This article needs additional citations for verification . (November 2017) (Learn how and when to remove this template message)
|Fire Department of New York Bureau of EMS (FDNY EMS)|
|Established||March 17, 1996|
|Strength||4,414 (as of 12/31/16)|
|Daily average scheduled ALS tours||227|
|Daily average scheduled BLS tours||537|
|Rescue Medic Units||11|
|Major Emergency Response Vehicles (MERV)||4|
|Medical Evacuation Transportation Units (METU)||3|
|Mobile Respiratory Treatment Unit (MRTU)||3|
|Annual call volume (2016)||1,706,324 incidents|
|Number of Ambulances ALS/BLS||450 (2018)|
The New York City Fire Department Bureau of Emergency Medical Services, also known as the FDNY EMS Command, or FDNY EMS, was established on March 17, 1996, following the merger of the New York City Fire Department and New York City Health and Hospitals Corporation's EMS division. FDNY EMS covers all five boroughs of New York City with Emergency Medical Technician (EMT) and Paramedic staffed ambulances as well as various specialized response vehicles.
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services which treat illnesses and injuries that require an urgent medical response, providing out-of-hospital treatment and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, rescue squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.
The New York City Fire Department, officially the Fire Department of the City of New York (FDNY), is a department of the government of New York City that provides fire protection, technical rescue, primary response to biological, chemical, and radioactive hazards, and emergency medical services to the five boroughs of New York City.
A paramedic is a specialist healthcare professional who responds to emergency calls for medical help outside of a hospital. Paramedics mainly work as part of the emergency medical services (EMS), most often in ambulances. The scope of practice of a paramedic varies among countries, but generally includes autonomous decision making around the emergency care of patients.
Prior to March 17, 1996, municipal ambulances were operated by NYC EMS under the New York City Health and Hospitals Corporation, a public benefit corporation, which dispatched both its own ambulances and hospital ambulances. On March 17, 1996, NYC EMS merged with the New York City Fire Department, forming the Bureau of EMS. Employees of the newly formed bureau were considered FDNY employees and became eligible for transfer to firefighter within the department. As a result of the merger, the FDNY Bureau of EMS became the largest fire department-based EMS system in the country.
FDNY EMS controls the operation of all ambulances in the New York City 911 System. 67% of the ambulances in the 911 system are FDNY EMS municipal units while the remaining 33% of 911 system coverage is provided by hospital-based units known as Voluntary Hospital Ambulances, which are staffed by paid hospital personnel who work in partnership with FDNY EMS. Private ambulance services and Volunteer Ambulance Corps also make their resources available to supplement the 911 system. FDNY EMS maintains and controls Emergency Medical Dispatch (EMD), and telemetry (online medical control). FDNY EMS is also responsible for managing emergency medical care for all mass casualty incidents (MCI's) in New York City.
A Voluntary Ambulance is a hospital-based ambulance that serves the New York City 911 System.
Emergency Medical Dispatch (EMD) refers to a system that enhances services provided by Public Safety Answering Point (emergency) call takers, such as municipal emergency services dispatchers. It does so by allowing the call taker to quickly narrow down the caller's type of medical or trauma situation, so as to better dispatch emergency services, and provide quality instruction to the caller before help arrives.
A mass casualty incident is any incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995 and the September 11 attacks in 2001 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, or natural disasters.
The FDNY Bureau of EMS is broken down into five divisions. Each division has a Division Chief, up to 5 Deputy Chiefs, 5 Commanders, 5 Deputy Commanders, Captain, a Major Emergency Response Vehicle (MERV) except Brooklyn, METUs at Divisions 3, 4 and 5, MRTUs at Divisions 1, 2 and 3 and a Logistical Support Unit (LSU). Each division is then broken down further into stations which have Captains and Lieutenants (supervisors utilizing Conditions Cars), as well as ALS and BLS ambulances. Original NYC EMS Station numbers are in parentheses.
