Generic

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Generic last won the day on July 7 2016

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  1. 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.
  2. 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.
  3. Reserve out of station 47. https://vcfd.org/station-47/
  4. CAL FIRE San Diego Division Chief 3306. Probably came up on it and maybe even reported it.
  5. Correct 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.
  6. 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.
  7. 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
  8. RM is Rescue Maintenance. Shop personnel.
  9. Thoughts and prayers for.......truck 9.
  10. https://twitter.com/stevengregory/status/1261877841886502913?s=20
  11. AP- Advanced Provider
  12. 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. https://gramho.com/media/2274220196091118794