ILSt Anne Arundel County (ID: 63689)

    • ILSt Anne Arundel County (ID: 63689)

      The Anne Arundel County Fire Department (AACoFD) handles both fire/rescue and EMS services for Anne Arundel County, Maryland. The more than 400 square miles of land and nearly 200 square miles of water provides a wide range of environments, from the dense downtown of Annapolis to the farms and fields of southern Anne Arundel County. The fire department operates five battalions, split into two divisions:

      North: Battalion 1 (8 stations) & Battalion 2 (9 stations)
      South: Battalion 3 (8 stations + 2 EMS substations), Battalion 4 (6 stations), & Battalion 35 (3 stations)

      Here is a map to the stations in Anne Arundel County as well as past incidents/calls.

      In addition to the county-owned and operated stations, there are four mutual-aid stations within the county which serve jurisdictions outside of the control of the county but within its borders:

      Battalion 43 (Baltimore/Washington International Airport), Battalion 45 (Fort Meade), Battalion 46 (U.S. Naval Academy), and Battalion 47 (U.S. Naval Academy Support Station).

      Units
      Anne Arundel County provides an "all-hazards" response and the fire department handles fire/rescue services and ALS/BLS EMS assignments.

      Medic units (M #) are the primary ALS transport vehicles (RTW). Each is staffed by 2 ALS providers.
      Ambulance units (Amb #9) are the primary BLS transport vehicles (KTW). Each is staffed by firefighter/EMT providers.
      Engine companies (E ##[#]) serve as ALS providers in support of Medic units.
      Squad companies (Squad #[#]) serve as secondary ALS providers in place of an Engine. If the first due Engine is unavailable, the Squad is the next available when present.
      Tower, Truck, and Quint companies (TW #[#], T #[#], or Q #[#]) serve as additional ALS providers in place of a Squad. Depending on the fire station apparatus, a Tower, Truck, or Quint may be the first due unit.
      There are seven special NAW providers in the county: Decon 30, Decon 36, MAB 32 (Medical Ambulance Bus 32: transports 26 ambulatory + 15 non-ambulatory patients), PA 458 (Paramedic Ambulance 458), PM 36 (Paramedic Unit 36), PM 38 (Paramedic Unit 38), and RPM 43 (Reserve Paramedic Unit 43). Each one of these is a certified ALS provider and transport unit and usually operate as special units (not normally dispatched on typical calls).
      Numerous supervisors have their own cars: EMS Supervisors (EMS #[#]), Battalion Chiefs (BC #[#]), various other Chiefs (Assistant Chief: AC #[#]; Chief: C #[#]; Special Operations Chief: SOC #[#]). Some of these are ALS providers (NEF) while others are first responders (FR).

      Dispatching
      In the real world, units are dispatched to locations depending on box location. In addition, a pre-set unit assignment is automatically created depending on the incident to reduce the workload on dispatches:
      Medical Box: 1 Engine (or equivalent ALS provider) + 1 ALS transport (1 NEF, 1 RTW). Used in almost any type medical emergency.
      Real World example: Medical Box 17-09: Engine 171, Medic 47 respond to the Senior Residences at Manresa, 85 Manresa Dr, cross street of Boulters Way, for a Stroke on talkgroup Bravo.
      Rescue Local Box: 1 Engine (or equivalent ALS provider) + 1 ALS transport (1 NEF, 1 RTW). Used in minor motor vehicle collisions (MVC) not on a highway.
      Real World example: Rescue Local 35-29: Engine 351, Medic 40 respond to 1974 West St, cross streets of Hicks Ave and Parole St, for a MVC on talkgroup Charlie.
      Rescue Local Box (Highway): 2 Engines (or equivalent ALS provider [at least 1 required]) + 1 ALS transport (2 NEF, 1 RTW). MVCs on a highway or major road.
      Real World example: Rescue Local Box 40-80B: Engine 401, Medic 40 as the Eastbound assignment, Engine 351 as the Westbound assignment, respond to US 50 W in the area of West St, for a MVC on talkgroup India.
      Cardiac Arrest/Ineffective Breathing: 2 ALS providers + 1 ALS transport (+ 1 first responder if closer than any other unit) (2 NEF, 1 RTW, 1 FR if closer). Note: 1 EMS supervisor responds, but for the scope of the simulator, it is not required.
      Real World example: Medical Box 12-01: Engine 121, Medic 18B, EMS 2 respond to 19 Earleigh Heights Rd W, cross streets of Bellemeade Dr and Bethian Tr, for a reported cardiac arrest on talkgroup Charlie.
      Assists/Transports: Any unit or 1 BLS transport (1 KTW).
      Real World example: Local Box 17-17: Engine 471 proceed to 107 Greenbury Point Rd, cross streets of Woodland Rd and Kenwood Rd, for a lift assist on talkgroup Bravo.

