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LAFD gets $1.6M to staff 11 ambulances with overtime crews until June

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Breaking news from the Los Angeles Times:

City Council finds money to halt controversial LAFD staffing plan

The Los Angeles City Council voted Tuesday to give the Fire Department $1.6 million to reverse a controversial new ambulance staffing plan.

The money will pay for the agency to add 11 new ambulances to the department's fleet through June. And it will put at least a temporary halt to a redeployment that as of Sunday reassigned 22 firefighters per shift from engines to medical rescue ambulances.

The council did not commit to staffing the new ambulances next year, which Cummings said will cost $9 million.

For now, firefighters will be asked to work overtime to staff the ambulances, he said. On days the agency cannot find enough volunteers to work overtime, Cummings said he will opt to staff the ambulances instead of fully staffing the firetrucks.

He said he could not guarantee that the new money will keep firefighters on firetrucks. "I'm staffing for the community need, which is ambulances," he said.

On Friday, Cummings rejected a request from members of the City Council to postpone Sunday's start of the plan.

LAFD reduces Light Force staffing to put 11 additional ambulances on the road

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"After asking for money and not receiving it, I am moving forward.” Chief Cummings said. “What we need is additional ambulances."

On May 5, staffing at 22 LAFD Light Forces (tiller truck + pumper) will be reduced from a staff of six to a staff of five. Eleven EMT-level ambulances will be placed in service.

This represents a 1/3rd increase in staffed EMT ambulances (total 45) and should reduce the workload of the 89 paramedic ambulances and the need to send a fire company first responder to medical calls.

Ben Welsh, Robert J. Lopez and Kate Linthicum (2013 April 25) LAFD chief presses ahead with firefighter reassignment plan. Los Angeles Times

Ben Welsh (2013 April 16) Draft LAFD ambulance plan. Los Angeles Times

Ambulance Transport a long-standing LAFD issue

After a high profile crisis in public confidence in 1999, the department embarked on an ambitious expansion program that was funded by the city council.

By the end of the expansion, LAFD increased the transport fleet by 40%. A June 2005 snapshot showed:

  • 83 paramedic ambulances
  • 45 EMT ambulances
  • 6 part-time transport units
  • "Paramedic asset" in every fire station
  • EMS Supervisor (Captain II) in every battalion
  • Expanded staff of civilian ems educators 

The department added 210 paramedic positions.

Recession Erodes Resources

LAFD has been shrinking on-duty resources since 2008, reflecting the continuing impact on the city budget. We estimated that the department had 228 fewer firefighters on duty every day in July 2011 than they had in July 2005, with temporary closure of stations. At the start of the FY 2012 budget they closed 12 engine companies and 6 light forces, eliminated a division chief and 8 EMS Supervisors. A total of 357 positions were eliminated.

While the budget has shrunk since 2008, the number of requests for ambulances has increased.  On May 5, 2013, LAFD will have an ambulance fleet that is 6 paramedic ambulances larger than the 2005 fleet. There were 316,866 calls for EMS in calendar year 2011 – 298,205 in calendar year 2007

Mike "FossilMedic" Ward

Organizational Hypoxia

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Recession creating lasting organizational changes in EMS

According to the Business Cycle Dating Committee the last recession ran from December 2007 to June 2009. I did not know that there was a committee of economists and policy makers that identified the start and end points of recessions … until I was trying to make sense of the results of the October 2012 survey of the largest city-based emergency medical service organizations.

Trends from the 2012 JEMS/FITCH 200 City Survey

The responses from the 2009, 2010 and 2011 surveys indicated that organizations were taking "temporary" actions in response to declining resources. No pay raises, not filling vacant positions, and deferring major expenditures.

In past recessions, it would take municipalities two budget years to fully recover. So we should have been back to Fiscal Year 2008 revenues by last summer.

The 200 City survey results paint a different picture. Some respondents noted three years of a hiring freeze or four years without a cost-of-living adjustment. The Bureau of Labor Statistics noted in 2012 that "many of the statistics that describe the U. S. economy have yet to return to pre-recession values."

When temporary becomes permanent

Past surveys indicated that the organizations were stretched but still delivering the same level of services. About 40% of the 2012 respondents agreed that the current economic situation has reduced services they can deliver.

Digging into the data, it appears that many middle manager positions were eliminated and the work pushed up or down the organizational chart. These are the folks that implement practices, execute policies and are the interface between the street providers and the agency head.

There is a clear trend in ambulance staffing, with agencies going from two paramedics to one-and-one staffing.

For ems first responders, more of them are replacing a four person fire company with a one or two person sedan or light truck.

Get all of the details HERE.

Just filling firefighter vacancies

Many fire departments have been under a hiring freeze since the start of the recession. Firegeezer noted in August that Los Angeles was hiring after a three year hiatus. The official LAFD announcement noted that the hiring was due to positions opened due to retirements. The department is looking to fill 350 vacant positions after the department eliminated 229 field positions. The department has almost 600 fewer firefighters in 2012 than 2007.

A relentless recession

I am pretty sure your hometown jurisdiction has proposed a smaller budget for FY14, probably with another raise in user fees and tickets.

Pension and retirement obligations remain an issue with municipalities. You may want to read this article in Governing magazine:

The 'B' Word: Is Municipal Bankruptcy's Stigma Fading? There's a growing sense among some leaders that municipal bankruptcy — unthinkable just a few years ago — may be a valuable tool.

Mike "FossilMedic" Ward

The 1913 Brennan Hotel fire – LAFD

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This is but one story of a Fire Department drenched in rich history, centered around bravery. May it remind us of the daily courageous acts of firefighters world wide and the countless stories gone untold.

LAFD spokesperson Erik Scott provides a press release:

Dear Friend of the LAFD,

     We would like to share a story with you that turns 100 years-old today. Not just any story. A story that is one of the most talked about fires in the history of the Los Angeles Fire Department.

A fire so vicious it injured 30 rugged firemen, burying five, and nearly cost the Chief of the Department his life.

A fire where chorus girls in makeup rewarded exhausted firemen with kisses as they exited the smoke-filled building.

A fire where likely more pictures were taken than any other fire in the horse drawn era (1877-1921).

A fire so fierce it inspired the instant making of a movie. A fire where the Los Angeles Mayor actually pulled hose-line, and thousands of spectators powerlessly watched wide eyed.

This is a story like no other, and just when everyone thought the flames were out…

Go HERE to read the rest of Scott's article.

Go HERE to see the LAFD Historical Archive photographs.

