471 replies to this topic

[C.F.D]

Do they carry the X26?

[MikesPhotos]

Do they carry the X26?

Having just spoken with a couple of LAPD officers, they utilize the X26 in the jails and most field officers carry the M26 with a few x26s making their way out there.

[C.F.D]

Oh i see. M26 is an Old Taser.

[MCERT1]

I'm finishing up an AMR skin for personal use, and I've been looking on your site at the AMR photos, I know that there is something written on roof. Do you know exaclty what's on the roof, is it just AMR or is it AMR and the unit number?

One last stupid question does the USFS use a truck that looks like to Hoppah's old brush truck, I know they have the Patrol units, but are there different versions which look closer to Hoppah's model

[MikesPhotos]

I'm finishing up an AMR skin for personal use, and I've been looking on your site at the AMR photos, I know that there is something written on roof. Do you know exaclty what's on the roof, is it just AMR or is it AMR and the unit number?

One last stupid question does the USFS use a truck that looks like to Hoppah's old brush truck, I know they have the Patrol units, but are there different versions which look closer to Hoppah's model

Hmmm thought I replied to this but I don't see it so please pardon me for my late reply.

The AMR ambulances I've seen, which is rare now that they've lost almost all of LA County's contracts, had AMR, sometimes a 3 or 4 digit number, and usually the star of life on the top.

As for the USFS, their patrol trucks are radically different then the LAFD's. Even LACoFD's patrols are very very different.

Also note another major difference between LACoFD and LAFD engines is the chevrons in the back. LACoFD places theirs on the equipment doors below the hose bed as you can see here:

[MCERT1]

Excellent Information. I'll go back and change engine skin, and I'll finish up the AMR one too. One last question who has the County contracts now?

Once again thank you for the help,
Nick

[MikesPhotos]

Excellent Information. I'll go back and change engine skin, and I'll finish up the AMR one too. One last question who has the County contracts now?

Once again thank you for the help,
Nick

For a newer engine, I suggest going to my site and typing in E144 in the search window, you'll get a complete walkaround of one of our newer paramedic assesment rigs. For an older engine, E125 will give you a complete walkaround of the earlier KMEs.

[MCERT1]

Thank you, the walkarounds really helped.
On a less Related topic what are the difference betweena Type III and a Type IV engine?
Is it the euipment carried (I see that type IV's have a foam capability) or is is tank, crew capacity?

[MikesPhotos]

Thank you, the walkarounds really helped.
On a less Related topic what are the difference betweena Type III and a Type IV engine?
Is it the euipment carried (I see that type IV's have a foam capability) or is is tank, crew capacity?

Apparatus Type requirements are detailed in the Incident Command System 420-1 Field Operations Guide which lists the minimum ICS standards for resources. It is based on the Pump, Water Tank, Hose 2 1/2", Hose 1 1/2", Hose 1", Ladder, Master Stream and Personnel. Type 1's are typical Pavement princess municipal structure engines that we are all familiar with. Type 3's are typical Brush/Wildland engines like CDF, USFS, and other departments use. Type 4 and smaller are more like pickup truck patrols like LAFD and LACoFD use.

Mike

[MCERT1]

Ok that's what I thought the classifications were. This all came about from a news cast I saw on line when they showed BLM Firefighters training and Identified them as using type IV's even though they are probably type III's looking at their size.

[MikesPhotos]

Ok that's what I thought the classifications were. This all came about from a news cast I saw on line when they showed BLM Firefighters training and Identified them as using type IV's even though they are probably type III's looking at their size.

Just remember, size doesn't factor into the equation! Most older BLM engines are actually Type IV's because of their pump/tank and equipment they carry. Especially the older 1991 Internationals that you still find on many BLM lands. The newer ones which are similar to USFS and CDF's engines are type IIIs and I beleive made by masterbodyworks. Here is one from the BBD at the Topanga fire a little while back


I'm not sure what the BLM S&S ATC Wildland Ultra's are. I believe Sand Diego City lists them as Type IIIs.

[Spaloo]

I'm finishing up an AMR skin for personal use, and I've been looking on your site at the AMR photos, I know that there is something written on roof. Do you know exaclty what's on the roof, is it just AMR or is it AMR and the unit number?

There is a star of life, "AMR", and the unit number starting with the year of production (example: 02-025), at least that's how it was when I worked for AMR in LA county.

Now the EMS contracts are dispersed among a ton of companies. There's AMR, CARE, Westmed/McCormick, Emergency, Schaeffer to name a few.

Hey MCERT1, if you make models for a private ambulance, and especially if you make a model for an LA County FD engine, please let me know! I'd love to try it out.

[MCERT1]

Thank you again for the information Mike

@Spaloo: if you look at the ingame screens thread I have few pictures of them posted

[MikesPhotos]

Because some of you enjoy learning a bit more about the LAFD, this is from the latest weekly bulletin:

Effective July 8, 2008, the LAFD will have 106 fire stations
and these resources:
• 130 Ambulances – 89 Paramedic and 41 BLS
• 101 Engine Companies – 40 Paramedic and 61 BLS
• 49 Light Forces – 21 Paramedic and 28 BLS
• 5 Fireboats
• 5 Helicopters

Paramedic can be either a full Paramedic resource, or a Paramedic Assessment resource, and BLS is staffed with all EMT-B level personnel.

Just going by the number of ambulances (staffed with 2), engines (staffed with 4), and light forces (staffed with 6), you're looking at 958 Men and Women manning those front line apparatus each day. Add in the USAR, Heavy Rescue, and other specialty units, and you can see just how large the Los Angeles City Fire Department truly is.

