
slide
and
then,
of
course,
we
have
a
support
services
division,
which
is
our
fleet,
the
maintains
our
analysis
and
our
supervisory
vehicles,
our
materials
management,
which
is
our
annual
supply
that,
where
we
are
rolling
out
a
know,
inventory
system
which
would
make
us
more
efficient.
Every
almost
everything
we
purchase
in
EMS
has
an
expiration
date.
Yes,
medicines,
yes,
but
even
bandages
plastic
oxygen
masks.
C
They
anything
you
put
in
an
ambulance
is
an
expiration
date,
so
managing
that,
so
you
always
have
enough
on
hand,
but
so
it
doesn't
have
to
be
thrown
out
after
sitting
on
a
shelf
for
a
year.
It's
important
so
we're
really
trying
to
save
money
and
manage
cost
there,
and
that's
already
starting
to
show
some
benefits
for
us
technology
services
takes
care
of
our
IT
needs
facilities,
oversees
all
of
our
locations,
and
we
have
administration
and
Finance
support
here,
obviously
supported
by
the
the
main
offices
up
at
Public,
Health
Commission.
C
All
right
accomplishments,
just
come
up
with
a
few
one.
I
was
going
to
talk
about
the
the
community
assistance
team
last
year,
this
body,
when
you
approve
the
budget
and
included
the
mayor's
request
to
add
for
EMT
positions
of
additional
FTEs
to
staff.
This
community
assistance
team,
which
was
designed
to
go
out
and
it's
a
non
transport
EMS
vehicle
to
help
us
manage
our
call
volume.
C
As
I
said,
a
call
volumes
still
keeps
rising
every
year
transports
slightly
less
so
so
that
means
we're
getting
more
calls
for
evaluations
for
standbys,
for
persons
who
may
have
mental
illness
out
in
the
community.
Who
may
have
issues
around
homelessness
or,
quite
frankly,
you
see
maybe
three
or
four
times
a
day
for
a
substance,
abuse
problem
who
have
been
in
a
facility
hospice.
They
leave
in
your
account
to
them
again,
maybe
two
or
three
times
in
a
day
and
they're
refusing
care.
C
So
this
team
that
was
put
together
is
comprised
of
two
EMTs
and
currently
right
now,
on
the
day
shift.
The
primary
area
is
the
massive
corridor
to
help
with
the
patient
population
that
we're
seeing
there
and
on
the
evening
shift.
We
shift
them
more
downtown
to
deal
with
crime
on
Street
Cambridge
Street,
the
plaza
here
of
the
common
Downtown
Crossing.
We
have
a
high
percentage
of
calls
to
communis
an
unknown
EMS
which
requires
a
priority
priority,
one
response,
but
that
winds
up,
resulting
in
maybe.
C
C
They
were
able
to
assist
personnel
271
times
and
they
were
able
to
cancel
us
for,
for
other
reasons,
perhaps
they're
helping
somebody
with
a
stranded
wheelchair
or
something
else
that
doesn't
require
an
EMS
transport
and
it
freed
up
that
Hamels
to
do
other
calls
and
they
made
317
referrals
to
either
recovery
service
services,
engagement,
center
shelters
and
in
other
programs.
So.
D
C
A
been
the
first
on
scene
for
cardiac
arrest
him
and
the
first
on
scene
for
a
shooting
that
occurred
down
a
temple
place,
so
they're
still
able
to
do
immediate,
life-saving
care
as
well
until
the
ambulance
gets
there,
so
they're
highly
motivated
and
it's
it's
been
welcomed
by
the
workforce.
So
thank
you
for
that.
C
Cardiac
arrest,
survival
rate
and
I
was
just
gonna.
Well,
there's
two
graphs
here
and
Utz:
Dean
criteria
is
one
they
use
when
they
measure
cardiac
survival
rate
and
that's
a
witness,
cardiac
arrest
with
a
person
presents
in
v-fib,
which
is
something
that
is
much
more
amenable
to
turning
around
when
you
shock
them
with
the
different
relator.
Similarly,
like
you've
had
several
just
in
this
building
somebody
spots,
somebody
down,
they
call
9-1-1.
Somebody
starts
compression
and
municipal
police
or
anybody
in
the
building
grabs
the
defib
aloft,
the
wall.
C
Those
are
the
ones
that
lead
the
most
to
success.
When
somebody
just
initiates
care
right
away,
you
know
in
Boston
we're
doing
pretty
well
without
power,
Idina
survival
rate,
it's
52
percent.
The
national
average
is
33
percent,
so
we're
doing
pretty
good
compared
to
other
the
rest
of
the
country.
If
you
looked
at
the
column,
however,
on
the
right,
cardiac
arrests,
well,
we
find
that
there
were
bystanders
doing
CPR
and
that
can
just
be
compression.
Only
then
off
to
do
mouth-to-mouth,
39
percent
nationwide
is
what
we
see
in
Boston,
it's
only
23
percent.
C
So
we
do
feel
like
this
area
for
improvement.
There
last
year,
we
trained
to
our
community
initiatives,
Bureau
3051
people
in
CPR,
and
we
feel,
like
that's
gonna,
be
effective
and
helped
us.
So
if
we
can
bump
up
those
numbers,
we
can
only
expect
that
our
our
overall
survival
rate
will
even
improve
there,
so
we're
making
that
a
priority
for
all
of
our
community
trainings.
This
year.
We
also
offer
CPR
videos
on
now
Boston
EMS
website,
which
is
linked
to
the
city
website.
C
They've
been
around
for
a
year
in
those
videos
and
there's
a
little
picture
on
the
screen
shot.
We
have
uniformed
T's
from
Boston
EMS,
who
are
native
speakers
who
offer
that
the
instruction
and
how
to
do
compression-only
CPR
they
do
it,
of
course,
in
English
Spanish
Vietnamese
Cantonese,
which
is
Creole
Haitian,
Creole
and
I'm,
not
sure
how
many
times
they've
been
viewed,
but
I
know
that
a
lot
of
a
lot
of
groups
have
taken
advantage
of
that.
B
C
Boston
East
Boston
was
certainly
in
the
news.
There
was
a
lot
of
discussion
about
it
and
back
on
March
20
March
12th.
We
added
a
second
MLS
to
aerials
to
East
Boston
827
is
its
callsign.
It's.
It
was
added
to
address
the
rising
response
times
in
the
neighborhood
and
also
the
main
concern
that
once
that
ambulance
over
there
is
occupied
its
transporting
to
a
hospital
on
the
Boston
side
of
the
harbor.
C
C
Well
anymore,
because
the
likelihood
of
those
units
being
clear
was
getting
less
and
less
so
we
did
start
to
have
gaps
in
our
our
response.
Time
goals
weren't
about
priority
one
median
response
times
in
East
Boston
were
really
rising
and
compared
to
a
citywide,
so
it
was
called
for.
We
then
it's
the
two
of
this
truck
on
the
day
shift
and
evening
shift
and
because
on
nights,
we're
doing
okay,
we're
monitoring
our
our
response
times.
C
There
we've
already
seen
a
40
seconds,
40
second
46,
second
reduction
in
priority
one
median
response
times
on
the
day
shift
or
Wendy's
Boston,
which
may
not
sound
like
much,
but
it
is
significant
because
it's
it's
it's!
You
know
it's
more
than
a
half
minute
drop
in
our
Priority
One
median
over
there,
and
we've
also
noticed
a
one-minute
a
full
minute
reduction
in
priority
and
would
mean
a
response
times
on
the
evening
shift
over
in
East
Boston.
C
So
adding
that
zone
impact
truck
is
as
good
as
it's
been
for
East
Boston,
it's
it's
benefited
everybody
in
Charlestown
in
downtown
as
well
and
I
expect
to
see
further
improvement,
because
Massport
is
in
the
process
of
constructing
a
second
garage
for
us
at
the
site
over
in
Prescott
Street
on
their
property,
and
they
are
putting
in
a
new
larger
office
trailer
for
us.
So
once
that
happens
and
I've
been
assured,
that's
gonna
happen
this
summer
that
we
will
be
able
to
shift
change
that
in
unit
over
there.
C
Currently
emulous
27
is
a
reserve
vehicle
that
changes
out
of
Shirley
Street
in
Roxbury,
so
crews
come
in.
They
have
to
take
the
truck.
There
drive
it
over
to
East
Boston,
take
their
calls,
but
then
a
chief
change,
which
is
you
know
busy
pots
of
day.
They
have
to
travel
back
and
then
they
relief
jumps
and
it
goes
over
because
we
don't
have
a
place
to
garage
it
over
there,
which
is
a
requirement
by
OEMs.
C
But
once
that
garage
is
completed
and
it
is
fast-tracked
again,
we've
been
assured,
it
will
be
another
summer
we'll
be
able
to
change
that
truck,
have
both
the
trucks
report
in
East
Boston
and
that
should
greatly
help
with
any
outline
calls
for
when
East
Boston.
So
we're
gonna
see
further
improvement.
C
Human
trafficking,
we've
I'm
medical
director,
dr.
Sylvia
Dyer,
is
you
know,
taking
a
lead
in
the
EMS
agencies.
Really,
you
know
around
the
country
and
developing
a
training
for
you,
miss
personnel,
and
you
know
how
to
recognize
how
to
suspect
people
who
could
be
victims
of
human
trafficking
and
everything
that
that
entails.
D
C
Safely,
when
there
may
be
out
of
earshot
of
others
or
or
maybe
we
just
pass
that
information
out
of
a
hospital
where
they
have
a
better
ability
to
to
talk
with
the
patient's,
you
know
away
from
somebody
who
may
be
trying
to
control
them
a
manipulate
them
or,
or
you
know,
trying
to
influence
them,
and
so
we've
been
rolling
that
training
out
with
all
our
recruit
classes.
We've
done
it
with
our
supervisors
and
we're
rolling.
C
You
know
with
our
incumbent
workforce
as
well,
and
that
was
training
that
was
done
in
conjunction
and
developed
with
Family
Justice
Center,
with
Boston
Public,
Health
Commission
programs
up
in
Brighton
and
also
with
the
sexual
assault
unit
from
the
Boston
Police
Department.
Lieutenant
Donna
Gavin
has
worked
with
us
over
the
years
of
various
projects
and
it's
been
great
to
work
with
that
group.
C
C
To
support
roadway
safety
measures
to
the
use
of
our
data
to
identify
hotspot
locations
throughout
the
city
over
the
years,
some
of
our
information
around
pedestrians,
around
bicyclists
cars,
what
types
of
trucks
are
involved
or
what
they
caused
involve
even
getting
down
to
some
granularity
on
the
bikes.
Was
it
bike
versus
bike?
Was
it
bike
versus
a
door
which
we
can
pull
a
lot
of
information
out
of
our
electronic
charts?
C
And
we
share
that
with
transportation
officials
here,
and
some
of
that
has
helped
to
inform
them
where
you
going
to
put
the
bike
lines
bike
lanes
next,
because
we're
seeing
more
severe
or
frequent
or
other
issues
around
certain
intersections
for
pedestrians.
They
use
a
lot
of
that
data
to
try
to
make
traffic
calming
and
other
decisions
down
there,
and
you
know
we're
very
proud
to
say
that
we've
been
a
quiet
partner
in
that
one
of
the
things
you
can
Republicans
see
now
is
the
public
can
access
locations
of
roadway
incidents
on
the
city's
website?
C
We
verify
the
mode
while
we
do
protect
the
patients
up.
You
know
medical
history
and
conditions.
