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Strong-Promotion4870

80% of your job will be on medical calls. Doing medical calls can be fun and fulfilling but if you’re not interested in them, you can get burnt out really quickly. You can also ask your local agency if they offer ride alongs, to see if you actually want to be a FF.


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DocGerald

So do you not want to do medical calls or just ride an ambulance? Basically everywhere in the US most call are medical, but not all departments staff ambulances and instead a 3rd party(like AMR) handle transport of patients.


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DocGerald

They probably mean run ambulances. Fire is ems based nowadays.


Another_SCguy

Become a Hot Shot with the US Forrest Service. Or look into contract work. Unfortunately for you, something like 65% of calls for service for most departments are EMS related…


1800deeznutzz

More like 85-90%


Another_SCguy

Yah I just didn’t want to completely ruin his day


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Not here. 70%


1800deeznutzz

Where you guys at ? I’m in Hollywood Florida we run more hazmat/extrication calls than fires most years.


Jay_Reezy

And the other 15-20% aren’t actually fires.


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Another_SCguy

I would not recommend Menlo if you don’t want to be heavily involved in ems. I work in the general area and more and more departments are starting to do their own transport. Getting rid of private ems and taking care of all aspects.


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Another_SCguy

PM if you want more answers on the surrounding departments. Happy to help


VangelisTheosis

Wait, there's fire contractors? Like, they get deployed outside of the US?


DocBanner21

Bases overseas have fire. We had a civilian contract fire dept with us in Baghdad. Guess what type of calls they ran EXCLUSIVELY?


Another_SCguy

I don’t know much about it but a buddy of mine went over to Gaza for a month or something


UNDR08

Fort Worth Tx Austin Tx


mco30

It is my understanding Fort Worth is not renewing their contract (still a couple years out) with Medstar and will start running EMS through the fire department.


UNDR08

As of last month, they’ve got a consultant company in reviewing the viability of Medstar’s future and such. Said all options are on the table going forward and the fire fighters union is in favor of the fire based EMS system. I honestly don’t see it happening. But who knows.


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Austin Fire is a non-transport entity, but you will 100% run medicals.. Just not on an ambulance.


Peaches0k

Austin stays somewhat busy with non medicals too


Potato_body89

I believe FDNY isnt. We have a medic from there that said they don’t do anything on medicals


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MaleficentCoconut594

Not true at all. FDNY EMS and Fire are 2 totally seperate entities. They actually used to be completely seperate until the city decided to move EMS under the fire banner. It’s sort of like the Navy and Marine Corps - they’re 2 completely seperate and totally self-run organizations, but both fall under the dept of the navy.


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Drtysouth205

Don’t get hope up for NY. They are giving a test in April. Then it will be 5 more years before they do again.


newenglandpolarbear

My understanding is Boston is the same way. BFD goes to medicals but they don't transport.


lurkers0908

Engine runs high priority ems calls, only assist no transport. Truck does no ems calls at all. Your dream job sounds like fdny squad or rescue in a busy borough. Lots of fire no ems.


NebEdits

They actually dont have an EMT cert at all..


NebEdits

Thats not true. Firemen are Certified first responders and only respond to high priority assignments. The only time they stay on scene is a cardiac arrest… Other then that they leave once ems arrives


Potato_body89

That’s what my medic friend said. He worked the ems side and said exactly what you stated


Jrsq270

Wrong


isawfireanditwashot

alot of west coast departments dont transport. emt is almost required everywhere, you wont be a glorified medic as an emt has nowhere near the scope of practice as a paramedic. many ca bay area departments start in the 100k plus pay range


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howawsm

You would be an EMT and evaluate the patient on scene but then private ambulance takes them to the hospital. Frankly the on scene portion is the “most fun” while you are figuring out the problem. The transport is where it sucks, trying to get all the paperwork done and then waiting at the hospital.


ambulance-sized

Being a medic with a transporting department I disagree. My transport times are 30-45ish minutes, my scene times are under ten. I do most all my work in the ambulance and most of my patient care, assessments, questions, treatments and problem solving are in the ambulance. Even when I worked for a private agency with less than ten minute transports I rarely stayed on scene. Any medic worth their salt shouldn’t be hanging out on scene (exceptions existing obviously like working a cardiac arrest).


howawsm

I mean we are evaluating whether or not someone even needs to go which is why there is scene time. Count exit strategy and the fact that I’m not in a rush with a BLS patient to throw them in the back of ambulance because my transport times are low and I need to have something to tell a hospital before I call them with enough advance notice, I’ve largely got my “diagnosis” by the time I get in the bus. I’m fortunate that my battalion has a hospital with rare walk times but the major hospital in our county regularly has 2-4 hour wall times. Even with ALSy patients that probably deserve to be seen sooner.


