SOP - Fire/EMS Department

Created by Drake M.

Our Mission

Welcome to San Andreas Fire Rescue. We are a team of highly trained individuals that respond to a variety of Fire and EMS -related emergencies. We are staffed with members that serve the people of San Andreas at every given moment. Our experiences, both in classroom materials and on-scene knowledge, help to keep the people of San Andreas safe and healthy.

Responsibilities

San Andreas Fire Rescue responds to all Fire-related calls at any time of the day. We can provide extrication from vehicles and structures, technical rescues, and fire extinguishment. The department also utilizes air apparatus for rapid patient transport and aerial search and rescue.

Fire/EMS Chief’s Role

The role of the Fire Chief is to oversee all personnel and decisions made for the department as an Admin Member. The Chief will make the overall final decision in department matters such as Policy changes as well as disciplinary decisions. It is the Chief’s role to be the overall leader of the department and the one the members can trust to do their job to the best of their ability. It is the Chief that the members should look to for overall guidance involved in Department operations, and handles more of an oversight over the entire department. The Fire Chief Plays a crucial role in monitoring and policy creation for the training of all SAFR branches. They can be easily identified by the White on White Fire helmet and/or a White Button-up Shirt with gold bugles.

Fire/EMS Battalion Chief’s Role

The role of the Battalion Chief is to assist the Chief in making decisions in regards to policy and operations in the department as a Junior Administrative member, being able to give major disciplinary points. They can take command of scenes as well as play a crucial role in monitoring the training policies of the various SAFR branches. They are easily identified by a Black on White Fire helmet and/or a White Button-up Shirt with gold bugles.

Fire/EMS Captain’s Role

The role of the Fire/EMS Captain is to complete the role of a Senior Staff member. The Captain will help with implementing Policies and Procedures of the department as well as be a crucial role in the day-to-day operations by taking command of scenes and giving input on new policies for the department. The Captain should be someone that the members of the department can look to for guidance and leadership in scenes and in dealing with issues in and out-of-game. They can be easily identified by having silver bugles as well as a Red on Red Fire Helmet. Or If they are running Command then Captain’s can wear the white shirt.

Fire/EMS Lieutenant’s Role

The role of the Fire/EMS Lieutenant is to complete the role of a Staff member, being able to deal with complaints and be the first point of contact in the Fire Department Chain of Command. The Lieutenant will help with enforcing and bringing ideas for Policies and Procedures of the department as well as be a crucial role in the day-to-day operations by responding to calls and assisting the Scene Commander and, when needed to, take over Scene Command. The Lieutenant will be responsible for making sure fire personnel are following the rules and regulations within the department. They can be easily identified by having silver bugles as well as a Black on Red Fire Helmet. Or If they are running Command they can wear the white shirt.

APPARATUS AND STATIONS

Stations

Station 1	Rockford Hills - Los Santos SAFR Command Headquarters (505 Rockford Dr) *Administrative Building*
Station 2	Paleto Bay - Blaine County SAFR Headquarters (3007 Paleto Blvd)
Station 3	Vespucci Beach Lifeguard Station (only used for small Vespucci patrols) (311 Bay City Ave)
Station 4	LSIA - International Airport House
Station 5	Sandy Shores House (1025 Alhambra Dr)
Station 6	Davis House (136 McDonald St)
Station 7	East Los Santos House (178 Capital Blvd)
Station 8	Memorial Station House - For those who left on calls but will not return
Station 9	Rockford Hills - Richman House - (639 Americano Way)

Station Balancing

When staffing a station and there are more than 4 personnel on as Fire/EMS at one station, please attempt to staff other stations in the AOP so that resources can be spread throughout the county so that the server might run a little more smoothly. If the AOP is state-wide, when stations are able to be split, the next station that should be staffed shall be in the opposite county. ***Note: When on duty as a firefighter you are not allowed to do anything with the Fire/Smoke Script, If caught doing so that is out of tier and it will be handled appropriately.***

Apparatus

Radio Identifiers (TS Names) can be the full name with apparatus number or the abbreviated version (shown in brackets):

100-F *Brush 20* or 100-F *BRSH20*

You may also use the “Station,” or “STN” callsign to denote that you are available for all apparatuses. However, before you respond to a call, you must change to a specific callsign for “Engine,” “Medic,” etc. to show others in the channel what assets are being used.

