DrParasite
The fire extinguisher is not just for show
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so if you deployed more EMS resources, or a more appropriate amount of EMS resources, you wouldn't need so many existing fire apparatus.It is instead a mater of using already existing fire apparatus to augment the EMS response, or more typically make up for a lack of deployment on the EMS side.
I call BS on this entire statement. A Box alarm gets 4 engines, 2 ladders, 1 rescue, & 1 chief on dispatch, but most calls are downgraded to maybe 1 engine and 1 ladder once the first unit gets on scene and confirms it's BS. Most inside gas leaks get a box response, but can be handed with 1 engine and 1 ladder once the gas company gets on scene. Pin jobs require 1 engine and 1 rescue. CO alarms require maybe an engine. major hazmats are like structure fires: very manpower intensive, require a lot of resources, and are relatively rare compared to the overall run volume.Most departments have 70% to 80% calls dispatched as EMS. What most people fail to realize is that a fair number of suppression calls require more than one fire apparatus (box alarms, inside gas leak, pin job, fire alarm, Hazmat, CO alarm, things like that). EMS typically gets an ambulance with two people on it at a minimum.
I would wager than many calls "could" be handled by one apparatus; however it's more efficient to have two or three units working together to achieve a common goal.
EMS has two people on an ambulance, compared to 3 to 5 on the fire apparatus. And it's rare to get more than one ambulance on a scene for one patient.
not sure what you mean.... if you compare the UHU of a fire unit and an EMS unit, i'm pretty sure the EMS unit's would be higher.A more fair way to compare suppression vs. EMS call volume would be to count the total number of ambulances that received a call over a year vs. the total number of suppression units that received a call over a year (excluding medical aid of course). That would tell a very different picture than the old "80% of calls are EMS, so take away engines and put more ambulances on the street."
I would argue that most don't put out enough, and use the FD to pick up the slack.Don't get me wrong, I feel that most places don't put out enough ambulances to handle call surges, much less give the average unit some downtime (#SSM/PUMsucks). The truth is, most employers are going to put out just enough ambulances to handle normal call volume.
agreedFWIW, regarding the disdain of fire crews towards having to do EMS txp, from what I've seen and heard, the issue isn't so much of hating to pt. care per se. The bad attitude towards txp is more because of the nature of many of the calls, how they're typically non-acute, typically situations where an ambulance was not needed. This viewpoint is not exclusive to fire. These types of calls routinely burn out career EMT's and medics as well. The EMS people are pretty much stuck with having to run these nothing calls all of the time, whereas the fire people desire an escape from these time draining, unnecessary calls by getting off the ambulance onto a suppression piece.
truer words were never spoke. I spend the first 15 years of my career on an ambulance. Since I relocated, and accepted a new position, I'm almost entirely on the engine for an EMS call (or Rescue if that is dispatched). We also have an ALS ambulance in our firehouse, so they are usually there within 5 minutes of our arrival. We also only go on life threatening calls. It's so much better than being an the ambulance. and it's more fun.Realize that I got my start in NYC 911, three as a basic, two as a medic, and another 7 in my current system as a medic. When I started out I envisioned myself as a career medic, but the all-ALS system has killed my enthusiasm for txp. Life is much better as an engine medic. Every firehouse in my system has an ALS engine and a medic unit, and four stations have an extra medic unit. We chase the medic on the majority of our calls (we have the same EMD system being used by dispatchers with no EMS experience). If the medic needs me to txp, it is because the pt. is in some sort of real distress, so I get to do pt. care, and the txp. medic gets stuck with cleanup (I do what I can until the engine shows up) and the report, and I get to go in-service. A 90 min. call is only a 30 min. call for me.
I've said this before, and I will say it again.... if a FF says they are an experienced EMS professional, and they have never worked on an ambulance, I don't trust them. They haven't done EMS; first responding and then turning the patient over to the ambulance crew for transport is much different than handling patient care from initial contact until you arrive at the ER.That is why I, and the majority of fire based EMS people try to avoid working txp.
I'd be happy for a BLS job where I got the same amenities you describe, but still have enough downtime to sleep in a bed, work out, shower, and learn new things about my job. Bonus points if I can be housed in an EMS station, instead of being a guest in the house of another agency.Fire people escape from that by going into different job functions. Single role EMS get into dispatch, promote (rare), educate/promote into another area of healthcare, or just quit. 13 years in the field, with well over 13 yrs worth of txp time (based on a 40 hr workweek), I'm over doing non-acute BLS or VOMIT (vitals/O2/Monitor/IV/Txp) as the vast majority of calls. Give me my old ALS job types with no dispatched BLS, running out of a station that has beds, shower, gym, kitchen, a 24/72 schedule, with NY money, with FD retirement and benefits, I would be okay doing txp for the long term. That does not exist.