Mike "FossilMedic" Ward

“Long-nosing” … a practice lost to technology

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AVL: Taking the fun out of being "almost there"

The first generation of mobile data computers required the officer or operator to push a button to indicate status of the company:

Enroute, On Scene, Available On Radio (AOR), Available In Quarters (AIQ)

(Clark Martin photo via Chris Fox)

There was a shock of recognition while visiting a San Francisco fire station. A large sign on the alarm room door asked "R U AIQ?"  – I knew exactly what it meant.

Your location was identified by the engine company first due district that was entered by the company officer. The computer-aided dispatch (CAD) program would send the nearest units based on their engine first due location.

"I AM CLOSER"

Some departments would experience a lot of radio chatter when a potential working fire was dispatched. Companies not assigned to the incident would announce that they were closer to the incident than the company assigned.

The MDTs reduced radio chatter. But not the inherent desire to go where the action is.

It probably took 90 seconds for a firefighter to figure out how to manipulate the first MDT to get on the call by updating their location well before they were in that district.

I remember running to the EMS supervisor buggy after hearing a first due engine reporting "smoke in the sky" as they pulled out of their house. I quickly changed my status from AIQ at 14 to AOR in 32 – while sitting on 14's front ramp. Just in time to be part of a second alarm assignment to a commercial fire.

In that era, dispatch protocol assigned one ems supervisor to second alarm structure fires. One of the few opportunities to smell smoke. I ran the rehab sector.

It did not always work to your favor.

Central Library Fire

Los Angeles had a major emergency at the Central Library. Dispatched at 10:52 am, the April 29, 1986, fire was not declared under control until 6:30 pm.

One of the engine companies that was on the street but not assigned to the incident went AOR in Station 3's district, the first due company to the fire.

It was quite a long-nosed stretch, as they would need to pass two fire stations before entering 3's district.

As soon as the officer entered that they were AOR in district 03 they were dispatched … to a medical emergency two blocks from the library fire. First of many ems first-responder runs for that company all around the library fire.

Updated Every 10 Seconds

The Houston Fire Department was an early adopter of Automatic Vehicle Locator (AVL) technology and linking unit coordinates with the CAD  and digitized mapping software. It would not send a fire company on moderate-to-minor ems incidents if an ambulance would arrive first. If the ambulance would arrive two or more minutes after the nearest fire company, the fire company would be dispatched to provide medical first response.

End of first due districts?

Fifty years ago most fire companies would rarely travel beyond their third due district – the geographical area where they would be the third arriving engine if all units were in their quarters.

Today fire companies are on the road more, travelling to farther places and engaged in a wider variety of activities. What used to be their exclusive turf is handled by other companies because the first due engine is on a medical assist or hazardous condition investigation.

What does that mean when considering area familiarization?

Anyone developed a way to "long-nose" an AVL system?

Mike "FossilMedic" Ward

First LAFD hiring since 2009

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Enough attrition to fill funded positions

Los Angeles has reduced its firefighting workforce by 228 and not run a recriut school in three years.

From yesterday's announcement:

SO YOU WANT TO BE A FIREFIGHTER?

If the answer for you, without any hesitation, is unequivocally "yes" then we have some good news. If, perhaps, you are on the fence and not quite sure…well, then read on.

The good news is, as a result of recent retirees (a note to all retirees: "thank you" for your years of service and dedication!!), City Council has granted the Los Angeles Fire Department approval to get the hiring process rolling. That means, as we head into the Fall, our recruiting efforts will soon be in full-swing.

The last time your LAFD saw a new class of recruits sworn-in, was back in February of 2009. What that means for you, if you are interested, is that it will be competitive. Very competitive. But that element never seems to change. Again, back in 2009, nearly 17,000 potential candidates expressed interest. This go-around, we are expecting at least that number. Why? Because it's been quite a while since we last hired, the fire service has always been very competitive and a very sought-after career and it's no secret, that many have endured a very tough job market and economy for several years now. That often translates into people looking for a "change."

This is not meant to discourage anyone. In fact all are welcome! We do want you to be prepared and we want you to know what to expect. And make no mistake, you will need to be prepared. Mentally and physically.

(CBS/KCAL video)  http://losangeles.cbslocal.com/video?autoStart=true&topVideoCatNo=default&clipId=7560104

In addition, there are a few other characteristics that a good, solid candidate should possess. Battalion Chief Steve Hissong, who heads-up the LAFD's Recruit Services Unit, summed it up best: "A good candidate for the fire service would be an individual of high character, morals and values; one that has a sense of wanting to serve others. That doesn't necessarily always have to be the individual that's pursued their fire service degree."

With perhaps only 350 firefighter slots available over the next couple of years, however, anything to give you a competitive advantage, will help.

So, how do you start this process? What are the minimum requirements (age, education, etc.)? All of these questions and more can be answered at a newly launched website, dedicated solely to our recruiting and hiring efforts:

www.joinlafd.org

To all potential candidates, we wish you the very best of luck!

Submitted by Matt Spence, Spokesman

Los Angeles Fire Department

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Mike "FossilMedic" Ward

“We have a firefighter shot” Scott Miller 1992

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Remembering a near-miss with LAFD Light Force 35

The 1992 Los Angeles riots after the Rodney King verdict forever changed the perception that firefighters and paramedics were immune to violence during civil disorders.

This eight minute compilation of news video and LAFD radio traffic shows the chaos encountered by the crews.  Crews were "losing windshields" and encountering bottles, bricks and gunfire … with no police assistance available.

At 2:30 into the video is the alert by Light Force 35 that they have a firefighter shot … followed by other companies reporting gunfire.

 

Jordan was riding directly behind Miller as Truck Company 35 navigated through the smoke and mayhem of Western Avenue. He saw the handgun, then the flash. "Geez, they're shooting at us," Jordan recalled thinking.

Craning his neck, Jordan saw Miller slumped on the wheel. The captain pulled an emergency brake and the 55-foot-long vehicle lumbered to a stop.

Blood was squirting from Miller's neck. Jordan, a wiry firefighter who had worked at some of the city's busiest stations, had seen his share of gunshot wounds. This one wasn't good. "I thought he was going to die," he said. Another firefighter pressed his hand against Miller's neck to stem the bleeding as the crew loaded him into the back of the truck.

Jordan jumped behind the wheel and took off for Cedars-Sinai Medical Center.

Robert L. Lopez (May 04, 2009) 'Miracle' firefighter shot during '92 LA riots back on job. Los Angeles Times

 

 

 

 

 

 

 

 

 

 

Near exsanguination results in stroke

Laying on the engine cover of the open cab Seagrave tiller truck, Miller, 33,had lost so much blood through his ripped carotid artery that he suffered a stroke.

