San Francisco EMS Ambulance Destinations
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The San Francisco Emergency Medical Services Agency Destination Policy 5000 identifies the hospital and center destinations for 911 ambulances. The choice of a hospital destination is first based on the patient’s medical need, followed by hospital diversion status and patient or family preference as allowed by the patient condition. If there is no preference, then the patient is taken to the closest hospital.
The map below shows the location of the receiving hospitals and centers in San Francisco. The locations are sized by the average percentage of system-wide transports that the respective hospital received monthly for the rolling year. Hover over a location to see the percentage and transport count for that hospital. The EMS destination chart below shows hospital destinations based on patient medical condition and characteristics. Zuckerberg San Francisco General Hospital (ZSFG) operates the City’s Trauma Center. Patients who meet the Trauma Triage Criteria per Policy 5001 are transported directly to the Trauma Center. |
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Definitions:
Critical Airway: Patients in whom EMS personnel cannot obtain adequate airway control
Medical Adult: all adult medical patients with moderate to low acuity illnesses and injuries
Critical Medical Adult: all adult medical patients with severe illnesses
Medical Peds: all pediatric patients with moderate to low acuity illnesses and injuries
Critical Medical Peds: all pediatric patients with severe illnesses
Psych: all adult and pediatric patients with acute psychiatric illness symptoms
Stroke: all adult and pediatric patients with acute stroke symptoms
STAR: all adult patients with a type of heart attack called STEMI or who have recovered their vital signs after treatment by EMS for cardiac arrest
Trauma: all adult and pediatric patients with severe injury
OB: all obstetrical patients who are potentially in labor or delivering
Reimplantation: all patients who have lost fingers or toes due to injury and have their severed digit available to be surgically reattached
Burns: all severely burned patients who do not have simultaneous severe injury
LVAD (Left Ventricular Assist Device): Any patient with a (left) ventricular assist device should be transported to the LVAD Center that implanted the device (UCSF or CPMC-Pac)
Post Sexual Assault: Any patient who self-identifies as a victim of sexual assault or abuse within the 72 hours prior to their activation of 911 services without an overriding medical complaint
Sobering Services: all patients whose medical condition is primarily due to severe alcohol intoxication
Critical Airway: Patients in whom EMS personnel cannot obtain adequate airway control
Medical Adult: all adult medical patients with moderate to low acuity illnesses and injuries
Critical Medical Adult: all adult medical patients with severe illnesses
Medical Peds: all pediatric patients with moderate to low acuity illnesses and injuries
Critical Medical Peds: all pediatric patients with severe illnesses
Psych: all adult and pediatric patients with acute psychiatric illness symptoms
Stroke: all adult and pediatric patients with acute stroke symptoms
STAR: all adult patients with a type of heart attack called STEMI or who have recovered their vital signs after treatment by EMS for cardiac arrest
Trauma: all adult and pediatric patients with severe injury
OB: all obstetrical patients who are potentially in labor or delivering
Reimplantation: all patients who have lost fingers or toes due to injury and have their severed digit available to be surgically reattached
Burns: all severely burned patients who do not have simultaneous severe injury
LVAD (Left Ventricular Assist Device): Any patient with a (left) ventricular assist device should be transported to the LVAD Center that implanted the device (UCSF or CPMC-Pac)
Post Sexual Assault: Any patient who self-identifies as a victim of sexual assault or abuse within the 72 hours prior to their activation of 911 services without an overriding medical complaint
Sobering Services: all patients whose medical condition is primarily due to severe alcohol intoxication