*see bottom of Doc for Apparatus list and required set up*

Driving Procedures

Emergency Driving

All apparatus shall adhere to the rules of Defensive Driving:

Clearing Intersections:

When an apparatus is approaching a controlled intersection, they shall slow down to a rolling stop and only proceed when it is confirmed that there isn’t any traffic or all traffic has come to a stop.

Speed Limit:

All apparatus, with exception to the Fly Car, shall not exceed 90MPH on any paved roadway. The Fly Car shall not exceed 100MPH on any paved roadway.

On any dirt roads, speeds shall not exceed 40MPH with the exception of Brush and the Fly Car. The Brush and Fly Car shall not exceed 50MPH on any dirt roads.

Arrive alive, don’t become another patient due to your driving.

While on the Ambulance with a loaded patient, the ambulance shall not exceed 80MPH, When you're transporting HIGH PRIORITY you shall not exceed 80 MPH. When going LOW PRIORITY, please be careful and obey the speed limits and traffic laws. Take corners slowly and keep in mind you have at least a patient, if not a co-worker in the box that you don’t want to be banged up by the time you get to the hospital.

***CDL***:

If you are driving a fire apparatus of 30,000 pounds or greater then you must have your Commercial driver's License. That means in order to drive the Engine, Rescue, and Ladder Truck; you must have your CDL.

OPERATIONS

Radio Operations

Radio Operations consist of everything transmitted over the radio from when calling in service as your apparatus until you call out of service as the apparatus. We do not use 10 codes whatsoever, only plain English. When going in service at the start of your shift you are to state which station you are at and what apparatus you will be using. Ex. “100 Foxtrot in service station 5” it’s up to you if you would like to specify what particular apparatus you are running out of that station. There are many reasons that you would have to call over the radio to dispatchers. Some of these include, but are not limited to:

"Apparatus” in service

“Apparatus” responding

“Apparatus” on-scene (size up if possible)

“Apparatus” establishing/terminating scene command

“Apparatus” transporting a patient to the hospital

“Apparatus” going out of service

Whenever calling into dispatch, you are to use your apparatus number and not your badge number. The apparatus number is the same as your station number just with a 0 so if you are at station 2 you are engine 20 and if you require another apparatus of the same type from that station then you are to use 1-9 instead of 0 so you need another engine from station 2 it’s engine 21. Your badge number can only be used to call into dispatch when going in service or if dispatch requests a badge number of a certain unit. Your teamspeak identifier will be F as in Foxtrot when going on duty. If you wish to run medic and not a fire apparatus make sure you let dispatch know that you are in service as a medic apparatus and not a fire apparatus. If dispatch attempts to dispatch you as a fire apparatus and there is only 1 person available at the station and that person doesn’t wish to run a Firetruck simply call that fire truck out of service. If you are riding with more than one person on the apparatus when you call en route, let dispatch know who is on the apparatus on the call.

***Note, Firefighters are not allowed to use the NCIC /or Vehicle to look up any of their own characters /or Vehicle. This is a logged action and any characters that are looked up this way will receive a warrant for Title 15 Section 6 of the penal code (Unauthorized Use of Computer, Cable, or Telecom Property).***

• Firefighters/Medics can not respond to any tweets or any text from anyone. We only responded to 911 calls, witnessed emergencies (seeing an MVA, etc.), or LEO request

Scene Size Up

Scene size up is the initial evaluation of an incident, in particular an immediate evaluation of hazards to responders, other lives, and property, and what additional resources may be needed. The first arriving unit should paint a picture of the scene to any other responding units and provide the Dispatcher with as much information as possible about the current incident (further information is located in the fire cheat sheet). If hazards are on scene making it unsafe (downed powerline, live RailRoad tracks, busted gas or water lines, etc.) then the necessary utilities or agencies should be contacted to make the scene dangers neutralized. This is most often done using “/ooc calls power company to shut power lines off” and then you can proceed on scene.

Incident Command System (ICS)

The Incident Command System (ICS) is an organization system used on any emergency scene to distribute resources to work on multiple jobs at once and to separate responsibilities between all units on-scene. When arriving on-scene, The first unit on-scene performs a size up and takes command, and remains as command until on-duty command staff in another apparatus arrives on-scene or when the Command vehicle arrives on-scene; they will take command. Ex: “Engine 50 on-scene of a 2-story residential structure with flames showing from the roof. Engine 50 will have Panorama Command”.

