221 replies to this topic

[MikesPhotos]

Will we be seeing an update soon? This guide is indispensable and I would hate to see it fall by the wayside seeing as it is such a good resource.

To use a famous quote from MikeyPI and Hoppah: It is updated when it is updated.

I appreciate the fact that many people are finding it useful, but it is a very very low priority for me. The Task Force section may be completed within the next two weeks, but I honestly don't plan on working on it at all this week or weeknd.

[LACityFFengineCo287]

I never heard the plans for engine co 43, i heard it was gonna be auctioned off.

[MikesPhotos]

Updated with Truck, Light Force, and Task force concept

[billyfromhill]

Updated with Truck, Light Force, and Task force concept

Thanks a lot.

[Xplorer4x4]

Welcome back Mike! Hope all has been well for you!

[randomperson139]

back Mike.


Thanks for the update.

[MikesPhotos]

Rescue ambulances are complete which gives you a good understanding of the basic elements of the department and the EMS system. Also added were a few videos I had floating around and a comment on the Task Force brush boxes on some engines.

Also since I read some AMAZINGLY inaccurate information on some posts, I have also completed the Private EMS section which should hopefully give you a good understanding of the role of private care providers within the city of Los Angeles (summary: there is none!) and County of Los Angeles.

[Forensics]

Thanks for the update Mike. It's very interesting
Thanks for taking your time to write it.

[MikesPhotos]

Thanks a lot.

back Mike.


Thanks for the update.

Thanks for the update Mike. It's very interesting
Thanks for taking your time to write it.

You're all very welcome. I just can't stand the amount of misinformation and blatant false information that happens on this board, and hopefully this will help everyone to better understand why things in the game are the way they are, and how to utilize all of the tools included.

[Xplorer4x4]

Well looks like one or two of my assumptions were wrong so thank for clearing that up.

After reading I still have one unanswered question and one new question:
New:

There is no reason to have an ALS ambulance transport a patient that has been treated by a Paramedic Assessment Engine! The patient is already being worked on and can wait the little bit for an 800 to arrive on scene and transport.

Does this apply IRL or simply game play? I actually do use this method in game play some times but it seemed unrealistic. In such a case would a Medic then ride in the BLS and the Engine follow to the hospital?

Now I still have one question remaining: with ALS Buses and ALS Engines usually stored in the same station, whats the dispatch policy? My apologies if I some how missed this.

[MikesPhotos]

Well looks like one or two of my assumptions were wrong so thank for clearing that up.

After reading I still have one unanswered question and one new question:
New:

Does this apply IRL or simply game play? I actually do use this method in game play some times but it seemed unrealistic. In
such a case would a Medic then ride in the BLS and the Engine follow to the hospital?

Mostly that was for game play. IRL depends on a complex set of transport and care guidelines that is way to involved to explain in this forum. Bassically it just depends on how much and what kind of care is necessary. Many times Engines and Light Forces will initiate care and follow up at the hospital especially if additional members ride in the ambulance. For example, Trauma patient requires both medics to work in the box, Firefighter from the Engine can drive and Engine will follow up to pick up its member. Or child with minor allergic reaction requires no paramedic treatment but because it can deteriorate quickly, Medic from the Engine rides in the BLS ambulance with the Engine following.

Now I still have one question remaining: with ALS Buses and ALS Engines usually stored in the same station, whats the dispatch policy? My apologies if I some how missed this.

That will be explained in depth later but the quick and dirty is that it depends on where the call is and the type of call. You don't want to tie up a fire suppression resource (engine) on a medical call, when an RA is available, and if both apparatus in a station are ALS level, then the station is probably busy enough that both won't be in the house at the same time much.

[Xplorer4x4]

Ok thanks, that was sufficient enough. Light Forces do medic runs?

[LACityFFengineCo287]

Welcome back mike

Ok thanks, that was sufficient enough. Light Forces do medic runs?

Yes, sometimes they do. One was called this morning for a cardiac arrest just before 8a.m.

Oh, mike, what's up with Gerber in L.A? I was at U.C.L.A not too long ago and there was a Gerber bus pulling in?!?!

[MikesPhotos]

Ok thanks, that was sufficient enough. Light Forces do medic runs?

As stated above, there are Paramedic Assessment Light Forces. On all ALS runs, the nearest BLS company will respond along with an ALS unit. If for example, E5 is on a call, and LF5 is the nearest BLS resource to an ALS medical aid, they will respond along with whatever ALS resource is assigned as well. This allows the department to meet the criteria of being on scene and providing emergency medical care within in 5 minutes, and ALS care within 8.