Mike

[Renal]

Paramedic can be either a full Paramedic resource, or a Paramedic Assessment resource, and BLS is staffed with all EMT-B level personnel.

I've never understood the rationale behind having paramedic trucks and EMT trucks - why don't they split 41 of those para crews to make 82 mixed crews meaning that every punter gets a paramedic?

[Spaloo]

I've never understood the rationale behind having paramedic trucks and EMT trucks - why don't they split 41 of those para crews to make 82 mixed crews meaning that every punter gets a paramedic?

los angeles county dept of health services, which oversees all EMS in the county, has a rule/protocol stating that ALS/paramedic units, whether they are squads, ambulances, engines, must have 2 paramedics on board in order to respond to emergency calls as ALS units, unless a special situation exists like a natural disaster or a medic goes home sick. Since then, County FD and some city FDs have created "Medic Assessment Engines" with only 1 medic, but mikesphotos will have to explain how they get away with that.

Plus, equipping each ambulance with ALS equipment costs alot more $$$.

[Renal]

los angeles county dept of health services, which oversees all EMS in the county, has a rule/protocol stating that ALS/paramedic units, whether they are squads, ambulances, engines, must have 2 paramedics on board in order to respond to emergency calls as ALS units

Very odd. Over here, an the equivalent would be a paramedic resource, that is, a car, bike, motorbike or even an ambo that has a paramedic on - hence, we could provide ~200 paramedic units at any one time rather than 100 (still appallingly low mind) meaning that we double the number of punters who can get paramedic care (not that you need that for itchy teeth).

And what ALS kit do you need? A few venflons, drugs, fluids and airways? They're not all that expensive when you consider the cost of the paramedic in the first place.

[MikesPhotos]

los angeles county dept of health services, which oversees all EMS in the county, has a rule/protocol stating that ALS/paramedic units, whether they are squads, ambulances, engines, must have 2 paramedics on board in order to respond to emergency calls as ALS units, unless a special situation exists like a natural disaster or a medic goes home sick. Since then, County FD and some city FDs have created "Medic Assessment Engines" with only 1 medic, but mikesphotos will have to explain how they get away with that.

Plus, equipping each ambulance with ALS equipment costs alot more $$$.

Spaloo, as usual is absolutely correct. Paramedics in this county and in much of this state work as a Paramedic Team consisting of two Paramedics to provide ALS level care to patients who need assistance beyond the scope of the standard Firefighter/EMT. The reason for the team is due to the protocols and directions regarding Base Hospital Contact in addition to Standing Protocols. In regards to Medic Assessment Engines and Light Forces, these units are staffed with either 1 or 2 paramedics and at least 1 EMT, have minimal drugs and equipment, and operate under Pre-Hospital Base Contact protocols and procedures. This allows for patients to be assessed for their needs of care ALS or BLS, allow for AMA (Against Medical Advice) form signatures (LAFD operating policy mandates that a paramedic must assess a patient before AMA can be filled out), and immediate life saving measures to be taken. For more information regarding assessment units in Los Angeles County, you can read the reference document (Ref. 416) here

For more information regarding ALS level care in Los Angeles County, I recommend reading up on the role of base hospital contact in Ref 300 as well as the minimal equipment lists at Ref 700 and specific field protocols at Ref 800

For LAFD specific EMS guidelines, you can read the LAFD Field manual here

Both the LAFD and LACoFD are committed to serving the citizens and ensuring a high level of ALS and BLS quality of service. Recently, along with other departments in California, we have include the usage of Lifepack 12 Lead EKGs in our ALS companies which has been found to be critical in the diagnosis and treatment of cardiac patients beyond.

The goal right now for the Los Angeles City Fire department, as stated previously in this thread, is to have at least 1 paramedic resource in every station, Assessment and full ALS. Here is the current EMS plan for the City of Los Angeles:

On April 27, 2008, 15 BLS fire companies will be upgraded to
Paramedic Assessment status while qualified Firefighter-
Paramedics assigned to the following 15 fire stations will be able
to rotate off the Paramedic Ambulance onto the newly upgraded
Paramedic Assessment fire company:
• Fire Stations 14, 15, 21, 26, 34 and 46 in Battalion 3
• Fire Stations 33, 57, 64, 65 and 66 in Battalion 13
• Fire Stations 60, 89 and 102 in Battalion 14
• Fire Station 94 in Battalion 18

The Engine at single-Engine fire stations will become an
Assessment Engine. The Light Force at Task Force fire stations
will become an Assessment Light Force.

Additional Firefighter-Paramedic positions will be created and
staffed starting April 27, 2008, at Fire Stations 15, 21, 34, 46, 57, 65
and 102 to provide rotation for qualified Firefighter-
Paramedics.

All Paramedic Assessment fire companies will
continue to be staffed with qualified Firefighter-Paramedics with
at least two years of LAFD paramedic assignment experience.

Members with less than two years of LAFD paramedic experience
will continue to be assigned to their current assignments and staff
Paramedic Rescue Ambulances.

Additional resources and Firefighter-Paramedic positions will be
requested in future budgets. Firefighters are encouraged to begin
considering a convenient time in the near future to attend
Paramedic School. It is a five-year goal that every fire station will
have a minimum of one Paramedic Assessment fire company and
one Paramedic Rescue Ambulance.

Mike

[Renal]

Mike

Cheers for the links, doesn't really explain the rationale, but nevermind.

[Newfoundking]

Now I'm not sure if I am right, but from my understanding, not all units have to be ALS, they can be different types of EMS, as far as I know. There is ALS, then MEdical response, and then Emergency Medical( in no particular order)

Hope this clears it up, and if it is different for LA, I'm sorry please correct me