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Our map books and the tough book GPS map are the same. When a call drops on us we can see where we are on the tough book map and where the call address is....we also carry alpha numeric pagers that give us the address, code response and map book page number. It is up to us to determine the best way to get there. Whenever the map is off an incident report is made and it is corrected. We have been using this setup for 3-4 years now and it is very accurate.
I am a big advocate of memorizing the road system in the primary response area. As you roll out, you should know where you leave the ramp. Just quickly glance at the map to check yourself and you are good to go.
Outside of the normal area, or where you don't have memorized, plug it into the Garmin, start rolling, and do a quick double check against the map book.
We use toughbooks and Thomas bros laminated pages "easy to read". We prefer using the CAD in our toughbook because all we do is follow the blue line and if it takes a wrong way we can't get in trouble. Its rarely is wrong since its the system fire and police use.