|4 (11)||Lower East Side||Division 1 HQ, LSU1, MERV 1, MRTU 1, 01H, 04H, 01R, Times Square Gator Units (81P, 81Q)|
|7||West Side||Hudson Yards Gator Unit (80P)|
|8 (13)||Kips Bay||07R, 08Z|
|10 (15)||Yorkville||10H, 12R|
|14 (21)||South Bronx||14Z|
|17||High Bridge (Ogden Outpost)||17H, 17Z|
|20 (23)||Morris Park/Jacobi||MERV2, MRTU2, 20R, 15Z|
|26 (22)||Morrisania (Tin House)|
|55||Melrose||Division 2 HQ, LSU 2|
|32||Carroll Gardens||48R, BA3 (Bariatric Unit)|
|58 (33)||Canarsie||Division 3 HQ, MRTU3, METU3, LSU3, WMD1, 58Z|
|45 (46)||Woodside||45H, 46Z, 45R|
|47 (41)*||Rockaway||51Z, 47H|
|50 (45)||Hillcrest||Division 4 HQ, 50H, 52H|
|52||Flushing outpost||In quarters with Haz Tac Battalion|
|53||Fort Totten Outpost||LSU 4, MERV 4, METU 4 and BA4 (Bariatric Unit). Fort Totten is also the site of the EMS academy.|
|22 (52)||Willowbrook||Division 5 HQ, LSU5, MERV5, METU5, 22H, 22Z, 22R|
|43 (31)||Coney Island||43H, 33Z, Coney Island Gator Units|
|HTBN||Haz-Tac Battalion||HT1, HT2 (Lieutenants), HTB (Captain), HTC (Captain), 5R (Division Chief), 5T (Deputy Chief)|
Immediately after the takeover of NYC EMS the FDNY changed the livery of the existing ambulances by changing the color of the striping on the vehicles to blue and red. The initials FDNY were placed on the vehicle with two letters on both sides of an existing Star of Life, with the word ambulance underneath. The driver's side and passenger side doors were also adorned with the new command patch. Subsequent vehicles were ordered in the traditional FDNY livery of white over red with a set of three stripes (yellow, white, yellow) running down the side. All other markings were kept in place.
The Star of Life is a blue, six-pointed star, outlined with a white border and usually featuring the Rod of Asclepius in the center. In Numbers 21:8 it says : " And the Lord said to Moses, "Make a fiery serpent and set it on a pole, and everyone who is bitten, when he sees it, shall live." The symbol was originally designed and governed by the U.S. National Highway Traffic Safety Administration (NHTSA) under the jurisdiction of the United States Department of Transportation, DOT). It has become a symbol of the emergency medical services in multiple countries.
The FDNY Bureau of EMS utilizes Type I Ambulances, which are based on the chassis-cabs of super duty pickup-trucks. This type was chosen over the Type II ambulance that are based on a passenger/cargo van chassis and the Type III which are based on chassis-cabs of light duty vans due to the ability to fully customize the passenger compartment. Type I ambulances also offer a higher load-capacity and additional compartment space when compared to the two other types. These ambulances are also more resilient to the stresses placed on them in a high volume EMS system in an inner city environment.
In 2011, the FDNY began ordering ambulances from Wheeled Coach which are based on a Dodge Ram 4500 Crew Cab Chassis. The shift to a four-door ambulance was due to the tremendous call volume and harsh 24/7 cycle that the FDNY operates in. Furthermore, the additional cab space provided for crew comfort, additional storage, and the opportunity to have more than two people riding in the forward-facing configuration thus increasing safety if a third crew member is assigned. The department discontinued orders due to issues with the Dodge chassis.
In 2014, the FDNY began ordering a custom Ford F-450 Super Cab/Wheeled Coach Type I ambulance.
In 2016, the FDNY began ordering a new version of the F-450/Wheeled Coach ambulances which are labeled "FDNY Green". These use a technology to reduce harmful emissions caused by the necessary idling of ambulances.
In 2016, FDNY EMS ordered and received new International Terra-Star/Wheeled Coach Medium Duty Ambulances for use as "Rescue Medic" vehicles.
In 2017, FDNY EMS began using Ford F-550 Super Duty/Wheeled Coach Type I ambulances.
An ambulance is a medically equipped vehicle which transports patients to treatment facilities, such as hospitals. In some instances, out-of-hospital medical care is provided to the patient.
The Chicago Fire Department (CFD) provides both fire suppression and emergency medical services to the city of Chicago, Illinois, United States, under the jurisdiction of the Mayor of Chicago. The Chicago Fire Department is the third largest municipal fire department in the United States after the New York City Fire Department and Cal Fire, as measured by sworn personnel. It is also one of the oldest major organized fire departments in the nation.
Hatzalah is a volunteer emergency medical service (EMS) organization serving mostly Jewish communities around the world. Most local branches operate independently of each other, but use the common name. The Hebrew spelling of the name is always the same, but there are many variations in transliteration, such as Hatzolah, Hatzoloh and Hatzola. It is also often called Chevra Hatzalah, which loosely translates as "Company of Rescuers" or "Group of Rescuers."
Bellevue Hospital, founded on March 31, 1736, is the oldest public hospital in the United States. Located on First Avenue in the Kips Bay neighborhood of Manhattan, New York City, Bellevue Hospital is also home to FDNY EMS Station 08, formerly NYC EMS Station 13.
