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Q&A

Restler questions Variale on survival rate decline and experience

New York City Council · Oct 20, 2026 · starts 3:19:53 · 3 min 33 sec

Restler asks Variale to clarify the survival rate statistic and what the decline means. Variale says the rate fell from about 35% to 16%, citing a Penn State study that experienced EMTs or paramedics with six or more years improve survival rates, and says losing veteran providers hurts outcomes.

Lincoln Restler

I do.

Lincoln Restler

Thank you so much.

Lincoln Restler

Firstly, thank you all for your...

Lincoln Restler

Compelling and impassioned testimony and your consistent forceful advocacy on behalf of your members it makes a real difference and we are all rooting hard for you to get these contracts done and to ensure that

Lincoln Restler

EMTs are getting the wages that they deserve

Lincoln Restler

I just wanted to drill down, President Varielli, on a statistic that you mentioned in your testimony on survival rates, that they had fallen from 35% to 16%.

Lincoln Restler

Could you clarify the data points that you're referring to and from when to when have we seen this decline and what that means that the survival rate has declined so precipitously?

Member of the Public - Vince Variale

Sure.

Member of the Public - Vince Variale

So I got that from the mayor's management report that's in there.

Member of the Public - Vince Variale

The survival rate, I believe the highest was in 2019, was 37%, between 35% and 37%.

Member of the Public - Vince Variale

And the survival rate basically is the person, the patient was found dead, clinically dead, cardiac arrest or any other way, and then was revived by EMS and survived.

Member of the Public - Vince Variale

When they were treated, transported to the hospital.

Member of the Public - Vince Variale

From a height of 35%, as I put on the record, that survival rate has plummeted to 16%.

Member of the Public - Vince Variale

Now, some can say it's because the staffing isn't there, so we're not getting to the call quick enough, which is probably part of it.

Member of the Public - Vince Variale

But a lot of it also has to do with the lack of experience because many members have gone.

Member of the Public - Vince Variale

Members with experience have gone.

Member of the Public - Vince Variale

And where I get that from is there is a study that was done in Penn State that showed an increase in the survival rate whenever they had an EMT or paramedic with six or more years of experience.

Member of the Public - Vince Variale

They saw an increase.

Member of the Public - Vince Variale

Of 27% on the survival rate.

Member of the Public - Vince Variale

Now, to strengthen that study, there was a study done about 15 years ago, maybe more, in the FDNY

Member of the Public - Vince Variale

that showed whenever an EMS lieutenant was on the scene of a cardiac arrest, the survival rate of that cardiac arrest increased.

Member of the Public - Vince Variale

At first you think, well, why would that be?

Member of the Public - Vince Variale

It's not like they have to really supervise EMTs.

Member of the Public - Vince Variale

They know their job or paramedics or that matter.

Member of the Public - Vince Variale

It made sense.

Member of the Public - Vince Variale

The majority of EMTs and paramedics have less than, I think it's 75% have less than five years experience.

Member of the Public - Vince Variale

The majority of the officers have over seven years to 10 years experience.

Member of the Public - Vince Variale

So again, it strengthens the research that was done by Penn State saying, if you have more than six years of experience, the survival rate will increase.

Member of the Public - Vince Variale

And that's what that meant.

Member of the Public - Vince Variale

So by not having enough staffing, we can't get there on time.

Member of the Public - Vince Variale

By not having the experience, the veterans that we need, we can't save their life.

Lincoln Restler

It certainly, I really appreciate you sharing that study and that and highlighting it.

Lincoln Restler

It doesn't surprise me at all that somebody with more experience on the job is better at it, right?

Lincoln Restler

As a council member, I'm better in year five.

Lincoln Restler

Just by what some of my colleagues might say, than I think I was in year one.

Lincoln Restler

I know that a teacher gets better in year five than he or she was in year one, and it really makes a difference.

Lincoln Restler

So ensuring that we're retaining this workforce is critically important for the health and safety and well-being of New Yorkers.

Lincoln Restler

But I still just want to drill down on this stat because it's so disturbing.

Lincoln Restler

Just so I make sure I understand it, forgive my ignorance.

Lincoln Restler

The survival rate, it refers to the number of people that have been revived.

Lincoln Restler

Is that right from EMT showing up?