Boat Operations

There may be a potential for Fire and EMS to use a boat to reach injured persons that are out to sea or in the middle of a lake not easily accessible from the shore. It is at this point that we can deploy the Otter. This can be distinguished by the Nagasaki Dinghy 4-Seater in red color. It is our job to coordinate with Port Authority units in case there is a need for Search and Rescue operations or recovery with a diver. In all operations that involve a seaborn vessel, FD personnel must wear a personal flotation device at all times. If there is a need to transport a patient to shore to an awaiting ambulance the Otter can do so at the discretion of the medic on-scene and stability of the patient. If the Otter is going to be used to transport a patient to an awaiting ambulance, it is up to the driver to take into consideration the patient when determining the speed and roughness of seas.

Motor Vehicle Accidents

When on the scene of a motor vehicle accident, if you arrive in a fire truck at the minimum you are to have your bunker pants, helmet, and traffic vest. During the winter months when it’s snowing you can wear your station jacket and bunker pants with the helmet as well. If you respond on the ambulance, at a minimum, you are to have your traffic vest and helmet on. During the long sleeve months, the traffic vest will not work with our current station jacket so you can wear your helmet with your station uniform, also during the snow months, you do have the option to wear your bunker gear while on-scene of the MVA. If you are actively involved in an extrication or fire attack then you are to have your full PPE on.

Motor Vehicle Accidents are one of the most dangerous scenes that you can be on. The way that you make the area at least somewhat safer is the way you park your apparatus. Ideally, there should be a minimum of 2 fire apparatus and 1 ambulance responding to any MVA, but due to some in-game restraints, you may only get 1 firetruck and 1 ambulance. The correct way to park your vehicle in a traffic accident is at a 45-degree angle, taking up the initial lane of the accident plus 1. The ambulance should be parked downstream of the incident where the back is facing the incident for ease of patient loading. *** As soon as law enforcement gets on the scene, traffic control is their call, if they ask you why you are blocking a lane a valid reason MUST be given, if not you will be asked to move your apparatus. If the MVA is not blocking the flow of traffic and there is room to work. We shouldn’t attempt to block traffic. Failure to do so will result in appropriate action both in and out of the game. It likely results in criminal charges for obstruction and a character suspension or being fired from the SAFR entirely, as well as the appropriate disciplinary action from fire coc. ***

EMS

EMT Basic

As an EMT Basic, you are allowed to do Basic Level of Care. What this means is that you are allowed to do things such as bandage and splint, take vitals and hook the patient up to the monitor, as well as work an AED. You treat the patient to the point to which they are stable and take them to a hospital for treatment. You cannot do any advanced procedures or give advanced medication without a Paramedic’s assistance. See the cheat sheet for any help needed. Doing Advanced procedures without the guidance of a Paramedic is a breach of SOP policy and a criminal negligence and will be handled appropriately.

Paramedics

As a Paramedic, you can use medications and advanced procedures to help a patient get better or help them long enough to get them to a hospital and doctors. Medics are professionals that begin treatment so that the patient can get to the hospital. As a Paramedic, you can run the Fly Car and as TEMS; if trained and it is required.

Paramedic Promotion

Emergency Medical Technicians (EMTs) have to show their capability and willingness to learn while on-duty as a BLS EMT to get recommended for specialized training to become an ALS Paramedic. These recommendations shall come from Fire CoC and once chosen, the EMT will be notified and can then sign up for an ALS training.

What we look for in a Paramedic:

• Activity: We want to see that you want to run fire by either going as a volunteer when needed or running it out of a station.

• Experience: Whether it be IRL or in-game knowledge, experience is big when it comes to being a paramedic and knowing what to do.

• Attitude: Having a good attitude is everything when running as an FD unit, wanting to help others as well as wanting to further yourself as well.

• Patient Care: Combining experience and attitude, how you treat patients and treat their injuries physically and mentally with bedside manners.

***NOTE: This promotion can be barred by the member having a minor or major point against them. Once these points drop off, the EMT will be informed and are able to sign-up for ALS trainings. / If you ask about your paramedic status then your name will be taken off the list and you will not get paramedic.***

Fly Car

Designation: Fly ##. The Fly Car is an ALS unit designed to offer ALS care by paramedics to scenes where there is: an ambulance already on-scene without a paramedic or to offer first responder assistance with an ambulance already on the way. They can also do intercepts with an ambulance carrying a BLS crew to offer ALS assistance on a call/transport. If the patient requires ALS care with a 2-manned EMT crew, then one of the EMTs may switch with the medic and FOLLOW the ambulance to the hospital while the medic is handling patient care in the back of the ambulance. When responding in the fly car and the ambulance has a single EMT on it, then you are to leave the fly car on-scene and go with the patient and treat them en-route to the hospital. It should only be used if absolutely needed. If there are multiple victims needing priority transport; you are to take another ambulance rather than take the fly car. For those ALS-trained AirMed personnel, you can respond to a call for AirMed in the Fly Car. The fly car cannot be sitting out, it must be spawned when needed.

