CFJ Vol. 32.2 (Fall 2017)

EMS Have Best Opportunity to Detect Signs of Child Abuse

EMS is an important point of contact for children who suffer from child abuse, which is also called non-accidental injury (NAT). In North Carolina, and many other states, EMS is required to report suspicion of child abuse to the local department of social services (DSS).

Relevant Tags: NEWS FROM THE NC OEMS MEDICAL DIRECTOR

Does Your Agency TRULY Benefit the Continuum of Care?

It should be no secret to any of us that change is on the horizon for EMS. We have been charged with doing things better, at lower costs and with little recognition as a profession. No longer are we just tasked with transporting our patients; we are expected to perform at a high level and we are expected to affect positive outcomes in our patients. I don’t mean pulling a cardiac arrest patient back from the brink of death; that’s almost expected these days. What I mean, and what you all know is coming, is changing patient outcomes and truly being part of the continuum of care. How do we do that, you ask? Asking is always a first good step; however, DOING is much harder. Do you have what it takes?

Relevant Tags: NEWS FROM THE SC BUREAU OF EMS

What does the Congressional Fire Services Institute Have To Do With First Responders?

Shortly after attending Fire Rescue International in Charlotte, I received a call from Gwen Shuford, managing editor of this publication. She saw some literature we displayed at our booth about the mission of the Congressional Fire Services Institute and asked if I would be interested in writing a monthly column to update readers about our work in Washington, DC. I always look forward to sharing information about our work at CFSI (Congressional Fire Services Institute) with the fire service community. It’s important work that benefits all firefighters and emergency services personnel. But before I do, I’d like to devote a few lines to explain who we are.

Relevant Tags: Update from Capitol Hill

NCTMA Update

The North Carolina Tactical Medical Association has had its work cut out! Over the past few months we have been continually pushing forward to make the association both beneficial and relevant to the members.

Relevant Tags: ACTIVE SHOOTER - ACTIVE ASSAILANT

After the Explosion

As we learn about trauma medicine, the topic of blast injuries usually gets very little coverage. The thinking on this is that blast injuries are so severe that there isn’t much hope for that patient anyways, and that blast/explosion events don’t occur that often.

Relevant Tags: ACTIVE SHOOTER - ACTIVE ASSAILANT

The Active Shooter Threat:

In 2016 the Federal Bureau of Investigation stated that second only to terrorism, active shooter events are the most complex problem facing public safety agencies in the United States. These events include multiple, immediate, life-safety priorities for public safety agencies. An active shooter event may simultaneously include ongoing, unrestricted homicidal violence; smoke and fires; hazardous materials, including improvised explosive devices, improvised incendiary devices, and chemical bombs/munitions; as well as a mass casualty event. Each of these events in themselves may require numerous public safety resources. Combined, the event may require an unprecedented response never seen before in a community.

Relevant Tags: ACTIVE SHOOTER - ACTIVE ASSAILANT

The Truth About Cancer Hazards and Turnout Gear

Awareness of cancer clusters among firefighters has increased recently as more information becomes available. Over the last decade, three key studies have shown elevated risks of certain types of cancer among firefighters relative to the general population. The amount of increased risk is difficult to determine exactly, but it is apparent that the risk is associated with the number of fire calls, indicating that exposure to fire smoke is a major contributor. The effects of exposure to carcinogens — cancer-causing compounds — can often take many years to show up as cancer clusters. This makes it very difficult to quantify the risk, as well as see results of changes that are made to procedures and equipment. A large, long-term study is underway that is focused on carcinogen exposures and effects in firefighters. The Fire Fighter Cancer Cohort Study (FFCCS) includes evaluation of exposures, building a matrix of cancer-causing agents, and studies of epigenetic biomarkers — individual susceptibility to carcinogens. Although this major study will take more than a decade to conclude, it should answer many of the outstanding questions related to the disproportionate risk of cancer faced by firefighters. This article will attempt to summarize the current thinking on the major contributors to cancer clusters, and the role that firefighter’s personal protective equipment plays.

