Meramec Ambulance District was
formed in 1972 by public vote to provide ambulance service to the Pacific,
Catawissa, Robertsville, Gray Summit, Labadie, St. Albans
and Villa Ridge areas. The District was created under the state ambulance
district law, Chapter 190 of Missouri statutes. The District was preceded by
the Meramec Volunteer Ambulance Service which was begun by area residents in
July of 1969. The District is authorized to collect a maximum of 30 cents per
$100 assessed valuation of property taxes to finance its operation. These
property taxes are an important part of the District’s income and financial
Currently the District responds to
over 3500 calls per year. The District contracts with Central County Emergency
911 for dispatching services. Emergency calls are received in cooperation with
surrounding dispatch agencies utilizing the enhanced 911 system. Central County Emergency 911 Dispatch utilizes
the latest computerized dispatching equipment. Its dispatchers are trained and
certified to provide medical care instructions to those awaiting the arrival of
In the instance where air-medical
services are needed, the closest air-ambulance is utilized.
When all district ambulances are committed to
emergency calls, a neighboring district will provide EMS
for our district through a pre-established agreement known as mutual aid. This
will also provide "move-up" ambulances to the District for additional
emergency calls arriving at the dispatch center.
The District is governed by a Board
of Directors consisting of six members, in accordance with Missouri statutes. Each member of the board
is elected by geographical sub-district, and serves for a three-year term.
Buildings and Equipment…
Currently the District operates
four stations, located at 429 E. Osage in the City of Pacific,
3279 Hwy 100 in the Villa Ridge area, 7390 Hwy O in Robertsville and, 385 Old Manchester Rd.
between Pacific and St. Albans. Three ambulance
buildings (Stations 1, 2 and 3) are equipped with emergency generators in the
event of power failure, all business and dispatch operations will be maintained
on generator power. These stations could also serve as temporary medical
shelter in case of a major disaster.
The District maintains seven Advanced Life Support
ambulances. Four of these Advanced Life Support ambulances are staffed and
ready to respond three hundred sixty five days a year, twenty-four hours a day.
The District is staffed with 30
full-time employees and maintains a part-time EMS staff of approximately 20
personnel. All EMS personnel are licensed
Emergency Medical Technicians (EMT) or Paramedics (EMT-P). Three Paramedics are
designated with the rank of Lieutenant. Lieutenants are responsible for the
day-to-day operations of the District and supervise EMS
personnel. All EMS crews provide advanced life
support, using the latest medical equipment and techniques in emergency medical
care. Administrative personnel include a Chief and two full-time administrative
Medical supervision is provided by SSM
St. Clare. Dr. Justin Rapoff is currently serving as our Medical Director.
Medical direction includes: pre-established medical protocols, EMS training,
on-line medical direction and an EMS liaison.
The EMS liaison and District officers review all reports and follow quality
care criteria to assure compliance with State guidelines and a high-quality
standard of patient care.
Training and Licensing…
All Meramec Ambulance District
personnel are licensed by the State of Missouri,
and are required to relicense every five years. Many personnel also maintain a
National Registry License. All personnel are required to attend mandatory
District training classes and additional EMS
courses to maintain proficiency in medical care and treatment. Administrative
personnel also attend local and national conferences to maintain proficiency in