Huntington Beach, CA – The Huntington Beach Fire Department (HBFD) has once again been recognized for its exceptional commitment to cardiac care, receiving the prestigious Gold Award from the American Heart Association (AHA) for the fifth consecutive year. Division Chief Justin Fleming and Chief Medical Officer Dr. Rombod Rahimian proudly announced this achievement at a City Council meeting on July 15, 2025, highlighting the department's dedication to saving lives.
The "Mission: Lifeline EMS" program, launched by the American Heart Association in 2014, is designed to acknowledge pre-hospital agencies nationwide for their excellence in heart attack and stroke care. This program specifically celebrates the achievements of pre-hospital providers and their crucial collaboration with hospitals in delivering patient care. Agencies are evaluated on their adherence to evidence-based guidelines, performance measures, identification of gaps with solutions, and engagement in continuous quality improvement initiatives.
The HBFD’s participation in this program involves rigorous measurement of its performance in the acute setting of heart attacks. Key metrics include the acquisition of a 12-lead electrocardiogram (EKG) within 12 minutes of arrival (or 10 minutes according to one source), efficient cardiac medication administration, and the seamless transmission of EKGs between the HBFD, base hospitals, and cardiac receiving centers. Most critically, the program aims to decrease the "patient contact to balloon time," which is the interval between recognizing a heart attack and administering definitive care at a cardiac receiving center. This rapid response allows patients to bypass the emergency room and go directly to the Cath lab for life-saving interventions like stents and balloons, underscoring the critical philosophy that "time is muscle" in cardiac care. The HBFD was a trailblazer in Orange County, starting EKG transmissions in 2014.
This "gold" recognition is the highest level an agency can receive, and the Huntington Beach Fire Department holds the distinction of being the only agency in Orange County to achieve this award. Furthermore, only approximately 20 agencies in the entire state of California qualify for it, and it is believed that very few, if any, have maintained this gold standard for five straight years. This exceptional achievement is a testament to the professionalism and outstanding efforts of the HBFD's hardworking firefighters and firefighter paramedics in providing superior cardiac care to the Huntington Beach community. Division Chief Fleming noted that this achievement should assure the community that they are receiving some of the best care available when facing cardiac issues.
The HBFD's success is also attributed to its robust collaboration with local hospital partners, including Huntington Beach Hospital, Hoag Memorial, Orange Coast Memorial, and UCI Health – Fountain Valley. This seamless communication ensures that hospitals are prepared for patients before they even arrive at the facility. Dr. Rahimian emphasized that this high level of performance by their members allows them to provide the "highest level of medical care" to the entire community, giving individuals "the best shot" at recovery, whether for a heart attack, stroke, or trauma. The focus is not just on saving lives, but on preserving "quality of life," enabling patients to return to their normal activities, such as riding a bike or even surfing again.
Dr. Rombod Rahimian, the department's chief medical officer, is not only an emergency physician but also an EMS physician, a subspecialty with the same weight as other medical fields like cardiology. He actively engages in field operations to ensure the highest level of service and patient care, reducing risk for the city. Dr. Rahimian humbly describes the AHA honor as a "team award," emphasizing the collective outstanding assessment and procedural performance achieved through consistent practice, much like "basketball practice".
During the July 4th celebrations, Dr. Rahimian exemplified this dedication by responding to a severe incident where a person fell off a roof. Despite the unfortunate nature of the accident, the swift and outstanding work of the HBFD members led to the patient's immediate stabilization and treatment, preventing worsening of a traumatic brain injury and enabling transport to a trauma center for recovery. Dr. Rahimian was credited by fire department counterparts for a difficult field intubation that potentially saved the patient's life, though he attributed the success to the team, stating that "it's not just one person" and that EMS provides a higher level of care and greater community impact as a collective.
Members of the City Council lauded the Huntington Beach Fire Department, with Councilman Don Kennedy proclaiming it "America's finest fire department, hands down," commending their leadership and entire team. He also pointed out that Huntington Beach, as a Class One fire department, offers an often-unnoticed benefit to residents in the form of lower homeowners insurance rates. The department expressed its honor and pride in receiving the recognition and extended gratitude to the City Council for their continuous support of public safety.