Scott Harris (April 29, 1993) The Right Choice for Capt. Scott Miller : This 34-year-old Granada Hills family man, this grown-up boy-next-door . . . seems to understand what is expected of him. It has become a matter of duty. Los Angeles Times.

Los Angeles Times also did a video on Miller in 2009:

20th Anniversary Observation:

John North (April 27. 2012) LA riots anniversary: firefighters recall dangers   KABC-TV, Channel 7.

Mike "FossilMedic" Ward

Morning Lineup – March 22

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D. C.  FEMS – You Are Not Alone!

If you have been keeping up with us the past couple of weeks, then you have seen the exposing of some serious administrative problems bubbling out from the Los Angeles City Fire Chief's office.  While the troops in the field have no doubt already suffered from internal morale and operational problems as a result of the incompetence of their chief, it all broke open for public perusal 12 days ago when it was widely reported that the LAFD had been fudging their response time averages to make it appear that they were doing a much better job than they really were.  See the Firegeezer report from March 11, LAFD Admits Inflating Response Time Results Favorably.

That seemed to be the trigger point that opened the gates and other woes, ineptitudes, and inexcusable cover-ups came tumbling out.  Beginning with more about the bogus response times, excessive repair times from the maintenance division plus extra wear and tear on the apparatus due to increased run distances, thanks to brownouts and unit shutdowns, overwhelmed the shop that already had a 30% cut in mechanics.  On top of that, some serious issues with the dispatch center that had been kept quiet also leaked out.  To review those items, see Firegeezer March 18 posting, LAFD Woes Continue .

The FD's issues with obfuscation and inability to function in the administrative level got even worse the other day when the bumbling Fire Chief Brian Cummings attempted to bury the response time flap by (illegally) shutting off the records including dispatch times and locations of emergency calls to the public and the press.  As you can probably guess, this had the opposite result and has seriously backfired on the "West Coast Ellerbe" who has been backtracking and double-clutching for the past 48 hours.

Chief Cummings attempted to justify his news blackout by ginning up a dubious excuse that HIPAA laws forbid the department from disclosing information that could expose patients' personal medical information.  And the guy attempted to use "guidelines" issued by the City Attorney to justify his coverup, issuing a brief statement to the press:

"The City Attorney has preliminarily opined that the Department should immediately cease the practice of releasing [Private Health information] to any source not specifically authorized under the Privacy Rule's treatment, billing, and operations exemption."

Oh no we didn't, said the city attorney's  chief deputy.

"The City Attorney's Office does not have a practice or pattern of ordering media blackouts,'' Carter said. "We don't give orders to the police chief, and we don't give orders to the fire chief. … The city attorney provides legal advice and recommendations to our client just as with every other department. We don't make policy."

…. effectively tossing the ball back to the mayor who was blindsided by all this because the West Coast Ellerbe, Cummings hadn't told anyone of his plans to violate the law.  As one prominent First Amendment attorney told the press, the fire department is "taking a law that was meant for something entirely different and trying to make it" fit their interests.  The mayor has apparently had enough of Cummings' free-lancing and is now distancing himself from the renegade department head.

Villagairosa and Cummings two days before
the mayor threw the fire chief under the bus.

Simone Wilson, a columnist for the LA Weekly who has been on this story from the beginning, wrote yesterday:

Mayor Antonio Villaraigosa, who hand-picked Cummings last September and has been lovingly tugging at the chief's puppet strings ever since, totally humiliated his political plaything this afternoon by demanding — via passive-aggressive "open letter" — that the LAFD go back to its old method of full disclosure.

Mayor Villaraigosa turned on Cummings, blaming him for this whole mess in a public statement"In the absence of a written legal opinion giving your department guidance, I believe it is our duty to provide information to the media and the public. At a time when the Los Angeles Fire Department needs more transparency — not less — I am (directing) you to immediately resume releasing information that provides LAFD incident specifics without violating federal law."

Read Simone Wilson's complete article in LA Weekly online HERE.

Dave Statter has spent the night compiling a good, thorough report on this HIPAA flap and the mayor's embarrassment and posted it this morning on STATter911 HERE.  Firegeezer recommends that you click over there and read his illustrative report.

So how does this meltdown equate with DCFD Fire Chief Kenneth Ellerbe?  To begin with, we have two previously-admired fire departments that are staffed with proud and extremely competent firefighters and paramedics that have had to watch their respective agencies rot from within due to incompetent and self-serving chiefs and mayors.  Both fire chiefs seem to be hell-bent on saving their butts without any regard for the good of the FD or the citizens that they serve.  The two mayors, Antonio Villaraigosa of Los Angeles and Vincent Gray of Washington, have deliberately appointed two toadies who have no administrative competence other than to serve as the mayor's yes-man.

Separated at birth?

This ill-conceived strategy is coming back to bite them both.  But even more disappointing is the damage being done to two fine fire departments and as a result, to the citizens.

Let's get our own records into the public domain now and get this equipment checked out.  I'm going to get more coffee going.. we need it today.  See you back in the day room in a little while.

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Delay, Defer and Reduce

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"This department is being held together with bubble gum, baling wire and duct tape," says Pat McOsker, president of United Firefighters of Los Angeles City.

This video shows Dirk Steinhardt riding with Chicago Tower Ladder 14 last September. They were using a reserve rig when Dirk was there.

Ride along with Tower ladder 14 of the Chicago fire department responding to a fire. Engine 117, engine 113, truck 26 and a battalion were also on scene. It was actually a small electric fire. Truck 14 normally runs a new Pierce rig but it was out of service for some reason so that they had to use this older truck.

The rattles, groans, slow/dim/not working emergency lights when E252 responds (a the 1:20 mark) reminded me of another complication of multiple years of budget crisis.

The rate of vehicle replacement is slowed down, routine maintenance is deferred and shop staff are reduced. 

A Spiral of Increasingly Worse Performance and Critical Failures

The optimum time to replace a vehicle is when its total costs, averaged over the vehicle's lifetime, are at a minimum. That is determined by looking at the operating expenses, maintenance, downtime and deprecation.

The New York State Comptroller shared data they accumulated on local government automobile maintenance costs:

 

 

 

 

 

 

 

 

 

 

 

During a 1980s budget crisis, a suburban Virginia county tried to get more than 200,000 miles from all vehicles. For police cruisers, the cost-per-mile maintenance approached $0.30 per mile.