Relevant Tags: Cancer Risks for Firefighters

A Firefighter’s Risk of Developing Cancer is Twice That of Any Other Profession

Smoke produced by fires today is much more dangerous than in years past. In the past, furnishings were made from natural products such as wood, cotton, wool, silk, glass and metal, which produced harmful smoke when burned. Modern furnishings are made with plastics, foams and other petroleum based synthetic materials that increases the production of smoke and creates 10 times the toxic gases of natural products.

Relevant Tags: Cancer Risks for Firefighters

Minimizing Cancer Risk Through Station Design

(This is part one of a two part series.)

Serving your community as a firefighter has always been recognized as a dangerous, yet rewarding endeavor. Most of the dangers have been fairly easy to identify.

Relevant Tags: Cancer Risks for Firefighters

Think Outside the Box

In a previous article, we talked about getting out of the station and utilizing the Department of Transportation’s Emergency Response Guidebook for hazardous materials training. In this article we’re going to take it a step further and get out of the station for some practical, hands-on hazardous materials training.

Relevant Tags: HAZMAT

Hazmat Detectives — Food for Thought

Detective work does not normally come to mind when looking at the field of hazardous materials response. Depending on the authority having jurisdiction, training and/or certification to the technician level can be as short as 24 hours (OSHA technician) to more than 160 hours for certification through the North Carolina Fire and Rescue Commission. All training programs follow the basic requirements outlined in OSHA 1910.120 with regards to knowledge, skills and abilities required to be trained to the technician level. Training is not always able to provide clear answers for problems that a trained person has no previous experience. As an example, a hazmat responder who has limited experience with highway emergencies may struggle with managing an incident for which they are well trained. In a training evolution you may create the conditions for an active leak, but rarely are we able to train with a full size tanker truck overturned, damaged and actively leaking. Hazmat events where the products are known or the leak is obvious, present their own direct challenges. Hazmat events where the exact nature is not known require a different approach, one that may mirror that of a detective.

Relevant Tags: HAZMAT

Avoiding Acceptance of the Status Quo:

In any occupational pursuit, there comes a time at which we are at risk of succumbing to the status quo and possibly just “riding things out.” Such a time lies diametrically at the opposite end of the spectrum from events such as your first day on shift at the fire station when you were excited to be through with recruit training, out on “the line” fighting fires and saving lives; or when you completed Hazmat Technician training and were eagerly awaiting to tackle any hazmat incident that occurred.

Relevant Tags: HAZMAT 2017: SIXTY ONE DELTA ONE

Firefighter Gloves

If you have never heard of the name Ryan Pennington, then I would guess you either do not spend a lot of time on social media or you have not had the pleasure of hearing him speak. Mr. Pennington is a lieutenant for the Charleston (West Virginia) Fire Department. He is also a very well-known international speaker on the topics of the Jumpseat Riding Firefighter and Firefighting in Hoarding Homes (Heavy Content Homes).

Relevant Tags: Tools of the Trade

Reflection on OUR Fire Service

I recently attended the annual Camp ‘Can’ Do held at Camp St. Christopher on Seabrook Island in Charleston. If you are not familiar with Camp ‘Can’ Do, the South Carolina Burned Children’s Fund and the Medical University of South Carolina’s Pediatric Burn Center co-sponsor the event, which is specifically designed for burned children. It is truly a sight to see as all the volunteer nurses, firefighters and support staff work tirelessly to provide the attendees an incredible experience. The time spent providing each camper with arts, crafts, games and activities is only surpassed by the massive amount of time spent in planning and logistical support of the event. I would be remiss if I did not mention Jill Evans, coordinator of pediatric burn services at MUSC. Since its inception, Jill has directed the camp and this was her last year leading it, as she is retiring. I did not discover news about her retirement until I arrived at the camp. When I spoke to Jill I offered her my thanks for her more than two decades of hard work and congratulations on her retirement. I also told her that I wished there was a way to quantify the number of lives she has made better through her many years of tireless service. She responded with a humble and modest reply — as great leaders do — that the camp was a “team effort” and that it “was being left in very capable hands.” Looking back, I am sure it is very difficult for her to evaluate just how much of a difference she has had on the lives of the many young children who have experienced such a traumatic event.