We
don't
put
any
of
that
on
there,
but
the
police
department
pulls
the
information
from
CAD
about
various
informations
and
we
will
confirm
whether
it
was
bicycle,
pedestrian
or
vehicular
in
nature,
and
they
use
that
to
populate
this
map.
That's
on
the
city's
website,
so
people
can
do
their
own
Alyce's
whatever,
because
we
all
get
a
lot
of
requests
for
data,
and
this
way
it's
coming
from
one
source
and
it's
been
vetted
by
all
the
agencies.
D
C
Well,
we
collect
data
on
a
daily
basis.
We
review
all
suspected
narcotic
related
incidents
and
we
have
for
over
12
years
now.
We've
we
record
trends
I
believe
we've
included
some
of
that
information
in
your
packet
and
I
know.
There
was
some
questions.
We
also
try
to
use
that
to
try
to
you
know,
help
inform
where
we
might
want
to
do
what
more
outreach
more
knock
in
training
in
the
community
again
anything
that
our
information
can
be
useful
to
help
further.
C
So
we
really
have
to
see
how
how
it
rolls
out
at
the
end
of
the
year,
but
but
but
just
to
tell
you,
as
of
as
of
last
week,
total
narcotic
related
and
his
illnesses
that
Boston
EMS
encountered
was
1214
as
a
to
1049.
Last
year
referred
to
the
medical
examiner
last
this
year,
29
cases
last
year
that
was
30.
So
that's
about
even
narcan.
20
percent
increase
the
amount
of
knockin
that's
been
administered
this
year
and
that's
by
whether
it
was
we
we
we
go
by
whoever
gave
it
first.
C
So
if,
if
police,
fire
or
us
are
the
shelters
anywhere
else
gave
it
we
only
kind
of
once
that
means
that's
that's
an
end
of
a
vidual
patient
received
at
least
one
dose
of
not
kim
one
number.
That's
a
little
concerning
that
is
up
this
year
is
the
cardiac
arrests.
They
were
transported
to
hospitals.
We.
C
We're
recovering
more
patients
that
aren't
being
referred
to
the
medical
examiner,
because
they're
found
to
be
pulseless
and
we've
initiated
cpr
we've
maybe
get
pulses
back.
We
transport
them
to
the
hospital
only
to
find
out,
maybe
even
days
later,
that
these
personnel
don't
wake
up.
They
actually
do
succumb
or
they
get
taken
off
life
support
because
they
had
been
found
down
for
a
bit.
So
we
have
in
some
some
initial
success,
resuscitating
them.
C
E
C
And
I'm
sorry,
the
the
best
team
we've
been
working
with
the
best
team
I
know
that
this
this
party
approved
additional
positions
for
the
Boston
Police
Department,
to
put
clinicians
out
in
the
field
I
believe
they
have
three
right
now
and
they're,
trying
to
get
three
more.
We've
brought
them
into
all
of
our
trainings.
This
last
training
cycle
when
people
come
in
off
shifts
one
to
make
sure
our
people
know
they're
a
resource
and
they're
out
there.
C
There
are
some
people
again
who
don't
necessarily
have
to
go
to
an
emergency
room
who
can
get
to
Middle's
or
or
transported
with
these
clinicians,
for
with
the
Boston
Police
Department,
perhaps
directly,
to
Solomon
Cotter
or
to
the
Lindemann,
because
maybe
that's
particularly
what
they
need.
So
that's
one
thing
that
does
free
us
up
from
a
call
that
sometimes
are
difficult
to
manage
and
and
also
trying
to
get
to
the
patient
to
a
location
what
they
really
need.
C
C
Our
initiatives
for
this
year
include,
which
you
know
the
the
rising
call
volume
and
we
spot
then
subsequent
response
times.
The
mayor
has
recommended
and
submitted
in
the
budget
to
increase
our
FTE
count
by
twenty
additional
uniformed
staff,
those
of
the
EMTs
coming
in
the
door.
That
would
be
terrific
if
she
recalls
two
years
ago,
when
your
last
increased
us
by
twenty.
We
use
that
we
deployed
two
additional
ambulances
in
the
day
and
evening
shift
two
busiest
shifts
and
a
third
one
on
the
night
shift
right
now.
C
Our
plans
would
be
to
to
follow
suit
there
to
make
sure
that
we're
adding
more
of
those
own
impact
trucks
out
there
to
fill
areas
that
we
see
our
response
times
are
creepy.
Similarly
to
what
we
saw
her
in
East,
Boston
and
that'll
also
allow
us
that
you
that
one
of
those
trucks
will
be
that
emails,
27
East
Boston,
because
currently
now
we're
staffing
that
a
hundred
percent
on
all
the
time.
C
So
we
started
doing
that
in
September,
I'm,
sorry,
March
12th,
we
estimated
that
was
gonna
come
at
a
cost
of
one
hundred
and
seventy-five
thousand
dollars
and
all
the
time
it's
you
know.
It's
been
money
well
spent.
Well,
we've
seen
the
improvements
in
the
area,
but
with
the
increase
of
these
personnel,
which
we'll
be
hiring
in
July
and
then
they'll
be
graduating
six
months.
Hence
there'll
be
then
regular
duty
personnel
there,
which
is
great
for
us.
C
One
of
the
things
we've
been
trying
to
do
is
enhance
our
recruitment
and
the
diversity
and
offer
a
pathway
for
our
residents
to
become
EMTs
and
to
come
and
apply
for
us
at
Boston
EMS
is
they
alluded
to
earlier?
Our
training
academy
has
been
I
know.
Our
EMT
training
class
has
been
a
best
route
over
the
last
of
years
for
promoting
race,
ethnic
diversity,
gender
language
capability
for
us
and
the
biggest
bar
to
hiring
when
we
post
for
recruit
class
is
that
you
off
to
already
be
a
certified
EMT.
D
C
F
It's
been
a
great
partnership
and
they've
interviewed
about
a
hundred
candidates.
They
have
about
300
that
have
applied,
so
they
will
continue
to
interview
and
those
individuals
who
are
selected
they're,
looking
at
about
30
candidates
will
be
enrolled
in
our
upcoming
EMT
class
in
August.
That
will
make
them
by
the
end
of
the
calendar
year
can
finish
with
the
class
so
that
by
the
spring,
when
we
do
a
hiring
again,
we
would
have
those
who
completed
the
program
eligible
to
work.
For
us
and
again
it's
been
a
great
program.
F
They
will
work
with
the
candidates
throughout
the
process.
So
not
only
will
they
offer
them
a
scholarship
for
the
EMT
class.
They
are
including
a
three
week
pre
class
program
for
them
to
ensure
that
this
is
what
they
want
to
do
and
to
provide
some
pre-employment
and
pre
EMT
class
study
tips
and
other
training,
professional
development,
and
then,
throughout
the
class
they
will
be
checking
in
with
our
training
program
to
ensure
that
they
are
appropriately
supported.
B
C
The
first
thing
is
say:
well,
is
there
payment
plan?
Is
that
this
is
that
and
we
really
weren't
structured
for
that
or
are
they
their
scholarships
and
the
union
did
offer
some
and
now
and
then
somebody
would
make
a
little
gift
to
the
relief
Association
and
they
would
sponsor
one,
but
those
were
kind
of
sort
of
catch
as
catch
can,
so
their
ability
to
you
know
finance.
This,
for
personnel
is
terrific
and
one
of
the
things
the
Boston
EMS
recruit.
Academy
has
now
been
approved
by
the
Office
of
Labor
and
Workforce
Development
as
an
official.
A
A
C
Per
year,
the
last
couple
years
we've
been
successful
and
supported
by
maybe
having
to
happen
for
a
year.
It's,
for
example,
with
in
anticipation
of
the
20
FTEs
coming
up.
We've
already
started
a
process
which
would
bring
in
20
additional
personnel.
Now
since
then,
we've
lost
I
believe
four
personnel
through
either
retirement,
we're
just
gonna
notice.
C
Another
members
retiring
the
end
of
this
month
and
regrettably,
we
just
received
two
letters
of
resignation
from
fairly
recent
EMTs
people
on
the
job
less
than
five
years,
but
they're
relocating
one
to
Texas
and
one
to
South
Carolina
for
family
needs.
So
it's
that's.
That
still
is
an
issue.
However
Rob
one
of
the
things
that
Public
Health's
been
very
good
about.
Supporting
now
Horace's
been
when
we've
put
a
clasp
on
before,
say.
If
we
anticipate
we
had
18
openings,
we
know
that
we
lose
some
people
in
the
process,
some
people
self-select
out.
C
Well,
maybe
they
say
you
know
this,
isn't
really
what
I
thought
I
was
getting
into.
They
haven't
in
other
years,
consistently
allowed
us
to
even
bring
on
a
couple
of
extra
personnel
because
they
know
that
by
the
end
of
that
six-month
period,
given
our
historical
nutrition
we're
going
to
lose
a
couple
of
no
bodies,
so
the
idea
is
we
try
not
to
let
seats
be
vacant
for
very
long
here.
D
C
The
years
well,
maybe
about
the
first
20
or
so
years
that
I
was
maybe
even
paying
attention
to
that
before.
You
know.
I
got
this
position.
Almost
ten
years
ago
we
used
to
average
about
13
people
a
year
who
left
for
various
reasons.
Retired
they
decide
to
go
into
nursing
a
PA
school.
Some
have
gone
to
medical
school.
You
know.
A
Which
I'm
sure,
there's
obviously
all
kinds
of
his
I
I
guess
I'd
be
more
concerned
with
people
leaving
for
another
EMS
job
if
we're
not
competitive
with
salary
benefits?
So
you
see
in
people
like
going
from
getting
trained
by
us
and
then
shortly
thereafter,
maybe
going
to
work
for
another
EMS
or
private
transport
company
yeah.
C
D
C
They
had
a
lot
of
enhanced
training
that
that
that
you
don't
see
in
other
agencies,
and
so
they
do
become
desirable,
and
if
you
get
somebody
now
who
is
on
our
list,
they
get
a
phone
call
from
maybe
some
of
the
suburban
fire
departments
that
offer
an
ambulance
they
may.
Actually
some
of
them
will
take
the
same
money.
All
this
money
they'll
be
attracted,
however,
by
a
work
schedule.
We
work
eight
twenty-four
hours
in
a
month,
mm-hm,
gifs
or
well
the
call
volume.
Just
just
isn't
the
same.
C
You
know
you're
not
doing
350
calls
in
a
24
hour
period
with
22
trucks,
and
so
they
might
be
attracted
to
go
that.
So
it's
really
it's
a
lifestyle
thing:
we've
lost
people
in
apartments
on
the
Cape
or
watch
some
suburbs,
and
then
they
had
the
opportunity
to
go
up
work.
Another
business
on
the
side,
so
some
of
its
is
a
lifestyle,
reasonable
sure.
A
But
we're
able
to
keep
up
because
obviously
our
population
and
we've
talked
about
this
for
the
past
several
years.
Our
population
continues
to
to
rise
and
it
seems
like
we're
always
trying
to
keep
up
and
where
it
looks
like
most
of
the
response
times
have
somewhat
leveled
off,
but
you
know
we're
kind
of
chasing
our
tail
and
so
far
as
the
population
keeps
going
up
there,
you're
called
a
man
keeps
going
up
and
I'm
just
the
historical
FTE.
So
we're
going
up
to
395
and
FY
19.
We
were
at
375
and
18.
C
We
were
opposed
back
in
I,
think
2009
2008,
we
were,
we
were
approaching
this
level
now
we
as
a
matter
of
fact,
we
had
job
offers.