MED-FLIGHT

Med-Flight is a part of ASU and you must be ALS Certified to pilot and co-pilot the aircraft. A Paramedic that isn't trained for Med-Flight is allowed to be a flight medic with you if the craft has 2 trained personnel already on board. If you're wanting to be Med-Flight, you will go on as primary Fire and then put MF behind your name (Ex: 206-F Stn 4 MF) so Fire Comm or Dispatch can contact you if Med-Flight is needed to which you would respond in the fly-car down to the helipad meetup. Med-Flight's main base of operation is at LSIA. Refer to the ASU SOP for any questions and a full rundown of rules and regulations.

EMS Operations

Hospitals and Trauma levels

List of all the hospitals and their trauma level I (1) being highest and level V (5) lowest. Only transport patients to hospitals inside the county Area of Patrol (AOP). Please take note of your location on the map, if a patient is critical that they need IMMEDIATE attention at a hospital then take them to the closest hospital. Hospitals are better equipped to stabilize the patient and then transport to a farther hospital.

Level I: A Level I Trauma center is typically a teaching hospital with a major trauma center. Usually take things that are serious and life-threatening here. Will have all doctors needed to handle all body systems on call and stationed at the facility ready to treat.

Level II: A level II trauma center can do the same things as a Level one but isn’t a teaching hospital. Most likely will not have a psych ward or neurological doctor on call.

Level III: A Level III Trauma Center can provide prompt assessment, resuscitation, surgery, intensive care and stabilization of injured patients and emergency operations.

Level IV: A Level IV Trauma Center can provide advanced trauma life support (ATLS) prior to transfer of patients to a higher level trauma center. It provides evaluation, stabilization, and diagnostic capabilities for injured patients.

Level V: A level V trauma center can provide immediate stabilization and transportation to a higher level of care facility (clinic)

Name	County	Trauma Level
Mount Zonah Medical Center (507 Dorset Dr)	Los Santos	II (two)
Central Los Santos Medical Center (149 Crusade Rd)	Los Santos	I (One)
The Bay Care Center [Paleto Bay Medical Center] (3015 Paleto Blvd)	Blaine	III (three)
Sandy Shores Medical Center (1029 Alhambra Dr)	Blaine	V (five)
Pillbox Hill Medical Center (201 Elgin Ave)	Los Santos	II (two)
St. Fiacre Hospital (178 Capital BLVD.) *Maternity/OBGYN Hospital Only*	Los Santos	IV (four)

In Los Santos County

Central is your option for Level 1 Trauma but when you are in the city Pillbox and Mount Zonah can also take serious trauma as a level 2, so if you need to get to the hospital and you are in the NE side of the city Pillbox will be your best bet and in the NW it would be Mount Zonah.

In Blaine County

Paleto Bay Medical Center is the highest rated trauma center in Blaine County at a level 3. All serious trauma PTs should be brought here unless Sandy Medical is closer or the PT isn’t in dire need of a trauma center and just needs an ER.

Transporting to the Hospital

There are only two Priorities you should be going to the hospital and that is Low Priority (no lights) and High Priority (lights and sirens). When you use these depends on the patient's status.

Low Priority Response: This response should be used when the patient is in stable condition and there is no threat to the patient’s condition degrading. So you can take time to go to the hospital. You are to follow traffic laws, stop at lights and signs, and follow speed limits.

High Priority Response: This response should be used when there is an immediate threat to a patient's life and they need to be in an ER or on an operating table within the next 20-25 min or they will die. Or there is a potential that the patient may degrade. You are to use lights and sirens, clear intersections, and transport safely but quickly to the ER.

Calling the Hospitals

When transporting someone to Paleto Bay/Pillbox Hill and the hospital is staffed please, if you can, call in a patient report to the hospital to let them know you are on your way. This gives them time to prepare equipment and the necessary tools needed for that specific patient.

