U.S. Fire Administration Library Citation(s)

 

2013 national run survey. Part 4 [in "FIREHOUSE"]

Author(s):Roche, Kevin M. and Friszell-Neroulas, Elizabeth.
Description: In "FIREHOUSE". v. 39 (9) p. 56-62+
Publication Data: September 2014
Type of Item: (JOURNAL) JOURNAL
Subjects:1. FIRE DEPARTMENTS 2. FIRE STATISTICS 3. WAGES 4. STAFFING 5. ENGINE COMPANIES 6. LADDER COMPANIES 7. RUN SHEETS 8. HEAVY RESCUE OPERATIONS 9. HAZARDOUS MATERIALS RESPONSE 10. AMBULANCES 11. EMERGENCY MEDICAL SERVICES
Series Data:Fire department pay scales and staffing
Availability:Available on Interlibrary Loan
Copies:
  • : CURRENT ISSUE - MAIN FLOOR [Status: IN]
 
 

Pure pretense: are your engine company medics just for show? [in "EMS WORLD"]

Author(s):Dick, Thom.
Description: In "EMS WORLD". v. 42 (3) p. 12
Publication Data: March 2013
Identifier/s:OCLC Record No.: 830007484
Type of Item: (JOURNAL) JOURNAL

PDF

URLs are tested and verified at time of data entry.
www.emsworld.com/article/10874022/pure-pretense (45.1 kb)
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE DEPARTMENT PERSONNEL 3. INTERAGENCY COOPERATION 4. INTERPERSONAL COMMUNICATION 5. DOCUMENTATION 6. POLITICS
Series Data:EMS reruns
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

46307

Paramedic engine companies: improving the EMS model for the city of Baytown

Author(s):Medrano, Victor ; Baytown. Fire Department.
Description: 37 p.
Publication Data:Emmitsburg, MD : National Fire Academy. February 2012
Identifier/s:Accession No.: 139506/ OCLC Record No.: 794343075
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.fema.gov/pdf/efop/efo46307.pdf (110.3 kb)
Subjects:1. PARAMEDICS 2. ENGINE COMPANIES 3. ADVANCED LIFE SUPPORT 4. EMERGENCY MEDICAL TECHNICIANS 5. BUDGETING 6. RESPONSE TIMES
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The problem is with the Baytown Health Department Emergency Medical Services (EMS) only having three Advanced Life Support (ALS) units in service, there are areas within the community that are not receiving an appropriate response time for ALS emergencies. The purpose of this research study was to describe the advantages and disadvantages of adding paramedic engine companies to the fire department's first responder program. The method applied to this research was descriptive and was utilized to answer the following questions: (a) What benefits will the community receive if the fire department ran paramedic engine responses; (b) How would a paramedic engine company impact the department's operating budget; (c) What are the advantages and disadvantages to the Baytown Fire Department (BFD) in hiring a certified paramedic over an EMT-Basic; (d) What improvements have other fire departments accomplished when they successfully integrated ALS into their organizations? The procedures utilized in preparing this descriptive research document consisted of a literature review, a questionnaire, Firehouse response data, and communication with the EMS Coordinator. The research has identified some advantages to the Baytown Fire Department implementing a paramedic engine company to its first responder program. The recommendation was that the Baytown Fire Department staff Engine 5 with paramedic firefighters to provide ALS service in a quick and efficient manner to the citizens that were underserved. The recommendation would benefit the citizens and guest of Baytown by providing a high level of service through the teamwork of the fire department's ALS First Responder Program and the Baytown EMS paramedics.
Notes:Baytown, TX; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 

Subservience: does peanut butter outrank jelly? [in "EMS WORLD"]

Author(s):Dick, Thom.
Description: In "EMS WORLD". v. 40 (7) p. 24
Publication Data: July 2011
Identifier/s:OCLC Record No.: 743365932
Type of Item: (JOURNAL) JOURNAL

