CFJ Vol. 29.2 (Fall 2014)

From the Publisher

Not One Step Back!  
Our Thirtieth Year — 1985-2015.   Thank You!
Going into our 30th year at Carolina Fire Rescue EMS Journal we have never been more proud of the people we represent and the fire products we present to them and the vital training our superior writers provide.

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From the Editor - Fall 2014

As an EMT or paramedic, how do you feel when you arrive at a call and there are children involved? Do you panic a little? Do you feel you have all the information you need to make informed treatment decisions?

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Kids and Strokes — are they little adults?

There is one line that will undoubtedly upset most pediatricians in this country. If you are an EMS provider and want to ruffle some feathers simply tell your local easy going pediatric specialist “kids are just little adults,” and then sit back and watch them boil up with anger. For years I was that guy. Having trained at two large academic children’s hospitals it was ingrained in me that kids are kids, and absolutely NOT just little adults. That was the gospel and it’s what I believed for a decade. That is until I joined the world of EMS and everything became clearer. From the pre-hospital perspective kids may be little adults after all!

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Moulage Concepts

How good are you at pretending, at engaging and play-acting?If you were instructed to care for a simulated victim with a patient profile card that read “hemorrhaging gunshot wound” or “open pneumothorax” could you see it in your mind? Would your pulse instinctively quicken at the thought of congealed blood pooling around the victim or bloody froth at the chest wound entry point, bubbling with each exhalation? Working instinctively, would you begin putting pressure on imaginary wounds and shouting out orders, adrenaline building, propelling you into what you have been trained to do — save a life? If you had never experienced these two medical emergencies and I asked you to pretend in your scenario that your victim had them, could you do it?

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America’s Music City Tunes in to EMS

This fall, Nashville will be the heart and soul of EMS as Tennessee’s “Music City” plays host to this year’s EMS World Expo, Nov. 9-13, at Music City Center. The nation’s largest EMS-focused conference and tradeshow, EMS World Expo provides superior and affordable education and learning opportunities to EMS providers at all levels, including five days of industry-leading education, co-located EMS events, off-site tours and the largest exhibit hall in North America.

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EMS strategic planning?

I decided to search the Internet for EMS Strategic planning. The results that flashed on my screen informed me that there were only two to three pages of actual results that fit the topic I was researching. The Internet can be a great source at times, but in some instances it can provide too little information.

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Safety First

Before driving your emergency vehicle, it is important to make sure that your ambulance is in working order. You should know the current and forecasted weather conditions and be vigilant in paying attention to other drivers on the road. You cannot get to the scene of the emergency if your vehicle breaks down, or you get into an auto accident.

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The success of establishing a mentor program

Looking at the fire service in 2014, we see a lot of different practices that were not in place just five or six years ago. A large problem in the fire service today is staffing and trying to keep up with our ever-growing fire districts. As money is allocated in our budgets, we hire new firefighters, but one problem seems to exist across the nation - the lack of mentorship in the fire service.

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The importance of motor vehicle records

Does your agency review your drivers’ records and licenses on a regular basis? If you are not doing this basic loss prevention step, you may be jeopardizing your members and your organization.

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The OIG list of excluded parties and entities

In the world of healthcare compliance, the Office of Inspector General (OIG) exclusions are a hot topic, yet many people still do not know what this list is and how to use it. So for starters, does it apply to your emergency service department or squad? If you receive federal health care program funds, then yes it does is the short answer, but there is more you will need to know.

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HEAVY VEHICLE RESCUE LIFTING

We have been looking at large vehicle rescue in past issues. You will not hear me refer to this as big rig rescue because we have to consider that a fair amount of these vehicles are not just “big rigs,” or tractor trailers, but are school buses, commercial buses, concrete trucks, garbage trucks, dump trucks and so on. 

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ASK ERNIE - Fall 2014

What does DEF stand for and what does it do?

