In recent developments, tensions seem to be rising once again between Advanced Medical Transport (AMT) and the Peoria Fire Department over the provision of emergency medical services within the city. This ongoing rivalry, which had been relatively quiet for several years, is now drawing attention back to the debate over who should handle patient transport and paramedic duties in Peoria. Back in the day, the conflict centered on determining which entity would be responsible for providing paramedic services and transporting patients within the city limits. Eventually, AMT struck a deal with the city, agreeing to pay an annual fee of $85,000, adjusted for inflation, to secure exclusive rights for patient transport in Peoria. However, this arrangement was later amended in 2009 to permit the fire department to operate three advanced life support (ALS) engines. Now, the fire department is seeking approval for a fourth ALS engine stationed at House 19, located on the northwest side of the city, close to the newly constructed Louisville Slugger facility and The Shoppes at Grand Prairie shopping center. The estimated cost for this additional vehicle is approximately $5,000. Despite this, some argue that Peoria's current emergency response setup is adequate and doesn't require further expansion. Peoria Fire Chief Charles Lauss and Rick Waldron, president of Peoria Firefighters Union Local 50, maintain that this move isn't intended to replace AMT but rather to improve the existing service offerings. They emphasize that their current agreement explicitly prohibits them from engaging in patient transport activities. According to Lauss, they must provide advance notice to AMT if they plan to enter this field—specifically, a five-year warning period. "The goal here is not to replace anyone; it's about enhancing our capabilities and improving the care we deliver to our community," explained Lauss. He noted that the addition of a fourth ALS engine would strengthen collaboration with AMT while ensuring faster response times for critical situations. However, representatives from AMT, a non-profit organization providing ambulance services in the region for years, hold differing opinions. They contend that increasing the number of paramedics might negatively impact service quality since there may not be sufficient demand to keep everyone adequately skilled and experienced. Andrew Rand, AMT's executive director, expressed concerns about overstaffing potentially leading to degraded performance levels among responders. To support his stance, he referenced letters sent last year by Dr. Matthew Jackson, head of the Peoria Area Emergency Medical Services system, highlighting potential risks associated with excessive paramedic presence in urban areas like Peoria. Dr. Jackson pointed out that the city already boasts an unusually high ratio of paramedics per capita—around 6.4 per 10,000 residents—and warned against introducing more personnel without considering adverse effects on overall treatment outcomes, particularly during emergencies such as cardiac arrests. Despite these warnings, Lauss remains confident in his team's readiness. He assured skeptics that all firefighters undergo rigorous training programs designed to maintain proficiency across various scenarios. Furthermore, many team members actively seek opportunities outside regular working hours to hone their skills further through freelance assignments elsewhere. At present, the proposal remains under review by PAEMS leadership before potentially reaching the City Council for final deliberation at an upcoming session. While both sides present compelling arguments, only time will tell how this latest chapter unfolds for Peoria's emergency responders and the residents they serve.

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