Oh, mike, what's up with Gerber in L.A? I was at U.C.L.A not too long ago and there was a Gerber bus pulling in?!?!

You sound surprised. As stated in the guide, the bread and butter of private ambulance companies are their private contracts with hospitals and care facilities. Gerber, for example, has the contract with Harbor-UCLA Med center for their Neonatal and Pediatric Teams, and of course, Gerber will also respond to every hospital in the county based on the needs of their clients. It is not unheard of for a patient in the Antelope Valley to be transferred by PRN or ProCare to St Mary's in Long Beach and back depending on the type of medical care and treatment they are receiving. At any give time, you can find half a dozen different ambulance companies at virtually any hospital and the IFT's are truly their #1 source of revenue and use.

[Xplorer4x4]

As stated above, there are Paramedic Assessment Light Forces. On all ALS runs, the nearest BLS company will respond along with an ALS unit. If for example, E5 is on a call, and LF5 is the nearest BLS resource to an ALS medical aid, they will respond along with whatever ALS resource is assigned as well. This allows the department to meet the criteria of being on scene and providing emergency medical care within in 5 minutes, and ALS care within 8.

Oh sorry i guess its been awhile since I read up on the light force section. Thanks again for your valuable insight.

[LACityFFengineCo287]

You sound surprised. As stated in the guide, the bread and butter of private ambulance companies are their private contracts with hospitals and care facilities. Gerber, for example, has the contract with Harbor-UCLA Med center for their Neonatal and Pediatric Teams, and of course, Gerber will also respond to every hospital in the county based on the needs of their clients. It is not unheard of for a patient in the Antelope Valley to be transferred by PRN or ProCare to St Mary's in Long Beach and back depending on the type of medical care and treatment they are receiving. At any give time, you can find half a dozen different ambulance companies at virtually any hospital and the IFT's are truly their #1 source of revenue and use.

I'm not surprised, it's just when you said city contracts have no roll, it kinda left a question, I didn't mean to put the "?!?!" as a surprise, it was meant as a "wait. I know there's some contracts out there from hospitals. Great job with the guide btw. I'm just going around being annoying. Thanks for clearing up my response to 4x4 btw.

Sorry for the post on that RA post in the submod section. This is off topic, but your inbox is full. So: I didn't mean to the city itself, lol. I grew up in Santa Monica, and my dad still lives there. He's an ex-city employee, so I already know a great deal about what they do, Jim Hone and my step-mom have been friends for many years, and my step-grandfather was an LA City Firefighter, then he moved to L.A county. He moved to county, because after saving 3 of his guys from a structural collapse, he decided "I'd rather fight mother nature than fight man-made fires." There's still a few guys around who knew him. I'll talk to you more some time ^^

I don't think there's anything else to add, I didn't see if you put in the call-sign for the BLS ambulance. Over the TAC, it's an 800 ambulance, lol. I think the call signs should be added in to the L.A mod.

Peace

[MikesPhotos]

I don't think there's anything else to add, I didn't see if you put in the call-sign for the BLS ambulance. Over the TAC, it's an 800 ambulance, lol. I think the call signs should be added in to the L.A mod.

Peace

Here is the relevant passage from the guide:

The BLS Rescue Ambulances are staffed by two Firefighters and are designated by an 800 or 900 series number, much like the pumper in the Light Force has a 200/300 series

E88: OCD, E88, send an additional 800 to my location.
OCD: You'll be getting Rescue 909 from quarters. Do you need them Emergency or Non?
E88: Send them emergency.

[LACityFFengineCo287]

It's still the same, here's what I get.


OCD: Light Force 88, respond emergency to a auto-ped

On scene

LF88: Can we get an ALS ambulance?
Or,
Can we get an 800 ambulance (800)?
OCD: Roger, your getting Rescue-37 from ______; Emergency or non-emergency?
LF88: Send them Emergency

[MikesPhotos]

It's still the same, here's what I get.

You said you didn't see where it was in the guide, i pointed you to the relevant sections where it was already included in the guide.

[Xplorer4x4]

For water rescue are LAFD/LACoFD Rescue Boats launched at a boat ramp or do the boats respond from a station located at a port? If there launched at a boat ramp, what vehicle is used to transport the boats? Do any apertures have the capacity for a diver to suit up in route to a location?