DEF is the designator for “Diesel Exhaust Fluid” and is a chemical synthetic of a refined form of pig urine, which was originally used for testing procedures and is now chemically known as UREA. The DEF solution is carried on a specialized tank of the chassis to be “dosed” into the exhaust stream to clean up NOx pollutants as required by the EPA.

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Safety Vests

The benefits of increased visibility for first responders on the job have been well-documented over the years: in fact, the goal of increased roadway safety for emergency response teams led to the passing of the 2008 federal regulation in the United States — the “Worker Visibility Rule” — mandating that anyone working in the right-of-way of a federal-aid highway must be wearing high visibility (reflective) clothing. Similar laws and standards exist in Canada as well as the European Union (EU) for the same reason they do in the U.S.: the rate of on-the-job injury is much higher when people who work in roadway areas — whether they’re emergency responders or road construction crews — are not highly visible.

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Georgetown City Fire Department


Department Name: Georgetown City Fire Department

County: Georgetown, SC

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Medical monitoring of Hazardous Materials Entry Teams

Structural fire fighting is a dangerous activity that is physically demanding. Firefighters who are members of Hazardous Materials (HazMat) Response Teams face the same dangers on a hazmat response as they do on a structure fire and then some. Health hazards faced by hazmat technicians include carcinogens, toxic agents, reproductive toxins, irritants, corrosives, sensitizers, heptaotoxins, nephrotoxins, blood, pulmonary, skin and eye poisons as well as temperature extremes.

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CALLED UP TO THE SHOW

The transition from operations level to technician level of hazmat certification and competency is often described as the largest leap in scale and scope in one’s hazmat career. Whether you are voluntarily becoming a technician due to your interest in the discipline and desire to be a member of a hazmat team, or you are being “ordered to volunteer” to become a technician, the prospective technician should go into the process as well informed as possible to ensure a favorable outcome. In this issue’s discussion we will endeavor to arm future technicians with information that will assist them during the transition. Although we will be utilizing the State of North Carolina Hazmat Technician certification program as an example in our discussion, we do not want to ignore our readers from other states. Although certification programs differ from state to state, the similarities are greater than the disparities and the general theories and conversation in our discussion can apply to any geographical area in our country.

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Fire prevention and public education

Today’s fire service responds to many incidents. Most of those incidents are covered under some form of safety code — from basic building codes, mechanical codes, electrical codes and fire codes to occupational safety and health regulations and environmental protection regulations. The previous codes mentioned all came from some form of life loss, major building fire or large loss fire. They became law when the local and state governments adopted them legislatively by vote and were signed by the governor or local body. Most of the fire services agencies that look at or read this do not perform fire prevention inspections, relying on the county/local government to do those inspections. The public we serve does not know this, so when we pull up to a business in the response area to do a pre-incident survey or to become familiar with the building their business is in, the business owner/occupant thinks we are doing a fire inspection. Knowing this, we can be proactive in preventing a problem that can cost us support in the future and monetary help during the time of business — a basic form of fire prevention.

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Are You Rail Ready?

Firefighters, rescue and EMS professionals across North Carolina work with a passion to fight blazes and protect and aid the state’s residents in dangerous and potentially deadly situations. They dedicate themselves each day by spending numerous hours preparing for and remaining vigilant for such eventualities in which people will be in harm’s way.

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Often overlooked dangers of hoarding

While attending the 2014 Firehouse Expo in Baltimore recently, it seemed clear that first responders don’t fully understand hoarding dangers and how they can affect safety. Having the opportunity to travel and meet the brave men and women who serve as first responders is a HUGE honor. During my conversations with these first responders, it became crystal clear their lack of understanding concerning hoarding dangers. It’s like clockwork that when someone hears that I am studying responses in hoarding conditions they immediately tell me of one of their experiences. These stories always involve the words “lucky” and/or “fortunately” something happened or it could have been bad. As an educator these words are like fingernails on a chalkboard.

