Tompkins County's Public Safety Committee meeting on May 27, 2025, highlighted critical challenges facing the local emergency medical services (EMS) system, particularly regarding staffing and service delivery. A key discussion point was the impact of competition between private and public EMS providers, with concerns raised about the potential for reduced service levels in the community.

A paramedic with extensive experience in the region emphasized that the introduction of the Rapid Medical Response (RMR) program has been beneficial, providing additional support for non-emergency situations. However, he cautioned that relying solely on drivers instead of trained EMTs could compromise patient care, as drivers lack the necessary skills to assist in critical situations. This concern underscores the importance of maintaining a well-trained EMS workforce.

The meeting also addressed the staffing crisis affecting local EMS agencies. A recent New York State study revealed a significant decline in EMS providers from 2019 to 2022, raising alarms about the sustainability of emergency services in Tompkins County. The paramedic noted that many local EMS providers are competing for a limited pool of qualified personnel, which could lead to service reductions if not addressed.

Additionally, the Ithaca Fire Department's role in emergency response was scrutinized. Currently, the department does not engage in lift assists unless an ambulance is present, which can delay assistance for individuals needing help. This policy has led to frustrations among EMS providers who often respond to calls that could be managed by fire services.

The committee also discussed the rebranding of Cayuga Medical Center's ambulance service, now known as Skyler Ambulance, which is facing its own staffing challenges. While they are operational, they are not yet handling 911 calls in Ithaca, further complicating the local EMS landscape.

In conclusion, the meeting underscored the urgent need for collaborative efforts to enhance EMS training and staffing in Tompkins County. As the community grapples with these challenges, the focus remains on ensuring that residents receive timely and effective emergency care. The committee's discussions will likely inform future strategies to strengthen the EMS system and address the pressing issues highlighted during the meeting.