PDF

URLs are tested and verified at time of data entry.
www.emsworld.com/print/EMS-World/Subservience/1$17402 (65.3 kb)
Subjects:1. DRIVERS 2. EMERGENCY MEDICAL SERVICES 3. PARAMEDICS 4. ENGINE COMPANIES 5. INTERAGENCY COOPERATION 6. INTERPERSONAL COMMUNICATION
Series Data:EMS reruns
Availability:Available on Interlibrary Loan
Copies:
  • : JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

45313

ALS engine response: a consideration for Cambria

Author(s):Miller, Mark P. ; Cambria. Fire Department.
Description: 68 p.
Publication Data:Emmitsburg, MD : National Fire Academy. October 2010
Identifier/s:Accession No.: 136923/ OCLC Record No.: 741414321
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo45313.pdf (7.4 mb)
Subjects:1. ADVANCED LIFE SUPPORT 2. ENGINE COMPANIES 3. EMERGENCY MEDICAL SERVICES 4. PARAMEDICS 5. WORKLOAD 6. EVALUATION
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • Controversy over the utilization of paramedic personnel working for the Cambria Community Services District Fire Department (CCSDFD) fueled a debate over the viability of a paramedic Advanced Life Support engine company in Cambria, California. Proponents of the ALS engine concept contend that this service delivery could provide a more efficient and cost effective approach to the delivery of emergency medical services (EMS). Opponents argue that fire department delivery of ALS would be inefficient and would create a dilution and deterioration in advanced paramedic skill levels. This debate has caused a problem for the community by creating controversy and a lack of direction for the future of emergency services in Cambria. The purpose of this research project was to explore the feasibility of a paramedic ALS engine concept for the CCSDFD and determine if it would improve the quality and efficiency of EMS in Cambria. To conduct this project a descriptive style of research was used to answer the following questions: a) What is the history and rationale of the current EMS delivery system in Cambria? b) What are the capabilities of the current service and is it adequate? c) Would a fire department paramedic (ALS) engine response benefit the community? d) How have other communities of similar size addressed the delivery of fire department EMS and ALS? e) How would a paramedic (ALS) engine commitment impact the fire department budget and workload?
Notes:Cambria, CA; Executive Analysis of Fire Service Operations in Emergency Management; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

43352

Development of a rapid damage assessment for Roanoke Fire-EMS Department engine companies

Author(s):Armstrong, James M. ; Roanoke. Fire-EMS Department.
Description: 64 p.
Publication Data:Emmitsburg, MD : National Fire Academy. May 2009
Identifier/s:Accession No.: 132365/ OCLC Record No.: 667158864
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.dhs.gov/pdf/efop/efo43352.pdf (216.1 kb)
Subjects:1. DAMAGE ASSESSMENT 2. ENGINE COMPANIES 3. EMERGENCY MANAGEMENT 4. DISASTER RELIEF 5. STANDARD OPERATING GUIDELINES
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The problem was that the Roanoke Fire-EMS Department did not utilize any type of immediate rapid damage assessment for evaluating the damage caused by natural or man-made disasters. Fire-EMS companies were being dispatched immediately after a disaster without knowing the extent of the damage incurred in the area or if the fire department resources were still operational. The purpose of this applied research project was to research rapid damage assessment processes and develop a rapid damage assessment process for Roanoke Fire-EMS engine companies to use in the event of a disaster. Action research was utilized to examine current best practices and develop a standard operating procedure and a form for conducting rapid damage assessment by Roanoke Fire-EMS Department engine companies. The following questions served as a guide to the research process: (a) What were the most likely disasters to occur in Roanoke, (b) What were the elements of a rapid damage assessment, (c) What were the benefits of utilizing engine companies for a rapid damage assessment, and (d) What resources did Roanoke Fire-EMS have to conduct a rapid damage assessment? The procedures utilized in the research included a review of current literature, interviews of subject matter experts, and a questionnaire sent to other fire departments. Results demonstrated the need for a process to quickly gather intelligence after a disaster to determine initial needs of the community. Recommendations included developing a standard operating procedure for conducting the rapid damage assessment process by engine companies and creating a simple damage assessment form to be used by engine companies.
Notes:Roanoke, VA; Executive Analysis of Fire Service Operations in Emergency Management; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