Oh
and
we
had
a
class
of
44.
That
was
getting
ready
to
come
on
and
is
recall.
That's
when
the
economy,
it
was
the
housing
bubble
burst
in
the
whole.
Recession
came
in
the
police
wound
up
canceling
a
class.
They
laid
off
their
cadets
fire
held
off
kids,
they
canceled
the
class
and
then
that
class.
That
was
five
days
away
from
starting.
We
had
a
scent
of
all.
B
C
C
How
do
we
prioritize
calls?
Because
we
know
every
department,
you
know
I'll
come
here
every
year
and
ask
you
for
more
personnel
and
equipment.
I'm,
not
shy
about
that.
But
I
but
I
know
everyone's
got
competing
interests
right
and
other
departments,
and
so
we
want
to
do
so.
We
want
to
manage
as
much
as
we
can
so,
for
example,
in
the
cases
of
downtown
here
where
we
had
a
high
percentage
of
the
unknowns.
A
Well,
let
me
let
me
in
my
line
of
questioning
with
thanking
the
mayor
and
my
colleagues
for
their
commitment
to
continue
to
you
know,
support
EMS
and
support
more
units
on
the
street,
more
personnel
on
the
street,
as
as
the
demand
is
there
so
I
want
to
thank
you
chief
for
all
the
work
you
do
and
all
the
men
and
women
in
the
field,
and
let
me
now
give
councillor
O'malley
the
floor.
Thank.
G
You
mr.
chairman,
I've
ever
been
the
first
and
in
the
queue
so
I'm
delighted,
particularly
for
this,
for
this
topic,
chief
I
think
that
Boston
EMS
are
the
unsung
heroes
of
our
public
safety
officers.
You,
your
men
and
women,
work
day
in
and
day
out,
I've
done
a
number
of
ride-alongs
and
I've
told
this
story
before,
but
it
bears
repeating.
I
was
out
with
Ed
a
couple
years
ago,
and
the
number
for
20
calls
was
on
the
and
I
assumed
it
was
foreigner.
20
calls
for
the
week
it
wasn't.
G
It
was
420
calls
for
a
24-hour
period,
and
just
that
night
I
mean
we
hit
everything
and
and
I
just
really
value
the
work
that
you
do
and
it's
it's
evident
by
your
leadership
that
we've
got
such
the
best
and
the
brightest
in
the
city
so
in
the
country
working
for
Boston
EMS.
So
thank
you
for
that
delighted
to
see
an
additional
class
he's
25
additional
new
EMTs
and
paramedics.
Well,.
C
C
Recruits
who
transition
into
the
EMT
role,
some
of
them
may
have
medic
certification,
but
we
do
our
proud,
like
as
a
promotional
opportunity
like
chef,
and
we
do
convert
some
of
those
job
fact.
We
promoted
five
or
six
paramedics
earlier
this
year,
who
were
EMT
positions
that
get
converted?
Oh,
so,
if
we
lose
medics,
then
we'll
do
a
promotional
process.
They're
similar
for
supervisors,
charlie
and
inside
captain's
sure.
G
C
We're
trying
to
do
also
is
come
in
line
with.
It
was
imagine
Boston,
yeah
2030,
so
that
what
do
we
think
the
numbers
gonna
be
residential
population?
Is
its
I
know
it's
under
700,000
now,
but
our
daytime
population
or
a
service
population.
You
know
the
people
who
come
to
work
play
go
to
hospitals,
you
name.
It
here
lost
the
swells,
but.
G
E
B
G
C
G
C
Have
50
ambulances
in
a
fleet,
and
we
in
this,
so
that
includes
the
frontline
units
that
does
not
include
the
several
that
are
on
order
and
will
be
delivered
this
month
as
well.
All
the
ones
that
we
will
order
next
fiscal
year
is
we've
been,
you
know
in
the
budget
will
be
approved
to
water
additional
trucks
there.
So.
C
G
C
G
C
There
was
some
up
some
pretty
good
cuts
and
we
had
some
layoffs
in
the
department
and
one
of
the
ways
we
balanced
the
budget
for
about
two
years
here
was
to
really
cut
back
on
our
replacement
schedule
for
vehicles
again
two
years
ago
with
the
20
additional
personnel
that
you
all
approved
for
us,
we
purchased
12
ATM
else's
that
year,
then
10
the
next
year
this
year,
seven,
but
we
also
replaced
several
non
Emil's
vehicles.
Some
of
our
units
that
you'll
see
out
here
in
the
plaza
they
call
them
a
squad,
they're
mocked
SUVs.
C
We
use
them
for
a
lot
of
the
details.
Some
of
those
were
mafia,
2000
ones,
and
it
even
though
believe
it
or
not.
They
were
still
running
it's
it's
just
not
worth
the
money
to
put
into
them,
damn
from
God,
so
we
replaced-
oh,
maybe
about
nine
non-immunes
vehicles
this
year
and
we're
gonna
go
back
up
to
replacing
ATM
is
next
year,
including
a
new
bariatric
unit.
C
G
C
That's
being
determined
I
will
say
that
so
two
years
ago
there
was
$50,000
was
approved
for
a
study
for
an
EMS
facility
in
the
Seaport
and
$50,000
for
for
an
academy,
and
they
I
believe
they
to
get
more
bang
for
the
buck.
I
think
they
combined
it
with
one
particular
vendor
right.
There
was
dhk,
they
completed
their
needs
assessment
and
study
and
made
some
recommendations
for
the
Seaport
and
that'll
be
awaiting
further
action
for
the
training
academy.
They
completed
their
needs
assessment
square-footage.
C
What
do
we
need
as
far
as
lack
of
space
office,
space,
workout
facilities
as
such,
and
they
started
doing
some
testing
for
some
city
properties,
one
of
included
the
second
floor
or
the
roof
on
Wall
Street
out
in
West
Roxbury,
where
the
archives
are
down
below
and
BPL
has
Holdings
out
there
behind
the
Millennium
Park.
That's
right.
Yes,
yes,
that
was
one
of
the
Aptus
when
the
sites
they're
looking
at
and
with
my
understanding
now
is
that
the
money
that
they
were
putting
in
there
now
was
going
to
be
for
for
design.
C
G
C
Thank
you
and
when
they
I
mean
our
experience
here
is
one
you've,
they've
done
a
study
and
then
they
similar
to
when
you
built
the
Matapan
garage
for
us
right
now.
There
was
a
study
and
then
there
was
a
design
phase
which
was
the
next
year
and
then
the
next
year
they
voted
on
funding
the
construction.
So.
G
D
H
Thank
You
councillor
CEO
and
chief
and
Laura.
Thank
you
guys
for
being
here
and
thank
you
to
your
team
and
all
the
men
and
women
who
serve
an
EMS.
You
guys
do
do
amazing
work
that
often
probably
doesn't
get
recognized
so
I
just
wanted
to
start
with
thank
yous
just
echoing
councillor
Malley's
point
about
the
training
facility.
Yes,
it's
time
you
guys
are
doing
just
phenomenal
work
and
so
obviously
anything
that
we
can
do
to
support
you.
H
Just
a
quick
question
on
while
I'm
happy
to
see
the
increase
in
the
full-time
employees
FTEs,
given
the
population
is
going
up.
What
we're
seeing
from
the
2030
plan,
your
service
population
and
the
difference
between
the
service
population
and
residents
who
live
here
it?
What
would
your
ideal
budget
look
like
in
terms
of
you
know
how
many
full-time
employees
would
ideally
be
adequate
based
on
where
we're
going
in
population
size
increases?
H
What
would
your
equipment
look
like
I
mean?
Obviously
every
department
doesn't
always
get
what
they
want,
but
I
think
it's
important
for
us
have
a
sense
of
what
does
EMS
need,
I.
Think
for
the
police
department
for
the
police
department.
There's
a
gap-
and
we
often
talk
about
that,
particularly
the
police
department,
needing
more
officers
and
why
that's
important
I'm
just
curious
what
you
think
chief
fully
in
terms
of
what
you
think
the
need
is
and
where
there
might
be
a
gap,
and
this
is
all
positive
questioning.
You
know,
yep.
C
Saw
that
week
we
originally
when
we
put
on
the
two
additional
units
on
days
and
evenings.
We
saw
some
improvement
initially,
who
we
came
down
about
30
seconds
on
our
citywide
priority,
one
median
response
time,
but
then,
as
call
volume
increased
over
the
next
two
years
and
in
in
maybe
even
more
the
types
of
calls
that
we're
getting
where
we're
doing
more
problem-solve
on
street
corners.
So
it
looks
like
yeah,
but
what
the
police
are
doing.
C
C
Get
you
know
a
little
bit
more
complicated
that
you're
dealing
with
trying
to
sort
out?
What's
what's
really
going
on
and
some
of
the
other
issues
that
are
out
there?
We
we,
then
those
gains
were
eroded.
You
know
those
response
times
and
they've
started
something
back
down,
so
we
did
come
in
and
we
we
met
with
the
mayor's
Budget
Office
and
we
met
with
and
obviously
with
a
full
support
of
Public
Health.
C
We
showed
that
we
had
further
need
and
we
were
trying
this
other
approach
with
the
community
assistance
team
to
try
to
manage
around
the
edges.
You
know
and
try
to
you
know,
trim
away
some
of
the
problems
we
were
getting
with
some
of
the
increase
to
see
like
what
you
know.
We
want
to
make
sure
we're
getting
the
right
unit
to
the
right
truck
at
the
right
time
and
with
that.
C
Is
a
way
to
really
to
develop
a
formula,
so
we
can
see
and
project
that
so
that
we
can
see
what
the
needs
are.
Gonna
be
not
just
in
different
neighborhoods
but
but
citywide.
What
do
we
need
to
do
for
for
girls?
What
do
we
need
to
do
to
meet
demands
like
relative
to
age?
You
know
whether
it's
pediatric
population
and
the
elderly
population
is
there's,
there's
a
lot
of
opportunity
for
us
there
to
come
up
with
some
really
detailed
planning
for
as
we
head
towards
2030.
C
B
E
C
Has
shelf
life
so
and
the
idea
of
trying
to
go
on
program
replacement
schedules
so
that
so
we're
not
suddenly
happened
to
come
back
them
for
a
large
amount
of
money
to
replace
you
know,
aging
infrastructure,
so
we're
trying
to
do
is
across
all
of
that.
All
ears
of
our
department
is
to
come
up
with
better
ways
of
doing
that,
and
that
might
help
me
what
to
answer
your
question
and
to
end
to
inform
future
years
as
we
go
ahead.
H
That
would
be
helpful
in
terms
of
just
I
guess:
I'll
turn
this
into
a
information
request.
Post
is
hearing
what
that
formula
might
look
like
just
what
you
just
explained
sort
of
been
writing
what
that
might
look
like
going
forward
5-10
years
out,
because
then
I
think
that
might
inform
for
us
what
the
long-term
future
looks
like
and
where
the
gaps
are
and
and
where
we
can
be
great
advocates
on
behalf
of
you
and
your
team.
H
I
also
want
to
thank
you
guys,
and
we
will
have
hearings
coming
up
related
to
this,
for
the
work
on
getting
me
data
for
the
hearing,
order
of
related
to
diversity
and
our
public
safety
agencies
doing
this
in
partnership
with
councilor
McCarthy
and
looking
forward
to
it
chief.
Thank
you
for
being
so
responsive
Laura.
Thank
you
for
being
extremely
responsive
and,
frankly,
digging
in
you,
don't
always
see
that
believe
it
or
not
getting
into
the
details
in
the
weeds.
