Our Fire Department is the only one in the county out of 9 departments and the only deprtment around our area that i no of that does not do first responder runs. We used to do them but we stopped because the EMS station grew to be a giant company. They do van, car, and ambulance transports and have a fleet of about ten ambulances(they ran out of numbers for there trucks even). So our thinking was that us doing first responders was about pointless because the EMS station alwalys has a paid crew on station. I think personally that we should do some First responder calls, like cardiac arrest and second out truck calls. But almost all of the opinions up here are the complete opposites. Some people also have stated that it is harder to get Federal and local Grants if you do not do first responder runs. So if you would i would like to know your opinion on our situation, If your department does First responders, and if it is harder to get grants without doing them.
Neither of the POC FDs I am on do first responder.
My career FD runs ALS ambulances with a minimum of 2 paramedics onboard. I will take 2 or more meds on scene for a PNB or a trauma incident over 1 and an EMT any day of the week. More higher skilled eyes, ears, hands and brains are a benefit to the patient and crews that work together all the time become so used to each other that they start to anticipate needs of each other and things flow very smoothly. For ALL ALS calls the ambulance gets the closest engine or truck for manpower. If the closest Ambulance is out already the closest truck or engine is sent and the next closest ALS ambulance is sent.
If you're not careful, you will get sent to all the frequent flyers and habitual callers
So what are you saying here, Dannie? Are you advocating a selective response? Pick and choose the types of calls you want to go on? If providing such a service, isn't going on such calls an aspect of providing that service?
Also, you'll spend more funds on supplies, fuel, and more wear on your trunks that have to be replace sooner, that you paid 400 to 500 thousand dollars for.
How is the EMS provider collecting for "your" services? If you are not transporting, then isn't the EMS provider providing their own services? If you are talking about disposable equipment etc, you can submit a bill as well. Even all volunteer EMS services still bill the patient etc, nothing stopping the dept from doing so as well. Another thing, the majority of those depts providing a first responder service tend to have a utility type of vehicle etc as opposed to taking out a pumper or ladder truck.
Put 2 or 3 guys in a brush truck with a jump kit, O2, and an AED and BAM!! There is your first responder vehicle. It isn't rocket science.
If you ONLY have 12 people available why do you need 4 engines, 1 quint, 1 ladder truck 4 grass rigs . Plus a back up engine and back up grass rig?
Who is staffing all of that equipment? Why can't 2 guys go on an ems call if you still have 10 others on duty? Do you have paid on calls? Do you do call backs for large fires? Why not do call backs for ems runs?
Frankly, I think you should just admit all you want are excuses why you shouldn't do ems, instead of making up reasons why you can't when smaller FDs than yours, with less people and equipment, do it every day.