Relevant Tags:

Heavy Vehicle BUS Rescue

I hope this finds everyone well and your summer was good. School is back in session, so there are now thousands of school buses traveling our roads every morning and every afternoon. Once time changes, many will be traveling after the sun goes down. We have covered the buses construction, so we have a pretty good idea on how they are built. We have also covered how to pre-plan for bus crashes in our area. Now we are going to look at the basic command set up for the scene.

Relevant Tags: EXTRICATION EDUCATION

Arson Dogs — An Underutilized Tool in the Fire Investigator’s Tool Box

As in any job that we perform on the fireground, it is essential to use all tools we have at our disposal. We need to use these tools properly and in a profuse manner. I have been a fire investigator for over 15 years and have spent countless hours “digging out” fire scenes. In August of 2015 I became certified as part of an Accelerant Detection Canine Team. The use of an Accelerant Detection Canine — arson dog — is a viable tool that is not utilized by most investigators. The time I have spent on fire scenes digging out has been drastically reduced. What used to take four hours is now taking sometimes less than one hour.

Relevant Tags:

Something New Again?

In the fire service things change very often, sometimes the change is good while other times it’s not so good. Regardless of what takes place, we in the fire service are reluctant to change. We are steeped in tradition and like the old way of doing things whether the change is a better, more safe and efficient way of doing something or not. We must change our culture and not only look forward to change but have an open mind when looking at new technologies or procedures to do our job as safe and efficient as possible.

Relevant Tags:

Dressing for Cold Weather Search and Rescue Operations

Within the next two months, the cold weather will finally be upon us as winter arrives. While it may seem ridiculous to talk about proper dress and equipment issues utilized while you are in a cold weather search, it remains an important topic.

Relevant Tags: RESCUE A-Z

Fire Protection Water Supplies

(This is part one of a two-part series.)

Retired Phoenix Fire Chief Alan Brunacini is famous for distilling firefighting into “putting the wet stuff on the red stuff.”

However, every experienced firefighter knows if there is not enough “wet stuff” the “red stuff” is going to win every time. Huge building fires that provide dramatic video for the evening news often are the result of an inadequate suppression water supply in the right place at the right time.

Relevant Tags:

Upgrade Your Resources, Combine Your Station

There is a growing trend within the Design-Build industry from city managers and elected officials to chiefs and facility administrators — combining like services under one roof. Many aspects have to be considered when deciding to house independent sources, but with the design freedom and a knowledgeable Design-Build contractor, merging entities including law enforcement, EMS, fire and rescue can be obtained in a seamless venture. Factors to consider are: space needed now and for future growth, common availability of daily activity concepts, readiness and responsiveness for each entity and cost savings.

Relevant Tags: THE STATION HOUSE

Finding Comfort: Proper Recovery From Severe and Chronic Stress

(This is part three of a three part series.)

Throughout recent articles we’ve discussed the importance of self-assessment, prevention of unnecessary stress and understanding the importance of recognizing the symptoms of chronic stress. If not maintained properly, stress can easily transition from a necessary adrenalin pumping reaction to an unhealthy long-term illness. Excessive stress can manifest as symptoms of digestive problems, loss of appetite, high blood pressure, migraines, depression, extreme anxiety and even heart failure. It is crucial for firefighters to recognize the symptoms of chronic stress, how to prevent good stress from turning deadly and how to mentally maintain a healthy lifestyle. These factors help firefighters work more effectively and can help prevent stress from becoming a debilitating and life-threatening disease.

Relevant Tags: THE STATION HOUSE

Concrete, PVC and a Cyclone Fence

This issue we start in Japan. A very famous Japanese movie director, Akira Kurosawa, made a movie called “Rashomon.” It is a story of six people; all telling different versions of the murder of a samurai, including the samurai himself through the use of the medium. The story I will share with you has the same elements; multiple people talking about the same firehouse but they all tell the story differently.

Relevant Tags: THE STATION HOUSE

Know All the Avenues to Procure Construction of Your New Station

In today’s market, purchasing construction can be a very challenging and time-consuming undertaking. It often involves multiple people — from procurement directors to station chiefs to board of commissioners and city council members. With so many people involved in purchasing construction for your station, it can become an overwhelming process. There is no one-size-fits-all solution. Understanding the different avenues available to you under law to purchase the construction of your new station is key. The following article outlines various scenarios and options.

