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Who is the first on scene at medical calls in you district?

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  • mikeyboy
    replied
    Medical Responses

    One of our Medic Engines will beat the Ambulance on scene 9 out of 10 times.

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  • LaFireEducator
    replied
    The parish EMS service houses an ambulance at our Central Station, which is our only staffed station. As a rule, they arrive together unless one or the other is out of the station.

    Most of the time one of our volunteers or off-duty career members responding from home as a volunteer arrives before the on-duty staff and/or ambulance.

    Sheriff's department responds (cold) on all medical calls, and generally arrives after we do.

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  • Bones42
    replied
    PD first.

    Vol EMS second.

    Countywide paid medic service third.

    FD does not respond to EMS calls.

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  • islandfire03
    replied
    We send an ALS staffed Ambulance.
    There are a few times when I wish dispatch would call it in as a pt on fire , so some of the hose draggers would get out of bed in the middle of the night to help tote the big guy down.
    :-}

    Call would go something like this:

    CC dispatch to .... fire & rescue, respond to park street for a fully involve fat man down ,but breathing.

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  • tree68
    replied
    Originally posted by snowball View Post
    Why would you need to establish command on a medical aid?
    If you establish command at every call, then it becomes habit. It's a lot easier to expand an existing command structure than it is to try to herd the cats once an incident expands beyond a single company.

    As for who's on first, in my district it's usually our first responders, but that depends largely on where it is. Our station is about seven miles from the staffed NFP ambulance, so in that direction, it can be a draw, or they may beat us, since they're usually on the road before I can find my shoes, much less get to the station and pick up the apparatus.

    Dispatch sends the cops to all behavioral calls, OD's, and other potentially violent situations, especially since we lost a volunteer EMT to a GSW a couple of years ago. They also go on "unconcious/unresponsive" calls since those sometimes involve an "unattended death" (ie, not under the direct care of an physician) and they'll have to do a report. Sometimes they get there first, and many patrol cars carry an AED and the cops know how to use them.

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  • snowball
    replied
    Originally posted by ChiefKN View Post
    For us its usually the police. God knows why they are so eager to get there.
    Quarterly merit awards? If we get a distressed child call or a working fire with occupants inside, the street is littered with cruisers. If it's an accident or a 5150, you won't see one.

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  • sredish
    replied
    ambulance and an engine

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  • ChiefKN
    replied
    For us its usually the police. God knows why they are so eager to get there.

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  • FireRescueLupo
    replied
    We are dispatched though our Sheriffs office so they are usually first on scene to everything. They drive fast and hard and have a small head start on us anyways and then usually arrive and declare scene safe if need be or clear traffic. Next is usually a rescue truck unless it is a confirmed structure and we ditch the rescue for an engine. Our Ambulance is separate from our fire so just depends on where the call is if they are going to beat us there or we beat them.

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  • Dickey
    replied
    In my town, we have a rescue squad of EMT-Basics who respond directly to the scene. We also have a rescue vehicle, a pick up truck, with a defib, CPAP, O2, splints, and other medical equipment that responds out of the fire station. Depending on the location of the call and the location of the responders going, someone will stop at the station and take the rescue vehicle. We are one of only a very few licensed EMT-Basic rescue squads in Wisconsin, most are first responder level. That means we can defib and give the 6 basic drugs for the basic level.

    We do not have our own ambulance service. We used to contract with a private service but the last 3 years or so we have contracted with our neighboring FD who is full time for our ambulance service. They are right next door to us and have a response time within 10 minutes.

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  • FIREMECH1
    replied
    Location of need and availability (of rigs) dictates on who arrives first (career).

    PD normally doesn't respond, except for certain calls.

    FM1

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  • hwoods
    replied
    And.............

    For us, First arriving is who hit the Street first. If the Heavy Rescue happens to pull out ahead of the Ambulance, then they'll get there first. We don't get the Cops on scene ahead of us unless they happen to be the ones who initiate the Call.


    The PD only responds on a Fire/EMS call if, 1. It's a Law Enforcement Call and they find that they need us. Or 2. We get to our call and find we need them. They have a lot more things to do than to run our calls just to see what's going on. They also usually don't direct Traffic either, if we have a job, we just block the Street with a couple of Rigs and let people find another route..........
    Last edited by hwoods; 12-05-2010, 08:34 AM. Reason: Tones interrupted first post.......

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  • EngineCO38
    replied
    Originally posted by snowball View Post
    Why would you need to establish command on a medical aid?
    We establish some form of a command at every incident, whether it be a medical call, tree's and wires down, CO Call, etc. It's our way of keeping things simple and less confusing. Granted when we establish command at a major incident, such as a working fire. The command structure is a bit more detailed, as it should be. For the simple stuff, mostly an IC is the only thing required, sometimes Ops is established as well.

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  • volfireman034
    replied
    Each volunteer fire department in this area have whats called "first responders" basically firefighters with medical training. When the call goes out from dispatch they request first responds and send out the squad ( ambulance with 2 emts or parmedics). The idea was the first responders start working on the patient till squad gets there. Some times firefighters go along for lift help or depending on time of day something you can only get one first responder to respond to the firefighters will help out. Most arrive on scene POV and carry med bags and 02 with them.

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  • snowball
    replied
    Originally posted by EngineCO38 View Post
    Nine times out of ten one of our line officers or Chiefs will arrive on scene first and establish command. Second unit on scene is our Rescue truck, and then the Ambulance shows up about 10 minutes later.

    And if your wondering, we're volunteer, and the Ambulance service is career. They're just 12 miles south of us.
    Why would you need to establish command on a medical aid?

    Leave a comment:

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