38558

Expanding the Worthington Fire District's role by providing more EMS support with the addition of the ALS engine company

Author(s):Clark, John D. ; Worthington. Fire Protection District.
Description: 60 p.
Publication Data:Emmitsburg, MD : National Fire Academy. September 2005
Identifier/s:Accession No.: 120330/ OCLC Record No.: 476464383
Type of Item: (EFO PAPER) EFO PAPER

PDF

This paper will not be made available on the Internet .
Subjects:1. EMERGENCY MEDICAL SERVICES 2. ADVANCED LIFE SUPPORT 3. ENGINE COMPANIES 4. RESPONSE TIMES 5. ECONOMICS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The problem was that the WFPD has experienced an increase in response times by Louisville Metro EMS (LMEMS), delaying ALS care for patients and it needs to determine if adding an ALS Engine Company would improve the ALS response times to incidents. The purpose of this research is to identify the impact of upgrading the WFPD First Responder Program from BLS to an ALS engine company. This study used evaluative and historical research methodology to complete a comprehensive review of response records, cost comparisons, industry journals and the Internet. A survey was conducted to determine the level of satisfaction of the District's residents. The questions posed to assist in the process were: 1. What are the needs and expectations of the residents of the Fire District? 2. What are the costs associated with implementing an ALS engine company and how often would it improve ALS response times? 3. What impact will ALS engine companies have on the suppression capacity of the District? 4. How will the residents of the WFPD benefit from an ALS engine company? The results of this research clearly define the benefits of the ALS engine company to the citizens living, working and visiting the WFPD. Although there are some up front costs of starting the ALS program, the response time analysis alone shows a substantial impact in patient care that can be made. Recommendations include forming an ALS engine company committee to study topics not addressed in this research, replacement of equipment program, adequately staffed apparatus, and a biannual evaluation of the program.
Notes:Louisville, KY; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 

Managing chemical exposures: the engine company perspective [in "FIRE EMS"]

Author(s):Schnepp, Robert.
Description: In "FIRE EMS". p. 32-40
Publication Data: May-June 2003
Identifier/s:OCLC Record No.: 611407532
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL CARE 2. FIREFIGHTER SAFETY 3. HAZARDOUS CHEMICALS 4. HAZARDOUS MATERIALS RESPONSE 5. SCENE SAFETY
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

32536

Combining field operations in the Nashville Fire Department

Author(s):Ridley, Donald G.
Description: 81 p.
Publication Data:Memphis, TN : The University of Memphis. June 14, 2001
Identifier/s:OCLC Record No.: 48499562/ Accession No.: 103773
Type of Item: (REPORT) REPORT
Subjects:1. ADVANCED LIFE SUPPORT 2. EMERGENCY MEDICAL SERVICES 3. ENGINE COMPANIES 4. NASHVILLE, TN
Summary/abstract:
  • At present, the Nashville Fire Department is studying the concept of a Firemedic Engine Co. But they are utilizing one Engine Co. and not supplying the Paramedics stationed there with their drugs or ALS equipment. Therefore, this experiment is destined for failure because without the tools that make-up ALS there can be no significant improvement in patient care. Without supplying the additional ambulances response times for ALS will still be high and in some cases outside the "Golden Hour." Where my proposal differs is that response times will be lowered, crew burnout (stress) will be lessened, the demands on individual apparatus will be lessened and the citizen's of Nashville and the customers' of the Nashville Fire Department will be provided better, faster and more efficient ALS (Advanced Life Support) service. -The earlier into a traumatic event that ALS can be introduced the more likely the patient is to survive. -This can be accomplished without costing the City any additional funds. -Provides the City with a more professional, efficient, better trained and cost effective emergency mitigation service. -Provides more money for the Fire Service without additional taxes for those who are already paying for the Fire Service. The plan will have succeeded if one life is saved. But to place this in measures that can be quantified: A. More ALS responses, the Fire Department can increase it's billing for whenever it responds apparatus. B. Reduced response times, the Fire Department can have ALS care on the scene within the first five minutes (on average) of the "Golden Hour". C. Reduce redundant administrative procedures within the Fire Department, by making everyone a firefighter all field staff can be treated the same, therefore there would be no need for two separate divisions with their attendant personnel. D. A more efficient Fire Department would be the result of the enhancements proposed by this document. E. This document has within it the means to finance the proposed improvements to the department, raise pay of the current members, and purchase the additional apparatus necessary and fund itself for the foreseeable future.
Notes:An applied research project submitted to the University of Memphis as part of the Degrees at a Distance Program
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

