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Is This The Start Of A Trend?

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The Philadelphia medic noticed smoke rising from the engine just as he steered his ambulance off I-95.

He and his partner were on their way to a medical emergency when their ambulance began to smoke.

Then, a bang – a “loud explosion,” the medic remembered. They pulled over and scrambled from their seats as the smoke grew heavy and thick.

On the side of the road, they watched as flames licked up the side of the ambulance.

I never had that particular experience, but there was a time when my former service had problems like this at one time. In fact, during one memorable hot summer shift, I spent six hour of an eight hour shift either swapping over to back up ambulances or getting back up ambulances repaired. At that time our air conditioning repair vendor was right in the middle of my primary response area. Which was convenient because one of the trucks had no AC and it was about 90 degrees. We spent a quality hour at the shop while they repaired a leak and recharged the system. Immediately after we cleared from that, we were sent back to fleet to change back into our regular ambulance.

When I say that we had problems like that at one time, I mean in the mid 1980s. Yep, just about 30 years ago. Since then vehicle build quality, ambulance conversion quality, and our maintenance shop have all improved tremendously. It’s still a battle, but one that the service wins more often than it loses. Apparently Philadelphia Fired is not so fortunate.

The Fire Department has two workhorse trucks in its aging fleet: 53 engine trucks, which pump water onto fires, and 23 ladder trucks, used for ventilation and rescues.

Horse shit, straight from the union. If you’ve read this blog for any length of time, you’ll know that I’m not a big fan of fire based EMS. My view on that has changed a bit and I’ll put up a post about my epiphany in the near future. The true work horses of any fire department that also runs EMS are the ambulances, not the fire suppression apparatus. Which the article points out in a back handed sort of way in this paragraph.

According to figures kept by the department, the average engine truck is 8.9 years old; ladder trucks, 11.5 years; and medic trucks, 3.96 years – old in ambulance years as they answer far more calls than fire trucks.

As the article points out, ambulances are fun far harder than the suppression apparatus. Again, citing my former agency, we used to estimate that for each mile on the odometer, there were to my virtual miles of wear on the ambulance. It’s not uncommon for a BLS unit to respond to ten or 12 calls in an eight hour shift. Crews come in at the start of their shift and then don’t return to their station until shift change. I don’t know anything about the runs per shift per ambulance in Philadelphia, but I’ll bet if’s far more than the same number for either engines or ladders.
Without sufficient numbers of first line or back up ambulances routine maintenance suffers and the in it’s turn translates into more mechanical failures while the ambulances are responding to calls.
“Not every department can do [what New York can],” said NFPA division manager Ken Willette. “It comes down to a budget.”
New York might have more money in it’s budget, but it’s also a lot bigger, so the problems scale up. Still, they seem to manage to keep their fire apparatus in good condition. I don’t know the current state of the ambulance fleet, that’s not been so great some years. But, New York City has always given their EMS system short shrift.  That too is  a story for another day.
[Mayor] Nutter’s spokesman, Mark McDonald, said the mayor and the Fire Department have been well aware of the situation for years – but hamstrung by tight budgets.
Therein lies the problem. Mayors and others can talk all they want about fixing the problem, but the truth is that what speaks the loudest about policy is budgets. What items get priority in spending is the real statement of what is important to the Mayor. Obviously, an organized replacement and maintenance plan for emergency vehicles just isn’t that important to the people who run Philadelphia.
I have sinking feeling that Philadelphia is not the only big city that doesn’t s;end an adequate amount of money on emergency vehicles. Somehow I think that this might be a larger scale problem than most people are aware of.
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I'm a retired paramedic who formerly worked in a largish city in the Northeast corner of the U.S. In my post EMS life I provide Quality Improvement instruction and consulting under contract. I haven't really retired, I just don't work nights, holidays, or weekends.  I escaped the Northeast a couple of years ago and now live in Texas.  I'm more than just a little opinionated, but that comes with having been around the block more than once. You can email me at EMSArtifact@gmail.com After living most of my life (so far) in the northeast my lovely wife and I have moved to central Texas because we weren't comfortable in the northeast any longer. Life is full of twists and turns.

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