So
I
really
appreciated
the
edits
the
back-and-forth.
H
H
What
are
some
of
the
creative
things
we
can
do
that
are
within
our
control
and
other
things
that
might
have
to
change
with
respect
to
the
state
who
knows
but
I
think
we
could
be
doing
a
lot
more
and
you
guys
are
demonstrating
that,
particularly
with
this
partnership
with
the
workforce
development
team.
So
thank
you
my
last
question
just
to
be
mindful
of
other
people's
time.
With
the
program
now
Laura,
you
were
talking
about
right
now,
I
think
there
was
30
going
starting
in
August
or
there
were
300
people
that
applied
100
were
interviewed.
F
We
asked
them
to
do
was
actually
follow
a
pre-employment
screening
process,
okay
and
so
the
next
step
is,
they
will
actually
do
a
physical
exam
and
an
aptitude
test.
The
aptitude
has
isn't
part
of
the
normal
hiring
process,
but
this
is
to
see
if
they're
prepared
to
take
the
EMT
class,
and
so
after
that,
they're
thinking
between
25
to
30
people
will
become
eligible
to
take
the
EMT
class
and.
F
H
Gender
I
know
that's
important,
so
I'll
be
interested
in
what
the
demographics
ultimately
become
for
that
group.
I
know
for
the
cadet
program
BPD
they
follow
that
they
have
that
same
intention
of
making
sure
that
it's
more
women
and
people
of
color
when
doing
this
work,
which
is
important,
but
thank
you
guys
for
the
work
you're
doing.
Thank
you
for
the
partnership.
H
Thank
you
to
your
incredible
team,
some
of
whom
were
sitting
in
the
back
and
may
not
be
on
TV,
but
folks
there
are
people
here
who
do
this
work
with
the
chief
and
with
Laura.
Thank
you
guys
and
thank
you
to
the
men
and
women
who
do
the
work
on
the
ground
every
single
day
really
appreciate
you.
Thank.
I
C
C
We
we've
been
averaging
to
recruit
classes
a
year
just
to
keep
up
with
you
know,
retirements
or
the
people
calling
and
then
hopefully,
with
more
expansions
well
like
we're
experiencing
now,
so
the
need
has
been
there
and
our
pool
of
applicants
has
been
decreasing
the
last
few
years
we
used
to
have
maybe
290
people
sign
up
to
take
our
exam
and
after
they
went
to
the
written,
a
practical
we'd
be
interviewing
66
people,
the
20
positions
right
now.
We're
interviewing
I
believe
dirty
people
this
week
for
20
to
24
positions.
C
So
that's
our
table,
that's
our
Boston
EMS
EMT
class.
So
so
pride,
two
City
academies
involvement.
We
would
just
post
a
date
that
hey
we'll
run
an
EMT
class,
it's
Tuesdays
and
Thursday
evenings
and
every
other
Saturday
for
the
next
four
months,
a
you
could
sign
up
and
basically
it
was
you
get
your
money
in
first
you
pay
in
full.
You
got
a
seat,
yes,.
I
C
C
They
because
somebody
who
wants
taking
an
EMT
class-
they
could
say,
hey,
that's
cheaper
than
Bunker
Hill
or
mass
pay,
and
they
could
come
here
again.
The
reason
we
kept
the
cheap
was
more
affordable
was
because
we
wanted
to
be
able
to
take
care
of
our
own
folks
in
the
city.
Now,
obviously,
people
from
this
program
coming
to
the
office
of
Workforce
Development,
they
have
to
be
residents
to
qualify
for
that
program
and
a
benefit,
and
you
know
there's
nothing
saying
that
going
forward,
even
people
who
don't
qualify
for
that
program.
C
I
I
C
Is
several
thousand
dollars
per
per
student
just
to
get
them
to
the
first
three
months
and
then
once
they're
out
in
the
field?
You
know
for
the
first
six
months,
you
know
we're
still
we
have
people
who
we
have
to
bring
in
his
training
offices
with
them,
which
often
results
in
them
being
backfilled
on
all
the
time
so
yeah
I
know
there
are
costs.
We
we
do
make
a
significant
investment.
That's
why
we
do
try
to
get
everybody
through
yeah.
We
do,
you
know,
hope
to
keep
them
yep.
I
I'm
you
mentioned
equipment.
What
what
about
and
I
think
this?
This
came
up
and
I
was
looking
at
my
notes
from
last
year,
some
of
the
personal
sort
of
protective
equipment
that
our
AM
EMTs
don't
have
as
part
of
their
regular
uniform.
You
talk
a
little
bit
about
the
needs
just
briefly
about
the
needs
of
some
of
our
EMTs,
because
you've
got
your
big,
yellow
jacket
on
and
on
and
often
going
into,
you
could
be
going
into
a
crisis
event
that
can
be
dangerous
for
our
first
responders.
C
Then
you
have
helmets
that
are
issued
for
a
routine
standbys.
Well,
we
worried
about
me
the
braking
class
for
the
things
coming
down
on
you
when
you're
operating
around
a
mode
vehicle
accident
or
maybe
a
bus.
That's
on
its
side.
We
shook
loves,
boots
other
equipment
there.
We
have
it's
not
really,
turnout
gear
and
since
that
fire
training
gear,
but
it's
it's
a
high
quality
one.
That's
got
a
quilted
linings
in
it
does
protect
you
around
glass
and
cutting
if
you're
operating
in
a
dangerous
scene.
C
It
also
has
a
membrane
on
it
that
protects
you
from
blood-borne
pathogens.
We
also
an
every
truck.
We
issue
obviously
gloves
masks
and
we
fit
test
all
personnel
to
see
which
size
mask
you
should
be
wearing
whether
it's
protecting
you
and
flu
season
or,
if
you're
worried
about
some
sort
of
you
know
release.
So,
if
you're
worried
about
an
infectious
disease,
we
issue
the
Scott.
It's
a
Navy
two
thousand
face
piece
which
we
can
put
a
canister
on
or
which
filters
out
Ryan
agents.
It
filters
out
dangerous
chemicals,
such
as
nerve
agent
poisoning.
C
We
do
train
all
people
in
the
use
of
that
and
the
safe
procedure
for
putting
it
on.
We
do
provide
personal
body
armor
to
all
of
our
personnel,
even
the
recruits
once
they
come
in.
We
size
them
and
we
stop
the
order
there,
because
it
takes
a
little
bit
to
have
those
up
sets
of
body
armor
manufactured
the.
C
C
Many
well,
but
many
do
and
in
certain
situations
where
they
certainly
would
dismiss,
you
were
assisting
the
police
with
some
operations
in
a
response
to
a
lot
of
concerns
that
came
up
after
what
we
saw
at
Las
Vegas
to
pulse
nightclub
places
where
long
guns
are
being
used
for
mass
shootings
in
urban
areas.
C
There
was
a
lot
of
concerns
at
the
party
AMA
that
we
issue
and
frankly,
what
whatever
issued
to
patrolman
is
inadequate
to
stop.
You
know
military-grade
rounds
like
that.
You
know
when
you
see
em
flaws
or
ak-47s
in
use.
So
with
that
we
went
out,
and
we
worked-
the
Union
raised
a
lot
of
concerns
about
that,
and
we
certainly
wanted
to
be
able
to
protect
him
in
those
situations.
We
we
got
approval
from
the
Executive
Office
of
Public
Health
to
expend
a
hundred
thousand
dollars
this
fiscal
year.
C
C
Would
be
worn
over
your
other
equipment,
and
so
instead
of
that
being
I
personally
issued,
our
plan
is
to
put
complete,
sets
a
couple
of
complete
sets
in
every
unit
and
also
have
the
supervisors
and
especially
response
units
to
carry
extra
sets
as
well.
Along
with
that
is
a
Kevlar
and
I'm,
not
the
expert
of
this
level,
three
level,
four
helmet,
which
would
be
sufficient
to
protect
you,
a
ballistic
helmet
from
from
that
type
of
round
now.
C
Having
said
that,
that's
not
because
I
expect
our
personnel
to
be
the
first
ones
to
the
door
when
someone's
firing
a
semi-automatic
rifle
it's,
we
really
are
putting
it
out
just
like
a
lot
of
our
PPE,
because,
as
we've
seen
around
the
world,
sometimes
the
hot
zone
come
to
you.
You
know
you
aren't
the
folks
in
Paris
that
we
brought
over.
Here
we
talked
to
they
weren't,
anticipating.
C
You
know
what
they
saw
at
the
pottercon
nightclub
there
when
everybody
get
pinned
down
well,
even
the
the
regular
police
had
a
call
for
special
units
to
come
in
to
be
able
to
combat
that
type
of
firepower.
But
even
if
you
are
in
the
vicinity
there,
you
want
to
have
the
best
level
of
protection
available,
so
our
goal
is
to
place
it
in
the
ambulances.
Really
by
the
end
of
this
this
fiscal
year
we
do
expect
to
have
it
in
and
so
we'll
be
able
to
basically
grab
it
off
the
shelf.
C
If
we
have
to
go
to
that
level
of
protection,
but
again
any
any
training
about
how
we
would
be
would
be
under
you
know
the
the
protection
of
the
Boston
Police
Department
great.
J
J
So
counselor
Manley
asked
a
lot
of
about
the
the
training
facility
that
are
the
facilities
so
I'm
glad
that
we're
working
towards
that.
Can
you
talk
a
little
bit
about
a
little
like
digging
a
little
more
about
the
partnership
with
the
best
team
in
BPD?
So
what
like
like?
What?
What
is
your
role
there
I
mean
I,
don't
know
your
role
when
you
show
up
on
a
scene,
but
but
once
a
person
that
you
have
the
person
not
in
custody,
but
in
your
ambulance,
whoever
what
what
happens
from
there?
Can
you
talk
about
those
interactions?
C
Encounter
patients
either
there
mostly
to
start
person
or
up
well
they.
Well,
they
have
a
diagnosed
mental
illness,
and
maybe
the
families
called
because
they're
19
year
old
sons
refuses
to
take
his
medication,
he's
acting.
How
we
there
isn't
much
that,
like
EMTs
working
in
a
licensed
ambulance
service,
can
do
really
other
than
to
transport
them
to
an
emergency
room.
So.
J
C
C
J
C
Being
transferred
from
say,
Boston,
Medical
Center
to
to
it
to
a
psychiatric
facility,
lots
of
times
that
will
be
done,
somebody
will
be
transported
by
a
private
emails
company
because
once
they've
already
maybe
been
cleared.
What
would
have
you
so
for
right?
Now,
it's
a
it's
pretty
much.
Our
options
are
in
the
emergency
room
with
the
best
team
and
with
the
ability
to
use
them.
There's
a
couple
of
different
things,
one
they
may
be
able.
D
C
Well,
they're
gonna
bring
them
in
no
the
best
team,
where
there
are
people
that
have
a
lot
more
training
and
dealing
with
psychiatric
emergencies,
even
if
they're
gonna
take
them
to
the
hospital
men,
maybe
they
could
just
take
them
along
with
with
the
police
as
well.
Also,
our
one
of
our
hopes
is
that
that
may
be
able
to
help
us
with
situations
where
we
wouldn't
have
to
rely
on
taking
somebody
against
their
will
forcibly
restraining
them
to
do
that,
I
mean
that's
that's
the
least
enjoyable
part
of
our
job.
C
Sometimes
we
have
to
do
it,
but
the
idea
was
that,
if
sometimes,
if
you
have
maybe
a
clinician
who's
better
off
in
handling
that
or
to
give
that
a
try.
