Generic
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Posts posted by Generic
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On 5/16/2023 at 10:38 PM, Monrovia1 said:How come San Diego doesn't just start there own Ambulances? They could even go with what Glendale is doing, ALS Engine's with BLS ambulances operated by single function EMT's.
San Diego cannot legally take over and start their own ambulance service under state law. They must have had "rights" since 1980 and that has not been the case. I don't know if they ever had them or had them and lost them. They can compete in a competitive process and if they win, they can provide service.
San Bernardino City attempted to start its own ambulance service 25ish years ago and was sued by the California EMS Authority, San Bernardino County and the local ambulance company. They lost the case and stopped service.
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CAL FIRE San Diego Division Chief 3306. Probably came up on it and maybe even reported it.
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On 12/19/2020 at 8:07 AM, California Red said:It looks nice how it is on E211 there, but I prefer the other way, how "CITY" is emphasized (and written in cursive, kind of old school looking in its own way).
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So these specially trained paramedics seem like they would be functioning similar to the crew on the Advanced Provider Units as they also attempt to divert patients from always going to an ER and finding a altemate or a more appropriate course of treatment.
Correct
Do you know what the dispatch protocol is for the Alternate Destination Unit. Do they first dispatch an Ambulance or an Assessment company and once they are on the scene they call for the Alternate Destination Unit or the Advanced Provider Unit if the paramedics deem it appropriate?
I am guessing it is agency specific. There could be generic protocols out there like EMD but I am guessing not because it is not a widespread program.
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Paramedics are initially trained to provide life saving assessments and treatments to the sick and injured. What happens in the field is that there is so much non-life threatening calls that paramedics start to learn through experience and sometimes extra training classes about some of the various diseases etc. They assess the patient and determine if there is anything critical that needs to be dealt with and start treatment. If there is not a critical or serious condition, then you determine what the best course of action. Paramedics don't have in depth training on mental health and alcohol related problems. This is a long term problem with probably a long term solution.
The LAFD has decided to allow certain paramedics to have specialized training to deal with these types of situations. They started this with a pilot program to see if it helps the patient and takes the burden off the hospital and the department. They don't want to poor millions of dollars into a program that they find out later that it does not work. If they find that it works, they may expand it to the rest of the city.
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The Alternate Destination Response Unit (ADRU) is a new pilot program started by LAFD on June 10th, 2019. Staffed by two firefighter-paramedics, AD15 is able to send stable mental patients to a Mental Health Urgent Care Center and ETOH/intoxicated patients to a sobering center both via BLS ambulance
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RM is Rescue Maintenance. Shop personnel.
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AP- Advanced Provider
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14 hours ago, e5911 said:I may be aging myself, but there used to be 400 series engines for Brush fires. Are they still around?
LACoFD used to have 400 series engines which I believe was phased out in the 1970s but with the recent purchase of type 3 engines, the 400 series numbers are back. Station 85 has engine 485. Station 125 has engine 4125 etc.
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400-series are Reserve Engines designed to provide extra capacity during high hazard days, emergency recall, and redeployment of staff personnel. They are numbered sequentially beginning with 401, then 402, etc., regardless of where they are assigned.
LAFD also has 500-series Reserve Trucks and 600-series Reserve RAs. -
United States Forest Service
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From the fire chief's twitter account:
You will start noticing a little different signage on our fire engines, trucks, rescue ambulances and all other LAFD apparatus. The word CITY was eliminated many years ago...but now it’s back! We are the Los Angeles CITY Fire Department!!!
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2 1/2” hose lay from the engine that has a gated wye. 2 packs of 1 3/4” is connected to the gated wye.
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RIC is used for the potential rescue of firefighters only and not used for civilian rescue as the first due company should be providing civilian rescue or any available company if later on in the incident. A RIC team should be placed early in the incident. As early as the third engine company but depends on the incident. I don’t know the policies of the LAFD.
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The black over red engine signifies it is a compressed air foam system (CAFS).
You can read more about it here. https://en.m.wikipedia.org/wiki/Compressed_air_foam_system
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On 10/2/2018 at 8:14 AM, Polecat said:Would Squad 428 be a reserve Squad out of 28’s?
I believe so. I am only speculating as I am not positive but I believe the 4 series squads are staffed short term like special events as above. Once, I was told that when the AV becomes really busy and there are extra personnel to staff an additional squad, one will be staffed until it slows down. As an example, there is squad 134 and a temporarily staffed squad 4134.
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in California
Posted
I think we are talking about two different things here. I am talking about 9-1-1 transport rights under the law and you are talking about staffing. After a quick search of some of those cities I am not familiar with, they all seem to be under the umbrella of the fire dept which have the rights to provide transport. How they staff the ambulances is up to them. Whether it be fire medics or non-safety personnel on the ambulance. If they want to have BLS ambulances with ALS engine companies, they can do that too. They can configure it how they want. Though, they cannot go from an ALS system down to a BLS system or they lose their transport rights.
This explains it more/better. https://www.emsaac.org/images/stories/2017-08-14_EMSAAC_Position_Paper_Grandfathering_and_Exclusivity.pdf
Any private ambulance or fire department can set up a non 9-1-1 ambulance service within a city if they so desire to provide ambulance transportation. For example, hospital to hospital transport.