The sweet spot for Ford Crown Vic police cruisers used by some large law enforcement agencies was 50,000 miles. After that point, major maintenance expenses (transmission, air conditioning compressors, electronics, etc.) would start accumulating.

Putting all of the factors creates the "Economic Life" of a vehicle:

 

 

 

 

 

 

 

 

 

 

What happens when a municipality tries to keep apparatus well beyond their economic life?

Pictures by Gordon J.Nord, Jr. of the front-line Tower 14 at a greater alarm fire December 14, 2011.

Source Chicago Area Fire.

Mike "FossilMedic" Ward

Great LAFD rescue in Van Nuys well told

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The Los Angeles Fire Department shares a great story

C-shift LAFD spokesman Eric Scott shows how to tell the story of an apartment fire with civilian rescue:

Firefighters Rescue Female Trapped in Burning Van Nuys Apartment

VAN NUYS – Just before 5 AM on Saturday March, 3rd, 2012, Los Angeles Firefighters rescued a 19 year-old female trapped in a bathroom, inside her burning apartment.

Firefighters rushed with lights and sirens to 15440 West Sherman Way, where they found a large three-story apartment building with smoke beginning to pour out from one unit on the second floor.

Meanwhile a young college student, who described herself as a, "deep sleeper", curtly awoke to the sound of smoke alarms echoing, alerting her of a fire. When she instinctively opened her bedroom door to the living room, she said it was, "ablaze". Using her cell phone, she immediately dialed 9-1-1.

The call was received at LAFD's new Metro Fire Communications, where a scared woman was heard stating, "smoke is flooding my bedroom and I can't get out!" After determining her address, where she was inside the residence, and that she was unable to get to a window, the 9-1-1 Firefighter/Dispatcher instructed her to close the door, and get away from the fire. Over the next few minutes, life saving advice was provided.

Unable to escape, it was determined that a bathroom connected to her bedroom was the safest place to find shelter. As black smoke rapidly crept in, she was instructed to place wet towels around the door and in the cracks, to diminish it's deadly threat. 

Shortly thereafter, through sporadic coughing, and smoke stung eyes, she confided in the dispatcher, "Oh my God, I'm terrified". The dispatcher reassured her that firefighters were outside and running to her apartment, then stated, "I'm going to stay on the phone with you until they find you." She was then instructed to place a wet towel over her nose and face to filter smoke and lay flat on the ground to find clean air.

Concurrently, firefighters rushing to her aid were notified exactly where the trapped victim was located, expediting her rescue. A "drop bag" operation was swiftly executed to bring hose-lines to the second story. Firefighters then broke through the front door, battled the intense flames and performed an immediate search of the 1,000 square-foot apartment, and rescued the woman in a matter of minutes. She stated, "They were wearing masks and had flashlights. It was like a movie."
 

She was safely rushed outside and compassionately treated by Firefighter/Paramedics, then transported to Valley Presbyterian Hospital as a precaution. Later that day she was without injury or medical complaint and stated, "I'm so happy to be alive".

Under the command of Battalion Chief Hayden, 75 firefighters fully extinguished the blaze in just 22 minutes. The bulk of the fire was in the living room and kitchen.

The cause of this early morning blaze, is undetermined, possibly electrical in nature. The dollar loss is estimated at $40,000 ($20,000 structure and $15,000 contents).

Due to the amount smoke and fire, the woman would not have survived if it were not for three important things:
  1. Functional smoke alarms providing early fire detection, and time to call 9-1-1.
  2. Listening to the 9-1-1 Firefighter/Dispatcher's lifesaving instructions.
  3. The outstanding work of trained Los Angeles firefighters.

The young woman's first name is, Blessing.

CBS2 story with video

Mike "FossilMedic" Ward

Thanks IAFF Local 2068

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Appreciate the Support!

In order to be considered for an IAFF Media Award you have to be nominated by a local.

Thanks to Fairfax County Professional Firefighters and Paramedics leadership: President John Niemic, Vice President Will Bailey, Secretary/Treasurer Danny Gray, Communications Director Joel Kobersteen and members of the Executive Board: Leigh Boswell, Brad Cochrane, Kyle Anderson, Colin Flanagan, Tom Simcoe, Rich Merrill, Tim Young, Dean Cox, Gary Dize, Yolanda Hartwell and Matt Lopez.

Without the support of IAFF Local 2068, we would not have been considered.  Bill and I are proud active retired members of the local.

Rubbing shoulders with excellence

When Bill called and said that we were runner-up to LAFD.org I was not sad. Brian Humphrey has created the gold standard for fire service social media, with very few resources.

From a November 28, 2008 item: The Next Attack Will Be Digital and Realtime

Maybe we need to add a position of internet intelligence officer (IIO) within the staffing of those command and control rigs that were purchased in the past seven years. I think the cable companies can bundle broadband with the televison and land-line hook-ups for the command post.

Firefighter Brian Humphrey would be the person I would ask to set the position up, this Wired.com article outlines his success as a “One Man Geek Squad” in his role as an LAFD public information officer

Congratulations to Brian and Erik Scott for getting the first IAFF Media Award for Best Blog. Check out LAFD News & Information to see the best example of a constantly improving blog.

When writing the Chief Officer: Principles and Practice textbook, one of the recommended activities I listed was to visit the LAFD website and consider how you could incorporate a similar program.

Mike "FossilMedic" Ward

90 years ago in Los Angeles …

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The Last LAFD Fire Horse

 

Brian Humphrey notes an anniversary last week in Los Angeles:

The last movement by fire horse of LAFD apparatus from a fire station took place on July 19, 1921 when the legendary 1905 Gorter Water Tower was moved from Fire Station 24 to the municipal shops to be motorized.

Though it was proudly returned to service on October 13, 1921, it was without the familiar and in many ways beloved "clip-clop" of the faithful and bright-eyed fire horses that so proudly served our city.

Read the rest of this excellent article here:

The Final Clip-Clop of Fire Horses in Los Angeles

Mike "FossilMedic" Ward

Is our obsession with urban “War Years” like the military’s nostalgia for their Cold War ways?

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What Does Secretary Gate's Outgoing Message to the Military Mean to the Fire Service?

Fred Kaplan, writing in Salon.com, describes the message former Secretary of Defense Robert Gates shared at the military academies during his recent goodbye tour:

The Army needs to shift from a garrison peacetime force that's preparing for a possible head-on armored clash against a foe of comparable strength to a mobile force that's fighting actual "asymmetric" wars against rogue states and insurgents.