So
to
this
point,
we've
just
it's
mostly
been
making
our
people
aware
that
that
asset
was
out
there
because
for
a
longest
time,
I
was
like
one
officer
that
worked
I
think
evening
shift
and
Beto.
So
your
chances
of
getting
that
unit
available
to
assist.
You
was
pretty
rare.
C
You
know
now
that
they're
working
up
more
shifts
more
hours
and
we
start
to
see
them
in
different
parts
of
the
city.
You
know
we
can
because
I
dispatches
co-located
with
police
dispatch.
We
can
just
make
a
request
to
them
and
say:
like
hey,
do
you
have
any?
You
know
what
the
best
team
on
when
that
call
comes.
J
C
When
that
call
comes
in
or
when
our
personnel
get
to
the
scene
and
say
hey,
you
know
we
could
maybe
get
this
person
to
go
or
we
get
there
and
we
find
a
person
who
is
competent.
They
don't
seem
under
the
influence
or
impacted
by
anything
and
they
meet
the
criteria
to
be
able
to
refuse
transport.
But
you
know
the
film
is
insisting
something
else
is
going
on
and
they
really.
We
really
want
to
try
to
get
this
guy
or
girl
to
go
to
the
hospital.
The
best
team
can
come
and
I
mean
they.
C
C
C
I
know
that's
being
done
with
with
the
specialty
court
and
with
the
BPD
that
have
been.
You
know
doing
that
a
bit
more
one
to
try
to
you
know
another
tool
to
try
to
get
people
into
treatment.
Try
to
keep
him
alive
long
enough,
and
then
you
know
hopefully
move
on
into
like
transitional
and
supportive
care
and.
C
Twelve
section
twelve
for
then
35:12
is
for
just
twelve
12z
merged
in
when
they
used
to
call
it.
A
pink
paper
you
know
is
that
that
could
be
for
emergency.
Hospitalization
could
be
for
mental
illness,
but
it
could
be
for
substance
yeah.
It
could
be
for
somebody
who
you
know
they.
They
they
find
that
out.
Maybe
a
a
crazy
hoarder
situation
where
but
there's
no
food
not
play
in
the
person's
where
they've
been
like
we're
gonna
get
you
some
play.
You
know
it's
unhealthy
here.
There's
details
in
okay.
J
Kind
of
along
those
same
lines
you
talk
in
in
here
it's
talking
about
human
trafficking
and
how
EMS
interacts
with
with
people
that
are
being
trafficked.
Oh,
can
you
can
you
explain
to
me
a
bit
about
maybe
where
that's
happening,
and
what?
What
do
you
do
in
that
situation
when
you've
identified
someone,
that's
been
traffic
like
what
do
you
have
of
it?
What
does
EMS
have
available
to
you?
Well.
E
C
Our
awareness
of
it
and
the
potential
of
it
and
to
know
that
it
could
be
a
younger
person's,
it
could
be
older
person.
It's
a
lot
of
mom
could
be
people
who
are
up
may
be
recent
immigrants
or
may
be
afraid
to
go
to
authorities
who
are
afraid
that,
if
I
report
this
or
even
complain
about
this
I
could
be,
you
know,
put
myself
on
a
potential
hot
seat
to
get
you
know,
detained
or
deported.
C
C
C
Yeah
suspicious
weather
weather,
again
some
of
child
abuse
or
elles
or
neglect.
You
know
we
that's
one
of
the
grain
of
the
people
to
to
look
for
that.
You
know
it's.
We
gone
apartment
and
this
bunch
of
little
kids
running
around
and
the
screens
are
down
the
sofas
up
against
there's
no
window
guards
to
talk
to
people
about
telling
us
know
that
this
little
cost
very
options.
For
that,
would
you
like
somebody
to
come
and
see
you,
but
again,
it's
I
know
I
digress
a
little
bit,
but
that's
become
so
ingrained
about
people.
C
They
routinely
think
of
things
like
that.
The
goal
here
is
to
get
them
to
a
suspect.
The
human
trafficking
is
go
is
is
out
there
and
that
we,
if
we
suspect
it
at
all
that
we
should
report
it.
We
can
report
it
to
the
hospital
once
we
get
people
there,
hopefully
to
make
it
safe,
but
also
report
it
to
law
enforcement.
Okay,.
E
J
C
Answer
we
can't
anima
Toobin,
we
have
a.
We
do
build
for
our
services
friend
transports
similar,
as
I
think,
every
licensed
email
service
in
the
commonwealth,
the
ones
that
are
either
doing
contract
work
for
a
city
in
town
or
if
it's
a
municipal
police
of
fire
based,
they
I
do
believe
they
all
do
it
I
mean
some
rural
pots
in
England
I
know
I.
They
have
volunteers,
sisters
but
even
think
they're.
They
have
like
subscriber
fees
so.
J
C
In
by
saying
we
built,
a
patient
had
been
in
most
cases,
it's
their
insurance.
We
spent
a
bill.
We,
we
user
Bob,
we
contract
out
with
a
private
this
medical
building
building,
which
is
which
is
complicated.
You
know,
but
you're
trying
to
make
sure
we
meaning
all
the
HIPAA
requirements,
make
sure
we're,
in
conformance
with
all
the
CMS
billing
codes
and
insurance
requirements.
So
so
is.
J
C
J
C
A
K
Thank
Thank,
You,
council,
CMO
and
I
just
wanted
to
echo
what
counsel
Baker
said:
I
think
we
have
the
best
EMS
division
in
the
country
and
I
just
want
to
say
thank
you
to
to
you,
chief
and
in
tomorrow,
as
well.
I
had
a
couple
questions
chief
I
know:
you
talked
about
the
success
of
the
EMT
certified
EMT
program,
and
you
said
the
cost
was
about
seven
hundred
and
seven
hundred
dollars
for
someone
to
take
that
course.
Yeah.
K
If
someone
doesn't
have
the
money
for
the
course,
are
there
any
options
for
that
person
to
still
take
the
course
you
know
they
might
want
to
be
EMS,
they
might
want
to
be
in
this
field,
but
you
know,
certainly
we
wouldn't
want
$700
to
be
the
reason
that
they
couldn't
get
into
this
field.
Is
there
any
other
options
for
some
dedicated
young
person
that
wants
to
really
be
certified?
K
C
They
so
we
were
constrained
that
we
have
to
pay
our
instructors
and
you
know,
pay
the
state
examiner's
when
they
come
in
to
conduct
the
examination
and
we
have
to
buy
books
and
we
do
consume
some
materials
when
we're
doing
training.
So
it
was.
It
was
kind
of
difficult
to
do
that.
We
used
to
you,
give
people
time
to
make
a
down
payment
and
then
come
in,
but
Maemo
suppose
we
received
before
you
know
the
class
taught
it
to
not
have
to
ensure
the
seat.
C
Now
with
this
program
that
the
city
is
sponsoring
for,
for
us
up
to
30
people
there
that
tuition
would
be
completely
paid
for
by
them,
which
is
terrific.
We've
had
a
I
mentioned
earlier.
The
union
that
represents
the
EMTs
and
paramedics
VPP
AMS
division.
They
have
sponsored
by
the
family
to
spend
different
groups,
have
approached
them
and
they've
sponsored
a
scholarship
or
other
people
have
come
forward
before
and
say:
hey
I'd
like
to
donate.
Would
it
be
good
we've
directed
that
we
suggest
that
to
people?
C
K
Thank
You
chief
had
the
opportunity
during
that
anti
gun
violence
rally
up
at
the
Boston
Commons
several,
maybe
two
months
ago,
month
and
half
ago
to
to
visit
and
tour
the
communed
Truck
Center,
that
was,
there
was
off
the
off
the
Boston
Common.
Can
you
give
a
little
bit
of
the
background
on
on
the
purpose
of
the
command
center?
What
does
the
commands
that
are
doing
such
a
situation?
I
know
you
have
one
at
the
Boston
Marathon,
but
what
type
of
services
would
that
command
center
play?
Well,.
C
D
C
Vehicle
that
that
you're
speaking
of
there
was
was
sort
of
had
dual
purpose.
That
day,
it's
a
I
think
the
technical
word
is
a
map,
mobile
ambulance,
bus
that
was
purchased
with
federal
hue
a/c
dollars
and
conjunction
threw
up
the
City
of
Boston
had
to
its
you
a
see-through
OEM.
We
SPECT
that
out
several
years
ago,
that
has
the
ability
to
carry
oh
I
forget
the
exact
number
of
personnel
he
it
depends
on
their
acuity.
We
could
we
have
stretch
of
space
on
there
for
twenty-plus
personnel.
C
We
the
ability
to
ratchet
down
and
secure
the
floor,
multiple
patients
and
wheelchairs.
So
that
gives
us
the
ability
to
help
if
we
had
to
evacuate,
say
a
skilled
nursing
facility
or
if
there
was
an
emergent
evacuation,
we
had
to
transfer
our
large
groups
of
persons
or
redistribute
them
beyond
the
region,
I
get
them
out
of
Boston,
bring
them
somewhere
else.
C
We,
but
we've
used
it
on
on
events
where
we've
had
multiple
people
right
now
with
say,
minor
complaints
where
we
get
them
out
of
the
elements
we
get
a
man,
we
can
examine
them
and
there
we
have
medical
equipment
in
there.
We
can
do
we
catch
on
them
and
prioritize
them
for
transport.
One
of
the
busiest
events
believe
it
or
not.
C
We
used
him
fall
was
two
years
ago
when
the
Patriots
had
that
Super
Bowl
celebration,
it
was
parked
out
in
the
back
of
this
building,
and
probably
the
worst
kept
secret
in
town
was
that
the
plays
we're
gonna
hang
around
the
back
of
City
Hall
there.
So
we
wound
up
with
a
pretty
good
crowd
of
mostly
intoxicated
underage
people.
C
C
They're
falling
down
and
stuff,
you
have
to
really
check
them
out
for
head
injuries
or
Co,
ingestions
or
anything
else.
So
we
did
a
lot
of
we
just
pulled
in
there
together.
My
recall,
the
weather
was
horrible.
That
day,
that
kind
of
became
a
mobile
clinic.
What
we
could
decide.
Who
could
we
who
could
be
discharged
who
had
to
be
transported?
K
E
C
Seaport
District
are
back
when
a
city
calls
at
the
innovation
area
right.
The
was
was
growing.
We
we
talked
before
about
our
call
volume
going
up
before
was
going
up,
maybe
2%
a
year
which
doesn't
seem
like
much
but
once
you're
over
a
hundred
thousand.
It
is
and
transports
coming
up
just
a
little
less
than
that,
and
that
was
more
of
the
historical
growth
across
the
city.
The
last
several
years
about.
B
C
So
from
2003
until
a
couple
years
ago,
I
mean
your
your
residents
Lt
council,
so
you
know
I
mean
that
was
like.
It
was
a
ghost
town
at
night,
but
everyone
knows
what
it's
developed
into
now,
but
even
2003
on.
We
started
to
see
like
double-digit
growth
and
calls
down
there.
We
were
like
in
14%
growth
and
improvement,
which
was
I
mean
not
improving,
demand
for
services
down
there
and
one
was
to
try
to
get
extra
trucks
on
which
we
did.
C
But
another
thing
was
like:
we
were
trying
to
get
a
station
down
in
there
somewhere.
So
we
had
approached
the
city
about
it
and
I
know
about
then
the
VRA
not
to
be
BDA
and
others
have
that
on
a
radar.