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Shiners, Whiners and Recliners

I have heard a lot of analogies over my career about the fire service, “You can peal one fire department name off the wall and replace it with another one and it would be the same” and “it is the same circus but with different clowns.” The more I hear this type of talk the more I have come to realize that we have some really big issues at hand that need immediate attention. I have witnessed many events and issues over the years and recently listened to a guest speaker at church talk about recent situations he was in and how his staff reacted. The first thought that came to mind was the fire service. I know that many folks are going to say here is a negative attitude about to come out. Well, it just might be but it is reality and we have to face that it is what it is and address it. We have three types of folks in the fire service: Shiners, Whiners and Recliners. So which are you? Let’s take a look at all three and identify their characteristics.

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New backboard on the market

While on the way to the Fire Rescue Expo in Baltimore, I ran across a gentleman by the name of James Campbell at the airport in Charlotte, who was also attending the expo. We exchanged a few nice comments and both boarded the plane and headed for Baltimore. Once we landed I decided to see if he might want to share a taxi to the convention center to cut down on the price. After hopping a shuttle to his hotel and figuring we would save the taxi fare, we ended up in the wrong place. In the end, we still had to catch and pay for a taxi.

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What’s a ‘whacker tool’?

During the last couple months I have had the chance to become familiar with a new product by the Weddle Tool Company (WTC) called the “Whacker Tool.” WTC describes the Whacker Tool as the “one person tool that handles multiple jobs.”

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Construction Document Phase Services

The next phase is Construction Documents (CDs). Once the owner and architect are satisfied with the documents produced during Design Development (DD), the architect moves forward and produces drawings with greater detail. These drawings typically include specifications for construction details and materials. Once CDs are satisfactorily produced, the architect sends them to contractors for pricing or bidding, if part of the contract. The level of detail in CDs may vary depending on the owner’s preference. If the CD set is not 100 percent complete, this is noted on the CD set when it is sent out for bid. This phase results in the contractor’s final estimate of project costs.

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Exploring the less obvious factors in RENOVATING versus BUILDING NEW

Often fire departments are faced with a difficult decision when changing demographics, equipment needs or new regulations dictate that their current facility no longer meets their or their community’s needs. The question is should they renovate their current facility or build new?

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A ‘Shelf-Help’ guide to station storage needs

Have you ever heard anyone say, “We just have too much storage space?” I haven’t either. Whether at home, at the office, or at the station, it seems that our national pastime is collecting “stuff.” Then comes the dilemma of where to keep it all. Unlike much of what we store at our homes, most of what is stored at the station actually has some usefulness and needs to be accessible.

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‘Shedding light’ on waterborne search and rescue

Waterborne search and rescue (SAR) is one of the daunting tasks most fire departments are faced with. Unfortunately most SAR cases usually turn from search and rescue to search and recovery. Since the advent of fire/rescue agencies along with police departments and sheriffs’ offices, public servants have always been called upon to locate missing persons on the water. Over my 18 years of waterborne search and rescue experience, different techniques have come and gone and technology has improved drastically. There are now countless new gadgets and gizmos to assist in our efforts to locate these lost souls from the deep. It’s all about having the right tools in your toolbox.

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Firefighter training in the electronic age

For seasoned fire instructors, new hires coming into the force can be a challenge when it comes to instructional media. These young new hires are entering the workforce with a mindset geared towards technology and its various uses. They were raised and received their education through a variety of electronic marvels not present in school “in our days.” In fact, I was in my sophomore year of high school when the first hand-held calculators were being mass-produced. Nowadays, graduating students have had years of experience with smartphones, tablets, notebooks, laptops, and phablets. Instructing students with this degree of technology experience presents a unique challenge to fire academy instructors who rely on two-dimensional textbooks and PowerPoint slides.