29098

A study on the feasibility of providing emergency medical care with paramedic engines in College Park

Author(s):Argo, Henry W. ; College Park. Fire Department.
Description: 30 p.
Publication Data:Emmitsburg, MD : National Fire Academy. December 1998
Identifier/s:Accession No.: 93322/ OCLC Record No.: 483075183
Type of Item: (EFO PAPER) EFO PAPER

PDF

URLs are tested and verified at time of data entry.
www.usfa.fema.gov/pdf/efop/efo29098.pdf (238kb)
Subjects:1. EMERGENCY MEDICAL SERVICES 2. ENGINE COMPANIES 3. PARAMEDICS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The City of College Park, Georgia is a rapidly changing city located within the Metropolitan Atlanta area. Once primarily a residential community, it is now home to 32 hotels, several manufacturing and warehouse facilities, as well as Hartsfield International Airport. The organizational structure, apparatus assignments, and mission of the department have changed little over the past twenty years. Faced with a change in fire protection requirements of the City, but with a requirement to maintain non-transport paramedic service to a diverse community, this study was initiated to research the feasibility of utilizing paramedic engine companies. The study utilized historical and evaluative research to determine the following: 1. What is the current service demand for fire and emergency medical services? 2. How well is the current service demand being met? 3. Is a change in current service delivery needed? 4. What expenses would be incurred to make this change? 5. What barriers exist to prevent this change? A review of available literature was conducted. The findings of the research concluded that the vast majority of previous study supported the use of paramedic engine companies. Analysis of departmental data was performed. The author reviewed departmental response data for the most recent six-month period preceding this document. Results of the study found that implementation of this concept would enhance the service and performance levels of the department. Recommendations arising from the research were for this proposal to be presented to the elected officials for approval to proceed. It was further recommended that it be included in the department's master plan. Additionally, it was recommended that definitive performance measures be formulated so as to measure program performance.
Notes:College Park, GA; Strategic Management of Change; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

28753

Emergency medical service delivery improvement: an analysis of placing automated external defibrillators on engine companies

Author(s):Talcott, Thomas C. ; Mentor. Fire Department.
Description: 44 p.
Publication Data:Emmitsburg, MD : National Fire Academy. April 1998
Identifier/s:Accession No.: 92333/ OCLC Record No.: 483201893
Type of Item: (EFO PAPER) EFO PAPER

PDF

This paper will not be made available on the Internet .
Subjects:1. AUTOMATED EXTERNAL DEFIBRILLATORS 2. EMERGENCY MEDICAL SERVICES 3. ENGINE COMPANIES 4. FIRE DEPARTMENTS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The Mentor Fire Department provides paramedic level EMS. When a first due ambulance is committed to a call and a back up ambulance is dispatched to another call in the same area, the closest engine is also dispatched. The engine often arrives minutes before the back up ambulance. The problem is that the engine carries no defibrillator. The purpose of this study was to determine the probable benefit of equipping our fire engines with automatic external defibrillators (AEDs). Evaluative and action research was conducted to determine: 1. How effective are AEDs in actual field use? 2. What drawbacks exist to implementing a program? 3. What is our actual time delay in providing the ability to defibrillate a patient when the first due ambulance is unavailable? 4. Would equipping our engines with AEDs produce a significant improvement in our ability to provide rapid defibrillation? 5. Would the development and implementation of an AED program be cost effective? Response times were examined for first due and back up units, and the difference in arrival time between the closest engine and the back up ambulance unit were compared. Mean, median and mode values for the different response scenarios were developed. A cost per call analysis of several options to improve time to defibrillation was performed. Results indicate that equipping our engines with AEDs would be a cost effective improvement in service. Recommendations include obtaining AEDs for the engines and increasing public awareness/access to AEDs, as well as continuing to stress public CPR training. A form for evaluating our AED experience was also developed.
Notes:Mentor, OH; Strategic Management of Change; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

