Greene County Paramedics patch Greene County Paramedics
Medic 5 at a helicopter landing zone
Greene County Paramedics · Year in Review

4,125 dispatched
calls in 2025.

Here is what Greene County Paramedics did with them.

Scroll ↓
From the Chief

2025 was a busy year. Our six paramedic units were dispatched to 4,125 calls, rode to the hospital with 2,189 patients, and had a paramedic on scene in under nine minutes on average, in the valley and on the mountaintop.

This page is the short version of what that looked like. Thank you to the ambulance crews, fire departments, dispatchers, and hospitals we work with every day, and to the towns and the county for backing us.

Steve Near, Chief of Operations
The year at a glance

By the numbers

Six paramedic units, five stations, every town in the county, around the clock.

0Calls dispatchedTimes a paramedic unit was sent. Includes standbys for fire scenes, police activity, and out-of-county mutual aid.
0Patients evaluatedPatients a paramedic assessed and treated at the scene.
0Rode to the hospitalPatients a paramedic rode with to the hospital.
0Cardiac arrests workedCPR and advanced care at the scene. 16 patients had a pulse back before reaching the hospital.

Not everyone we evaluate rides with a paramedic. Some patients are treated and released at the scene, some decline transport, and some are stable enough to go with the ambulance crew. Passengers in a car crash who turn out to be unhurt are evaluated too.

2025
REMO ALS Provider of the Year. Awarded by the Regional Emergency Medical Organization to our Friday day shift crew, whose members have 130 years of combined service in EMS.
8:42Average response, valleyMinutes and seconds from dispatch to a paramedic on scene in the valley towns.
8:47Average response, mountaintopThe same measure for the mountaintop towns. Five seconds apart.
9Patients a day3,324 patients over the year, on average 9 every day.
36Out-of-county responsesMutual aid into Albany County (21), Schoharie County (14), Delaware County (1).
A year in motion

Calls by month

March was the busiest month of the year.

Busiest month: March with 387 calls. Slowest: April with 288.

Call types

What we were called for

Patients by type of emergency, county-wide.

Why a paramedic

Treatment starts at the scene.

Strokes, heart attacks, asthma attacks, overdoses: the first treatment happens where the patient is. Our units carry the monitors, ventilators, and medications to start it, and a paramedic to use them.

What rides in our trucks →
Procedures and medications

Advanced care

What makes a call advanced life support. Also 1,806 IV and IO lines started at the scene.

The heart

Heart attacks and cardiac arrests

012-lead ECGsA full heart tracing, read by the paramedic at the scene.
78Cardiac alertsHeart attacks called in so the cath lab is ready
33Cardiac arrests workedCPR and advanced care at the scene
16Pulses restoredBefore reaching the hospital
13Shocks and pacingDefibrillation, cardioversion, pacing
The airway

Breathing for people who can't

0Patients on a ventilator34 intubated, 39 on BiPAP or CPAP. A hospital-grade ventilator rides in every truck.
27Endotracheal intubationsAll with video laryngoscopy
9Rapid sequence intubationsOne was for respiratory failure. None for respiratory failure in the 19 months since.
207Breathing treatmentsAsthma, COPD, and similar
9Supraglottic airwaysBackup airways placed
Time-critical

Strokes, sepsis, and the long ride

0Stroke alertsSuspected strokes called in ahead so the hospital stroke team is ready.
26Sepsis notificationsSerious infections flagged early
29Trauma alertsTrauma teams activated ahead of arrival
37Overdose reversalsNaloxone for suspected opioid overdoses
31Helicopter flightsFlown from a landing zone we set up
Where

Calls by town

Where the calls were, and where patients went.

HALCOTT ALBANY COUNTYCOLUMBIA COUNTY · HUDSON RIVERULSTER COUNTYSCHOHARIE · DELAWAREASHLAND58ATHENS370CATSKILL136CAIRO766COXSACKIE1,020DURHAM364GREENVILLE342HUNTER367JEWETT16LEXINGTON88NEW BALTIMORE256WINDHAM15PRATTSVILLE133

Each dot is ten calls. Lighter towns had more calls. Windham and Catskill are mutual aid only. Totals are by the location of the call.

  • Coxsackie1,020
  • Cairo766
  • Athens370
  • Hunter367
  • Durham364
  • Greenville342
  • New Baltimore256
  • Catskill136
  • Prattsville133
  • Lexington88
  • Ashland58
  • Jewett16
  • Windham15
  • Outside Greene County36

Where patients went

The nearest hospital is across the river in Hudson. The nearest trauma center and cath lab could be up to 80 minutes away in Albany. That is why a paramedic rides along when a patient needs one, and why 31 patients went by helicopter.

See who covers your town →
Who answered

Calls by unit

Five stations, six trucks, one paramedic in each. Medic 5 ran the most calls.

Each unit is a Chevy Tahoe with one paramedic and the same equipment: a cardiac monitor, a ventilator, and every medication a New York paramedic can carry. Medic 1 is the Chief's truck and covers the gaps.

Where each unit is based →
Ice rescue training with a stretcher on a frozen creekRope rescue training at a rollover below a rock ledgeMedic 8 at duskMedic 1, the special operations truckMedic 9 on a snowy roadMedic 9 on a snow-covered road
What the state found

The model New York now recommends

In March 2026 the New York State Rural Ambulance Services Task Force reported to the Legislature. Of its 38 proposals, number 8 is tiered response: a local ambulance plus a paramedic fly car, with the closest appropriate unit sent to every call. Greene County has run that system since 2000.

Read the task force report

"Tiered response models consisting of BLS transporting units and ALS non transporting EMS vehicles may greatly increase response capabilities and create more resilient response systems by preserving ALS level care for when it is needed."

New York State Report on Rural Ambulance Services, 2026, page 24
Partners

Thank you

To the ambulance services of Greene County, the fire departments, Greene County 911, the emergency departments at Columbia Memorial, Albany Med, St. Peter's and Kingston, our Board of Directors, the town boards, and the Greene County Legislature: thank you.