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Setting up and managing helicopter landing sites

Most local EMS services, fire departments and rescue squads have had the use of air medical helicopter transport services at their disposal for well over 20 years across most of the country. Patient transport via helicopter has become routine for many of us, and an occasional occurrence for others. However, detailed, basic training in the proper selection, use and management of landing sites, also known as landing zones (LZs), appears to still be lacking for many emergency personnel.

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Remembering the Yarnell 19 – Incident Management

All too often, we read (and write) about a place and a number. The FDNY 343, the Worcester 6, and the Charleston 9 all instantly bring a visceral reaction among firefighters across the country. While our normal reaction to these line of duty deaths is emotional, ultimately we must impose logic against the circumstances of the incidents. 

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Hemby Bridge Fire Department


Department Name: Hemby bridge fire Department

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Assessing and advancing the greatest tools in the fire service

Whether you work for a career or a volunteer department, if you are reading this journal, I bet it’s because you’re striving to be an expert firefighter. An expert is one who consistently outperforms colleagues and non-experts within a specific domain. Our domain in the fire service is physically demanding, requires a high level of competence across a broad spectrum of knowledge and skills, and places a premium on the amount of time on the job within a particular jurisdiction. Firefighters have historically been portrayed by the media and generally accepted by the public as an occupation of super-fit individuals. Sadly though, the reality is that far too many firefighters are out of shape. The demands of the job have been proven to outweigh the ability of most firefighters.

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Are we enabling or helping?

If you’re a volunteer firefighter, I think you can relate to the bar at the station, all the fire department awards around it, the parade glasses stacked up. When I was growing up, it was a sight to be seen — just the thought of hanging around all the older firefighters and listening to stories of the big fires they went on was exciting to me. Every Friday night I could almost bet on hanging out there after working the four-hour bingo and setting the hall up for the wedding the next day. Most nights were uneventful, but some would just add to the stories for the next week.

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Stressful occupations and drug abuse

For the first time in 2009, drugs caused more deaths (37,485) than motor vehicle accidents. That was double the rate of drug-related deaths in 1999. A steep rise in deaths from overdoses of prescription narcotics contributes to this ongoing trend. Peak ages of use involve late adolescence and early adulthood. 

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WOW, 20 years of being a fire wife

In December, my Dear Husband (DH) and I will be celebrating our 20th anniversary. WOW! We have struggled and we have triumphed over many things. No, I did not know one thing about being married to a firefighter. But, through the years I have learned many things and I’m providing you with five from a list of many. And, if you are new to the fire department, you will be glad that I am passing these on to you.

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One call away from the edge

Looking around the fire service, we are constantly told that fire fighting is a “stressful job.” Really? I had not noticed that. Who told you that?

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A different perspective on PPE

Crawling down a smoke filled hallway, the heat pushes you close to the floor, and your training is telling you a flashover is imminent. Your crew cools the ceiling as you push forward searching for a child trapped in the home. You see the outline of the child on the thermal imaging camera (TIC), make the rescue, and bring him out to safety.

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Front Royal: A town for all seasons

Are the mountains calling you? If they are the perfect place to enjoy a combination of small town charm and natural splendor is in Front Royal, Virginia. A mere 66 miles to the west of Washington D.C. you will find our town with its ability to make anyone feel local as soon as they arrive. With annual events, outdoor recreation, Civil War history, wineries, shopping, dining and interesting places to stay Front Royal offers the best of the Shenandoah Valley and a little something for everyone.

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Fall 2014 New Deliveries

Eastern Pines Fire Department

Eastern Pines Fire Department

2011 Pierce Impel Custom Pumper w/Pierce chassis, Cummins ISL 9 engine, 1500 GPM Waterous pump, 1000 gal. UPF poly tank, TAK-4 IFS, hatch compartment, enclosed ladder storage.

Provided By Triad Fire, Inc.

