January Member of the Month

Chief Carl A. Flores, Deputy Director/Chief of EMS, New Orleans, Louisiana

Carl A. Flores is the Deputy Director / Chief for New Orleans EMS. Chief Flores has served in his current role since the winter 2007. With a team of 150 paid employees and over 150 volunteers at New Orleans EMS, he continues to perform in this critical role as the New Orleans EMS system develops with his experience and leadership.

Chief Flores first studied to be an EMT at Pima Community College in Tucson, AZ, where key training focuses went beyond the basic EMS curriculum and concentrated on rope and water rescue training. Upon completing his training and gaining his national certifications, Chief Flores began his career in a path that is not unfamiliar to successful leaders in New Orleans EMS – as a volunteer in 1993 through the Volunteers in Government of Responsibility (VIGOR). After accepting a position as an EMT Basic, he quickly advanced his level to an EMT-Intermediate where he served the citizens and visitors of New Orleans in several capacities while training to be a Paramedic. During this time Chief Flores cross-trained as dispatcher where he obtained his Emergency Medical Dispatcher (EMD) certification and achieved the level of dispatch supervisor. In the position of rescue technician, Chief Flores was able to provide critical extrication services on difficult rescue scenes; although in his new role he maintains the passion to teach others as a vehicle extrication instructor for New Orleans EMS. Emergency Medicine focused, Chief Flores continued to advance his knowledge obtaining his instructors certifications in CPR, Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Basic Trauma Life Support (BTLS), and Pre-Hospital Trauma Life Support (PHTLS) which helped in training new employees and Paramedic students. In 2004 he became an Emergency Medical Coordinator, Assistant (Supervisor) where he served as a Field Supervisor. Immediately preceding his current role, Chief Flores was appointed as the Director of Logistics following Hurricane Katrina, a position which played a pivotal role in the rebuilding and procurement process that replaced the destroyed and lost equipment following Hurricane Katrina. Since that time, Chief Flores has led New Orleans EMS in the acquisition of greater than $4.0 million dollars in new equipment and the rebirth of New Orleans EMS.

This rebirth was culminated in 2012 when New Orleans EMS was named the Dick Ferno Emergency Medical paid Service of the year.

Although Chief Flores is very dedicated to the City of New Orleans and its citizens, the major focus of his life revolves around his family. Without the support and sacrifice of his wife Heather and their three children he would not be able to commit such time and efforts to make New Orleans EMS one of the premiere EMS services in the country.

EMS agency name
New Orleans EMS
Agency location/area served (City/State)
City of New Orleans/Orleans Parish- Louisiana
Service type: (Municipal, Private, Hospital, Volunteer)
Third service municipal
Number of staff:
# EMT’s 42 Field EMT-Basics, 6 Field EMT-Advanced #Paramedics 75 Field Paramedics #Support staff 9 Administrative Staff Members, 7 Logistics Team Members

Annual call volume statistics

  • 911 responses- 61,077 CFS in 2015; Trending 64,000 for 2016
  • 911 transports- 39,107 patients transported in 2015; Trending 40,000 Transports
  • ALS percentage of transports- 100%
  • BLS percentage of transports- N/A
  • Non-emergency transports (if applicable)- N/A

Population of coverage area- 389,617
Square mileage of coverage area- 169.42 square miles

Ambulance Fleet information

  • Number of BLS ambulances- N/A
  • Number of ALS ambulances – 11 Trucks at Peak Hours (7-8 Day; 3 Swing; 6 Night)
  • Number of supervisory units 3 Captains and 1 Lieutenant at Peak Hours (2 Day Captains; 1 Swing Captain; 1 Night Captain – 1 Day Lieutenant; 1 Night Lieutenant)

Specialty units/resources

  • EMSU-1 is the MCI bus utilized during major events/disasters. It has the capability of transporting __18__ supine patients and __9___ wheelchair patient, can support tele-monitoring for __12___ patients simultaneously
  • Total of _10_ trained tactical medics that assist local/state/federal law enforcement
  • Total of __9__ active shooter/Rescue Task Force kits capable of outfitting _18__ personnel with ballistic equipment and hemorrhage control kits for use during an active shooter situation
  • Five specialty response vehicles- fully ALS-capable, miniature all-terrain ambulances used to extract patients from areas typically inaccessible to standard ambulances. Utilized during major events such as Mardi Gras, NFL football games, or Mass Casualty Incidents.
  • EMS Bike Team- total of ___21__ EMTs and Paramedics who are IPMBA-certified, total of __16__ bikes (10 Frontline and 6 Training/Spare).
  • EMS Rescue truck- total of __9___ personnel trained as rescue technicians. The rescue truck is stocked with all tools required to perform vehicle and light technical rescue. It also hosts SWRT gear as well as high angle rescue gear.

MIH, Community paramedicine and/ or other programs

  • Robust volunteer program with over 150 active volunteers who assist with coverage for major events and ride third on a unit in order to gain clinical/hands-on experience
  • Community Paramedicine program- we identify our patients who frequently call EMS & go to Emergency Rooms, and provide them with care coordination, readmission prevention, & access to an array of social services with our many community partners, as well as teaching on disease prevention & self-management
  • Community Outreach program- multiple preventative health and safety initiatives including free public training in compression only CPR (over 1K citizens trained annually for the last 4 years), the New Orleans EMS T.A.S.K. Force- Teaching Awareness and Safety to Kids, partnerships with Louisiana State Police and the Level 1 Trauma Center at UMC as part of the Sudden Impact Program, which strives to instill responsible practices in teens who will soon be behind the wheel

Agency challenges: if applicable
As a municipal third service we experience the same challenges as other providers including funding and staffing. Specific challenges include balancing the operational needs with structured funding associate with government systems, especially, given the increased call volume of approximately 38% from 2010 to 2016. Other challenges include, operating a public safety agency under a business model without sacrificing patient care and the ever changing improvements in technology and treatments.

Special projects/other:
In 2015, we were awarded a grant from the Louisiana Highway Safety Commission to begin a car seat distribution program. All of our units carry car seat referral cards; when a crew sees or interacts with a child who is unrestrained or improperly restrained, they issue a referral card to the driver/caregiver. The adult is instructed to come into EMS headquarters on a designated day of the week to receive a free car seat as well as instruction on the car seat’s proper installation and use. The grant has been renewed for FFY 2016.