The report goes:

1. You identify yourself and Apparatus #,

2. Give the Patient age and chief complaint (why they are going to the hospital),

3. Give their vitals,

4. Give info of what you have done to that point, and

5. Ask if there are any questions and answer any questions accordingly.

Patient Refusal

A patient, at any point, can refuse treatment if they are alert, oriented, are able to make sound decisions, and are not impaired. Depending on the patient’s presentation and complaint; it is the job of you, the Medic or EMT, to give your best advice to the patient. This means if a patient does refuse, you are required to get paperwork showing they do not want to go to the hospital against your advice.

Death Declarations

Paramedics and EMTs can be called out to a scene to declare a Patient dead. This is done by checking for a pulse on the wrist and neck, then connecting a monitor/ 12 lead ECG (for paramedics) to check for any sign of cardiac activity (if activity is found, start CPR), and lastly stating TOD and calling for the county coroner to confirm and take the body. The Patient is obviously dead if: they have started Rigor Mortis, they have started the decomposition process, or their injuries can in no way support life (decapitation, split in half from head to pelvis, etc.).

Medics on an LEO Scene

Medical Care in a Crime Scene

When found in a position of providing care after a criminal act has occurred, be sure to preserve as much evidence as possible. What this means:

1). If a patient appears to be dead on-scene (DOS), check vitals and nature of injuries; if their injuries aren't conducive to life and they don't have any life signs, leave them be.

2). If a patient is shot or stabbed, cut the clothing in a way to avoid the holes made by the weapon to get access to the working area.

3). Do not touch anything that isn't necessary to care for the patient.

4). Do not walk through fluids unless necessary to get to a patient.

5). Any one-use items you used on a patient that becomes DOS should be left with them and not removed.

Patients in Custody

If a patient is in custody or you may suspect that LEOs may need to talk to them, let them know where you are taking them if they do not ask. If the patient is a minor and in Law Enforcement custody, it is up to the LEOs if they want them transported. If a suspect needs to be transported to the hospital, confirm with LEOs on-scene that they are aware the suspect is being transported and see if there is someone available to follow the ambulance to the hospital with the suspect. If no officers can follow, get a unit number of an officer that will be staying on-scene and, if priority traffic isn’t in effect, advise that specific unit when you have dropped the patient off at the hospital.

Taser barb removal

Any fire apparatus can respond to a taser barb removal and, when a call comes in, you are to respond Low Priority to the scene. If law enforcement on-scene indicates a life-threatening situation involved with the patient; they can let you know to step it up or not.

Procedure for removal is:

1. Hold the skin around the barb,

2. Swiftly pull it out, if bleeding use 4x4 to clean, and

3. Place bandaid over the affected area

S.W.A.T. Medic:

S.W.A.T. Medics are ALS trained personnel who are a part of a S.W.A.T. team. These people are able to render ALS aid while also being armed members of a S.W.A.T. team. These are the only personnel who are able to be armed while being considered medical. No SAFR personnel (excluding OFI) are to be armed while on duty as Fire/EMS! S.W.A.T. Medics are S.W.A.T. personnel when they are active, which means that any issue that occurs while they are active means they are held accountable to LEO COC for tactical issues and SAFR for medical issues. If S.W.A.T. is unavailable then TEMS is to be used to aid Patrol LEO on scene.

Scene of Violence

Staging

When an EMS or Fire unit is called to stage before moving into an active LEO scene, if able, the units should stage a minimum of 2 blocks and around the corner 90 degrees from the incident.

Public Danger/Threat Policy

In the course of your duty, if you witness a person doing something that could endanger the public or if you witness someone acting in a threatening manner to a member of the public; then you are to alert LEO and not intervene unless you are directly in danger or threatened which you should then follow the “Self-Defense” policy. You are not to attempt to step in, detain, or citizen’s arrest a person. We are not Law Enforcement; therefore, we don’t enforce the laws.

Self-Defense

If you find yourself in an active scene of violence:

RUN and escape if possible:

• Alert Fire Control to the situation as soon as you’re safe.

• Leave any unnecessary equipment behind.

• Help others escape, if possible, but evacuate even if others don’t decide to follow you.

• Until Law Enforcement arrives, alert other people in the area and try to coordinate everyone to a safe evacuation point.

HIDE if escape is not possible:

• Get out of the threat’s view and stay quiet.

• Silence all electronics including radio if not wearing an earpiece (If wearing an earpiece, reduce volume as much as possible).

