PORTLAND, Ore. (KOIN) – Last year, a settlement agreement with AMR for ambulance service allowed for one EMT and one paramedic to staff some ambulances as a way to improve response times.

But during a board briefing on Tuesday, Multnomah County commissioners received an update on this practice and heard about many troubles.

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Complaints from EMS leaders are that training is not what it should be, response time goals are not being met, and “safety events” are rising.

AMR has racked up millions of dollars in fines for delayed response times to 911 calls, but the county has not collected any of that money.

AMR has also increased the number of ambulance crews available and hired more EMTs, but it is struggling to hire more p

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