15689

Paramedic/ALS engine companies, a workable solution to a changing environment: a system evaluation applied to a real life scenario

Author(s):Fletcher, John E. ; Prince George's County. Fire Department.
Description: 36 p.
Publication Data:Emmitsburg, MD : National Fire Academy. September 1997
Identifier/s:Accession No.: 89922/ OCLC Record No.: 488526267
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. ADVANCED LIFE SUPPORT 2. EMERGENCY MEDICAL SERVICES 3. ENGINE COMPANIES 4. PARAMEDICS 5. SYSTEMS ANALYSIS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • This research project analyzed data and factors associated with the delivery of EMS services utilizing the ALS or Paramedic engine concept. The purpose of the project was to review the data in the context of a real life scenario/problem. The project employed both historical and evaluative research methods (a) to identify both positive and negative traits of the system, (b) to examine problems being experienced by a department not currently utilizing the Paramedic engine delivery system, (c) to assess the applicability of the system as a solution to the stated problems, (d) to stress the importance of EMS services as a customer service quality issue. This principal procedure employed was a review of documentation written by those with first hand experience in implementing and administrating a Paramedic engine system. This documentation included magazine and professional journal articles, as well as research projects. The major findings of this research were that the concept has many attributes that can be applied to enhance EMS service delivery. Principal among these factors were flexibility, cost efficiency, and increased productivity of existing resources. The recommendations resulting from this research included (a) formation of a focus group to study the existing system and move forward with enhancements, (b) development of a follou-up program to provide continuous evaluation and self examination of customer satisfaction, (c) initiating a legislative effort to provide dedicated funding for EMS initiatives.
Notes:Prince George's County, MD; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

27701

A study to determine the feasibility of implementing the paramedic engine concept in the West Covina Fire Department

Author(s):Janis, Joseph H. ; West Covina. Fire Department.
Description: 37 p.
Publication Data:Emmitsburg, MD : National Fire Academy. June 1997
Identifier/s:Accession No.: 89082/ OCLC Record No.: 488531247
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. ADVANCED LIFE SUPPORT 2. BASIC LIFE SUPPORT 3. EMERGENCY MEDICAL CARE 4. ENGINE COMPANIES
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The primary mission of the West Covina Fire Department is no longer preventing and suppressing fires. The primary function of our department is now to provide emergency medical care to our community. Although our primary mission has changed, the way in which we deliver services has not changed in the past 25 years. Engine companies provide basic life support (BLS) measures and paramedic squads provide advanced life support (ALS). We have only two paramedic squads providing ALS for the entire city, while we have five engine companies performing BLS for the same area. This greater coverage area for paramedic squads leads to higher response times for the delivery of ALS measures. The purpose of this report was to further examine the paramedic engine company concept and determine if it was feasible for the City of West Covina. When it was determined that the concept was advantageous for the community, an attempt was made to implement the change by using methods used in the Strategic Management of Change Course. The historical, evaluative, and the action-research methodologies were used. The following research questions were answered: 1. Has the paramedic engine company concept improved services and has it been cost effective in other communities? 2. What problems have been encountered by others who have implemented this program? 3. Would the paramedic engine company concept be cost effective in West Covina? 4. Would the city management and the city council support this concept? 5. How will the labor union react to this change? Historical research was conducted by reviewing books, journals, and other documents from the National Fire Academy that were relevant to this area of study. Surveys were sent to fire departments that had been utilizing paramedic engines, and two formal interviews were also performed. Financial statistics were obtained from the city's finance department, and a cost analysis was completed on a proposed reorganized delivery system. A staff report was written and a presentation was made to the fire chief, city manager and city council. Information about the desired change was provided to labor via e-mail and informal meetings. Although all results that were obtained from other organizations were positive and all the steps of effective change were completed, the time allotted for this project was not enough to implement the change. A request was made to the city manager and to the city council to authorize staff to enter the paramedic engine company concept into the meet and confer process. Phase I (Analysis) and Phase II (Planning) of the Strategic Change Model were completed. Phase III (Implementation) was not completed since the city council's authorization was only recently obtained for the implementation of paramedic engines and to begin the meet and confer process.
Notes:West Covina, CA; Strategic Management of Change; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