• Lock and block doors, close blinds, and turn off lights.

• Don’t hide in groups. Spread out along walls or hide separately.

• If safe to do so, inform Fire Control of all important information (Location of threat/suspect, type of threat, number of suspects, suspect’s description).

• Stay in place until Law Enforcement Officers advise Code 4.

FIGHT as an absolute last resort:

• Commit to fighting and act as aggressively as possible against the threat.

• For All Tiers, do not use weapons, go hands-on and attempt to control the suspect by overpowering them.

If, while actively running Fire/EMS, you receive a verbal or physical threat then you are to immediately contact LEO and do what is best to get safe.

-Verbal Threat: If the person is being transported, take them to the Hospital and have LEO ready to arrest them for Criminal Threats. If you are on scene and someone verbally threatens you contact, LEO and get to a safe location away from the person.

-Physical Threats: If someone is physically threatening you, you are to follow the above guidelines for self-defense. If you are transporting this person then you should contact LEO and tell them what is happening, coordinate a way for them to get the suspect and for you to get to safety, and then follow that plan (EX. LEO responds to your location and surrounds the medic and makes the situation safe.)

Civilian and Interpersonal Interactions

Civilian Interactions

The San Andreas Fire Rescue department currently does not provide Civilian Ride-alongs in apparatus. However, on-duty personnel can still provide station tours and showcases inside the station for interested civilians.

• Spiking (Drugging) - Fire/EMS are not allowed to Spike (Drug) any food or drinks. If caught; then you would face appropriate actions with your CoC (Emergency Service Negligence).

Fire/EMS Off-Duty Policy

You may desire to use your Fire/EMS character while you are off duty and this is fine, but you must remember to act like an upstanding citizen. When off duty your actions can affect your career. Committing crimes, losing your driver's license, etc. can see your character suspended or fired from SAFR.

Off Duty Medical:

You also are not protected under the SAFR legal Liability. This means your aid to people in need should be limited to basic stabilization, CPR, holding pressure, etc. You cannot render ALS aid when off duty. You must hand the scene over to Fire/EMS when they arrive on the scene. You shouldn’t attempt to transport the Patient yourself, but wait for the Ambulance to arrive.

Off Duty Fire:

As an Off-duty, you are to not get involved with Fire scenes. If it is your house/property that is on fire then evacuate it and aid those inside it to evacuate. Then call 911 and stay away from the fire.

When off-duty you are not to order around on-duty personnel. If you wish to be off duty and then get involved with Fire/Ems scenes then you must wait for a call for Voli. When off-duty you are a civilian, which means that if your actions cause a PT to die then you are on the hook for their death.

Interpersonal Relationships

This policy outlines guidelines on employees who are in relationships;

• When on duty, personnel actively in a relationship shall be professional at all times on shift.

• Personnel in a relationship/family cannot ride on the same apparatus

• Personnel in a relationship/family cannot be at the same station.

• Personnel in a relationship may not be in the locker room at the same time.

• Personnel in a relationship/ Showing signs of getting in a relationship are to follow the above guidelines

Personnel caught in violation of this will be sent off-duty and their character will be suspended. Continuous violations of this policy will result in all Fire Department Certifications being taken away.