The New York City Fire Department, like most fire departments around the world, is organized in a paramilitary fashion. Its organizational structure includes regional commands for various geographic areas within its jurisdiction, operational commands for units of different functions, and administrative units and offices for various administrative functions.
Louisville Metro Emergency Medical Services is the primary provider of pre-hospital life support and emergency care within Louisville-Jefferson County, Kentucky. LMEMS is a governmental department that averages 125,000 calls for service, both emergency and non-emergency, each year.
Leon County Emergency Medical Services is located in Tallahassee, Florida beginning service January 1, 2004. LCEMS provides emergency medical services to 657 square miles (1,700 km2) and all citizens and visitors of Leon County regardless of social economic status. Leon County EMS is part of a comprehensive system operating through a cooperative agreement between the City of Tallahassee and Leon County.
In the United States, emergency medical services (EMS) provide out-of-hospital acute medical care and/or transport to definitive care for those in need. They are regulated at the most basic level by the National Highway Traffic Safety Administration, which sets the minimum standards that all states' EMS providers must meet, and regulated more strictly by individual state governments, which often require higher standards from the services they oversee.
Winnipeg Fire Paramedic Service (WFPS) provides Fire and EMS services to the City of Winnipeg, Manitoba. It operates from 27 Fire stations, 2 stand-alone Ambulance stations, and 3 administration offices across the city. WFPS has two equally important divisions: The Winnipeg Fire Department (WFD) and Winnipeg Emergency Medical Services (WEMS), using a centralized dispatch system.
Emergency medical services in Canada are the responsibility of each Canadian province or territory. The services, including both ambulance and paramedic services, may be provided directly by the province, contracted to a private provider, or delegated to local governments, which may in turn create service delivery arrangements with municipal departments, hospitals or private providers. The approach, and the standards, vary considerably between provinces and territories.
Boston Emergency Medical Services provides basic life support (BLS) and advanced life support (ALS) ambulance units throughout the neighborhoods in the city of Boston, Massachusetts, USA. Boston EMS is a public safety agency responding to 911 calls alone or with the Boston Police and/or Boston Fire Departments dependent upon the nature of an incident. The agency employs over 400 emergency medical technicians (EMT) and paramedics.
The Park Slope Volunteer Ambulance Corps, or PSVAC, is a community organization that provides emergency medical response, rescue operations, patient assessment, treatment, and transport, regardless of ability to pay in Brooklyn, New York. Since 1992, members have responded to over ten thousand calls for help.
The Prince George's County Fire/EMS Department (PGFD) is a combination career/volunteer county-level agency that provides "..fire prevention, fire protection, emergency medical services, rescue services and community outreach programs" for residents of Prince George's County, Maryland. The department is composed of volunteers from 33 fire companies throughout the county, that are represented by the Prince George's County Volunteer Fire & Rescue Association, as well as career firefighters affiliated with the Prince George's County Professional Firefighters and Paramedics Association, IAFF Local 1619. According to the Firehouse Magazine 2010 Combination Fire Department Run Survey, the Prince George's County Fire/EMS Department covers a response area of approximately 580 miles, protects approximately 900,000 people, and has an annual operating budget of $132 million. Prince Georges County Fire/EMS Department responded to 148,506 calls in 2016 according to the 2016 National Run Survey. 29,702 of those calls were fire related and 118,804 that were EMS calls, making Prince Georges County Fire/EMS Department the busiest combination fire department in the United States to submit statistics.
The Loudoun County Combined Fire-Rescue System (LC-CFRS) is made up of the career Loudoun County Fire and Rescue (LCFR) and 16 volunteer companies. LC-CFRS has the responsibility of protecting the citizens and property of the towns, villages, and suburbs of Loudoun County, Virginia, United States, from fires and fire hazards, providing emergency medical services, and technical rescue, including Hazardous Materials, Mass Casualty Incidents, environmental dangers and more. The department's headquarters and training facilities are in Leesburg, off Sycolin Road.
Emergency Medical Service (EMS) in Austria is a service of public pre-hospital emergency healthcare, including ambulance service, provided by individual Austrian municipalities, cities and counties. It is primarily financed by the Austrian health insurance companies.
Of the 2,977 victims killed in the September 11 attacks, 412 were emergency workers in New York City who responded to the World Trade Center. This included:
The Chicago Fire Department is the second largest municipal fire department in the United States and one of the largest in North America. The Chicago Fire Department is organized in a paramilitary fashion, similar to that of most large municipal fire departments.
Emergency medical services in Russia is a type of medical assistance provided to citizens in cases of accident, illnesses, injuries, poisonings, and other conditions requiring urgent medical intervention. These services are typically provided by a city or regional government, public emergency hospital, or the Disaster Medical Service. The emergency number for dialing an ambulance in Russia is 03 or the generic European 112.