HEF

EMS Resource Form

EMS Agency Name(Required)

Evaluator name(Required)

First Last

Evaluator email(Required)

1. Did you have all MCI supplies on all ambulances?(Required)

2. How much time did it take your agency to report supplies to your EMS agency management?(Required)

3. How many BLS ambulances were you able to send in total to all on site locations?(Required)

4. How many ALS ambulances were you able to send in total to all site locations(Required)

5. How many Aeromedical helicopters were you able to send to the scene in total?(Required)

6. What resources were you able to send to the Central Regional Jail location?(Required)

7. How did you coordinate with Medical Command for patient transfers?(Required)