>> the chief of ems and community paramedicine. >> alright. director corso, chief of department, thank you so much for that update. appreciate it very much. at this point, madam secretary. >> chief o'connor. >> chief o'connor, welcome. >> good evening vice president nakajo, commissioner fraser morgan. under homeland security assistant deputy chief brown had a busy month. provided support and (inaudible) june 5 of last month. we also had activate for the pride weekday warriors (inaudible) management team standing by and running a terrific operation. we also had on june 5 transit committee bart weapon of maz distruckz bill. narbd emergency response team, we had our volunteers with instructors in golden gate for disaster response exercise. see the pictures there. health safety and wellness the acting battalion chief had a coffee with the behavioral health unit. as stated the month before, this is where our members can go off campus out of the fire house and meet with the behavioral health unit and clinician to get concerned addressed and find alt

we're talking about community paramedicine. this was all -- you know the things that the fire department didn't do when i was a fire year old girl here in san francisco and i'm just really proud to watch the department grow and expand and serve the community in so many different and new ways, and i just think it shows that not only a generous spirit but real commitment to our community as well as those who are not doing very well, for example, u -- ukraine and you're all special people and i wanted that acknowledged and all the programs make the department better stronger and something to be more proud of. >> thank you madam president. yes, and chief o'conner may speak to it in his report tonight that he went to a event with multiple fire department it is throughout the bay area donated excess worn out excess equipment that we no longer use and shipped to ukraine and there's that as well but you will speak to it later, yeah and yes the united fire service women. i think they raised $60,000 for two vans because they needed the s

to get up to speed and oriented how they operate and the different aspect was ems and community paramedicine and everything else and what i found was an incredibly competent dedicated hard working group of people and some of them extremely over worked on the ambulances and i really have a great amount of respect on that side of the house and much better understanding than i did eight, nine months ago. cleavage you really opened my eyes to a whole new word of care that we can provide with the community paramedicine program. >> . >> i am super impressed with some of the programs. i think some are having a positive impact and as we grow and refine them i think it's a model you will see nationwide like fire prevention with codes to recuse fires and a similar analogy so that being said i'm not getting into the details of the ens report in here and it's my final report and sandy's wheelhouse now and she can answer the questions and eye opening with ems. bureau of fire prevention and investigation had a significant number of retirees in june coming up to the end of the fiscal year and new people in

same time in our issues we talk a lot about medicine in the rear today we will learn about its paramedicine and field hospitals this topic is without exaggeration now vitally important and we will start with the story of anna olenkova, she learned who the hospitalists are and whether you can get to the medical center thousands of rescued soldiers thousands of evacuated special points wounded volunteers from the medical battalion hospitalists since 2014 have been rescuing ukrainians in hot spots during rocket attacks under artillery fire with shelling, they will come and pull out of hell those who need medical help, we all ordered first aid, we were slapped in the back from ordinary people to professional doctors, every member of the organization fulfills its role and helps, or maybe hospitalists provide help in several directions , these are cases of evacuation directly from the battlefield the second is a medical evacuation in a medical vehicle where professional doctors work and the third is stabilization points where surgeons work and also professional doctors who can to stabilize the so

linked to some of the community paramedicine we are placing improved health care at dispatch. and there will be embed crisis clinicians at dispatch and working with the -- of dispatch to -- flush that out. obviously the work as andrew mentioned on diversion, and will be approximate watching the impacts of the adopted policies. and as i mentioned. previously, a big priority is hiring 5 staff vacancies after the adopted budget. doctor brown? >> the last 2 items i wanted to mention are increase effortses commune engagement. we regularly participate and assist partners in the city emt program to get more participation in the ems system or providers from the communities. we have worked with the faith based coalition in bay view to redistribute our defibrillators part of the covid response and get out in community places and had 8 of the 22 of those were already placed with cp r training for members of the community in congregation its is about getting the education out to the community and my understanding how vital their role is? intervening. and last of item i wanted highlight th

rather than two deputy and to ensure one of the deputy have emergency medical service sxz community paramedicine experience. item 21 an ordinance to amend the administrative code to increase the surcharge to san francisco address in accordance with the california state law. item 22 ordinance to amend the administrative code to increase the fees imposed by the administrative services for reproduction and notary services provided to the public. item number 3 gra pe tee clean up fund for tax year 2022. item 24 ordinance to authorize the execution and delivery of 140 million in certificates of participation, sax exempt to finance project within the city. this also approves the form of notice of sale and intention to sell the certificates. it approves the form of an official statement and final form. it approves the form of contractor one or more initial purchases of the certificates as defined here in and disclosure certificate to take the necessary actions in connection with the organization sale and delivery. item number 25 ordinance to amend the tax regulation code to update medical emergency fee