Why the Big Fire Engine Responds for Small First Aid Calls

Most people are familiar with the iconic sight of a large, well-equipped fire engine racing to emergency scenes. However, the logic behind sending the 'big' fire engine to smaller incidents like first aid calls is quite fascinating. Let's delve into the reasons behind this practice.

Utility Pickup vs. Full-Size Engine

Traditional fire stations often have utility pickups assigned to each station. These vehicles are designed for quick errands and minor tasks that can be handled by a single firefighter. They are equipped with basic tools and radios but are not full-fledged emergency response units. In the event that a call comes in while a firefighter is on a quick task, they would drive to the scene in the utility unit and join the rest of the crew on the main engine. This setup ensures that minor tasks are taken care of efficiently without fully mobilizing the entire fire crew.

Despite their utility, pickup trucks are not dispatched for any emergency call that requires the full attention and resources of a fire engine. The entire engine is the response to any emergency, as not all incidents are fully understood until they are assessed on-site. For example, a reported dumpster fire could be a simple case of hot ashes in a trash can or a full-blown hazmat situation spreading to an adjacent building or wildland. Similarly, a medical call in a campground could range from a minor injury to a life-threatening situation, such as cardiac arrest.

Fire Engine as the First Due Vehicle

The 'big' fire engine is typically referred to as the 'first due' engine and is always the primary responder to any emergency. This vehicle is fully stocked and equipped to handle various scenarios. In firefighting, the term 'first due' signifies that the primary response unit is the first to depart the fire station. Fire departments are not able to prioritize vehicles based on the size of the incident. Instead, they focus on being fully prepared for any situation that may arise.

Each vehicle in the fire department has personnel assigned to it. The engine depart the firehouse with a fully crewed team, which includes a minimum of three people: two to provide medical treatment and a supervisor to ensure safety and control the scene. This setup allows the team to be immediately available for the next call, without the need to reassemble after completing the current task.

First Aid vs. Fully-Stocked Engine Response

It's important to note that fire stations do not have dedicated 'small first aid call' vehicles. The fire department’s approach involves going to all emergencies, making them an 'all-hazard' response organization. This comprehensive approach is crucial for ensuring the safety and well-being of the community.

In emergency medical situations, every minute counts. A heart attack, for instance, can be fatal within 4-6 minutes if the brain is deprived of oxygen. Fire departments, which provide paramedic services, can often arrive within this critical timeframe to begin treatment. In contrast, ambulance services, which are typically contracted and operate under a 'for-profit' model, may take longer to arrive, potentially jeopardizing the patient's life.

Conclusion

The decision to send the 'big' fire engine to even the smallest first aid calls is rooted in the fire department's commitment to being fully prepared for any emergency. By always being ready, they can respond promptly and effectively, ensuring the best possible outcome for those in need. This 'all-hazard' approach also means they can swiftly transition to handling any other type of emergency, further emphasizing their readiness and capability.

Understanding this practice not only highlights the dedication of fire department personnel but also underscores the importance of their all-encompassing emergency response system. In a world where quick and efficient response is paramount, the fire department's 'big' engine serving 'small' incidents is a testament to their unwavering commitment to public safety.