Apparatus set up

Brush (FIRE) Callsign: BRUSH ## [BRSH##]	Is a wildland firefighting apparatus with basic rescue equipment. It can be operated by any firefighter. This vehicle should not be sitting out idle and should only be brought out when needed. Extras: Extra #1: Front Windshield Wigwags [Required] Extra #2: Bay Doors - Left [Allowed] Extra #3: Bay Doors - Right [Allowed] Extra #4: MDT/MDC [Required] Extra #5: Running Boards [Required]
Medic (FIRE2) Callsign: MEDIC ## [MED##]	Is a medical response unit that operates either in a BLS or an ALS capacity. Extras: Extra #1: Lightbar [Banned] Extra #2: Ram Bar [Allowed] Extra #3: Ram Bar Extension [Allowed] Extra #4: Extra Box Lights [Allowed] Extra #5: Highbeam [Allowed] (Can be moved with NumPads “8” & “5”) Extra #6: Bullhorns [Allowed] Extra #7: Kussmaul Plug [Allowed in-quarters only] Extra #8: Box Interior Lights [Allowed] Extra #9: Left Bay Doors Open [Allowed] Extra #10: Left Bay Doors Closed [Allowed] Extra #11: Left & Right Scene Lights [Allowed] Extra #12: Rear Scene Lights [Allowed]
EMS Fly (FIRE3) Callsign: FLY ## [FLY##] *Certification Required*	Used by ALS qualified personnel to respond to medical calls requiring ALS assistance. (only to be used if there is a fully staffed medic [i.e. 2 people on the medic]). Extras: Extra #1: Lightbar [Required] Extra #2: Ram Bar [Required] Extra #3: Ram Bar Extension [Required] Extra #4: Front Windshield Wigwags [Recommended] Extra #5: Visor Lightbar [Banned] Extra #6: Extra Grill Lights [Required] Extra #7: Turnout Gear [Required] Extra #8: Spotlight [Allowed] (Can be moved with NumPads “8” & “5”) Extra #9: Spotlight folded [Allowed] Extra #10: Cellular & A/V Antennas [Required] Extra #11: Command Light [Banned] Extra #12: Radio Antennas [Required]
Rescue (FIRE4) Callsign Rescue ## [RESC##]	A vehicle used for incidents in which there is the equipment needed that other fire apparatus may not carry (i.e High-Angle Rescue, Heavy rescues, etc...). It also has the equipment to mitigate a hazmat incident. This vehicle should not be sitting out idle and should only be brought out when needed. Extras: Extra #1 - #6: Roll-up Doors - Left & Right [Allowed] Extra #8: Front Scene Lights [Allowed] Extra #9: Left Scene Lights [Allowed] Extra #10: Right Scene Lights [Allowed]
Engine (FIRE5) Callsign: Engine ## [ENG##]	Is a firefighting apparatus with basic rescue equipment as well as a water tank and hoses. Can be operated by any firefighter. Extras: Extra #1: Bumper Box Closed [Allowed] Extra #2: Bumper Box Open [Allowed] Extra #3 - #5: Roll-up Doors - Left & Right [Allowed] Extra #6: Roll-up Door - Rear [Allowed] Extra #8: Front Scene Lights [Allowed] Extra #9: Left Scene Lights [Allowed] Extra #10: Right Scene Lights [Allowed]
Ladder (FIRE6), (FIRE7 on-scene) Callsign: LADDER ## [LDR##]	Is a firefighting apparatus with an extending ladder to be used for elevation rescues, extrication, and technical rescues as well as used in ventilation if needed. This apparatus is not to be spawned in and sitting out only spawn in if needed. Extras: Extra #1: Stowed Ladder [Allowed] Extra #2: Stowed Outriggers [Allowed] Extra #3: Extended Outriggers [Allowed] Extra #4: Ladder - Mid Straight Left [Allowed] Extra #5: Ladder - Low Front Left [Allowed] Extra #6: Ladder - Low Straight Right [Allowed] Extra #7: Ladder - High Front Right [Allowed] Extra #8: Left Scene Lights [Allowed] Extra #9: Right Scene Lights [Allowed] Extra #10: Roll-up Door - Rear [Allowed] Extra #11 - #12: Roll-up Doors - Left [Allowed]
Command Silverado (FIRE8) Callsign: BATTALION ## [BATT##] *Station 1 or Station Use Only*	This is the vehicle utilized by Fire CoC to respond to calls and take command. In LS County; it will be Battalion 10 and in Blaine County; it will be Battalion 20. The Battalion is issued to the highest-ranking member of CoC during patrol but can be passed down by approval of that highest-ranking staff to lower staff for them to run. Extras: Extra #1: Lightbar - Alternate Pattern [Allowed] Extra #2: Black-out Rambar Lights [Allowed] Extra #3: Black-out Traffic Advisor Lights [Allowed] Extra #4: Wigwag Traffic Advisor Lights [Allowed] Extra #6: Command Light [Allowed] Extra #7: Front Scene Lights [Allowed] Extra #8: Left Scene Lights [Allowed] Extra #9: Right Scene Lights [Allowed] Extra #10: Bed-cover Door Closed [Allowed] Extra #11 - #12: Bed-cover Door Open [Allowed]
Gator (FIRE9) Callsign: ROVER ## [RVR##]	This is an off-road vehicle that is used on small trails that larger vehicles may not be able to drive down. If crewed by 1 person, this vehicle can transport a stable non-critical patient in the vehicle. The vehicle is roadworthy and can be used on local roads but not on highways. Extras: Extra #1: Lightbar [Required] Extra #2: Backboard [Required] Extra #3: Ram Bar Lights [Required] Extra #4: Animal Carrier [Banned] Extra #5: Mechanical Tools [Required] Extra #6: Bed Strap [Required] Extra #7: Rear Scene Lights [Allowed] Extra #8: Radio Antenna [Required] Extra #9: Cellular Antenna [Required]
Otter (Boat), (ZODIAC - Livery #0) Callsign: OTTER ## [OTR##]	Utilized by rescue crews to perform water operations and water rescue Extras: Extra #1: Outer Skirting [Required] Extra #2: Seats [Required] Extra #3: Zodiac Logo [Optional] Extra #4: Rowing Oars [Required] Extra #5: Storage Cover [Required]

