In 2013, LVAC did 416 ambulance calls. We transported 320 patients to area hospitals. Each time the ambulance goes out it is staffed by a crew chief who is a New York State Certified Emergency Medical Technician, and a driver, who may or may not also be an EMT. Most calls have a third crew member, who we call the first aider, who also may or may not be an EMT. The crew chief is in charge of all patient care decisions, including which hospital the patient is transported to.
The Town of Lewisboro is one of several towns in northern Westchester County which is served by a paramedic service, Westchester EMS. There are three paramedic fly cars in service at all times and one is paged out along with LVAC on all calls. If the patient's condition warrants ALS, then the paramedic will ride along with the LVAC crew and provide advanced life support.
LVAC currently has 2 ambulances, 67B1 and 67B2, the B standing for basic life support. We also have a first response vehicles, a fully-equipped Chevrolet Tahoe, which was purchased in 2008 in memory of a long time Lewisboro resident who named us in his will. We have approximately 40 riding members, although this is a fluid number. Several are junior members under the age of 18, and a few are college students who ride during summer and vacation breaks. All members are trained to use AEDs (Automatic Electronic Defibrillators), and LVAC has 10 Lifepak AEDs. In addition to those in the ambulances and the first response vehicle, all of our crew chiefs carry them in their personal vehicles. LVAC also participates in the Epipen program to administer epinephrine, is certified to use albuterol for the treatment of asthma, and trained to use glocometry. We have recently added the Lucas device to all our vehicles which is used to provide continuous CPR for any patients that require the treatment.
LVAC also does standbys at local events. We stand by for the varsity football games at our high school, at the annual fireworks display in July, at the annual Leatherman's Run in April, and at other fairs and events as requested.
LVAC is not funded by any town, state or government agency. Lewisboro Volunteer Ambulance Corps is joining other local volunteer ambulance corps units in our area (Chappaqua, Katonah- Bedford Hills, Somers and others) in seeking reimbursement from Medicaid, Medicare, and private insurance companies for emergency ambulance transport service. Reimbursement is claimed only if a patient is actually transported to the hospital at the rate covered by the policy holders Medicaid, Medicare or their private insurance. Importantly, no one will be denied emergency medical transport because of lack of insurance.
But insurance reimbursement is not the only way we fund our organization, training and supplies. We have an annual auction and a bake sale and we send out letters of appeal twice a year. We also receive some money from local grants and memorial donations. We operate on a budget of approximately $125,000 a year and this includes monies set aside to purchase one new ambulance every five years. We respond 24 hours a day, every day of the year. Most of our patients are transported to Northern Westchester Hospital in Mt. Kisco, but we occasionally go to Putnam Hospital in Carmel, Westchester Medical Center in Valhalla, and Danbury or Norwalk Hospitals in Connecticut.