How Do Fire Departments Determine What Vehicles to send to an Emergency?


Every day, firefighters around the world respond to various emergencies, ranging from fires to medical incidents. One common question that often arises is, “How do fire departments determine what vehicles to send on calls, and why do fire trucks always go with the ambulance to medical calls?” Fire Department response decisions are not made haphazardly but are the result of careful planning, coordination, and adherence to established protocols.

During my career as an Operations Division Chief, I worked closely with the Dispatch Center for our department. During this time, I helped write and design the response matrix used for dispatching all our fire vehicles.

In this article, we will delve into the intricate process of dispatching fire department vehicles, exploring the factors that influence these decisions. We will also shed light on the vital role of fire trucks in medical calls and why they accompany ambulances. Understanding these aspects is crucial for appreciating the complex nature of firefighting and emergency response operations.

Dispatching Fire Department Vehicles: The Decision-Making Process

The dispatching of fire department vehicles is a highly organized and structured process that relies on several key factors to determine the appropriate response. These factors include:

  • Type of Emergency: The nature of the emergency is the primary determinant of which vehicles are dispatched. Fire departments respond to a wide range of incidents, including fires, medical emergencies, hazardous materials incidents, motor vehicle accidents, and more. Each type of emergency may require a different combination of vehicles and personnel.
  • Location of the Incident: The location of the incident is a critical factor in determining the response. Urban areas often have quicker access to resources and may require fewer vehicles for a rapid response. In contrast, incidents in remote or rural areas may necessitate more extensive resources and a longer response time.
  • Severity of the Situation: The severity of the emergency also plays a role in determining which vehicles are dispatched. For example, a small fire may only require a single fire engine, while a large industrial fire may require multiple engines, ladder trucks, and specialized units.
  • Availability of Resources: Fire departments have a limited number of vehicles and personnel available at any given time. The availability of resources is a significant factor in determining the response. If multiple incidents occur simultaneously, it may affect the department’s ability to respond to all of them promptly.
  • Protocols and Standard Operating Procedures (SOPs): Fire departments follow established protocols and SOPs that outline the appropriate response for different types of emergencies. These guidelines ensure consistency in decision-making and help responders provide effective assistance.
  • Mutual Aid Agreements: Many fire departments have mutual aid agreements with neighboring jurisdictions. These agreements allow departments to request assistance from nearby agencies when resources are stretched thin or when an incident exceeds their capacity to manage.

Understanding the Role of Fire Trucks in Medical Calls

Now that we’ve explored the factors influencing dispatch decisions, let’s address the specific question of why fire trucks often accompany ambulances on medical calls.

  • Rapid Response: One of the primary reasons fire trucks are dispatched to medical calls is to ensure a rapid response. In life-threatening situations, every second counts. Fire trucks are strategically located throughout a jurisdiction, allowing them to reach the scene quickly. Their presence can provide immediate assistance while waiting for the ambulance to arrive.
  • Trained Personnel: Fire trucks are staffed with highly trained firefighters who are often certified as Emergency Medical Technicians (EMTs) or Paramedics. These responders can begin providing critical medical care, such as CPR, bleeding control, and airway management, before the arrival of paramedics.
  • Equipment and Supplies: Fire trucks are equipped with a variety of medical equipment and supplies, including defibrillators, oxygen, bandages, and trauma kits. Having access to this equipment on the scene can make a significant difference in patient outcomes, especially in situations where advanced medical care is required.
  • Support for Ambulance Crews: Medical emergencies can be physically and emotionally demanding for ambulance crews. Firefighters on scene can provide additional manpower and emotional support, helping to lift and carry patients, assist with patient assessment, and manage the scene, which can be crucial in challenging situations.
  • Multifunctionality: Fire trucks are versatile vehicles designed to handle various emergencies, not just fires. This versatility makes them valuable assets for rapid response to a wide range of incidents, including medical calls.

Dispatching fire department vehicles is a well-organized process that relies on several crucial factors, including the type of emergency, location, severity, availability of resources, and established protocols. When it comes to medical calls, the presence of fire trucks alongside ambulances serves a vital purpose in providing rapid response, trained personnel, necessary equipment, and support to ensure the best possible patient outcomes.

Understanding the decision-making process and the role of fire service vehicles in medical calls underscores the complexity and professionalism of modern firefighting and emergency response operations. Firefighters are not only needed in times of a fire but also play a critical role in saving lives during medical emergencies, vehicle accidents, and other emergencies making their dedication and expertise invaluable to the communities they serve.

If you would like me to go into more detail on any of theses areas or have other questions about the fire service please feel free to contact me at [email protected]

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