Medical Assistance Response Cart (MARC) EMS Team
In 2001, Emergency Services implemented a program know as MARC, Medical Assistance Response Cart, to reduce emergency medical patient contact times in Walt Disney World Theme parks & Disney Springs. Customized golf carts outfitted with emergency medical equipment and staffed with paramedics are able to respond to these areas reducing patient contact time while increasing personnel safety by reducing emergency drive time. This program combined with the Public Access Defibrillation Program, implemented in partnership with the Walt Disney World Company serves as a model for future public/private endeavors.
The MARC EMS Team program continued to achieve the Department’s goals with decreased patient contact times and has had a direct positive impact on patient outcomes. Studies have shown that early access defibrillation can mean an increased chance at surviving cardiac arrest. The MARC units have supported this theory through their rapid response and ALS procedures. So much so that the Department’s Medical Director presented an overview of the program at various state meetings during 2003.
Location continues to be another advantage of the Program. Having consistent crews and station locations have allowed the assigned personnel to build relationships with the area management. These relationships have allowed crews to customize service delivery methods that meet the customer’s needs as well as meeting department standards.
MARC EMS Team personnel also continued to increase their role in the Department’s public education initiatives. Providing CPR and other medical related training programs have allowed for further development of the citizen’s role in EMS. Additionally, the MARC personnel have been utilized to provide various training classes within the Department.
These personnel are not assigned to 24-hour shift, rather they are assigned to work 8, 10, or 12 hour shifts depending upon need, a system status approach. MARC EMS Team personnel consist of 30 Paramedics and 6 EMT’s and are not required to be certified Firefighters.