What
the
city
did
two
years
ago
was
they,
they
funded
a
study
to
do
a
needs
assessment
and
they
started
looking
at
various
possibilities
down
there.
One
was
to
build
the
station
solve
for
EMS
on
an
existing
piece
of
city
property
down
there.
C
C
Out
a
bunch
of
potential
ways
to
do
it,
but
then,
beyond
that,
they
also
looked
at
several
other
cities
where
it
was
done,
was
part
of
private
development
where,
if
somebody's
building
an
office
building
a
mixed-use
or
whatever,
they
would
take
a
corner
of
one
floor
and
put
a
fire
bay
in
there.
I'll
put
two
hand
mills
bays
in
there
and
so
what
they
did
when
this
study
was,
they
tried
to
come
up
with
estimates.
C
What
some
of
that
would
cost
and
show
best
case
best
cases
for
what
this
looked
like
in
other
cities
and
they've.
You
know
presented
that
back
to
a
property
management
of
the
city,
so
hopefully,
then
that'll
give
some
direction.
What's
the
best
way
to
go.
What's
the
most
bang
for
the
buck,
what's
most
efficient
going
forward
right.
K
K
You
know
what
the
what
the
high
volume
of
traffic
I'd
love,
eventually
to
see
a
Police
Fire
EMS
state
of
the
building,
the
other.
You
know,
there's,
as
you
mentioned,
the
neighborhood's
growing
so
fast
and
I
am
concerned.
If
there
was
a
public
safety
problem,
while
hazard
that
it
would
be
difficult
for
our
first
responders
to
get
in
there,
but
my
long-term
plan
is
to
see
a
Police,
Fire
EMS
major
presence
in
that
in
that
area
as
well,
but
again
I
just
wanted
to
say
Chief
Tom.
K
L
I.
Just
have
a
couple
questions
that
some
a
lot
of
the
questions.
I
have
are
Iran
locations
and
operations.
That's
kind
of
the
background
that
I
have
anyway.
My
concern
for
you
and
we've
talked
about
this
I
talked
about
it
with
Commissioner
Evans,
as
well
as
commissioner
Finn,
the
biggest
complaint
we
get
as
a
district
city
council
is
traffic
and
traffic
congestion,
your
locations
and
your
operations
facilities
concern
me
I
think
they
concern
you
too
you'd
like
to
be
everywhere,
but
you
certainly
can't.
L
Is
there
a
strategic
plan
to
to
figure
out
exactly
into
Council
Flynn's
point?
We
have
a
brand-new
brand-new
neighborhood
coming
in
the
waterfront.
Now
the
South
Boston
waterfront,
and
you
know
we
had
a
hearing
last
week
about
concurrent
jurisdiction
as
you're
aware
well,
aware
of.
Is
there
a
strategic
plan
in
place
of
where
we
should
be
regarding
response
times
and
things
like
that.
C
C
C
Else
and
trying
to
clear
out
of
the
hospital
and
we're
grabbing
them.
You
know
the
Hyde
Park
they
come
out
of
the
Brigham,
you
know
and
then
now
we
move
somebody
else
out
to
cover
them
in
the
meantime,
but
they
at
least
think
it
hi
pox
nation
they
can
get
in
maybe
get
out
of
the
rain,
use
the
facilities
heat
up,
something
as
well
too,
because
anybody
has
access
to
the
stations
you
know
using
the
Kottke
system.
So
you
know
having
that
that
stationed
out
in
Hyde
Park
was
up.
C
It
was
a
big
thing
when
I,
when
I
worked
out
that
way,
our
one
of
our
emails
that
changed
out
of
across
me
old,
Boston,
City
Hospital,
my
garage
then,
which
is
now
healthcare
for
the
homeless.
You
picked
up
that
truck
there.
You
drove
out
the
clary
square,
you
parked
outside
the
police
station
and
you
could
go
inside
there
if
you
want
to
get
out
of
the
truck.
So.
C
But
you
know
it's
not
everywhere,
one
of
the
reasons
I'm,
sorry,
one
of
the
places
we
made
a
recommendation
was
certainly
the
Seaport
another
one.
We
made
recommendations
and
Hobbit's
master
plan
for
developing
what
they're
doing
over
there
to
include
some
sort
of
a
garage
or
a
facility
for
EMS
in
Brighton,
because
we're
right
now
we
were
basically
attendant.
Well,
we
get
a
pretty
good
deal
from
them
for
the
facility
we're
renting
from
Haven
right
now.
I'm
mcdonald
way
I
for
Everett
Street.
We
run
two
ambulances
out
of
there.
C
C
They
change
out
of
our
facility
on
River
Street
Mattapan,
and
then
they
traveled
back
to
Toronto,
Cummings,
yep
yeah
and
which
is
it
helps,
but
that
that
you've
changed
time
of
day
their
demo
from
the
back
and
forth
similar
to
are
in
those
12,
which
is
a
so
an
impact
truck
that
normally
post
up
around
Franklin
Park.
You
know,
we've
we've
made
recommendations,
say
if
there's
any
building
going
on
back
where
boxes
inside
Franklin
Park
yep
anyway,
we
might
jump
on
where
another
city
department
is
building
I.
C
C
In
Boeing
that
you're
bringing
out
of
the
city
services
they're
similar,
we
linked
up
with
DPW,
oh
right
and
my
oh
yeah
there,
and
when
they
built
a
facility
in
fields,
corner
and
Dorchester,
that
was
that's,
you
know
stood
the
test
of
time.
That's
been
good
because
we
have,
you,
know,
connections,
data
line,
so
we
can
pull
right
over
from
the
police
station
yeah.
L
Thanks
so
much
yeah,
the
truck
eighteens
got
a
nice
spot
over.
That's
where
I
used
to
to
snow
operations.
So
a
lot
of
friends
over
there
and
I
know
that
just
the
fact
you
said
renting
from
Harvard
there's
a
couple
eyes
that
popped
open,
including
my
two
colleagues
who
are
here
counselor
was
the
counselor
Sabri
George
are
doing
a
hearing
in
a
couple
weeks
regarding
the
pilot,
so
maybe
we
can
figure
out
why
we're
spending
money
renting
to
from
Harvard
that's
a
whole
nother,
that's
a
whole
nother
can
of
worms.
L
My
last
question
actually
is
kind
of
a
silly,
but
I've
been
curious.
Ever
since
we
had
the
the
banquet
at
the
Venezia,
they
had
the
old
put,
they
had
the
PowerPoint,
which
was
pretty
funny.
They
were
showing
a
lot
of
the
old
pictures
with
guys
with
giant
you
know,
froze
and
stache
isn't
then
they
showed
an
old
truck
and
everybody
booed.
What
was
that
all
about?
Do
you
remember
like
there
was
one
truck
they
showed
I,
don't
know
if
it
was
not
attached
or
something
every
was
like
and
I
and
I
walked
out
of
there.
C
After
the
late
90s,
we
we
got
away
from
the
emails
boxes
that
will
mount
on
mounted
on
pickup
truck
frames,
because
some
of
those
were
lucky
to
get
two
years
out
of
we
would
have
frames
cracking
you
know
we,
you
know,
we
punished
them
a
little
bit
on
city
streets
driving
around
and
the
trucks
were
heavy.
They
carried
a
lot
of
equipment
and
they.
C
When
you
took
delivery
off
the
factory
floor
and
between
suspensions
and
transmissions
and
everything
where
they
tried,
they
tend
to
be
nightmares
back
in
2003
I
think
it
was.
We
went
to
a
a
medium
duty
truck
the
Chevy
I
think
it
was
the
4500
GMC,
which
proved
to
be
a
dependable
platform
for
us
the
brakes
for
the
last
way
better
because
they're
the
same
type
of
truck,
you
would
put
up
a
dump
truck
on
or
something
else
on,
so
the
cooling,
the
engine,
the
transmission,
the
brakes,
everything
held
up
much
better
than
heavy
duty.
C
Unfortunately,
they
they
tend
to
ride
like
a
dump
truck,
and
so
we
had
to
do
to.
We
went
through
different
iterations
over
the
years
with
different
suspensions.
Velvet
rides,
the
air
rides
different
ones,
and
we
would
so
we
would
get
any
Epicure
'men
of
ambulances
in
and
we
would
finally
get
the
suspension
the
way
we
wanted
and
then
the
next
year.
They'd.
Stop
me
in
that
line
of
truck
well
something
else.
So,
a
couple
of
years
ago,
GM
just
dropped
that
line.
It
was
just
be
a
waiting
list
for
it.
C
C
C
Not
much
creature
compass
at
all
in
there,
because
now,
if
you
go
out,
you
can
go
out
now
these
days
and
buy
a
new
Florida,
whatever
pickup
truck,
that
rides
like
a
Cadillac.
You
know
that
has
multi
position
seats
and
you
know
all
the
bells
and
whistles
and
finally,
the
pickup
trucks
did
catch
up
with
that
and
two
years
ago
we
we
developed
a
audience
working
group
with
union
membership
management,
mechanics.
We
would,
how
did
the
specs
all
over
and
we
tested
out
a
few
of
the
trucks
and
we're
gonna
clarity?
C
Fit
on
that,
so
we've
downsized
the
back
of
the
truck
a
little
bit.
We
were
with
a
lighter
box,
and
you
know
from
all
who
we
went
with
a
it's
called,
a
liquid
spring
suspension,
which
dumps
down
a
little
bit
when
you
open
the
doors
so
you're,
making
the
biggest
thing
there
was
making
the
crews,
safety
and
comfort
improved.
So
that's.
C
L
Yeah
we
groan
when
the
Fox
problem
went
to
Ford
contours
to
they
lasted
for
two
years.
So
thanks
very
much
again
for
everything
you
guys
do
when
we
start
the
planning
for
new
facilities,
whether
it's
training
or
offices
themselves,
I'll
be
I'll,
be
on
board
with
that
without
a
problem.
Thank
You
mr.
chair
Thank,
You
council,.
M
Flower
Thank
You
mr.
chairman
good,
to
see
a
chief,
obviously
EMS
has
had
a
great
working
relationship
with
the
council
over
the
years.
I
actually
served
as
council
president
when
we
were
able
to
deliver
group
for
a
much
well-deserved
benefit
to
you
into
your
membership
for
the
hard
work
that
you
guys
do
so
and
appreciate
it,
working
alongside
with
you
and
your
team,
and
we
were
able
to
get
that
done
for
you.
You
know.
Obviously
it
was
a
period
of
time
where
my
kids
were
a
lot
younger
I
thought.
M
M
They
just
they're
in
in
in
need
of
assistance
and
and
often
times
you
and
your
crew
right
on
the
spot
and
in
many
instances
sometimes
the
first
guys
they're
so
appreciate
that
that
effort
we're
just
going
through
the
budget
I
want
to
take
a
peek
at
the
special
ops.
You
had
786
events
in
2017.
Are
you
one
power
to
be
at
the
same
or
more
in
2018.
C
M
C
I
give
an
example:
I
guess
they
had
the
that
adidas
event
down
where
they
shut
down
Charles
Street,
and
so
that
was
a
that
was
a
detail.
Detail
rates
a
little
bit
less
than
all
the
time.
It's
negotiated
things,
so
we
we
built
if
they
they
go
in
front
of
special
events
group
for
the
city,
just
like
other
departments-
and
this
is
a
regulation
and
public
health
law
that
we
were
where
we
can.
C
We
don't.
We
don't
force
them
to
iris,
but
we
make
recognize.