The Air Force needs to pull back from its traditional obsession with high-tech air-to-air combat and focus more on joint operations—surveillance, precise air strikes, cargo transport, and rapid rescue—that help the troops on the ground.

The Navy needs to focus less on aircraft carriers and more on vessels that can maneuver in coastal waters.

Not Mincing Words: On his way out the door, Robert Gates gives the military some refreshingly frank advice.

Thinking the Unthinkable

As we start our NINTH fiscal year with shrinking budgets, I am wondering if the fire service is having the same mis-match of old mission facing new community needs.

ICMA Press published "Making Smart Choices about Fire and Emergency Medical Services in a Difficult Economy" (November 5, 2010) as part of their InFocus bi-monthly subscription.

Written by Fitch and Associates consultants Jay Fitch, PhD and Michael Ragone; and Best Practices in Emergency Services editor-in-chief Keith Griffiths. Your municipal leaders will consider this a valid reference book.

Labor and fire administration should get the 22 page ebook.  Go HERE for a four page executive summary that includes the 20 questions the city manager should discuss with the fire chief.

"Unthinkable" Factors Fire Suppression trends 1986 – 2008

  • The number of actual fire responses declined by one-third.
  • While residential fires still account for 84% of all structure fires, responses have declined 30%.
  • Deaths in residental fires declined 42%.

Drops in structural workload between 1994 (5621 fires) and 1999 (2367 fires) is what drove Baltimore to close four engines, two truck companies and a battalion chief in 2007.

I am sure there is a similar drop in structural fire workload that guided the 2011 Los Angeles Fire Department (LAFD) deployment. 

Over a three year period Los Angeles has eliminated 228 firefighter positions from daily field assignment.

Workload is up

While structure fires decline, the number of events has almost doubled in the 22 year retrospective, with medical calls the biggest contributer to the higher response workload.

Los Angeles shows four dials that track current workload each day. 

At 6:22 pm on July 4, 2011 LAFD handled 1022 requests for service, including 9 structural fires and 815 ALS/BLS calls since 0001 hours.  Go HERE to see entire dashboard.

We still go to fires

Andy Fredricks took a detailed look at FDNY statistics from 1950 to 2000.

In his presentation, "Don't Worry 'bout that Nozzle, Kid, 'cause We Don't Do Fires.", Fredricks observes that the number of occupied structural workers (OSW) continued to climb every year, closely linked to the city's population growth.

Most civilian rescues came from OSWs, with prompt action by first arriving units making the difference. You still need to force entry, perform primary search, operate handline, achieve horizontal ventilation and all of those other basic fire suppression tasks.

We add new technology and learn from ongoing research  by National Institute of Standards and Technology (NIST) and Underwriters Lab (UL) .

For example, FDNY's latest Seagrave pumpers are equipped with 2000 gpm pumps, changing a 50 year old specification requiring 1000 gpm.  The change increases ability to supply tower ladders and use alternative water sources.Elliot Goodman

Dave Statter's recent posting of the US Park Police video dramatically shows that we still go to fires. Elliot Goodman photo of 921 Decatur Street NW on July 1,

Click on Early raw video: U.S. Park Police chopper crew captures recent two-alarm DC rowhouse fire.

Do not have the "perfect" solution

When I was a company officer assigned to a "border" station, we would run every day with an engine company from another jurisdiction. They were still operating a engine company with two rigs … and a crew of three.

The guys said they were afraid if they went to single pumper engine company, they would lose another position and become a two-person, one pumper engine company. 

Today we are challenged when sending a half-million dollar fire company with a crew of four as an ems first responder.

Up to 80% of urban engine company responses are for ems assists. 

Syracuse implemented a "Mini-Max" concept in the 1970s, using a pumper with a 50' telescoping waterway and mini-pumper.  At the start, the mini-pumper handled vehicle and rubbish fires, especially in hard to access parking garages and back allies.

As semi-automatic external defibrillators were allowed to be used by non-paramedics in the late 1980's, the Syracuse mini-pumpers became the primary ems first responders, 

(PS, would love to get a copy of an 8000 word article about Syracuse mini-pumpers written by Lieutenant David Reeves from Station 7 in the 1990s.  Update – District Chief Reeves runs the Maintenance Division )

Tom Shands provides a current perspective on Syracuse operations, they still link an ems first responder vehicle with each every engine company. (Photo credit Shapiro Photography)

Syracuse reports that 62% of alarms are EMS-related.

Click on the title to access the December 2010 Firehouse.com article: Innovative Rigs on the Street: Syracuse’s New Pumpers

Is there another configuration of suppression fire forces that provides adequate response to structural fires and covers ems first responder events?

Mike "FossilMedic" Ward

Los Angeles Chief Millage Peaks to retire

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Chief who implemented new deployment plan retires. 35 years with LAFD and 59 years old.

Los Angeles Times:

Just 22 months after he took the helm of the Los Angeles Fire Department, Chief Millage Peaks announced Monday that he is stepping down.

His departure comes about a month after the City Council approved his controversial redeployment plan, which calls for firetrucks or ambulances at about one-fourth of the 106 fire stations to be put out of service.

The redeployment plan, which Peaks crafted after the mayor asked him to trim more than $50 million from the department’s budget, was opposed by the firefighters union and generated outcry from some community members who said it prioritized the bottom line over public safety.

Go HERE for rest of article by Kate Linthicum at Los Angeles City Hall

From Daily News:

"Chief Peaks leaves a more flexible department, with a greater capacity, that is prepared to meet the opportunities and realities of the 21st century," department spokesman Capt. Jaime Moore said.

Moore said Peaks told staff he is retiring because it is "a good time for him." Moore added that Peaks is leaving the department with a balanced budget and believed firefighters are close to solidifying a multi-year contract with the city.

read more from Daily News Wire Services HERE

LAFD biography

Chief Peaks has a wealth of experience and brings an innovative perspective to public safety in Los Angeles. Since his appointment to the department in January of 1976,

Chief Peaks has held the rank of Firefighter, Captain, Battalion Chief, and on September 11, 2009 was confirmed as the 16th Fire Chief of the Los Angeles Fire Department. His service record includes administrative experience in Recruit Training, Planning Section Chief, Operations Executive Officer, Department Safety Officer, and as the Department Chief of Staff.

Chief Peaks received a Bachelors of Arts in Psychology from California State University at Dominguez Hills.

He lives in downtown Los Angeles with his wife Anne. He has four adult children and enjoys spending time with his family and participating in community based activities.

