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An Auto Injury Every 6 Hours: What Ulster County’s EMS Data Tells Us About Local Personal Injuries

One of the most important points of emphasis in our communities, whether in cities or large towns like Kingston, Saugerties and New Paltz, or more rural areas like Shandaken or Wawarsing, is the operation of our emergency medical services and ambulances.

Our communities’ EMS workers are often the first on the scene of major accidents, crashes, slip and falls, other serious injuries for Ulster County residents. In addition to administering care, diagnosing injuries, and transporting people to the nearest medical facility, EMS and paramedic teams provide an important building block to the full recovery of the victim: creating a record of what happened, who was hurt, and what the condition of the patient is immediately after the accident.

The reporting of the EMS or paramedic team can help build a successful case for the full recovery of damages by the victim; information like the time of the call, the time of arrival of the paramedic team, statements on the scene, the vitals of the victim, and the time they were sent to the emergency room or medical facility all can be vital.

If you’ve been injured in Ulster County due to the negligence of another party, give us a call at 845-600-0000 to schedule a free consultation at our personal injury law office in Kingston, NY.

In this blog post, we’re going to take a deep dive into a 2024 EMS Services Delivery Report for Ulster County, NY that was prepared by the Center for Public Safety Management.

1. Kinds of EMS Calls in Ulster County

The thing we’re going to look at are the kinds of EMS calls in Ulster County.

Call TypeNumber of CallsCalls per DayCall Percentage
Breathing difficulty2,8807.912.3%
Cardiac and stroke2,5557.010.9%
Fall and injury5,03313.821.4%
Illness and other5,29114.522.5%
Medical alarm8082.23.4%
Medical transport7602.13.2%
MVA1,4554.06.2%
Overdose and psychiatric1,3923.85.9%
Seizure and unconscious2,7807.611.8%
Mutual Aid Provided600.20.3%
Total23,49264.4100.0%

Falls and injuries, such as slip and falls, make up one fifth of all EMS responses in Ulster County. An additional 6%, or 1,455 total ambulance calls are made in response to motor vehicle accidents in Kingston, NY and the surrounding area. Comparing this to other data we’ve collected from the Institute for Traffic Safety Management & Research, where there are roughly 4,600 car crashes in Ulster County every year, that means that about there is a ratio of one EMS being called, on average, for every three car crashes. As we’ll see later in this post, one motor vehicle accident can sometimes result in multiple EMS calls.

2. Duration of Ulster County EMS Calls

Due to Ulster County’s rural nature, about one in three EMS calls take over one hour. That includes getting to the scene of the incident, administering the care that is needed, and transport to a regional healthcare facility.

Call Type< 30 Minutes30 Min – 1 Hr1–2 Hours> 2 HoursTotal
Breathing difficulty7081,1259041432,880
Cardiac and stroke6149448421552,555
Fall and injury2,1031,5121,2391795,033
Illness and other1,6641,9181,4812285,291
Medical alarm67592356808
Medical transport19429024432760
MVA582452324971,455
Overdose and psychiatric618423306451,392
Seizure and unconscious8301,0418021072,780
EMS Subtotal7,9887,7976,17799222,954
Non-EMS2221086781478
Aid given121129860
Total8,2227,9166,2731,08123,492

For motor vehicle accident victims, roughly 2/3 (1,032 out of 1,455) of crashes had EMS calls that were complete within an hour. An additional 324 crashes resulted in calls lasting 1-2 hours, and 97 others (roughly one in 15) took over two hours. For falls and injuries, 3,615 EMS calls took under one hour, 1,239 took 1-2 hours, and 179 took over two hours.

3. Where are the EMS calls taking place?

The most common place where EMS calls were made from was the City of Kingston.

LocationEMSNon-EMSTotalPct. Calls
Ellenville Village666116772.9%
Esopus Town1,014241,0384.4%
Gardiner Town497295262.2%
Hurley Town517275442.3%
Kingston City4,155384,19317.8%
Kingston Town722740.3%
Lloyd Town1,312181,3305.7%
Marbletown Town458194772.0%
Marlborough Town99069964.2%
New Paltz Town999301,0294.4%
New Paltz Village1,06881,0764.6%
Newburgh Town*944980.4%
Olive Town38873951.7%
Plattekill Town1,081361,1174.8%
Rochester Town638226602.8%
Rosendale Town519165352.3%
Saugerties Town1,798541,8527.9%
Saugerties Village87998883.8%
Shandaken Town451194702.0%
Shawangunk Town818218393.6%
Ulster Town2,624482,67211.4%
Wawarsing Town1,033201,0534.5%
Woodstock Town864298933.8%
Total22,93549723,432100%

Despite having a relatively modest population of 12,660 in the Town of Ulster, they came in second with the most EMS calls, with 11.4% of the total.

