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NEAT inclusion of the Perlux Fog/Driving lights in the lower headlight housings!
Just out of curiosity, why not just have all of the ambulances covered by paramedics, instead of having them step off of the engine to ride in? Thus, also avoiding knowing how many paramedics (if any) you'll get since not all of the engines are staffed the same...
Trav!
Travis- Mill Twp. Fire Dept. Marion, IN.
Quote:That is correct.. since there are only so many paramedic units and/or paramedic engines, many of the busier cities/areas also have the paramedic assessment engines. Orange County has many standing ALS orders so once a medic assessment engine arrives on scene, the single paramedic can start treatment right away. In some areas, you will get an assessment engine or regular engine and then a paramedic engine. BLS ambulance on all calls with transport, usually with both medics aboard.Thanks, still a little confused though. You state BLS ambulance for transport with engine medic(s) on board, but JFong's comment appeared to say that the paramedics on the "medic vans" transport with the patients. Plus, several of the ambulances pictured are marked as paramedic units. Are there both ALS and BLS ambulances operating in addition to the medic engines? What's the reason for 2 medics on the "Paramedic" engines, but only 1 on the "Assessment" engines? Is there a difference in the equipment both carry or some sort of operational difference other than 2 vs 1 medic? Not criticizing in any way, just a right coast guy curious about how you lefties do things. Quote:Just out of curiosity, why not just have all of the ambulances covered by paramedics, instead of having them step off of the engine to ride in? Thus, also avoiding knowing how many paramedics (if any) you'll get since not all of the engines are staffed the same... Now believe it or not, for decades Orange County has not allowed private ambulance companies to have paramedics on their ambulances. Only recently did the country tested a pilot program that allowed private ambulance companies to run paramedics on their ambulances for IFT.
People complaining about spam in the spam mail box... Huh, what'll they think of next?
Quote:Thanks, still a little confused though.Many fire agencies in California whom operate paramedic services have transport capable unitsbut do not transport patients, they contract with ambulance companies for transport. Unless the patient is a firefighter, cop, city employee, etc, even the medic vans usually do not transport, private ambulance companies do and at least one medic rides in the ambulance. If a critical patient, both medics will go with the ambuilance and an engine firefighter or even captain will bring the medic van to the hospital. Ambulances are either private ambulance companies or city/county owned ambulances with contract EMT's. County protocol in at least LA and Orange County call for a unit operating as a paramedic unit to be staffed by two paramedics, As stated in a previous comment, ORCO and other counties have standing ALS orders so paramedics do not have to make hospital contact on every single call. Thus the medic on an assessment engine can begin ALS treatment as a first response unit before the medic unit and BLS ambulance arrive. Assessment engines carry less and more basic ALS equip than full-fledged paramedic units. Scott Quote:Just out of curiosity, why not just have all of the ambulances covered by paramedics, instead of having them step off of the engine to ride in? Thus, also avoiding knowing how many paramedics (if any) you'll get since not all of the engines are staffed the same...Money, money money. BLS ambulances are not manned by firefighters but contracted EMT's Scott Quote:Thanks, still a little confused though. OCFA will usually dispatch the closest resource and a paramedic resource to medical calls. The paramedic resource can be a medic van (the Medic Ambulances), assessment or paramedic engine/quint. If the patient needs to be transported, then usually one of the medics will take their equipment and hop aboard the private EMT ambulance for transport to the hospital. OCFA is a strange beast. The run both BLS and ALS ambulances with certain caveats. The Ford van ambulances that are marked "Medic" are called medic vans and run with 2 paramedics and a full compliment of gear. Under normal circumstances, they will not transport (unless a PO or FF gets injured or there is an extreme case). Just think of them as similar to the paramedic squads of LA County. OCFA also runs several Ford Type 3 box ambulances called "Emergency Transports" which are staffed by EMT in the cities of San Clemente and Westminster. In Westminster, OCFA owns and maintains the ambulance but it is run with EMT from a private company. In San Clemente, the city offers a subscription based ambulance transport program for its residents. For all other cities/areas, patient transport is handled by private ambulance companies. Assessment engines have 1 paramedic and no drugs while the paramedic engines will have 2 paramedics and the full compliment of drugs.
People complaining about spam in the spam mail box... Huh, what'll they think of next?
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