Apparatus Menu Operations:

Vehicle menus can be accessed by standing outside of vehicles as your fire/EMS character and pressing “E”. If you play around with the equipment/ tools you will receive a stern warning; continued messing around will see disciplinary action handed out per FD policy. The following is a guide to what is within each menu for each vehicle and how you should utilize it:

Ambulance:

• Stretcher ops: open the back doors and extend the auto lift, Remove the stretcher from the ambo, transit it to the location of the patient, using the stretcher menu: Release to lower the stretcher, then /me the patient onto the stretcher (the patient at this time will use the menu to get onto the stretcher), using the stretcher menu: grab to lift the stretcher, transit the stretcher back to the ambo, make sure doors are open and auto lift is out then use the load option on the stretcher to have it load it up. *The Stretcher is not an All-Terrain Vehicle, It can go across the concrete, asphalt, gravel (slowly), grass (slowly), and up/down small hills. It can not go on the sand, up/down steep hills or cliffs, in the water, or anywhere that terrain is rough. If the terrain is rough, RP using a Stokes Basket or backboard.*

• • Stretcher Menu: PTs can interact with stretchers when released. They should get on the stretcher on their back or side. If they require CPR use the perform CPR by using “perform CPR”

  • To store the stretcher, walk up to the back of the ambo and press the store option. Then use the vehicle menu to retract auto-loader

• Monitor and med bag: you can carry the monitor or med bag to and from the scene to add to the realism. Do not leave them behind on scene. Make sure any equipment you remove using the menu is stored using the menu. To get them out you must first open the left bay door, use the tools option to retrieve them or store them. **Warning if you leave the Medbag laying around you also leave your medical supplies and medication behind. This can lead to you being unable to treat the patient and also leaves you criminally liable to losing the narcotics**

• Light Menu: make sure the emergency lights are on, then turn on the various scene lights using the light menu option. Do not forget to turn scene lighting off before driving the apparatus. Scene lights will blind other road users and can cause more incidents.

Fire Engine:

• Water Cannon: To use the water cannon remote control stand by the external control area and access the menu. Using the indicated keys navigate the marker onto the area that is needed for the deck gun. Turn on the deck gun and spray the area. Once the fire is under control, shut off the deck gun.

• Spreaders: Remove the spreaders from the engine by opening the first bay door., approach vehicles needing a door opened. RP necessary steps for vehicle/patient safety. Use the prompt button to remove the door that you need to remove. Return tool to apparatus. Spreaders will work on all vehicle doors and hoods.

• Light Menu: make sure the emergency lights are on, then turn on the various scene lights using the light menu option. Do not forget to turn scene lighting off before driving the apparatus. Scene lights will blind other road users and can cause more incidents.

Brush Truck: Water Cannon- To use the water cannon remote control stand by the external control area and access the menu. Using the indicated buttons: set the marker, navigate the marker onto the area that is needed for the cannon, Turn on the cannon and spray the area. Once the fire is under control, shut off the cannon.

• Light Menu: make sure the emergency lights are on, then turn on the various scene lights using the light menu option. Do not forget to turn scene lighting off before driving the apparatus. Scene lights will blind other road users and can cause more incidents.

TEMS and Fly Car: Monitor and med bag: you can carry the monitor or med bag to and from the scene to add to the realism. Do not leave them behind on the scene. Make sure any equipment you remove using the menu is stored using the menu. To get them out you must first open the left bay door, use the tools option to retrieve them or store them. **Warning if you leave the Medbag laying around you also leave your medical supplies and medication behind. This can lead to you being unable to treat the patient and also leaves you liable to losing the narcotics**

HRO: See HRO SOP for menu options and procedures.