24945

A study to determine the feasibility of implementing the paramedic-engine concept in the Baltimore County Fire Department

Author(s):Baldwin, Chris R. ; Baltimore County. Fire Department.
Description: 26 p.
Publication Data:Emmitsburg, MD : National Fire Academy. 1994
Identifier/s:Accession No.: 79591/ OCLC Record No.: 502537289
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. BALTIMORE, MD 2. EMERGENCY MEDICAL SERVICES 3. ENGINE COMPANIES 4. PARAMEDICS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The Baltimore County Fire Department has undergone a fundamental change in the type of service delivered to its citizens. In 1993, the department responded to more than twice as many medical calls as it did suppression calls. In addition, one-third of suppression calls were for medic assist calls. This demonstrates that 81% of our efforts to serve the citizens of Baltimore County were in the area of Emergency Medical Services (EMS). The purpose of this paper was to determine if the "Paramedic-Engine" concept had been successfully utilized in other departments, and if so, could their success be adopted by the Baltimore County Fire Department in an effort to increase the department's ability to provide emergency medical services more efficiently and productively. The results of this study concluded that the "Paramedic-Engine" concept was a viable and successfully proven method to increase EMS delivery. It is reasonable to predict that the "Paramedic-Engine" concept will work in Baltimore County as it has in other fire departments. Any resistance of personnel to this concept can be overcome through time, training, and observing the successful implementation of this program. This author recommends that the "Paramedic-Engine" concept be tested on a trial basis in Baltimore County. There are already enough qualified personnel to test this concept immediately, with little difficulty.
Notes:Towson, MD; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

24221

A research effort to determine issues and trends involved with improving an EMS delivery system

Author(s):Peterson, Charles ; Bolingbrook. Fire Department.
Description: 24 p.
Publication Data:Emmitsburg, MD : National Fire Academy. May 1994
Identifier/s:Accession No.: 78359/ OCLC Record No.: 502536024
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. ADVANCED LIFE SUPPORT 2. EMERGENCY MEDICAL SERVICES 3. ENGINE COMPANIES 4. USER FEES
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The Village of Bolingbrook, IL. is a community of 44,000 people, that has experienced rapid land and population growth over the last seven years. Demands on emergency services have steadily grown in relation to the population. The Bolingbrook Fire Department recently hired a new Chief of the department. A Continuous Improvement Process is now part of the organizational philosophy. The method of delivering emergency medical services had become costly and burdensome. An evaluative research effort was done to examine alternative methods of EMS delivery. By applying current trends the department could increase the quality and lower the cost of the current delivery system. A literature review and convenience sample of EFO students provided information on current trends in the fire service regarding EMS delivery. It was recommended that the Bolingbrook Fire Department establish ALS engine companies and negotiate with third parties to take over the transport phase of the delivery system. It was further recommended that the third parties be allowed to recover expenses through user fees. That a public education program be initiated in the community to gain support and to explain the benefits of the new EMS program.
Notes:Bolingbrook, IL; Executive Leadership; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