Relevant Tags: THE STATION HOUSE

Back Pain and How to Prevent It

I want to address a fitness concern for fire/paramedic personnel, back pain and injuries associated with work-related activities. Back injuries account for more than 20 percent of all workplace injuries in the United States and are a particular problem in EMS, where at any given time nearly 10 percent of the workforce is out of work from injury. As a result, nearly 25 percent of all EMS workers experience career-ending back injuries within the first four years of their career.

Relevant Tags: FIREFIGHTER FITNESS

Westview Fairforest Fire Department

Department Name: Westview-Fairforest Fire Department

County: Spartanburg

Type Department: Combination

Structure: Special Purpose Tax District

ISO: Class 3

Number of Stations: 3

Relevant Tags: FIRE STATION PROFILE - South Carolina

Cool Springs Volunteer Fire Department

Department Name: Cool Springs Volunteer Fire Department

County: Iredell

Type Department: Combination

Structure: Non-Profit tax exempt

ISO: 6/9E

Number of Stations: 2

Number of Apparatus: 8 (3 Pumpers, 2 Specialty, 2 Tankers, 1 Brush, 1 QRV, 1 Service Truck

Do you provide EMS? Yes.

Type: First Responder

Relevant Tags: FIRE STATION PROFILE — North Carolina

Followership

The link between leadership, management and the organization is widely understood and accepted in the corporate world. This concept is no different in the fire service past or present. Improving leadership improves management, which in turn enhances performance. The fire service has strived for over a century to continue this quest. The flip side of leadership is followership, something that we have nearly lost the art of. Everyone seems to have all the answers without truly understanding the complexities of what is faced by the leadership.

Relevant Tags:

Engine Company Operations — The Second Hoseline

There are many functions that an engine company must accomplish on the fireground. As mentioned in a previous edition of Carolina Fire, getting the first hoseline right on the fireground is a critical element to civilian safety, incident stabilization and saving property. However, once the first hoseline is correctly positioned into operation on the fireground, a second/backup hoseline should be stretched and in position as quickly as possible. This article will discuss some of the elements of the second hoseline.

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Industry News

NEW RIGHTANSWER.COM SERVICE MAKES CHEMICAL, HEALTH, AND SAFETY INFORMATION FREE TO U.S. FIRST RESPONDERS

RightAnswer.com has launched a new service that makes subscription to its extensive collection of environmental, health, safety, hazard, and regulatory compliance information completely free to first responders throughout the United States. Called OnPointEHS™ First Responders, the new product will offer any qualified U.S.-based first responder free access to RightAnswer’s aggregated databases supporting single searches across multiple sources of up-to-date environmental, health, safety, hazard, and regulatory compliance information on hundreds of thousands of chemicals.

“First responders need easy access to appropriate information,” says Glen Markham, RightAnswer.com’s director of corporate business development. “And that information must be current, trusted and comprehensive. Information is what helps them do their jobs effectively and safely.

The offer is open to hazmat responders, firefighters, fire departments, emergency services coordinators, police officers, paramedics or other first responders based in the United States. Subscribers will be provided free access by registering at www.OnPointEHSFirstResponders.com.

Relevant Tags: Industry News

Peer Support

First off, let me preface this article to say I believe in both Critical Incident Stress Management (CISM) and Peer Support. I have seen CISM work very effectively across the U.S. by numerous fire and EMS organizations. I am though, a firm believer Peer Support teams offer a better option because they are the first line of help for our brothers and sisters on a daily basis. They are specifically trained members who can talk to you, listen to you and can make recommendations on resources. I have seen many CISM teams begin to meld both into one resource and I commend them for their efforts. Under the true model of CISM if I walked into the station and said I just found out my wife was diagnosed with stage four cancer the CISM team would probably not roll out for this situation. With a peer support team member I can talk to someone there in my station if I chose too.

Relevant Tags: BEHAVIORAL HEALTH

Lessons Learned: A Personal View

In a follow up to my article in a previous edition is a list of lessons learned looking from my perspective. I hope that my story was well received and beneficial. I strongly encourage anyone in need to reach out to the your department’s peer support team, Employee Assistance Program and/or friend.

Relevant Tags: BEHAVIORAL HEALTH

Who is There for You During Community Tragedies?