UPDATE LAFD.org: Chief Millage Peaks Announces Retirement

During a statement to his executive staff, Chief Peaks commended the sworn, civilian, cadet and volunteer men and women of the LAFD, who continue to work diligently to serve the residents of Los Angeles.

He thanked the Mayor for his confidence in allowing him to lead the Department; and expressed his appreciation to the City Council and the Fire Commission for working cooperatively in managing the Fire Department through this extremely difficult fiscal period.

Chief Peaks also acknowledged his gratitude to his family for their support throughout his tenure. Chief Peaks' personal integrity and unwavering dedication to firefighter and public safety facilitated a relentless focus on the Department’s mission of preserving life and property and the LAFD’s core values of service, professionalism, respect, innovation and trust.

Fire Chief Millage Peaks leaves a legacy of organizational evolution, collaboration, and innovation as a result of his vision and steadfast leadership.

The change that occurred under his watch is visible across the community as a 47% reduction in fire fatalities, greater educational opportunities for our youth and increased public-private partnership in support of the LAFD.

The full benefit of these changes will be felt for years to come. Serving during what many would consider the most fiscally challenging period in the Department’s history,

Chief Peaks made tremendous progress in evolving the Fire Department’s business model, strengthening the catastrophic incident command and control, and bolstering the department’s technology infrastructure.

Additionally, his accomplishments include:

  • Instituting a creative structural framework for e-learning, broader community partnership, performance excellence modeling, metrics based decision making, and full cost recovery initiatives, along with alternative funding, that set into motion the continued advancement of the LAFD as the premiere full spectrum fire and life safety emergency service agency.
  • Leading the industry by creating models for Catastrophic Incident Command and Control; Department Operation Center (DOC) Concept of Operation; comprehensive HIPAA compliant electronic field data capture and ambulance billing system; family and emergency responder preparedness implementation process; prioritization of critical services, and a succession and knowledge management transfer process.
  • Improved service delivery as evidenced by:
  1. The professionalism and sacrifice exemplified by each and every LAFD employee, partner and volunteer;
  2. Increased community engagement in the public discourse on prioritization of public service; and
  3. Realignment of the LAFD’s resource footprint to reflect the emergency service needs of the community.

Chief Peaks's tenure has resulted in a more flexible Department. The new LAFD is prepared to meet the challenges and opportunities of the 21st century.

Chief Peaks replaced Douglas Barry, who spent two-and-a-half years as LAFD Fire Chief and retired with 34 years service.

Barry replaced William Bamattre, who spent a little over a decade as the chief and retired with 30 years on the job. All three started with LAFD in 1975/1976.

Mike "FossilMedic" Ward

City Council approves LAFD redeployment 12-2

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Los Angeles Fire Department Deployment Plan Approved

The following information was released by Los Angeles Fire Department Administration following a meeting of the Los Angeles City Council on May 18, 2011.

The LAFD Deployment Plan was approved today by a 12 to 2 vote [of the City Council] with two amending motions.

The first amending motion speaks to restoring funding to the department to re-open resources. Should labor make contract concessions, those funds will return directly to the Fire Department. Specifically 6.9 million dollars in anticipated concessions from labor negotiations will be placed in the unappropriated balance account.

The Department will use the same data analysis system that was used to create the deployment plan to determine what neighborhood services will be restored.

The second amending motion was designed to maintain the position authorities without the funding. 318 position authorities remain unfunded.

This means that any savings that are found within the budget will be used to restore neighborhood resources. Those resources will be determined by the Fire Chief.

July 5th [2011] remains the implementation date for the LAFD Deployment Plan. The MCP [Modified Coverage Plan] will remain in place until that date.

Special Duty sworn furloughs were approved.

"After several hours of debate, I’m pleased that the LAFD Deployment Plan proposed by Chief Peaks was approved by the Los Angeles City Council," said Councilmember Tony Cárdenas.

"I applaud his leadership and vision in the development of a Plan that will save the City more than $50 million a year while enhancing public safety for all of Los Angeles." said Councilmember Tony Cárdenas.

Los Angeles Fire Department Deployment Plan Approved

Mike "FossilMedic" Ward

United Firefighters of Los Angeles City protest proposed deployment changes

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More than a hundred Local 112 members show up at hearing.

Firefighters’ Union Protests Budget Cuts: MyFoxLA.com

Bob Decastro  KTTV Fox 11

…more than 100 members of the firefighters' union marched to City Hall to protest $54 million in budget cuts.

Dozens of members of United Firefighters of Los Angeles City packed city council chambers, wearing matching white T-shirts and applauding as council members expressed concern over the new fire department plan.

 

the city maven estimates 150 firefighters.

LAFD Firefighters March to City Hall, Protest Deployment Plan

Article includes extensive quote from Pat McOsker, president of United Firefighters of Los Angeles City / IAFF Local 112:

UFLAC Launches Facebook and Twitter Accounts.

In order to increase the level of communications between the Executive Board and the membership, UFLAC has launched both a Twitter account and a Facebook page.

The Twitter page is found http://www.twitter.com/uflac , and Facebook page is found at The United Firefighter of Los Angeles City, IAFF Local 112.

Please add UFLAC to your list of accounts and encourage other members to do the same. We will be adding links to these features directly from our website; http://www.uflac.org , in the near future.

– Adam VanGerpen.  Editor, The Los Angeles Firefighter

Mike "FossilMedic" Ward

Earlier on Firegeezer: LAFD restructure protest planned today

LAFD restructure protest planned today

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From IAFF Local 112

Bul 28 – 11 FINAL "public comment" on LAFD budget

Massive UFLAC turnout needed ***May 11 UPDATED VERSION***

The City Council has scheduled what will probably be the final opportunity for "public comment" on the 2011/12 Fire Department budget for this Friday, May 13 at the meeting to be held at 10:00 in the Council chamber.

UFLAC and its members have been working aggressively to educate Councilmembers and the public about the dangers of resource closures in the Fire Department.

Update: At the Budget and Finance Committee's meeting of May 10, no specific action was taken to alter the Chief's hard closure plan. After considerable debate and testimony, the members decided to move the whole question of the Fire Department's funding and deployment to the full Council.

The addition of 9 civilian PSD positions, a separate $1.4 million management request, was forwarded as well. Members of the committee also raised the possibility of furloughs of sworn personnel.

It is imperative that we give ourselves the best possible chances of success by a very large turnout of LAFD members, their families, and our supporters in the community on Friday, the 13th.

Councilmembers will hear loudly and clearly, from those most impacted, that cutting the Fire Department in the manner proposed by the Chiefs and the Mayor is both irresponsible and dangerous.

