How Is Peak Load Staffing, Unit Hour Utilization and System Status Management Used in the Fire Service and Ambulance.

Having adequate resources, including personnel, equipment, and water is essential to a successful operation. Improper implementation of the ICS system, as well as not having accountability for the firefighters involved in a fire as large as the Pawtucket event, are serious safety issues that could have proved disastrous for the firefighters in this incident. Safety is the first rule in firefighting with the end goal that everyone goes

Most, if not all of EMS agencies nationwide are already running short to under-staffed, and these higher prices mean that they have to run more calls to bring in more revenue for the company they work for.

There are several positive advancements that have been realized in fire emergency response over time. Benchmarking on the current status, the Houston Fire Department is likely to evolve in three key areas. First, technological advancement. At the moment, Project Ethan has brought a revolution in emergency response service. Project Ethan has been rolled out across the firehouses in the city. Project Ethan is a solution where people used video chats to communicate with medical doctors on emergencies and receive emergency care services. At the moment, referrals are made between 10am and 6pm on weekdays. From the trends seen with this product, many people are adopting this technology. As a matter of fact, there is a

A literature review was conducted on the subjects of time management, staffing, and hour allocation for the environmental factors. The same review was conducted on the attitudinal factors of firefighters related to preplanning. The National Fire Protection standard 1620 Standard for Pre-Incident Planning (NFPA 2015) was reviewed along with reviews of past research papers and emails to fire departments to see what procedures have been used

The tactical background that the education would give first responders would help them stay safer in an active hot zone and help them come up with tactical priorities on a scene. Five points to evaluate for risk/ benefit analysis would be:

Inherently the fire service operates in high-risk environments to facilitate the role of preserving life safety and property conservation. How these incidents are managed and safeguarded by our administration

Also, EMS works best with multiple different smaller objects working together to be come one large functional unit. At one time each shift can carry up to 30 people divided into two supervisors. This is the definition of chaos that brings order. Each crew member can run 15 different calls at one time. Some of these calls require a supervisor’s

Another example of an emergency service is the Fire and Rescue service. They work with the public in many ways; one way is to make house calls to the elderly to make sure that they have the necessary equipment like fire alarms to ensure safety in the home. Another form of support that the fire service provides to the public is they have youth schemes an example of this the “Safe Drive Stay Alive” program that they run for secondary schools and colleges. These youth schemes also allow members of the fire service to go into schools and youth groups and talk to them about the dangers of fires and how they can be prevented.

As with most fire departments, medical emergencies account for the majority of the call volume for the District. However, a full complement of services including fire, medical, technical rescue, wildland suppression, hazardous material, fire inspection, fire investigation, code enforcement, public education, CPR classes, and various public services are offered by the District ("GRFD," 2015).

Each year in the United States approximately 114 million people visit their local Emergency Department (ED), and 16 million of these patients arrive by Emergency Medical Services (EMS). (Board et al.) Health care in America has moved from an individual, fee-for-service health care system, towards a more integrated healthcare system i.e., The Affordable Care Act (ACA), which is a government controlled healthcare system, and is set up to be a value-based payment system. The ACA will expand and transform the roles of EMS within the healthcare system. EMS’s ability to survive and thrive in this new era of healthcare, will revolve, in part, on its ability to articulate its value to healthcare providers, healthcare organizations, hospital systems, and payers, as well as patients and family members. (Smith) EMS can thrive in the future, if it embraces change. John F. Kennedy had this to say about change, “Change is the law of life. And those who look only to the past or present are certain to miss the future.” (BrainyQuote) In order for EMS to thrive in the changes that the future is bringing, it must: focus on mobile integrated healthcare, be data driven in their clinical practices. There are three other areas that will be discussed at length, EMS agencies should be actively pursuing a community paramedicine program, EMS using remote telemedicine and EMS moving towards a value-based payment system.

The Emergency Medical Service(EMS) are the people who will usually respond to a 911 call relating to medical emergency.

When people think of EMS, they often think of dramatic life-saving adventures, saving people from car accidents, and racing around in an ambulance. This is rarely the case. The life-or death cases are usually few and far between, and the majority of calls are medical rather than interesting car crashes. Also, the majority of all EMTs and paramedics are cross trained as firefighters. The reality of EMS is not as easy and exciting as it appears. Volunteer EMS now faces a larger strain of budget constraints and often a larger call volume, with a decrease in both staff numbers and availability. Due to this, EMS in the United States has many different approaches to the same problems. Some of the main problems that many services in Kansas deal with are the reliance on volunteers, long training times for new staff, and the low numbers, or

Emergency telecommunications otherwise known as 911 dispatching is a fast paced and exciting work environment. During a twelve hour shift, the dispatchers never know what is going to occur, nor do they know when it is going to occur. Hours of boredom can be followed by minutes of sheer panic and terror. They deal with everything from domestic violence to medical calls, traffic stops to house fires. A 911 dispatcher doubles as a communications liaison for police officers, deputies, medical personnel, and fire fighters. Emergency telecommunications often known as dispatching can be broken down into four major categories: law enforcement, fire, emergency medical, and call taking/administrative.

When a disaster has taken place, first responders who provide fire and medical services will not be equipped to meet the demands for many services. Several issues such as the number of victims, communication failures and road blockages will stop people from accessing emergency services they have come to expect at a moment 's notice through 911 emergency services. Individuals will have to rely on others for help in order to meet their immediate lifesaving and life sustaining needs. If access is blocked or the agency’s capacity is exceeded, it may be hours or days before trained help arrives. There is a four-phase model that organizes the events of emergency managers. This model is known as the “life cycle” which includes dour

However, I believe that with the help of special interest groups and advocates speaking with representatives that with enough movement the issue can be discussed. Another major issue that may arise once there is a requirement for departments to incorporate a health and wellness is compliance. However, I feel like this was a similar challenge that was a concern when NIMS was enforced to create interoperability. Like the NIMS implementation I believe that creating a more firefighter focused fire service will be supported by enough departments that it can be successful carried out. The last obstacle that may occur is funding grants for firefighter survival training. To overcome this challenge there may need to be a change of focus in funding opportunities in the emergency services to support the betterment of those serving the communities around the