Twenty firefighters sat together in the cavernous fire department.

As the first fingers of Hurricane Harvey began scratching and pulling at the building, the crew improvised. They butted their trucks up against the bay doors to keep them supported and secured.

Relevant Tags:

Christmas at the Library Celebration

One look at the 40-foot cross on the front of the Billy Graham Library in Charlotte, N.C., and you know that this place is different. Billy Graham Â¬– whose more than 70-year ministry has reached millions through Crusades, television, radio and Internet – followed God’s call to preach the Gospel. The Library that bears his name gives visitors a glimpse into the history behind the personal and public life of the world-famous pastor and ambassador to world leaders.

Relevant Tags: Carolina Travel

Fall 2017 New Deliveries

Bertie County Emergency Management 2017 Wheeled Coach Ambulance w/Ford chassis, E-450 Type 3, V10 gas engine, 170” Custom module, Vanner inverter/charger, LED lighting inside/out. Provided By Select Custom Apparatus, Inc. more »	Bertie County Emergency Management 2017 Wheeled Coach Ambulance Transit T250 w/Ford chassis, V-6 gas, T250 medium roof, Vanner inverter/charger, LED lighting inside and out. Provided By Select Custom Apparatus, Inc. more »	Down East Fire Department 2017 Wheeled Coach Ambulance F-350 4x2 w/Ford chassis, diesel engine, 153” Module custom, LED lighting, Vanner inverter charger. Provided By Select Custom Apparatus, Inc. more »
Florence County EMS 2016 Wheeled Coach G-4500 Ambulance w/Chevrolet chassis, diesel engine, 170” Module custom, LED lighting, Stryker Performance load. Provided By Select Custom Apparatus, Inc. more »	Florence County EMS 2017 Wheeled Coach E-450 Ambulance w/Ford chassis, V-10 gas engine, 170” module custom, LED lighting, Stryker Performance Load. Provided By Select Custom Apparatus, Inc. more »	Robersonville EMS 2017 Wheeled Coach E-450 Ambulance w/Ford chassis, V-10 gas engine, sliding curb side door, LED lighting inside and out, floor level LED lighting. Provided By Select Custom Apparatus, Inc. more »
UNC-Rex Healthcare 2017 Wheeled Coach M-2 Crew Cab Ambulance w/Freightliner chassis, Cummins diesel engine, custom design, 2 stretcher capability, Stadco Genset, 110 VAC/12VDC A/C. Provided By Select Custom Apparatus, Inc. more »	WakeMed Health and Hospitals 2017 Wheeled Coach E-450 Type 3 Ambulance w/Ford chassis, V-10 gas engine, 170” custom module, Vanner 1800 Inverter/charger, Stryker Power Load. Provided By Select Custom Apparatus, Inc. more »	WakeMed Health and Hospitals 2017 Wheeled Coach Transit Ambulance w/Ford chassis, gas engine, 350 Transit, high roof, Stryker Power Load System. Provided By Select Custom Apparatus, Inc. more »
Washington County EMS 2017 Wheeled Coach Transit Ambulance w/Ford chassis, V-6 gas engine, T250 medium roof, Vanner inverter/charger, LED lighting. Provided By Select Custom Apparatus, Inc. more »	Western Carteret Fire and EMS 2017 Wheeled Coach F-550 Ambulance w/Ford chassis, diesel engine, 170” Module custom, liquid spring suspension, LED lighting. Provided By Select Custom Apparatus, Inc. more »	Williamsburg County EMS 2017 Wheeled Coach E-450 Ambulance w/Ford chassis, V-10 gas engine, 170” Module custom, LED lighting, Stryker Performance Load. Provided By Select Custom Apparatus, Inc. more »
