The Clark County Fire Department (CCFD) welcomes millions of visitors to the Las Vegas Strip each year. Unfortunately, tens of thousands of visitors staying in some of the largest hotels in the world require medical assistance. The problem is the CCFD does not currently account for its vertical response time in high-rise properties. The purpose of this research is to evaluate if the vertical response time encountered in our high-rise properties, when added to our current reported response time, exceeds the department's response time goal. To achieve this, the following questions need to be answered: 1. What is vertical response time? 2. What are the department's current response times? 3. What internal documents make measuring vertical response time critical for the CCFD? 4. What percent of the time, on a cardiac arrest response does the CCFD achieve its response time goal when vertical response is included? 5. What percent of the time, on all responses to the Las Vegas Strip, does the CCFD achieve its response time goal when vertical response is included? Evaluative research will be used to analyze the department's current response time data and determine if response goals are being met using the current methodology or the process needs to be modified to more accurately reflect the total response time. A FlexField was added to the reporting system that allowed the capture of the department's vertical response time. Two-months of data was tabulated and interviews were conducted to triangulate what the information implied. The results established the current method used were inaccurate and lead to a misrepresentation of the department's ability to reach patients in a timely manner. The recommendations utilized short-term, mid-term and long-term goals to systematically address hurdles the CCFD's must overcome to achieve its mission of protecting lives.