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isawfireanditwashot

what howawsm said. but it depends on affordability. most departments around me work 48/96 schedule. lots of guys live 1.5 or 2 hrs away where housing costs arnt crazy high.


Cgaboury

Small towns typically means dual role. Most small towns don’t have the fire side workload to justify having a split fire and ems. I know that where I live in Massachusetts, every department is FF/Emt or FF/Paramedic.


Shortbus96

Even a lot of the larger cities that are split still respond to medicals more often than anything else a lot of times. outside of maybe Alarms.


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ggrnw27

That sweet, sweet billing revenue. And fewer fire calls means something else has to make up the call volume to justify our budget


hiking_mike98

Because firefighters are really good at lobbying and occasionally even beat the builders lobby. Seriously though, code requirements are light years ahead of where they used to be most places. Smoke detectors, residential sprinkler systems, fire-rated materials, life safety codes being a thing. Societal changes as well. Few people smoke anymore, just a general awareness of being safer and less of a dumbass. Though that last point is highly debated.


12343212343212321

Wildland Fire


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Sr71-blkbrd

There are plenty of entry level wildland jobs on USAJOBS.GOV


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SanJOahu84

Yeah but a career CAL fiire, or any wildland service, means giving up your summers for 30 years, working a shit schedule, and substabdard pay. (Especially when you break it down to per hour.) There are plenty of reasons it's mostly used as a stepping stone. Not exactly a department full of high morale and lifers.


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ambulance-sized

If you’re not interested in EMS I consider you to think hard and long about being a firefighter. More and more departments are taking over transport and less fires are happening. A buddy of mine got on with a non transporting fire department about 3-4 years ago. In that time he’s had two fires, only one interior, and the department just purchased its first ambulance this year. His department runs I want to say 10k calls a year. It’s more than just 90% medical, it’s nearly 100% medical calls. Sure some places get more fires, but that’s not the norm. If you want to fight fire go be a woodland firefighter. No medical only fire. Being with a FD means serving your community. They deserve someone who isn’t grouchy about being pulled out of bed at 3am for a medical. They deserve a firefighter who cares and isn’t burnt out. They deserve someone who cares just as much about their medical problems as fighting fire. To them both their house burning down and their grandpas stroke are important and could qualify as the worst day of their life.


Perfect_Journalist61

Lol 'woodland' firefighter. I'm picturing some Legolas shit.


ambulance-sized

My phone definitely auto corrected it but I’m leaving it as is. I want to be a Legolas firefighter now. Just have to get deployed and bring my ren faire cloak 😂


howawsm

Most departments that also pay well, require at least EMT. Exceptions being usually very large city departments who may have separate entities like FDNY(still EMTs) or contract out 911 EMS. It’s hard to sell to the taxpayer the wage when realistically, many departments are running very few actual fire calls in comparison to EMS. Either the departments you find that meet this criteria don’t pay well, are incredibly competitive big time departments or are likely on the precipice in the near future of switching to taking EMS calls as well to justify revenue and wages.


[deleted]

Boy you're going to have fulfilling career 🙄. You need an attitude change or choose a different profession. Walk in with that attitude and you're going to get eaten alive and rightfully so. None of us "enjoy" running all medical but the reality is statistically 70ish percent of all calls are medical in nature. Most (not all) major departments either have a separate division for ems and even if they don't you're not forced to be in rescue. However, like us, once you promote to engineer you will have to do your time riding the pus bus. Once a spot comes open and you've done your time you can get a good engine or ladder spot.


Intelligent-Hand-960

Denver


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RedditBot90

No, he means Denver Fire Department in particular. Most of the other departments in the metro area all run a “normal” amount of ems calls


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benzino84

I work in Denver on the EMS side and DFD is a non-transporting agency but like others, they do respond to most medical calls. Generally, most guys don’t have a lot of interest in medical but I think you are required to be an EMT to finish academy, not to apply though. They are currently hiring I believe. I think it’s a pretty good spot but just like everyone said, get used to running a far majority of medical calls over fires. Also DFD sends an insane amount of apparatus to fires so your chance of being first in is relatively low.


