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Q&A

Ariola asks about EMS CAD dispatch and unknown-condition priority

New York City Council · Oct 20, 2026 · starts 2:01:10 · 2 min 22 sec

Ariola asks when the EMS CAD dispatch is created and whether it is done with NYPD, and why an unknown condition is treated as low priority. Werner says the incident enters through NYPD first, and Miano says a computer-aided triage system determines call type; unknown is the highest of the low-acuity types.

Joann Ariola

Thank you, Chiefs.

Joann Ariola

Thank you, Chair.

Joann Ariola

And it will be clarification for me with Council Member Sanchez's question.

Joann Ariola

So when is the EMS CAD dispatch law created?

Joann Ariola

And is that done in conjunction with the MYPD?

Joann Ariola

Is that when you're communicating with another agency?

Denise Werner

It's done as soon as the incident enters the 911 system.

Denise Werner

That starts with PD.

Joann Ariola

Okay, which would be maybe why the NYPD has access to that, right?

Denise Werner

Right, they get the information first.

Joann Ariola

Okay, so I just want to now go back to the unknown because I think that Ms.

Joann Ariola

Daly deserves a few more answers for her son.

Joann Ariola

So why is an unknown condition a low priority?

Joann Ariola

And why wouldn't it be considered a high priority?

Joann Ariola

Because they have not been triaged, so they don't know what the illness could be, and it could be a cardiac arrest.

Paul Miano

So we have a computer-aided triage system, right, which as callers

Paul Miano

give information to questions that are asked, we enter that information into the system, and Chief Werner can expand on this, but that's what determines the call type.

Paul Miano

It is not the individual dispatcher making a decision.

Paul Miano

It is a computer-aided dispatch triage system that information received is placed into it, and it leads you down the road to be able to determine what the call type is.

Paul Miano

If we don't have the information, we don't have that to enter in in order to be able to classify it differently.

Denise Werner

The unknown condition is a priority for, so I'd like just to add that that is the highest priority of the low acuity types.

Joann Ariola

Of the low acuity.

Joann Ariola

Correct.

Joann Ariola

But in Kevin Daly's condition, it was a high acuity.

Denise Werner

I understand.

Joann Ariola

And our dispatchers are also EMTs.

Joann Ariola

So that also comes into the low staffing.

Joann Ariola

Because if you're low-staffed in general, then we're going to be low-staffed with our dispatchers as well.