4. Number of Ambulances Sent

Call TypeOneTwoThree or moreArriving Calls
Breathing difficulty1,1581,4881922,838
Cardiac and stroke9291,3901932,512
Fall and injury2,5062,1881744,868
Illness and other2,5082,5251495,182
Medical alarm5231832708
Medical transport35135824733
MVA4835543411,378
Overdose and psychiatric796507441,347
Seizure and unconscious1,0321,4592312,722
Total10,53410,7611,43722,732
Percentage46.3%47.3%6.3%100.0%

341 out of 1,378 motor vehicle accident calls (24.7%) required three or more ambulances, which is the highest percentage of multi-unit dispatches of any call type. This proves that MVAs frequently involve multiple patients, high trauma, or chaotic scenes; all factors that can dramatically increase both injury severity and the complexity of legal claims. Only 35% of MVA calls received a single ambulance, showing that these are rarely minor incidents.

For falls and injury, close to half of the calls (2,508 of 5,182) were satisfied with just one EMS call. But while falls are sometimes treated as “low-value” claims by insurance companies, the other 51% of the falls and other injuries show that these incidents can result in serious, multi-victim, or complex emergencies. That can mean that there may be elderly victims with fractures or head trauma, unsafe property conditions and premises liability, or negligent facility supervision in the cases of nursing homes or schools.

5. Response Times

Call TypeProcessActivateAvg TravelAvg Total90th % TotalCall Count
Breathing difficulty2.14.76.613.422.72,624
Cardiac and stroke2.14.46.613.222.32,338
Fall and injury2.84.36.713.823.64,450
Illness and other3.24.56.614.425.04,680
Medical alarm2.63.76.512.820.2603
Medical transport3.34.66.614.525.8679
MVA4.83.86.114.825.21,229
OD (Overdose)7.73.96.017.634.71,201
Seizure and UNC2.14.06.212.420.92,508
Total3.14.36.513.923.920,312

Other than with overdoses, motor vehicle accidents in Ulster County suffer from the slowest processing and scene arrival times, likely due to confusion at crash sites, need for extrication, or communication delays. This increases the chance of worsened injuries like internal bleeding or traumatic brain injuries, delayed stabilization, and possibly greater long-term harm.

Nearly one in ten EMS calls in Ulster County experience 20 minute delays, which can be a critical threshold for time-sensitive conditions.

6. Calls Responded to by EMS Agency

EMS AgencyFall & InjuryMotor Vehicle
Diaz Ambulance610172
Ellenville Ambulance631178
Esopus Ambulance232101
Gardiner FD – EMS10029
Hurley FD – EMS509
Kerhonkson – Accord FAS16481
Marbletown First Aid Unit13366
Modena FD – EMS8127
New Paltz Rescue Squad1,411342
Olive First Aid Unit12333
Pine Bush Ambulance*2415
Plattekill FD – EMS8841
Shandaken Ambulance25372
Shawangunk Valley FD – EMS2415
Wallkill Ambulance9749
West Hurley FD – EMS4631
Woodstock FD – EMS412106
Local Ulster Subtotal4,4791,367
Mobile Life Support Services**2,617916
Total7,0962,283

Due to disparities in funding and other situations, it’s difficult to draw major conclusions from these statistics other than seeing how many different agencies and organizations are responding to emergencies in our region.

7. Ulster County is Losing EMTs and Paramedics Per Capita

According to a recent Dutchess County report, Ulster County is among several other local counties that is losing EMTs and Paramedics per capita.

In 2012, Ulster County had 353 EMTs per 100,000 residents; that number decreased to 293 in 2017, a decrease of 17%. Ulster County also went from 71 paramedics per 100,000 residents in 2012 to 61 in 2017, a decrease of 14%. Ulster, Dutchess and Greene Counties are the only counties in the region that experienced drops in both EMTs and Paramedics per capita.