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North 321 Volunteer Fire Department

North 321 Volunteer Fire Department

2011 Pierce Arrow-XT Custom Pumper w/Pierce chassis, Cummins ISL 9 engine, 1500 GPM Waterous CSU pump, 1000 gal. UPF poly tank, Husky 12 foam system, TAK-4 IFS.

Provided By Triad Fire, Inc.

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Pikeville - Pleasant Grove Fire Department

Pikeville - Pleasant Grove Fire Department

2011 Pierce Encore w/Freightliner chassis, 360 HP Cummins engine, 20 kw generator, 6 kw light tower, four bottle cascade, SpaceSaver SCBA bottle fill station.

Provided By Triad Fire, Inc.

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West Iredell Fire Department

West Iredell Fire Department

2011 Pierce Arrow-XT Custom Pumper w/Pierce chassis, Cummins ISL engine, 1500 GPM Waterous CSU pump, 1000 gal. UPF poly tank, side roll and front impact protection.

Provided By Triad Fire, Inc.

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City of Lexington Fire Department

City of Lexington Fire Department

2011 Toyne Custom Rescue Pumper w/Spartan chassis, Cummins ISL 425 engine, 1500 GPM Hale pump, 500 gal. UPF tank, Foam Pro 2002 foam system, Onan 10 kw hydraulic generator.

Provided By Melton Fire Group

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Crabtree-IronDuff Volunteer Fire Department

Crabtree-IronDuff Volunteer Fire Department

2011 International 4 Guys Pumper Tanker w/International chassis, 330 HP MaxxForce 9 diesel engine, 1000 GPM Waterous pump, 1500 gal. poly tank, ROM roll up doors.

Provided By 4 Guys Fire

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Maxton Rescue Squad

Maxton Rescue Squad

2011 Rosenbauer Medium Duty Rescue w/Ford chassis, Cummins engine, 25 kw PTO generator, light tower recessed in body top, custom shelving, Whelen LED light package.

Provided By C.W. Williams & Company, LLC

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Shannon Volunteer Fire Department

Shannon Volunteer Fire Department

2011 Rosenbauer Custom Pumper w/Spartan chassis, Cummins 380 engine, 1250 GPM Hale pump, 1000 gal. poly tank, internal ladder and hard suction hose storage, 6000 watt light tower.

Provided By C.W. Williams & Company, LLC

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Statesville Fire Department

Statesville Fire Department

2011 Rosenbauer Custom Pumper w/Spartan chassis, 500 HP Cummins ISX engine, 1250 GPM Hale pump, 680 gal. custom poly tank, Class A&B foam, 10 kw SmartPower generator.

Provided By C.W. Williams & Company, LLC

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Topsail Beach Fire Department

Topsail Beach Fire Department

2011 Rosenbauer Custom Pumper w/Spartan chassis, Cummins ISL engine, 1500 GPM Hale pump, 1000 gal. poly tank, 15’ light tower, 10 kw generator, Hot-dip galvanized subframe.

Provided By C.W. Williams & Company, LLC

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Verona Volunteer Fire Department

Verona Volunteer Fire Department

2011 Rosenbauer Custom Pumper w/Spartan chassis, Cummins ISL engine, 1500 GPM Hale pump, 1000 gal. poly tank, LED light package, enclosed ladder/pike pole storage.

Provided By C.W. Williams & Company, LLC

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West of New Bern Volunteer Fire Department

West of New Bern Volunteer Fire Department

2011 Rosenbauer Pumper w/Freightliner chassis, Cummins engine, 1250 GPM Waterous pump, 1000 gal. poly tank, light tower w/strobe and backlighting, 8 kw hydraulic generator.

Provided By C.W. Williams & Company, LLC

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Carrboro Fire Department

Carrboro Fire Department

2011 Anchor-Richey EVS F-550 Multi-Purpose Response Vehicle w/Ford chassis, 6.7 powerstroke diesel engine, 300 GPM Darley pump, 300 gal. poly tank, Warn winch w/stainless brush guard.