York County Dept. of Fire/Life Safety (2) Pierce Enforcer Heavy Duty Rescue w/Pierce chassis, Cummins ISL9 450 HP engine, 24” raised roof, TAK-4 IFS, Onan 25 kW hydraulic generator. Provided By Atlantic Emergency Solutions more »	County of Henrico Pierce Velocity 100’ Aerial Platform w/Pierce chassis, Detroit Diesel DD13 525 HP, 10” raised roof, TAK-4 IFS & TAK-4 T3 IRS, Harrison 10 kW hydraulic generator, 400 lb. tip load. Provided By Atlantic Emergency Solutions more »	Chesapeake Fire Dept. Pierce Velocity FR PUC 55’ Sky-Boom w/Pierce chassis, Detroit Diesel DD13-505 HP engine, 1500 GPM Pierce PUC, 500 gal. UPF poly tank, Amdor roll-up side compartments. Provided By Atlantic Emergency Solutions more »
City of Portsmouth (2) Pierce Arrow XT PUC Pumpers w/Pierce chassis, Detroit Diesel DD13-470 HP engine, 1500 GPM Pierce PUC, 750 gal. UPF poly tank, 10” raised roof, Amdor roll-up side compartment doors. Provided By Atlantic Emergency Solutions more »	High Point Fire Department Pierce Arrow XT 100’ Aerial Platform w/Pierce chassis, Cummins ISX15 440 HP engine, TAK-4 IFS, 35 mph wind rating/400 lb. tip load, Harrison 10 kW hydraulic generator. Provided By Atlantic Emergency Solutions more »	City of Suffolk (2) Pierce Velocity Pumpers w/Pierce chassis, Cummings L9 450 HP engine, 1250 GPM Waterous CSU pump, 1000 gal. UPF poly tank, 10” raised roof, Amdor roll-up side compartment doors. Provided By Atlantic Emergency Solutions more »
Oak Ridge Fire & Rescue Pierce Enforcer PUC Pumper w/Pierce chassis, Cummins ISL9 450 HP engine, 1500 GPM Pierce PUC pump, 1600 gal. UPF Poly tank, Husky 3 foam system, Harrison 3.6 kW hydraulic generator. Provided By Atlantic Emergency Solutions more »	Raleigh Fire Department Pierce Arrow XT Tiller w/Pierce chassis, Cummins ISX12 500 HP engine, 1500 GPM Waterous S100 pump, 200 gal. UPF poly tank, 500 lb. dry/500 lb. wet tiploads, 10” raised roof. Provided By Atlantic Emergency Solutions more »	Raleigh Fire Department Pierce Enforcer Pumper w/Pierce chassis, Cummins L9 450 HP engine, 1500 GPM Waterous CSU pump, 500 gal. UPF poly tank, Husky 12 foam system, 10” raised roof. Provided By Atlantic Emergency Solutions more »
City of Manassas Park Pierce Velocity Pumper w/Pierce chassis, Detroit Diesel DD13-470 HP engine, 2000 GPM Waterous CSU pump, 750 gal. UPF poly tank, 10” raised roof, TAK-4 IFS, Husky 3 foam system. Provided By Atlantic Emergency Solutions more »	Chesterfield County Pierce ENCORE Rescue w/Freightliner M2-106 chassis, Cummins ISL 350 HP engine, Lima 40 kW continuous rating generator, 17’ body roll-up doors. Provided By Atlantic Emergency Solutions more »	Floyd County Pierce Enforcer Pumper w/Pierce chassis, Cummins L9 450 HP engine, 1500 GPM Waterous CSU tank, 1500 gal. UPF poly tank, Gortite roll-up side compartment doors. Provided By Atlantic Emergency Solutions more »
Chestnut Hill VFD 2017 Anchor-Richey EVS 2000 Gallon Tanker w/Kenworth chassis, 380 HP Paccar diesel, 750 GPM Hale Side Kick pump, 2000 gal. poly tank, rear view camera, electric drop tank rack. Provided By Anchor-Richey EVS more »	Fairview Volunteer Fire Dept. 2017 Anchor-Richey EVS Flatbed w/Transverse Compartment w/Dodge Ram, 6.7 liter Cummins diesel engine, 300 GPM Hale pump, 300 gal. poly tank, 12 V LED extendable scene lights. Provided By Anchor-Richey EVS more »	Lawsonville Fire and Rescue 2017 Anchor-Richey EVS Flatbed with Transverse, Ford F-450 chassis, 6.8 liter V-10 gasoline engine, 240 GPM Hale pump, 300 gal. poly tank, 12 V LED extendable scene lights. Provided By Anchor-Richey EVS more »
