When the bomb went off at the finish line of the Boston Marathon in 2013 many people were injured but immediately, the scene was inaccessible for EMS.
Boston Police officers were carrying tourniquets and gauze to stop excessive bleeding for those injured, which upped the survival rate while the scene was being secured.
Emergency responders agree that the outsourced dispatching service has improved after initial complaints about communication and procedure.
Adams Ambulance Service Manager Michael Gleason and Fire Chief Paul Goyette told the Selectmen on Wednesday during public comment that after a few meetings and tweaks to the system, the new dispatch service through the Berkshire County sheriff's office has improved.
The town is going to have to find new ways to fund the ambulance operations or stop providing it.
The ambulance operations are funded by an enterprise account, which derives its revenue from bills to both insurance companies and users for services. However, there are fewer available emergency medical technicians to cover all shifts, lessening the amount of business, and a growing pile of unpaid bills.
The expansion of health care services continues in the city with the addition of two "observational beds" at Berkshire Medical Center's Satellite Emergency Facility.
The limited-use beds at the former North Adams Regional Hospital will offer a level of care that may allow a patient to remain in North Adams for a period of time rather than being transported to Berkshire Medical Center in Pittsfield.