NOW is the time for ALL of us to show up and do our part. Don't let the "other guy" carry you on this one.

Members are requested to arrive at the James A. Perry Labor Center no later than 8:00* AM. Food, refreshments, parking, and transportation will be provided (please car-pool if possible). *please note the earlier time

<<<<<<<<<<<<   >>>>>>>>>>>>>>

ronkayela posted Fire Chief Millage's testimony to city council

.

Related articles:

LAFD Proposed Deployment Plan FY2011-2012

May 11: Mars Melnicoff, LA Weekly, "Fire and Police Unions Will Protest Fire Chief's Plan: Will Budget Decisions Run on Fear or Facts?"

May 11: Lindsay William-Ross laist "Scare Tactics or Harsh Reality? Proposed LAFD Budget Cuts Sparking Ire"

May 11: Frank Stoltze KPCC (Southern California Public Radio) Los Angeles Fire Department faces permanent cuts in service

May 12: Daily News (editorial) New LAFD deployment plan should be given every chance to succeed

Mike "FossilMedic" Ward

Hard Closures for LAFD means 228 fewer firefighters on duty every day

4 comments

Another 106 firefighter positions removed from the streets in FY12

Kerry Cavanaugh of the Los Angeles Daily News previewed changes in Los Angeles Fire Department deployment that were to be announced today:

LAFD plan aiming to do more with less

Since 2008, the department's budget has shrunk by about $100 million and the LAFD hasn't hired a single firefighter.

In 2009, the fire department went on a "modified coverage plan," which closed fire companies on a rotating basis. Each day, 122 fewer fighters were assigned to stations.

The result was a chaotic system in which firefighters were shuttled all over town to work with people they didn't know – not a good situation for people who work in life-threatening conditions.

In LAFD there has been buzz about "hard closures" – permanent closing of companies – in the next budget year.

Cavanaugh explains the overall plan:

Fire Chief Millage Peaks' redeployment plan will permanently and selectively close fire companies based on the computer modeling data (from the last three years).

He'll reduce the number of staffed fire engines in areas where demand is low, and increase medical response in areas where demand is high.

Some 10 fire companies will be reassigned as paramedic resources – a reflection of the high number of medical calls.

The service closures will mean 106 fewer firefighters assigned to stations each day.

Instead, they'll fill in for firefighters who are sick, on vacation or in training, which will reduce overtime expenses.

By permanently cutting fire resources, the department will need 318 fewer firefighters.

(No one will be laid off, but position vacancies will not be filled.)

While NOT officially posted, it appears that 12 engines and six light forces (truck companies) will close. 

Some positiona will be used to restore rescue ambulances that were closed in 2009.  The article points out that 4 out of every 5 calls to LAFD are medical.

There is additional reorganization at the command level.

Anticipated to close:

  • Engines 1, 20, 35, 50, 69, 74, 73, 75, 92, 96, 105, and 209
  • Light Forces (trucks) 17, 28, 38, 47, 58 and 72.

Mike "FossilMedic" Ward

Los Angeles pet resuscitation

1 comment

Firefighters rescue pets in Woodland Hills

2011 April 12 Daily News  (HERE)

Two rooms in the home at 21911 Woodland Crest Dr. were engulfed in flames when city and county firefighters arrived at 3:22 p.m.

A man and his two children were home at the time, but escaped without assistance and were not injured, neighbors said. | Click here to see more photos.

The blaze was extinguished in less than an hour.

Los Angeles firefighters rescued two cats and gave them oxygen. Other small pets also were rescued.

No one was injured in the blaze, said Los Angeles Fire Capt. Tim Sharma.

Mike "FossilMedic" Ward

No charges will be filed against stabbed firefighter/paramedic

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Followup on May stabbing of on-duty LAFD member

From Andrew Blankstein at the metro section of the Los Angeles Times:

City firefighter Charles Anthony MacDougall was hailed as a hero when he survived an attack in May at the Cecil Hotel while assisting someone in distress.

But L.A. police detectives found inconsistencies in the story, according to sources familiar with the investigation.

After reviewing the facts, prosecutors determined they could not move forward with a criminal case against MacDougall, who was placed on administrative leave last summer, said a spokesman for City Atty. Carmen Trutanich.

Read entire article:

Andrew Blankstein (2011, February 2) No charges against firefighter in alleged stabbing hoax in downtown L.A.

Earlier Firegeezer coverage – April 19, 2010: Mean Urban EMS

Firefighter/paramedic MacDougal was on one of the two ambulances that operate out of Fire Station 9 in the Skid Row “Central City” community.

Mike “FossilMedic” Ward

Los Angeles Fire is 125 years old

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The Los Angeles Fire Department Celebrates 125 Years of Service

A post yesterday from our friend and tireless LAFD spokesman Brian Humphrey:

>>>>>>>>>>>>>>>>>>>>>>

Today, the men and women of your Los Angeles Fire Department proudly celebrate the 125th Anniversary of our agency.

Regarding the year of our founding, former LAFD Chief Engineer William L. Miller once noted…

“The year 1886 – was a period of great advancement for the City of Los Angeles. Los Angeles had been an incorporated city under laws of the State of California for 36 years. It had a population of some 35,000, with three good hotels, 27 churches, an adequate number of saloons and 350 telephone subscribers…

…the City Fathers determined that it was high time to have an organized and paid Fire Department to replace, in part, the volunteer fire companies that had served on an intermittent basis since 1869, with apparatus provided principally by public subscriptions …”

 (from 1961 Diamond Jubilee address)

Though much has changed in Los Angeles since, the devotion and commitment of your Los Angeles Firefighters remains inspired by those who have proudly protected our City for the past 125 years.

We encourage you to join LAFD members past and present throughout the coming year, as we celebrate the quasquicentennial of our agency.

For more information – including some facts that may surprise you, we encourage you to visit:   http://lafdmuseum.org

>>>>>>>>>>>>>>>>>>>>>>

Congrats to LAFD!

Mike “FossilMedic” Ward

Selling Budget Priorities

1 comment

Into the Fire with LAFD Command Teams

8 minute 26 second video explaining the role of the Battalion Staff Assistant.

The LAFD uses command teams, made up of a Battalion or Division Commander and a Staff Assistant. Together, they manage the scene of any significant incident. A major emergency will see multiple teams in place.

Few people seem to understand the value and importance of command teams, we we’ve created a short video about them. l have created a short video to help people understand the vital role these individuals play in keeping firefighters and civilians safe.

A well-produced effort to inform the taxpayers of why a particular position is a budget priority.