We
have
to
at
least
review
your
plan
and
if
it's
and
it's
a
lot
of
ones,
I
required,
for
example,
like
schoolboy
football
games,
you
have
to
have
an
EMT
on
scene,
boxing
events
you
have
to
have
any
MLS
this.
There
are
some
that
are
required
by
the
vendor
that
a
some
that
are
required
by
the
city
we
sell
like
hey,
you
want
to
have
whatever
fest
of
all
here
in
City,
Hall
plaza,
you
have
to
up
hiring
hymnals
for
it.
C
C
So
we
maybe
need
a
put
a
medical
tent
somewhere
because
of
that
halfway
point
last
year
we
could
kill
with
people
overcome
by
heat,
so
we
don't
want
to
make
sure
we
plan
appropriately,
so
we
go
in
and
we
make
recommendations
and
in
some
cases
you
know
it's
if
they
want
to
get
their
permit.
You
know
they
have
to
get
a
sign
off
on
it
picture
very
good,
but
but
there
are
some
events
where
Rob,
obviously
that.
C
Events
there
and
stuff
like
we
don't
build
the
elderly
commission.
You
know
there's
just
sort
of
expected
that
will
do
that.
We
get
the
request
from
their
commissioner
or
Rob
or
a
lot
of
the
parades.
Like
you
know,
the
Dodge
today
parade
lots
of
civic
celebrations.
The
carrion
parade
those
are
Rob.
You
know
funding
for
our
regular
operational.
M
Budget
and
it
never
feels
any
type
of
us
that
any
time
you
were
in
a
senior
event,
there's
always
some
incident.
It
could
be
someone
having
difficulty
walking,
they
might
have
made,
have
been
choking
on
something
or
write
about
on
the
dance
floor.
Would
chairman
CEO
mow
a
little
longer
than
they
probably
anticipated,
but
nonetheless
having
you
guys
there?
Rendering
assistance
has
been
great
and
very
comforting
to
our
seniors
fleet
management
on
the
fleet
side,
how
many
vehicles
and
how
old
are
they
and
how
many
I
was
in
the
engines.
C
M
The
hours
right
so
through
the
chair
like
it,
if
you
would
mind
if
I,
can
just
get
the
number
of
the
ambulances
that
we
have
into
our
EMS
vehicles
yep
and
get
a
sense
as
to
what
their
engine
I
was
all
right.
No,
there
was
a
period
of
time.
It's
not
this
administration,
previous
admission
area,
so
significant
I,
guess
divestment.
M
If
you
will
not
keeping
up,
particularly
with
our
fire
department,
I'm,
not
sure
whether
or
not
that
was
the
same
trend
for
EMS,
but
they
didn't
seem
to
be
a
lot
of
love
for
our
firefighters,
not
only
just
their
apparatus,
but
also
the
condition
of
their
fire
houses,
so
want
to
make
sure
that
we're
on
the
right
trajectory
with
respect
to
your
department,
your
vehicle's
service
engine.
How
is
things
of
that
nature?
So
so,
if
you
could
furnish
that
to
the
chair,
that
would
be
great.
My
favorite
topic
every
year
is
bragdun
Street
I.
M
Guess
we
were.
Are
we
on
that
I
happen
to
like
that
location?
It's
the
epicenter
of
the
city,
I'd
love
the
city
to
purchase
that
building,
not
sure
where
we
are
in
terms
of
the
commitment
to
bragging
Street.
But
every
year
we
kind
of
sort
of
like
the
least
that's
to
wind
down,
and
there
was
some
talk
about
going,
maybe
somewhere
else
to
build
sort
of
the
state
of
the
add
campus
I'd
love
for
us
to
the
infrastructures
there,
the
to
telecommunication
pieces.
M
They
it's
literally
right
in
the
epicenter,
close
to
police
and
fire
headquarters,
as
well
as
close
to
the
best
hospitals
in
the
world
with
a
city
hospital.
But
there's
always
some
trend
trying
to
pull
it
out
and
go
way
out
to
further
out
to
Southwest,
Boston
and
I
just
want
to
make
sure
that
we're
committed
to
that
sight.
Indoor
either
purchase
the
building
on,
let's
lock
in
for
a
long-term
deal
at
bragging
Street.
So
we
have
that
command
center
and
intact.
Yeah.
C
Most
of
them
are
terms
like
that,
but
I
think
we're
either
in
the
second
year
or
about
to
go
on
to
say,
I
think
we
just
renewed
it
last
year
because
I
know
they.
You
know
the
rates
went
up,
I'm,
not
personally
familiar
I.
Think
the
city
did
take
a
look
at
some
of
the
possibilities
for
purchase
I'm,
not
sure
of
they
were
in
the
same
ballpark
when
it
came
to
negotiations
around
this,
because
the
city's
EOC
is
currently
located
there
as
well.
C
So
you
know
they
have
a
dog
in
the
fight
a
voice
in
it
as
well
and
I
know
director
fielding
was
you
know,
trying
to
make
her
concerns
about
that,
because
she
wouldn't
want
to
necessarily
get
that
spot
up
after
all,
I'm
fitting
it,
and
there
was
some
conversations
with
the
ownership
and
I'm
not
sure
what
that
went,
but
I
think
the
the
offset
of
that
was
on
the
officer.
That
was
that
they,
the
parties,
agreed
to
enter
into
another
three-year
lease
period.
All.
M
Right
yeah,
just
get
an
update
on
that
or
I
can
maybe
reach
out
to
someone
in
your
department
and
just
finally
with
respect
to
the
opioid
crisis
and
something
I'm
continuing
to
work
on
and
maybe
enlist
your
help
or
at
least
get
your
opinion
on.
It
is
I
believe
that
when
men
and
women
that
work
for
you,
when
they
administer
narcan,
I,
think
that
that
should
be
a
minute
or
reporting
situation.
I
understand,
HIPPA,
but
I
think
that
should
be
a
mandatory
reporting
situation.
M
I
also
think
it
should
be
a
mandatory
transport
to
the
hospital,
and
what
we're
seeing
is
that
we'll
have
an
overdose
and
nine
when
one's
get
called,
and
you
guys
not
just
you
but
I've,
seen
the
police.
Do
it
I've
seen
Fire
Department,
do
it
they
administer
narcan.
Whoever
gets
there
first
is
on
it
they're
administering
not.
M
Can
the
individual
jumps
up
like
Jack
and
the
Beanstalk
right
right
out,
jack-in-the-box
and
before
you
guys,
even
kind
of
get
a
sense
as
to
getting
the
person's
name
and
address
the
person
is
like
walking
away
down
the
street,
no
I'm
good
I'm
all
set.
Thank
you
like,
or
they
said,
they'll
start
wrestling
with
you
for
a
while.
They
come
to
their
senses
and
then-
and
my
concern
is
that
the
loved
ones?
You
know
the
spouse,
the
family,
member,
the
parent.
No
one
has
any
idea
that
that
event
occurred.
M
M
You
know
that's
out
shot
too,
maybe
get
this
person
into
treatment
and
recovery,
and
we
spend
lots
of
time
with
fending
off
people
that
want
to
provide
locations
for
people
to
to
shoot
up
heroin
and
fentanyl,
but
we
don't
want
to
turn
around
and
take
the
person
that
actually
just
overdosed
from
those
substances
and
transport
them
to
the
hospital
and
notify
a
loved
one
or
next
akin.
So
what
the
family
at
least
has
some
knowledge
of
the
event,
and
they
can
maybe
rally
around
that
individual
for
treatment
or
recovery.
M
I,
just
I
know
we're
in
the
life-saving
business.
I
understand
the
HIPAA
piece
of
it,
but
I
got
a
big
problem
with
you
know
us
expending
resources,
administering
not
can,
and
then
the
individual
just
gets
up
and
walks
away,
and
no
one
don't
in
that
person's
family
has
any
idea
what
the
heck
just
happened
on
pick
a
street.
It
happened.
C
C
We
started
to
take
a
look
at
it
last
couple
of
months
of
last
year
and
I
thought
that
when
we
did
a
quick
review
of
some
of
the
NRI
that
we
had
that
we
cleared
with
either
somebody
refusing
was,
you
know,
and
sometimes
some
some
areas
we
were
seeing
like
almost
13%,
which
wasn't
which
wasn't
the
case
years
back
in
which
kind
of
leaves
us
trying
to
figure
out.
Why
is
that
happening?
C
Because
if
somebody's,
you
know
completely
competent
like
right
now,
we
can't,
unless
they
made
a
threat,
that
they
were
trying
to
kill
themselves
or
somebody
else
or
somebody
else
can
corroborate
that
we
typically
can't
force
them
to
go
a
lot
of
the
patients
in
even
a
lot
of
the
people
that
we
did.
Trans.
C
M
But
I
believe
they
were
just
dead
right.
You
brought
them
back
from
being
dead,
I
think
that
that
should
trigger
you,
gotta
come
you
gotta
come
you
know,
you're
gonna,
get
on
the
gurney
and
you
gotta
come
downtown.
We
got
it
and
so
my
sure
I'm
trying
to
some
trouble
with
trying
to
find
that
mechanism.
So
how
can
the
council
play
that
role
working
with
the
administration
in
public
safety
and
our
public
health
officials
to
to
make
that
a
mandatory
situation
where
you
will
lights
out,
but
fun
I
can
and
and
I?
M
E
M
M
When
the
show,
when
they
view
the
show
they
were
aghast,
had
no
I,
they
had
no
idea,
one
that
he
was
out
and
about
and
two
that
he
was
involved
and
at
that
level
it
was
gone.
You
guys
save
him.
His
family
finds
out
six
months
later
when
it,
when
it
airs
so
I
I
understand
it.
I
just
where's
that
mechanism,
by
which
we
can
collectively
make
sure
that
that's
a
transport
to
the
hospital
and
notification
to
next
akin
and
loved
one
so
that
we
can
jump
on
this
thing.
Yeah.
C
D
M
That
cut
unit
and
I
know
I've
exhausted
my
time,
I
appreciate
you,
your
patience,
I.
My
the
last
question,
which
I
can
wait
for
another
round,
is
just
around
us
on
the
response
times.
Traffic
is
of
an
alt
side,
no
matter
what
day
hour
the
day
and
whatever
neighborhood
you're
cutting
through
it's
just
bumper-to-bumper
its
gridlock,
it
used
to
be
the
morning
commute
and
the
afternoon
commute
it's
basically
all
day
long.
M
I
assume
that
the
men
and
women
that
are
working
for
you
and
seeing
some
type
of
I
know
they
get
the
lights
and
whistles
and
they
get
to
kind
of
go
around
the
cars
and
go
through
the
red
lights.
However,
the
gridlock
is
such
that
it's
gotta
be
causing
some
type
of
delay
in
response,
and
if
you
know
we
can
help,
you
add
to
those
to
the
to
eliminate
that
situation
would
be
to
do
it.
Thank
you.
Thank
you.
Mr.
chairman
council.
B
N
So,
first
of
all,
thank
you
again
for
your
service
in
East,
Boston
and
I
wanted
to
come
on
the
record,
saying
that
it
is,
we
see
a
huge
difference
already
and
that
we
also
feel
very,
very
much
listened
to
and
valued
by
getting
that.
Second
ambulance
and
I
know
I.
Think
in
this
budget
cycle
become
permanent
right
now,.
