EMT Training for Engines

  • I would like to recommend EMT training at the Fire Academy. With this training, we would be able to train firefighters on our engines to the level of EMT. This will give our rigs the ability to respond to BLS calls and reduce the need for fly cars. However if the patient ends up needing transport an ambulance, either BLS or ALS will be needed. Some cities in the US are requiring firefighters to be trained at the level of EMT, and some fire companies require a paramedic or EMT-I to be on an apparatus to keep ALS capabilities for all units. I believe EMT training which can be obtained through the fire academy would be a great addition to the game!


    Apologies if this has already been brought up. I dug a little through the forum before posting this.

  • Thank you, first one to have a little delve the subject around before posting.


    The only issue I'd have with the idea is that EMS personnel in stations don't need training, you're right that the EMS side should have some progression available for the units, however this change could upset some already large setups, what'd probably be more achievable is a new unit which would perform the same in game function as a fly car and a type 1 engine.

  • Thank you, first one to have a little delve the subject around before posting.


    The only issue I'd have with the idea is that EMS personnel in stations don't need training, you're right that the EMS side should have some progression available for the units, however this change could upset some already large setups, what'd probably be more achievable is a new unit which would perform the same in game function as a fly car and a type 1 engine.

    I have to disagree with you. The training is a great idea and won't affect anyone who doesn't want it. There's no point in telling someone who may have 50+ pumps that they want to train EMTs on so your idea would definitely negatively impact those with large setups. If it was possible to implement training then it's definitely a brilliant idea. It will be beneficial to those who play with this kind of setup and adds another stage to the EMS process. If, like me, it doesn't fit in with your overall aim, goals or realism in how you play then that's no problem - just appreciate the value of the addition to those who will take full advantage of it with how they play.

  • I have to disagree with you. The training is a great idea and won't affect anyone who doesn't want it. There's no point in telling someone who may have 50+ pumps that they want to train EMTs on so your idea would definitely negatively impact those with large setups. If it was possible to implement training then it's definitely a brilliant idea. It will be beneficial to those who play with this kind of setup and adds another stage to the EMS process. If, like me, it doesn't fit in with your overall aim, goals or realism in how you play then that's no problem - just appreciate the value of the addition to those who will take full advantage of it with how they play.

    That's noted, but how would you intend to implement the addon, require all ambulances to have an EMT trained person on board?
    How would having an EMT trained person help? It's already been noted that changing the mission speed is beyond the capability of the game.
    I agree that new EMS 'stuff' would be nice, but we have to be realistic on how it's implemented

  • That's noted, but how would you intend to implement the addon, require all ambulances to have an EMT trained person on board?How would having an EMT trained person help? It's already been noted that changing the mission speed is beyond the capability of the game.
    I agree that new EMS 'stuff' would be nice, but we have to be realistic on how it's implemented

    Obviously ambulances will come staffed with already trained EMT's, from ambulance stations. However fire stations with the ambulance addon will most likely need this training to staff their rigs, bringing in the paramedic course. This feature of EMT training for personnel, if one person on the rig has EMT training, when they get on scene they can treat for a code A or B patient. The only issue is if they need transportation, that's when an ambulance comes in to take the patient to the hospital.

  • Obviously ambulances will come staffed with already trained EMT's, from ambulance stations. However fire stations with the ambulance addon will most likely need this training to staff their rigs, bringing in the paramedic course. This feature of EMT training for personnel, if one person on the rig has EMT training, when they get on scene they can treat for a code A or B patient. The only issue is if they need transportation, that's when an ambulance comes in to take the patient to the hospital.

    Right, so you want all ambulance stations to have their personnel automatically trained with the skill EMT. Never personally seen that been done so I'm not optimistic.
    Another problem is the vehicle assigns itself to treat a patient, not the personnel so I can't see that working without another overhaul. The additions to the EMS system lately actually suggested an EMS school rather than just adding to the fire system.
    In all, it would be so nice if we could just dump it in and it work, somehow, but that's being idealistic, not realistic.


    On another note, Paramedics and EMTs are not the same thing, and I'm only too keen to remind you of the difference.


    There's so many different ways this want's to be done, in the current form it allows for a huge amount of flexibility, so many different systems operate around the world and taking that step up is going to require a huge consensus of systems to find the ideal one.

  • In the UK, most FRS (Fire and Rescue Services) now have crew trained to IEC (Immediate Emergency Care). This is a trauma/medical training course which to be honest puts them in between a First Responder (Community Responder in UK) and an EMT (UK Ambulance Technician). While not 'paramedics' they have good training, good kit and provide an excellent service in support of the NHS and other services.


    most services that have gone down the IEC road have crew on every station so while not the 'EMT on an appliance' is brilliant at providing care before the ambulance arrives. In West wales where I live that can take a lot of time depending on resources.


    Ambulance crews are (on ALS vehicles) either EMT and Paramedic or two paramedic crews mostly (There are a few twin EMT crews but that's no longer the norm).


    So while i agree that training my FRS crews in some form of medical would be good, I think it'd confuse the game whereas at the moment if an appliance turns up prior to an ambulance a casualty is already allocated to it so in a way they are starting treatment.


    Otherwise you'll get requests next for police medical training as lots of forces are also trained to a similar level especially firearms and roads policing units.


    Just my thoughts.

    Former UK SAR Technician in both MR and Coastal Rescue. Qualified Associate Ambulance Practitioner, Specialist Rescue Officer and Emergency Planner.


    'Do what you can, with what you have, where you are!'

  • This is touchy as everyones setups are different. How about giving the player the option if they want EMT/Paramedic training for personnel in the station and they decide where to place the trained staff. Say if you want one station with trained staff on an Engine and Ladder Truck but another for a Chief's vehicle and Heavy Rescue.


    Make it optional for players who want ALS trained staff on fire apparatus so it doesn't affect others who don't want it.


    It pretty much comes down to ALS trained staff being placed on certain Fire Apparatus that responds to a severe medical call of which a Flycar aka Paramedic Unit what originally would respond to and if transport is required then you just bring in a regular BLS Ambulance. To me all this would be is placing trained staff on a Fire Truck in place of a Flycar/Paramedic Unit that is unavailable and this training would free up dispatch times. And the good part about this training is that you can deselect your trained staff from one vehicle and put it on another so if you had a call that required a Fly Car and a Ladder Truck you could take your ALS trained staff from your Engine over to your Ladder Truck so it would work out and you could just place them anywhere as needed.


    Short, Sweet and to the Point. Plain and Simple.


    (Mods and Admin I apologize for so many edits on here I was typing this out while snowing for the most part and needed to edit it a lot.)

  • Would any other fire truck be able to as well? Command units, Utilities etc?

  • Would any other fire truck be able to as well? Command units, Utilities etc?

    It would be all fire units as it would be a training for the crew.

    My County is full of Paramedic Engines. We even have Paramedic Rescue Squads and Towers. Because the majority of our ambulance fleet is BLS units. The game needs the option of putting a medic on a apparatus.

    That is likely how it will work, by having a firefighter trained in medical aid the vehicle they are in then acts as a flycar at medical incidents

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