Captain Dupree and his Engine 57 crew

Returning issue of funding “chief’s drivers”

Fellow fossils will remember that LAFD lost the Chief’s Aide positions during an earlier budget crisis when the positions were eliminated in 1997.

The positions were restored in the aftermath of Captain Joseph C. Dupree’s death after a 1998 interior collapse at the Pacific Bird and Supply Company fire.  (HERE)

Specific response on importance of the chief’s aide positions after Captain Dupree’s death.  (HERE)

This May 2010 video effort provides vivid images and understandable rational to maintain the battalion staff assistant positions.

Note that they use emergencies from more than one city council district, provide workload information and specific battalion staff assistant task examples.

Mike “FossilMedic” Ward

update: edited to correct LODD date error and add link

Unusual LAFD HazMat+Confined Space event

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Firefighter Erick Scott, the “C” Shift Los Angeles Fire Department Public Service Officer, released this report:

On Monday, July 12th, 2010 at 3:45 AM, 7 Companies of Los Angeles Firefighters, 7 LAFD Rescue Ambulances, 2 Urban Search and Rescue Units, 1 Rehab Unit, 1 Hazardous Materials Team, 1 EMS Battalion Captain, 2 Battalion Chief Officer Command Teams, 1 LAPD Haz-Mat Team, 1 LACoFD Haz-Mat Team, LA County Sheriffs, Union Pacific Security and various other law enforcement agencies under the direction of Battalion Chief Patrick Butler responded to a Hazardous Material Incident at Eastman Avenue X Union Pacific Avenue in the Hobart area, LACoFD’s jurisdiction.

A total of 68 Los Angeles Firefighters were gradually requested to assist our friends at Los Angeles Police Department (LAPD). The lengthy incident involved a confined space, that of a 60′ long by 10′ wide, train-tanker with possible hazardous materials (Haz-Mat) inside.

Firefighters made entry into the 30,000 gallon tanker wearing full Haz-Mat suits and began removing packages that were covered in an oil type substance. Two Firefighters experienced increased heart rate and dizziness after making entry, both were evaluated medically at USC hospital as a precaution, but were expected to be released back-to-duty the same day.

From KTLA

Just before 10:00 AM, an unknown object, similar to the size and shape of a coffee can, was found inside.
.

Due to the suspicious nature of this item, the Fire Department Haz-Mat removal operation was halted. LAPD Bomb Squad took over the scene and, as a safety measure, carefully detonated the object at approximately 5:00 PM. The Fire Department was then able to safely resume entry.

Due to the nature of the incident and surrounding circumstances, LAPD will continue to take the lead role and provide any additional information. All LAFD Firefighters were released just before 9:00 PM. A total of 78 packages of what the LAPD previously referred to as marijuana was safely removed.

Link to LAFD blog report.

Robert Faturechi, reporting for the Los Angeles Times, provided the “before the incident” scoop:

The incident began Sunday night when Los Angeles Police Department officers attempted to stop a speeding vehicle near the train tracks around Union Pacific Avenue. The three suspects sped off and got away, prompting officers to set up a perimeter, authorities said.

When the suspects were found, officers noticed an oily substance on their pants. The same gunk was on several bundles of marijuana found in their vehicle.

“So the officers start looking around, and they find an oil tanker,” LAPD Det. Gus Villanueva said.

article here

Added: Huffington Post has more detail and link to CBS video.

Wonder what is in your industrial areas?

Mike “FossilMedic” Ward

On The Fireground with LAFD

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Over the past two years there has been an increase in the quality and detail of fire incident reports, such as Dave Statter using Google Street View to provide a “before” picture.

The Los Angeles Fire Department Training and Support Bureau has developed great learning tools that fully embrace the technology.

ON THE FIREGROUND – 61 STREET FIRE

The almost 13 minute video combines live fire footage and talking points to illustrate lessons at a 2009 fire incident in South Los Angeles. Included footage from 1984 fire/collapse in similar structure.

“On the Fireground”-61st Street Fire from Los Angeles Fire Department on Vimeo.

This link takes you to the On The Fireground page (HERE)
LAFD has posted 17 videos on their Vimeo page (HERE)

REVIEW OF FORCIBLE ENTRY VIDEO

Tip of the helmet to Gary Lane, who blogs “Coffee Talk Around the Tailboard.”

Lane reviewed the ‘Forcible Entry Challenges Video” from LAFD.

While the music in this video is better fitted to a light space age jazz porn from the 80′s, it still has some fantastic tips and real life footage of the boys trying different techniques. …and if Jamie Goodlet is reading this…Im still against kicking/shouldering the door down! Also could of used the pick end of the Halligan slammed into a slat to help slide them out of the way (they mentioned vise grips or pulling by hand).

Anyway…good video thats about 1/2 hour long, so grab a coffee and sit back for a bit! Great job to LAFD for turning a tragic incident into a learning opportunity for the rest of us. (blog post HERE)

LAFD_training

Mike “FossilMedic” Ward

Mean Urban EMS

11 comments

Tuesday morning, Los Angeles firefighter/paramedic Charles Anthony MacDougal received multiple stab wounds while treating a patient in front of a hotel in the area formally known as “Skid Row.” LATimes article HERE. Blogdowntown article HERE.

MacDougal has nine years on the job and works out of Fire Station 9. Before the stabbing MacDougal was to receive “Paramedic of the Year” award from County-USC hospital, where he was treated for his injuries. (LAist article HERE)

Urban EMS has always been tough, with a higher percentage of assaults and attacks on ems providers than in the suburbs.

JUST READ THE CHAPTERS

Street sense, defined as situation awareness and personal survival skills, is not one of the main topics in the National Curricula or a National Registry test station.

I used to teach the “Operations” block in the paramedic curriculum. Covered ambulance operations, (heavy) rescue awareness, incident management, hazardous materials and crime scene etiquette in four to six class contact hours.

It was at the end of the paramedic program, when both students and lead instructors are suffering from “senioritis.”

I did my best by using local information, student role playing (MCI tabletop) and vivid case studies, like the 2003 Epitome2 stampede in Chicago (21 dead, 65 seriously injured).

LITTLE MEASURABLE CHANGE IN BEHAVIOR

But the four module, 130 slide, three video presentation with hands-on activity was, at best, entertaining.

For the firefighter with two or more years on the job, it was a review with a strong EMS twist. For the 19 year old, it was trivia to regurgitate for an exam. The inexperienced has no reference or incidents that hold a deep personal importance.

Should ems providers get the same street survival skills our law enforcement colleagues receive?

Mike “FossilMedic” Ward