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If you have questions regarding your ambulance bill, please call: 1-888-493-3444.
If you have questions regarding an account with the collection agency please call: 308-398-3800.
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ALS Protocols(PDF, 951KB)
ALS Procedure Guidelines(PDF, 1021KB)
BLS Protocols(PDF, 692KB)
Emergency Medical Service Drug Guide(PDF, 370KB)
Mutual Aid Information
Emergency Medical Services Oversight Authority (EMSOA) Documents
Lincoln Fire & Rescue's EMS Rates(PDF, 16KB)
Emergency Medical Services
Lincoln Fire & Rescue began providing Advanced Life Support (ALS) in 1997 when all LF&R engines became ALS with the addition of a Nationally Registered paramedics.
LF&R assumed sole responsibility of providing 911-ambulance service on January 1 2001 and has been successfully providing ALS service to the citizens of Lincoln and the surrounding counties since.
LF&R operates seven (7) front line ambulances 24 hours each day and has five (5) ready reserve ambulances available when demand dictates. Staffing of front line ambulances consists of a Nationally Registered paramedic and a State certified EMT.
LF&R transported approximately 21,000 patients in 2021 and has noted a steady rise in patient transport over the last several years.
LF&R receives medical direction from Dr. Jason A. Kruger, a board certified emergency physician. Dr. Kruger is actively involved in working with LF&R and frequently rides with the EMS supervisors. Paramedics operate with open protocols and have the ability of making base physician contact at any of the four hospitals with portable radios or cellular telephone.
Protocols are reviewed each year and updated as necessary to reflect current changes in the industry.
LF&R has three (3) EMS supervisors, one for each shift. These supervisors are all Captains and between the three have over 50 years’ experience in pre-hospital emergency medicine. They are on-duty 24 hours a day and provide direct supervision to the paramedics on their shift. EMS supervisors respond to high acuity calls such as cardiac arrest, respiratory arrest, major trauma and other designated incidents.
The organization has innovative technology and equipment including:
- LF&R uses Stryker Physio Control LifePak 15 cardiac monitor/defibrillators with 12-lead acquisition/transmission, pacemaker, cardioversion, SPO2, ETCO2, and CO monitoring capabilities.
- LF&R provides GETAC at-patient-side reporting devices for all front line ambulances. Providers use these devices to enter patient care information into ZOLL’s Tablet ePCR.
- LF&R paramedics obtain patient 12-lead EKGs and transmit them to the hospitals using the LifeNet system where the physicians receive a diagnostic quality EKG. Paramedics are trained to interpret EKGs for STEMIs and declare “cardiac alerts” in the field. The “average” “door-to-balloon” time in Lincoln is less than 60 minutes whereas the national average is 90 minutes.
- Airway management is provided with CPAP, i-gel® airways, ET tubes, and McGrath™ video laryngoscopes.
- LF&R began participating in the American Heart Association Mission: Lifeline® program to improve STEMI care through a coordinated system. LF&R received a Silver award in 2015, a Gold award in 2016 and Gold Plus awards in 2017, 2018, 2019, 2020, and 2021.
- LF&R uses the Stryker Power Load system on all front line medic units for patient transport.
- LF&R began aggressively treating Out-of-Hospital-Cardiac-Arrest (OHCA) in 2013. Our cardiac arrest protocol is designed to improve survivability from OHCA and LF&R has noted a significant increase in the number of OHCA patients who are discharged from the hospital neurologically intact.
- LF&R began participating in the Cardiac Arrest Registry to Enhance Survival (CARES) in 2013. LF&R was the first agency in Nebraska to join CARES.
- LF&R obtains cardiac arrest data by interrogating the LP-15 monitor using the Code Stat Reviewer software. This data is used to provide feedback to the crews using a Post Incident Feedback form and for data to submit to CARES.
- Lincoln Fire uses the Operative IQ data base system and EMS vending machines to promote a state of readiness while reducing EMS pharmacology and supply costs.