IFESA - FIRE BASED EMERGENCY MEDICAL SERVICES (EMS)

" Potential for Combination of Ambulance and Fire Services in Guernsey.The Steering Group was tasked with investigating all possible options and wanted to understand the potential for the Ambulance and Fire Services to be provided by one fully integrated Ambulance & Fire Service under the control of the States of Guernsey ‟ s Home Department.

Dublin Fire Brigade model is examined in this document .

It is clear from the international comparisons that combined Ambulance & Fire Ser vices can operate in both metropolitan and rural areas. The degree of amalgamation between Ambulance and Fire Services appears to be very dependent on the historical development and organisation of emergency services, along with the characteristics of the communities they serve. The success of total integration of Emergency Medical and Fire Services has been extensively documented by the United States. In the US, 51% of Fire Departments provide emergency medical services and of the 200 largest cities, 97% have Fire Service based emergency medical response. By offering first responder and patient transportation services, Fire Services include pre-hospital medical care as part of their commitment to public safety. Literature in support of combining Emergency Medical and Fire Services also emphasise the strategic advantages and increased levels of customer service. The key feature of a Combined Emergency Service is that all personnel are trained not only in Ambulance care, but also as a Firefighter. These may be found in smaller towns and cities, where size or budget does not warrant two separate Services. This multi-functionality makes the most of limited resources or budget and provides a single team to respond to any emergency.

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The Irish Fire and Emergency Services Association (IFESA) said today (May 7 th ) that support expressed by the Chief Fire Officers Association at their AGM yesterday (May 6 th ) for the use of fire officers as first responders in cases where an ambulance in not available confirmed that there is now a growing consensus in support of IFESA ' s call for the development of a National fire based emergency medical service (EMS) and the development of a National Fire and Ambulance service in Ireland to respond to medical emergencies.

‘ IFESA Vice President, Ros MacCobb, said that the support for a fire based EMS by the Chief Fire Officers Association comes just weeks after Health Minister, Leo Varadkar expressed similar support for such a service when he told the Seanad that there was a ‘ strong case ‘ for training fire crews to assist with emergency ambulance service responses.

Mr. Mac Cobb said: ‘ IFESA has been the leading advocate for the development of fire based emergency medical services ( EMS) and the coordination of a National Fire & Ambulance service in Ireland to respond to medical emergencies. '

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This workshop will present real case scenarios in Fire-based EMS integration. From cross-trained/multirole to single role transport within the fire department, EMS system design must be based on community needs and expectations for response. 

This workshop will consider response, on scene care, and transport as well as discuss fire-based EMS relationships with private ambulance companies where they exist.

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Please click here to view Briefing document FIRE BASED EMS IRELAND

Click here to view Emergency Response French EMS article (Courtesy of Emergency Services Ireland Magazine)

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The direction the UK is going, but Ireland that's another story!! read page 6 

http://www.irishtimes.com/news/health/optimal-ambulance-capability-up-to-a-year-away-1.1741780

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One of the biggest, if not the biggest emergency services consultants in the USA, SPC's TriData division, see http://www.sysplan.com/capabilities/fire_ems/  have issued many reports over the years, for example see the following extract (which they insert in most of their reports)

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