Stokesdale Volunteer Fire Dept. 2017 Anchor-Richey EVS 10’ Multi-Purpose Rescue w/Dodge Ram chassis, 6.7 liter Cummins diesel engine, 12 V LED extendable scene lights, custom shelving, 12,000 lb. Warn winch. Provided By Anchor-Richey EVS more »	Badin Lake 2017 Emergency Vehicles, Inc. Medium Rescue w/Freightliner M2 chassis, 350 ISL.9 Cummins engine, on board breathing cascade system, Onan PTO generator, Wilbert light tower. Provided By Atlantic Coast Fire Trucks more »	Darlington Fire District 2017 Smeal Commercial Mid-Ship Pumper/Engine w/Freightliner M2 chassis,Cummins ISL 350 engine, 1250 Hale pump, 1800 gal. UPF tank, Smeal QL-12 wiring harness, 2100 gal. Fol-Da-Tank. Provided By Atlantic Coast Fire Trucks more »
Town of Smithfield 2017 Smeal Custom Mid-Ship Engine/Pumper w/Spartan Metro-Star chassis, Cummins ISL 9 450 HP engine, 1500 GPM Waterous pump, 1000 gal. UPF tank, Smeal custom paint. Provided By Atlantic Coast Fire Trucks more »	Spring Hope 2017 Smeal Commercial Mid-Ship Engine/Pumper w/Freightliner chassis, 1250 GPM Hale pump, 1250 gal. UPF tank, Smeal QL-12 wiring harness, Smeal GS-36 Hot-Dip galvanized subframe. Provided By Atlantic Coast Fire Trucks more »	Boiling Springs Fire District 2017 R ONE iSeries 430RS Inflatable Rescue Boat w/Mercury 40 HP 4-stroke manual start, tiller steering with a prop guard, 6 gal. tank, custom lettering. Provided By ONE Boat Rescue Boats more »
Wake County EMS 2017 AEV Trauma Hawk w/Chevrolet chassis, 172”x95” 72 HR, Ducted AC, LED lights, Lonseal floor covering, Performance Load cot mount, Vanner Inverter, ALS cabinetry, Chevron striping. Provided By Northwestern Emergency Vehicles more »	Warren County Rescue Squad AEV w/Ford chassis, Ducted AC, Whelen LED lights, Lonseal flooring, LED dome lights, ALS cabinetry, Vanner Inverter, custom paint by AEV. Provided By Northwestern Emergency Vehicles more »	Wilkes County EMS 2017 Type I AEV Dodge 4500 w/Dodge chassis, 145”x 94”, Ducted AC, Whelen LED lights, Stryker Power Load, IV warmer, custom cabinetry, Zico 02 Lift, custom paint by AEV. Provided By Northwestern Emergency Vehicles more »
Benhaven Volunteer Fire Dept. 2016 Rosenbauer Custom Commander Side Mount Pumper FX, Cummins ISL engine, 1500 GPM Hale pump, 1000 gal. UPF tank, multiplex electrical system with dual displays. Provided By C.W. Williams & Co. more »	Drewry Volunteer Fire Dept. Rosenbauer FX Commander 4000 Custom Side Mount Pumper, Cummins ISL9 450 HP engine, 1500 GPM Waterous pump, 1000 gal. UPF tank, front airbags, Newton 10” rear dump. Provided By C.W. Williams & Co. more »	Idlewild Volunteer Fire Department 2017 Custom Pumper Igniter Custom Chassis w/Ferrara chassis, Cummins ISL-9 450 HP, 2000 GPM Waterous CSU pump, 500 gal. poly water tank, Ziamatic hydraulic ladder racks on both sides. Provided By C&C Fire Apparatus more »
Carolinas Healthcare System 2017 (2) Horton Emergency Vehicles Type 1 Ambulances Model 457 w/Dodge 5500, 4x2 crew cab. Provided By FESCO Emergency Sales more »	Francisco Volunteer Fire Department 2017 Horton Emergency Vehicles Model 603F Type I Ambulance, Ford F450, 4x4. Provided By FESCO Emergency Sales more »	Orange County Emergency Services 2016 Horton Emergency Vehicles 603F, Type I, two unit order Ambulances, Ford, F-550 4x4. Provided By FESCO Emergency Sales more »

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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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