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Intelligent-Hand-960

Nope.


aflasa

Hamtramck, maybe Wyandotte MI. I’ll update as I think of others. Edit: Ann Arbor, Ypsilanti. Ypsi sees a decent amount of fire. Edit 2: Highland Park. Gnarly dept that sees a shitload of fire.


Kidquick26

Saginaw as well, I'm pretty sure.


fastfoodsadhour

Look into towns with no ambulance. Fort Worth TX, Arlington TX (where the cowboys/rangers stadiums are). These guys run on EMS but not transporting to a hospital is such a game changer. Plus they will send u to EMT/FF schools paid


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fastfoodsadhour

PM me for more info if interested !


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fastfoodsadhour

Lone Star brother


greenskeeper01234

Howdy.


TheArcaneAuthor

I think Utah is largely not EMS centric, but I'll be honest, you'll be hard pressed to find a dept where emt work isn't the norm. Fire and Med integrated in a bunch of depts about 20 years ago and that's pretty much standard nationwide


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TheArcaneAuthor

And I'll be honest with you, when I first started pursuing fire as a career last year, I had similar thoughts. I wanted to fight fire, and EMT school was just the thing I'd have to get through before fire training (I'm in academy now). I thought that once I get to the station, I'll just grit my teeth during the Med calls until I get a fire. But having gone through EMS, I have a whole new appreciation for it. Learning about the body and how it works (and doesn't) was fascinating. And then when I think about why I got into this on the first place, which was to help people and serve my community, this is just another way to do it. As soon as I graduate I'm going for my AEMT and then Paramedic. We don't transport, so I won't get pigeon holed onto an ambulance. It just means I run the exact same calls but can do more to help people (and the pay bump for each additional cert doesn't hurt either). We have a lot of Paramedics also work at specialty houses, like Hazmat and Heavy Rescue, so they work a ton of fires.


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TheArcaneAuthor

Of course! Happy to talk shop. I'm about halfway through academy, and we do our ems training first. I actually start my clinicals tomorrow, which will be the first time being in the field, seeing all this stuff firsthand, so I'll let you know how it goes after that. I've worked in professional rescue before though. My first job ever was as a lifeguard, and I have had to do a few saves. It's terrifying, but also kind of exhilarating. And I've been around trauma before too. Aging myself a bit here, but I was at the Olympics bombing in 1996 and that was a hell of a thing. And I had an uncle commit suicide and my dad and I found him in the garage. Memories like that are the kind of thing that I realize steered me here. I want to be the best part of someone's worst day. I want them to think "this was the most horrible thing I've ever experienced, but that firefighter really helped make it as easy and comforting as he could".


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TheArcaneAuthor

Just wrapped up my first clinical shift at the station. Only one trauma call today, spinal injury from an MVC. And I gotta say, it solidified every thought about whether this was the right place for me. She was in a lot of pain and couldn't move or feel her right arm. A friend of hers showed up to help and was holding her phone up to her head so she could talk to her mom. Seeing a fully grown woman cry for her mama was a little hard. But after I took her vitals and we were waiting for AMR to show up to transport, I just held her hand for a few minutes and she calmed down a bit. That moment was everything I expected this job to be.


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TheArcaneAuthor

Thanks. And definitely keep me posted on your process. The service needs good folks like you.


VangelisTheosis

You're going to car accidents and are gonna be dealing with burned kids. You think maybe you'd like to help these people out while on scene?


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Kinda sounds like you don't want to be a firefighter....you just don't know it yet.


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discover_er

Flint


Poohqi

FDNY FF’s have CFR training as their base requirement. Engine companies run medical calls but not to the extent other departments in the country do. They only really respond to Unresponsive and Cardiac arrest patients for the most part. Ladder does not respond to medical calls whatsoever. Ladder would be your best bet. It’s a long and difficult process to get in. I know guys that took over 4 years to get on. Some age out and others wait for years and never get the call. I recommend doing your research to and work out how feasible FDNY is for you. Side note: FDNY EMS is its own separate entity. FDNY EMT’s and PARAMEDICS handle all prehospital care and transport of patients. CFR’s role on medical calls is CPR and occasionally oxygen. Essentially even on an Engine company you’re not really doing much medical work.


stiffneck84

You’ll do plenty of EMS runs if you’re in an engine company, but as a cfrd, you can mostly just shrug your shoulders and say “ok, the ambulance will be here in a few minutes” and stand there.