23693

Augmenting advanced life support ambulance response with engine companies

Author(s):Russell, Lanson W. ; Downers Grove. Fire Department.
Description: 28 p.
Publication Data:Emmitsburg, MD : National Fire Academy. May 1993
Identifier/s:Accession No.: 76100/ OCLC Record No.: 502535542
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. ADVANCED LIFE SUPPORT 2. EMERGENCY MEDICAL SERVICES 3. ENGINE COMPANIES
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The benefits of augmenting the response of advanced life support ambulances with engine companies, especially in the area of patient care have not been determined. The purpose of this research is to determine, what, if any benefits are achieved with this method of response. Is optimal patient care achieved with the dual response and, if so, what types of calls are most appropriate and which do not require the additional personnel. The effect on the department's ability to provide fire suppression will also be explored as well as any other benefits that may be achieved.
Notes:Downers Grove, IL; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 

Fast times in Fremont [in "FIRE CHIEF"]

Author(s):O'Brien, Robert J.
Description: In "FIRE CHIEF". v. 37 (5) p. 50-52
Publication Data: May 1993
Identifier/s:OCLC Record No.: 549853289
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. ENGINE COMPANIES 3. FREMONT, CA 4. PARAMEDICS 5. ADVANCED LIFE SUPPORT
Series Data:Paramedic engines
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

EMS delivery concept: a size-up [in "FIRE SERVICE TODAY"]

Author(s):Morris, Gary P.
Description: In "FIRE SERVICE TODAY". v. 48 (12) p. 14-15
Publication Data: December 1981
Identifier/s:OCLC Record No.: 611422241
Type of Item: (JOURNAL) JOURNAL
Subjects:1. ENGINE COMPANIES 2. EMERGENCY MEDICAL SERVICES 3. LADDER COMPANIES 4. PARAMEDICS
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Paramedic engines - a proven program [in "FIRE ENGINEERING"]

Author(s):Bowman, Jeff and Simpson, Bob D.
Description: In "FIRE ENGINEERING". v. 136 (11) p. 40-41+
Publication Data: November 1983
Identifier/s:OCLC Record No.: 549811026
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE DEPARTMENTS 3. FIREFIGHTERS 4. PARAMEDICS
Series Data:Rescue/EMS
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Dual response [in "EMERGENCY"]

Author(s):DiCorpo, Joseph E.
Description: In "EMERGENCY". v. 10 (5) p. 45-46
Publication Data: May 1978
Identifier/s:OCLC Record No.: 668590687
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. ENGINE COMPANIES
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Managing chemical exposures: the engine company perspective [in "FIRE ENGINEERING"]

Author(s):Schnepp, Robert.
Description: In "FIRE ENGINEERING". v. 152 (9) p. 53-54+
Publication Data: September 1999
Identifier/s:OCLC Record No.: 549792508
Type of Item: (JOURNAL) JOURNAL
Subjects:1. DECONTAMINATION 2. EMERGENCY MEDICAL CARE 3. HAZARDOUS CHEMICALS 4. HAZARDOUS MATERIALS RESPONSE
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 

Jim Ward's heart is in EMS and now his engine companies are, too [in "CHIEF FIRE EXECUTIVE"]

Author(s):Scaffetti, Sandi Adams.
Description: In "CHIEF FIRE EXECUTIVE". v. 1 (3) p. 12+
Publication Data: August-September 1986
Identifier/s:OCLC Record No.: 611415985
Type of Item: (JOURNAL) JOURNAL
Subjects:1. HOLLYWOOD, FL 2. EMERGENCY MEDICAL SERVICES 3. WARD, JIM 4. ENGINE COMPANIES
Availability:Available on Interlibrary Loan
Copies:
  • c.1: JOURNAL ROOM - ROOM 201 [Status: IN]
 
 
Call Number:

13705

Engine company emergency medical response

Author(s):Hall, James A. ; Fayetteville. Fire Department.
Description: 13 p.
Publication Data:Emmitsburg, MD : National Fire Academy. June 1989
Identifier/s:Accession No.: 47759/ OCLC Record No.: 502517580
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. EMERGENCY MEDICAL SERVICES 2. ENGINE COMPANIES 3. FIRE DEPARTMENTS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The City of Fayetteville Fire Department had been made aware of numerous problems in providing emergency medical service with personnel assigned to squads. Although these personnel were paid additional money, it did not seem to be adequate for the amount of extra work they were doing. There were also problems in staffing the units, supervising the personnel on the units, and meeting the objectives required of all the personnel by the department. The Chief of the department directed that a study be done in order to analyze the costs associated with the program, the problems faced by the organization, and possible alternatives to providing emergency medical service. He was particularly interested in engine company response to medical emergencies, since many cities had reportedly achieved significant economical savings by using engine companies. Upon analyzing the information from their records, it was determined that the city would not enjoy the same economic benefits that other cities reported. Although the rolling fleet of the city could be reduced, resulting in less maintenance costs, the cost per mile of engine company response would be significant, based on current figures. It was also determined that average response time would be increased for this city, not decreased as other cities reported. This is probably due to the fact that one squad serves many stations in other cities while in Fayetteville there is one squad per station, except for two stations. The problem faced by the line personnel assigned to the squads could be addressed by establishing a policy for closest unit response to all emergencies, whether squad or engine. This would decrease to some extent the number of squad runs. It was determined that the only way to minimize all the problems associated with the emergency medical service program was to change to engine company response. This would result in some cost adjustments and level of service decisions. If implemented, this change should be phased in, based on vehicle replacement opportunities and data obtained as engines answer calls previously assigned to squads.
Notes:Fayetteville, NC; Fire Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]
 
 
Call Number:

28231

A study to determine if paramedic engine companies would provide a more efficient level of service for the Alhambra Fire Department

Author(s):Mosack, Raymond A. ; Alhambra. Fire Department.
Description: 66 p.
Publication Data:Emmitsburg, MD : National Fire Academy. April 1998
Identifier/s:Accession No.: 90891/ OCLC Record No.: 483031082
Type of Item: (EFO PAPER) EFO PAPER

PDF

Sections of this paper not on the Internet.
www.usfa.fema.gov/pdf/efop/efo28231.pdf (137kb)
Subjects:1. BASIC LIFE SUPPORT 2. EMERGENCY MEDICAL SERVICES 3. ENGINE COMPANIES 4. FIRE DEPARTMENTS 5. PARAMEDICS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The increasing role of emergency medical services (EMS) in the Fire Service forces fire administrators to look at alternatives to providing these services. The purpose of this research project was to establish if the Alhambra Fire Department could provide a more efficient and cost effective delivery of EMS through the implementation of Paramedic Engine Companies using existing resources. This would include maintaining ambulance transportation utilizing (non-sworn) Emergency Medical Technician - 1's (EMT-1's). Evaluative and action research methodologies were used in this research to answer the following questions: 1. Is the Department efficiently and effectively utilizing its personnel resources? 2. Does the Department have resources in place to establish paramedic engine companies? 3. Does the Department meet its operational objective of providing equal levels of emergency medical services to all four fire station jurisdictions on an initial response basis? 4. Does historical data support the implementation of basic life support (BLS) ambulances? 5. Is research available to support the concept of paramedic engine companies? An assessment was conducted on how the Department currently delivers emergency medical services. Fire Department resources were evaluated to establish if they were effectively utilized in an efficient manner. Historical data was analyzed to establish patient populations based on call type and level of care provided. Literature was reviewed from a company that provides contract employees for two other fire departments in Southern California. Financial data was obtained and reviewed from the city finance department detailing the personnel cost of firefighter paramedics. Alhambra units response times were analyzed on an initial response for EMS calls. The findings of the research support the concept of paramedic engine companies for the City of Alhambra, while implementing BLS ambulances staffed by EMT-1's, non-sworn employees. This, however, is predicated on further studies to address some operational concerns brought to light as a result of this study.
Notes:Alhambra, CA; Advanced Leadership Issues in Emergency Medical Services; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
Copies:
  • c.1: DOCUMENT ROOM - ROOM 209 [Status: IN]