With 46 calls during the week of Dec. 2-8, the Wilton Volunteer Ambulance Corps hit an all-time high for calls in one week. There were 19 calls to private homes, 17 calls to senior living facilities, nine motor vehicle accident responses, and one call to a public location. Twenty-four of the calls were medical, 22 were trauma-related. Of the 46 calls, the ambulance made 35 trips to the hospital, meaning nine trips were refused. Ambulance corps president John Miscioscia said the corps averages 3.75 calls a day, for a yearly total of more than 1,360. He said he expects the corps to finish the year in that ballpark. \u201cUsually in the winter months there\u2019s an uptick in falls and the flu,\u201d he said. \u201cOur call volume will go up when the new [senior living] facility opens on Danbury Road.\u201d Just like the fire department, the ambulance corps relies on mutual aid when call volume exceeds their ability to respond. The corps \u201ccould probably easily do eight to 10 calls a day if they are spaced out,\u201d he said, since each call takes about an hour. \u201cBut they never happen like that. Last month, we had five calls in the space of 20 minutes.\u201d Wilton handled two of those calls but relied on Norwalk and New Canaan to handle the others. \u201cIt\u2019s an unpredictable business.\u201d The ambulance corps is compensated only for trips made to the hospital with a patient. When a patient refuses a ride the ambulance corps receives no payment, even if they treat someone. A new state protocol will increase the number of calls an ambulance makes, but will not likely increase insurance payments, Miscioscia said. That\u2019s because any time a fall is called in to police dispatch, an EMS evaluation is required. In the past, a police officer or firefighter might help a person who has fallen without calling out EMS. The new protocol will change that. If a ride to the hospital is not warranted, the ambulance corps receives no payment for the visit. Ambulance rates are set by the state. Proposed rates for 2019 are $743 for Basic Life Support, $747 for Advanced Life Support (non-ER), and $835 for a paramedic intercept.