Provided By Anchor-Richey EVS

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Erwin Fire and Rescue

Erwin Fire and Rescue

2011 E-One Custom Heavy Rescue w/E-One Typhoon chassis, Cummins ISL 450 engine, 500 GPM Hale pump, 300 gal. poly tank, 22’ extruded aluminum body, hide-a-way vertical light tower.

Provided By Fire Connections, Inc.

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Franklinton Fire Department

Franklinton Fire Department

2011 E-One Cyclone Custom Rescue Pumper w/E-One chassis, Cummins ISM 450 HP engine, 1250 GPM Hale pump, 1240 gal. poly tank, 10kW SmartPower hydraulic generator, Zio coverhead ladder rack.

Provided By Fire Connections, Inc.

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Hatteras Fire Protective Association

Hatteras Fire Protective Association

2011 E-One HP 75’ Aluminum Aerial Quint w/E-One Quest chassis, Cummins ISL 450 engine, 1500 GPM Hale pump, 500 gal. poly tank, hydraulic generator, compressed air foam system.

Provided By Fire Connections, Inc.

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Star Fire Department

Star Fire Department

2011 E-One Custom Pumper w/E-One Typhoon chassis, Cummins ISL 450 engine, 1500 GPM Hale pump, 1030 gal. poly tank, FRC LED brow and scene lights, Newton dump valve.

Provided By Fire Connections, Inc.

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West Hoke Fire Department

West Hoke Fire Department

2011 E-One Tradition Commercial Pumper w/International 4400 chassis, MaxxForce 9 - 330 HP engine, 1250 GPM Hale pump, 1000 gal. poly tank, HID scene lighting, top mount pump.

Provided By Fire Connections, Inc.

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Yanceyville Fire-Rescue

Yanceyville Fire-Rescue

2011 E-One Tradition Commercial Rescue Pumper w/International chassis, MaxxForce 9 - 330 HP engine, 1250 GPM Hale pump, 1030 gal. poly tank, 10kW SmartPower hydraulic generator.

Provided By Fire Connections, Inc.

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West Edgecombe Volunteer Fire Department

West Edgecombe Volunteer Fire Department

2011 E-One Tradition Rescue Pumper w/Freightliner chassis, Cummins ISC 330 engine, 1250 GPM Hale pump, 1000 gal. poly tank, electric proportioned foam system.

Provided By Fire Connections, Inc.

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First Health Regional EMS

First Health Regional EMS

(2) Chevrolet 3500s with LED lights, custom interior layout, invert, 110 12v ducted heating and AC, mirror image interior, slide out life pack.

Provided By Northwestern Emergency Vehicles

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Johnston Ambulance Service

Johnston Ambulance Service

(2) Ford F-450s, 144 box size, 12v ducted heat and AC system, inverter, crash net, air ride, custom ALS.

Provided By Northwestern Emergency Vehicles

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Johnston Ambulance Service

Johnston Ambulance Service

2011 Mercedes 2500 w/LED lights, custom reflective graphics, custom ALS, transverse 02, inverter, ducted head and AC, custom overhead switch panel, 6 point harness.

Provided By Northwestern Emergency Vehicles

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Yadkin County EMS

Yadkin County EMS

2011 Ford E-450 gas w/all LED lights, inverter, flex steel attendant seat, Corian counters, Mermaid climate control for drugs, custom front console, ducted heat and AC.

Provided By Northwestern Emergency Vehicles

more »


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About the Carolina Fire Rescue EMS Journal

Welcome to the Carolina Fire Rescue EMS Journal! We want to provide you with timely online information and breaking news that best equips you to meet today’s emergency challenges. Among our firefighting articles, you will find the latest in firefighter technology, firefighter training, leadership development and the newest products and services presented in an “Act Now” user friendly format.  We want to be your best online source for the fire and rescue information, resources and reviews you need.
 
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