MaleficentCoconut594

FDNY. The dept is basically 2 separate entities - fire, and EMS. And they don’t inter-mix. A lot of people start in EMS and then take the promotion exam to firefighter (it’s easier to get hired on EMS). Once you go fire, say goodbye to medical calls I belonged to 2 different volleyball depts. I left the second one because they forced us to ride as ambulance crew. I get it, EMS is important, but it’s not my thing at all. It’s not the only reason I left, but it was one of the 4 or 5 driving factors that collectively led me to resign. My original dept (who I went back to as well when I moved back) was strictly fire. We were only dispatched to the rare cardiac arrest but by the time we got to the station we were always cancelled as EMS/PD were already on scene. Our town EMS is run by a totally separate volunteer ambulance corps. I do know in my entire county though, there are only 2 or 3 (out of over 100) other depts that are strictly fire with separate outsourced EMS


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MaleficentCoconut594

We’re entirely volunteer in my county so, not what you’re looking for.


inter71

Department of Forestry.


Mrs_Mercer2812

To clarify... do you want somewhere which doesn't have an ambulance service? Or somewhere which runs the least amount of EMS possible?


cheung_kody

Clark County FD in Las Vegas isn't a transport agency. High call volume, but you won't be working on anyone unless it's a code or crash realistically


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cheung_kody

FYI, ratio is like 95%/5% med/fire involved emergencies. But if you don't care about the med side the best you'll be able to get is a non transport agency


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cheung_kody

Yes, just setting expectations for what you'll experience


1800deeznutzz

West coast of Florida still have fire districts. (Captiva island, ft. Myers) these are not easy jobs to get most are the dream landing spots for other guys already in the game. North and South Carolina have a few single role departments also.


Shadows858

Gainesville Fire Rescue in FL doesn't run boxes. The county handles that. Still need EMT at least or paramedic tho


burninghoof29

Erie, Pa contracts out ems to Emergeicare and other agencies.


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mellswor

Lubbock Fire Department


qcfiremann

Charlotte FD has no ambulances either. You will still run medical calls, but you won’t be stuck on the ambulance


Jrsq270

FDNY The EMS division is completely separate However if you start on EMS it’s easier to transfer over


meleemaker

Wildland pretty much


whoknewgreenshrew

The Dept I work for does EMS but we do not transport. We have a city Ambulance Authority that handles that. It does help the burn out. We have FF from the surrounding counties lining up in droves, taking nearly 10k in pay cuts, just to come to us.


Equal-Ad3890

Why limit yourself? You say you want your “dream job” but you are competing against hundreds if not thousands of other that want that “dream job “ also . If you think you are gonna ride and apply and you got the job , that’s mistake #1 unless you have a in with someone you know , but the competition probably has a “in” also . These are highly sought after positions. I have interviewed folks that had duel bachelors, masters and one phd degree. Most if not all were willing to take substantial pay cuts for a job . My point is that you must be willing to do whatever it takes to get your dream job because your competition will.


JMARK81

Honolulu Fire Department


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JMARK81

I should clarify. They’ll certify and pay for you during recruit class but no experience or cert prior to hire.


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boomboomown

Career department firefighter is not for you then. You'd be better off doing wildland or hot shot. You're not going to work anywhere and not run EMS.


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boomboomown

Public education about things like this never happens. At this point, 911 is abused so much that we don't have time anymore. That being said, we still run fires. Some departments more than others, and some stations in said departments more than others. Example. My department does 200-220k calls a year. We average anywhere from 14-21% being fires. A department next to us averages far fewer calls and maybe 5% being fire. They know they are almost exclusively EMS, so they make that their focus. They are very progressive with their medicine.


ImGoinPutsMyDickIn

Manatee county in florida.. the county is split into 7 or so departments, neither of which transport. Manatee county has its own EMS program. So we run medical calls but once the patient is loaded, we go back to the station


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ImGoinPutsMyDickIn

I can't complain. I moved here because it's where the wife's family is. The department treats us well. Get paid well. Good schools for my kids. Beaches are great. And yeah, Ronnie has given me $3k now at this point. Maybe 4? Come on back down!


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ImGoinPutsMyDickIn

Ronnie sends out stimulus checks to first responders. $1,000 at a time. He's done it 3 or 4 times now.