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There are 3 major categories of EMS agencies: Fire based, with cross trained firefighter staffing the ambulances. Public based, either a separate service, nonprofit hospital funded, or a single role division within the fire department which uses members who are not cross trained.
It includes the call center that receives the call for and dispatches help, those who respond first (such as police officers and firefighters), an ambulance transportation team of EMTs and/or paramedics, physicians and nurses who provide advice via radio or phone, air medical services (helicopters and small airplanes),
In California, firefighters are often cross-trained as emergency medical technicians (EMTs) or paramedics, which allows them to provide basic and advanced medical care to people in need.
All LAFD BLS Rescues are numbered in the 800 series. So, Rescue 827 is a BLS Ambulance, while Rescue 27 is an ALS Ambulance. Some stations have more than one ALS ambulance.
Collaborating with Fire Departments Medical Support: Many firefighters are trained as Emergency Medical Technicians (EMTs) or paramedics, allowing them to assist EMS professionals in providing immediate medical care, administering CPR, or assisting with patient extrication.
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The main differences between the two are that EMTs can administer emergency medical treatments, and also that Firefighters make more money due to the position being in higher demand. Other than that, fighting fires is obviously the main difference!
The Santa Monica Fire Department (SMFD) has served the community with pride since 1889. We are one of the most innovative and capable fire departments in the nation, driven by our values of integrity, compassion, teamwork, accountability, and trust.
The ability to quickly respond to a fire provides more time to rescue people inside, and save property by suppressing the blaze in the early stages. It soon became apparent that the firefighters ability to get there fast could be used for other types of emergency response, such as heart attacks, strokes and trauma.

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