C
N
C
We
now
less
reliant
on
having
a
pole
resources
from
those
neighborhoods
over
to
backfill,
because
the
first
truck
or
the
second
truck
is
tied
up
in
East,
Boston,
I,
believe
it
or
not,
that's
still
happening
both
those
trucks
well
they're
in
the
same
call
every
now
and
then
it
was
still
pulling
somebody
over,
but
we
don't
have
to
routinely
go
to
that
and
Charlestown
is
probably
seeing
the
best
secondary
effect
for
that,
so
people
are
Charlestown
all
the
people
in
East
Boston.
Thank
you.
N
N
At
that
alright,
just
curious,
because
I
remember
the
developers
Elise
are
building
it,
so
I'm
hopeful
that
we're
getting
you
know
or
it's
being
maybe
the
older
one
is
being
replaced
and
moved
over
there.
But
in
any
event,
I
would
love
to
keep
talking
about
the
ambulance
and
in
charlestown,
but
great
job
in
East.
Boston
I
wanted
to
switch
the
topic
a
little
bit
to
talk
about
your
resources
that
you
have
available
for
your
staff
when
it
comes
to
PTSD,
yes
or
secondhand.
N
C
C
We
always
knew
that
you
know
the
police
department
had
quote
a
stress
unit.
They
used
to
call
it
that
and
fire
had
their
services.
So
a
lot
of
people
who
worked
here
with
us
certainly
recognized
that
there
were
issues
that
you
know
affected,
provide
us
as
well.
A
lot
of
our
members
went
out
and
got
some
of
their
own
training
and
kiss
board
CST
critical
and
stress
debriefing.
How
to
conduct
those
the
than
the
Union.
C
B
C
And
work
with
clinicians
to
help
you
deal
with
issues
like
that,
so
that
was
in
place
for
a
long
time
and
then,
if
we
had
an
incident
where,
like
you
said,
there
was
a
multiple
death,
so
he
had
death
of
a
child.
Well,
maybe
you
had
you
know
the
power
member
who
either
died
or
was
a
suicide
or
another
public
safety
member,
because
we
work
closely
with
police
and
fire
and
if
something
happens
to
one
of
them
that
affects
that
personnel
as
well.
We
always
had
procedures
to
follow
up
with
that.
C
The
department
and
the
Commission
then
assumed
they'd
just
be
like
entirely
funded
by
the
membership
and
then
the
Department
of
the
Commission.
Now
we
have
a
line
in
the
budget
that
pays
for
our
professional
services.
For
that
we
put
that
out
to
contract,
that's
I
believe
that's
a
three-year
contract
as
well,
and
currently
we
we
have
a
couple
of
conditions
who
are
on
call
for
us:
24/7,
male
and
female.
One
of
them
was
a
psychiatric
nurse
in
the
emergency
room
at
Boston,
Medical
Center
for
years,
so
she
doesn't
just
know
her
trade
or
her
profession.
C
C
C
Trying
to
direct
him
to
do
something
productive,
something
he
had
doesn't
mean
like
hey
head
to
the
nearest
Barbara.
You
know
they.
They
tried
to
have
some
structure.
What
they're
gonna
do
with
that.
So
there's
this
volunteer
members
on
every
shift
that
a
train.
We
have
a
peer
support
coordinator,
who
currently
right
now
he's
a
lieutenant
who
he's
primarily
an
evening
shift,
but
he
floats
the
different
shifts
where
we
need
him,
which
kind
of
gives
him
pretty
good
cover
to
work
with
different
individuals.
C
We
have
people
who
come
in
to
our
peer
support
center,
which
is
located
in
Miranda
Kramer
building.
There's
a
couple
of
offices
down
in
the
first
floor,
where
it's
pretty
much,
we
don't
have
anything
else
down
there.
This
is
a
little
storage
and
there
may
be
some
other
property
management
has
something
down
there.
So
if
you're
going
down
there,
it's
you're
not
parading
through,
like
an
office
here
where
everyone's
senior
wondering
hey.
What
are
you
doing
to
you?
Don't
you
work
nights
and
brightening?
No.
C
D
C
And
they
they
wouldn't,
and
they
may
not
come
right
out
and
tell
you
what
it
is
because
we're
trying
to
maintain
their
calm.
We
don't
want
people
to
be
afraid
to
go
to
that
unit,
and
we
don't
have
people
to
think
that
that's
gonna
be
communicated
to
management.
It
really
isn't
Virginia
fella
Larry
who's,
a
lieutenant
that
was
in
there
before
she
was
an
EMT
that
ran
that
unit
just
promoted
to
lieutenant.
She
was
in
there
for
a
bit.
C
I
Thank
You
chief
for
your
for
your
thoughtfulness
and
hanging
in
this
has
been
a
long
hearing.
I
have
to
just
two
remaining
questions
by
one
to
continue
on
counselor
flurries
questions
about
bragdun
Street
I
actually
have
the
opposite
feeling
of
him.
I
think
that
we
should
get
out
of
any
property
that
we're
leasing
across
the
city
and
I.
Look
back
at
my
notes
from
last
year
and
see
that
we've
increased.
You
know
we're
paying
TWiT.
I
Think,
council
McCarthy
reference
to
hearing
order
that
councillor,
Edwards
and
I
put
up
on
pilot,
and
just
you
know,
we
have
too
many
partners
that
aren't
paying
their
fair
share
and
we're
still
paying
the
rent.
I
just
want
to
say
that
get
that
on
the
record
we
should
be
out
of
bragdun
Street
I
do
have
a
question
about
training
and
coordination
with
the
Boston
Public
Schools
in
response
to
any
active
shooter
situation
or
a
significant
incident
in
one
of
our
schools.
You
talk
a
little
bit
about
EMS
s,
role
in
that
preparation.
I
C
A
little
bit
about
that-
and
you
recall
going
back
a
dozen
plus
years
ago,
when
CBI
training
and
getting
Aedes
the
schools
was
like.
No,
you
know
when
I
remember,
there's
a
you
know:
who's
a
young
kid
it.
You
know
Aladdin
who
died
at
a
football
practice
or
somebody
else
in
the
school
and-
and
there
was
a
real
push
to
get
that
in
remembers
from
my
department,
did
a
lot
of
that
training.
They
did
a
lot
of
the
a
lot
of
the
sessions
in
all
the
schools.
C
I
remember
one
year
when
they
had
a
little
celebration
that
they
had
finally
had
placed
up
a
DS
and
all
the
schools
and
that
people
trained
every
building.
It's
it's.
It's
a
big
task
to
do
all
that
training.
So
what
we
did
over
the
years
was
we
work
with
the
lack
of
a
better
word
term
preparedness,
divisional,
public
schools,
I
maverick
trainee
working
with
him
too,
for
them
to
be
able
to
get
certified
instructors
to
go
out
into
their
own
teaching.
C
C
We
did
a
training
in
here
not
too
long
ago,
where
we
did
CPI
training
some
training
phase,
but
also
stopped
the
belief
training
for
something
bleed
training
for
people
who
could
be
victims
of
penetrating
trauma
from
a
mass
shooting
or
or
you
know
anything
else
that
could
cause
external
hemorrhage
and
it
was
pretty
well
received
here.
We
were
looking
at,
we
did
a
pilot
program
and
what
was
the
OIC
request?
I
think
myeloma.
C
So
they
went
through
public
schools
that
they
wanted
to
do
a
little
training
on
that,
because
winsome
felt
like
we're
an
island
where
we're
out
at
the
end,
we're
pretty
far
out
from
hospitals,
helps
gonna
be
coming
for
a
bit
to
get
to
us.
They
want
to
see
if
they
could
do
some
training
in
there.
So
with
the
Office
of
Public,
Health
preparedness
and
some
grants
we
got
through
om
downstairs,
we.
I
C
/,
you
know
when,
when
there
was,
you
know,
delays
of
people
accessing
that
at
high
school
campus
and
some
of
the
lessons
learned,
their
law
enforcement
really
took
the
lead
on
trying
to
figure
out.
What's
the
quickest
way
to
either
get
rescuers
in
or
get
victims
who
have
to
chance
to
survive
out,
we,
they
started
doing
a
lot
of
training
around
that
training
around
that.
As
far
as
not
even.
B
C
For
SWAT
teams
to
send
contact
teams
and
with
the
first
ride,
patrolmen
forth
patrolman
and
show
up
they
farm
and
I
mean
I,
don't
want
to
speak
to
their
operations
of
tactics,
but
the
only
reason
we're
familiar
with
it
is
because
we've
done
a
lot
of
training
with
that
all
our
recruits
get
it
we've
done
about
occasional
training
here
with
them
as
far
as
enhancing
that
to
work
well
with
SWAT
teams.
That's
that's
something
that's
up
in
in
proxy
and
out
as.
C
Some
of
the
businesses
as
well,
but
I
think
we
probably
would
do
all
to
reach
out
to
up
their
preparedness
people
out
the
schools
to
see
if
we
can't
get
together
with
that,
because
the
drills
that
we
have
done
in
the
bps
schools
have
been
the
the
BPD
have
done
it
like
in
the
Roger
school
of
a
high
pack,
which
is
vacant.
You
know
and
then
see
not
not
that
you
want.
You
don't
want
to
use
kids
for
props,
but
we've
some
of
our
urban
shield
exercises
that
we
did
a
couple
of
years
ago.
C
I
I
would
like
to
see
it
a
minimum.
Just
your
EMTs
and
paramedics
have
an
opportunity
to
walk
through
some
of
our
schools,
because
there
some
of
them
have
a
very
traditional
sort
of
expected
layout,
but
many
of
them
still
with
that
have
some
nooks
and
crannies,
so
I've,
you
know
I've
advocated
for
this
with
Commissioner
Evans
that
not
just
the
SWAT
team,
but
the
local
cop.
That's
you
know.
I
The
the
local
patrolman
who's
on
during
the
day
is
likely
going
to
be
the
one
that
will
be
first
responder,
the
first
one
into
a
building,
and
so
they
have
a
general
awareness
of
how
many
floors
are
in
a
particular
school.
How
many
wings?
How
many
stairwells
and
just
sort
of
a
general
feel
for
the
layout
of
the
school
I
think
is
so
valuable
and,
unfortunately
you
know
we
don't
want
to
we're
not
pulling
out
brut
blueprints
and
then
in
the
midst
of
an
active
shooter
case.
I
E
I
Is
you
know
far
for
our
kids
in
our
high
schools,
especially
to
see
and
middle
schools
in
elementary
as
well,
but
to
see
your
men
and
women
in
their
buildings
I
think
can
be
inspiring
to
some
of
these
kids
to
consider
a
career
with
Boston
EMS
I
appreciate
your
work
and
I
just
leaned
over
I
said.
Did
he
really
say
forty
years?
That's
a
pretty
amazing
gratulations.
A
Also,
thank
you
Qi
Thank,
You
Laura.
You
know
please
express
to
all
the
staff
at
EMS
the
deep
appreciation
that
all
all
of
my
colleagues
expressed
here
today
for
what
they
do
every
single
day
for
our
residency
and
our
visitors
and
she
fully
thank
you
for
your
dedication
and
commitment
for
the
past
almost
40
years.
Well,.
C
C
Go
great,
they
go
by
the
book,
the
way
drama,
and
this
a
lot
of
what
I
calls
where
it's.
You
got
to
be
so
creative
to
hold,
to
pull
it
off,
to
get
the
person
to
go,
to
keep
a
fight
from
breaking
out
or
whatever
and
to
get
somebody
to
go.
It
really
has
to
go
kind
of
like
what
counsel
Flaherty
was
alluding
to.
You
know
that
the
extra
steps
they
take
and
I
mean
as
much
as
I'm
privileged
to
come
here
and
advocate
for
arm.
They
sell.