The North County Regional Fire Authority's Emergency Medical Services (EMS) division is grappling with critical challenges following the retirement of its assistant chief six months ago. First responders, including paramedic Anna Melillo, have voiced concerns about a lack of structure, training, and oversight, which they believe directly impacts their ability to provide effective care. At a recent commissioners meeting, Medical Director Joshua Corsa passionately implored officials to prioritize filling the vacant EMS chief position, stressing that leadership is essential to restoring morale and ensuring quality patient care. Despite the agency treating over 10,000 patients last year, responders feel underappreciated as more budget resources are directed toward fire services rather than EMS. The medical division accounts for a significant portion of the department's revenue, and the community's reliance on EMS services is evident, with 86% of 911 responses being medical in nature.

Plans for restructuring the division include creating lower-tier positions, but many believe this is insufficient to address the leadership void. Without decisive action, the agency risks losing more experienced personnel who are committed to serving the community. Urgency is paramount as the community deserves the best possible emergency medical care.