      Fire Boxes: fire services are not simulated in the game but for the sake of your own interest, a 1st alarm box assignment would go like this:
      *Initial alarm tone*
      Preliminary notification: Box Alarm 17-08: 1284 Circle Dr.
      *three 1-second tones*
      Box Alarm 17-08: Engine 171, Engine 231, Engine 471 is RIT, Engine 191, Engine 402, Truck 39, Quint 46, Squad 38, Battalion Chief 2, Medic 17, Safety 5 respond to 1284 Circle Dr, cross street of Elmridge Rd, for a reported dwelling fire on talkgroup Echo.

      Mutual Aid
      Anne Arundel County shares borders with Baltimore County, Baltimore City, Queen Anne's County, Calvert County, Prince George's County, and Howard County. Each of these counties' fire/rescue/EMS departments have extensive pre-coordinated mutual aid plans and station areas close these borders are frequently served by both counties. The Maryland Institute for Emergency Medical Services Systems (MIEMSS) and other agreements regarding federal preparedness standards for the Washington metropolitan region organizes fire departments' and EMS providers' unit numbers. This reduces confusion as calls are dispatched as far as which units are being requested.

      Mutual Aid units always have a county abbreviation prefixed to the unit number:
      BCFD: Baltimore City
      BCo: Baltimore County
      CCFRE: Calvert County
      HCFR: Howard County
      PGFD: Prince George's County
      QAC: Queen Anne's County (no need to call for mutual aid; the stations are directly incorporated into AACoFD due to limits on number of control centers)

      The Maryland State Police (MSP), Delaware State Police (DSP), and U.S. Park Police/Department of Interior (USPP/DOI) frequently provide ambulatory Medevac services to county departments that request them. MSP provides 7 Medevac helicopters (TRP#; Trooper #), DSP provides 3 (DSP TRP#; DSP Trooper #), and USPP/DOI provides 1 (EAGLE 1).

      Additionally, Federal Emergency Management Agency (FEMA) provides nationally-coordinated resources when absolutely necessary through state task-forces.

      Hospitals
      Anne Arundel County is primarily served by Anne Arundel Medical Center (AAMC) and Baltimore Washington Medical Center (BWMC) for most medical services. Numerous hospitals in neighboring counties are also frequently used. For shock trauma and high-priority traumatic care, R Adams Cowley Shock Trauma Center in downtown Baltimore is used. Refer here for a list of primary hospitals for certain conditions (e.g., burns, pediatric trauma).

      Every effort was made to adhere to realistic accessibility, preference, and specialties of each hospital in the region.
      --Jeremy

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    • I'll try to specify the germam EMS system and the different vehicles.

      As you've probably noticed, we bring doctors to the patient. For that, we have to different ground vehicles (NAW and NEF), plus our helicopters all have a doc onboard.

      KTW translates into patient transport units. These cars are there for all non emergency transports without the need for the big equipment. They do transports do the GPs, to and from hospitals. The are equipped with lights and sirens, but usualy don't use them.

      RTW do all non life threatening emergencies, often using lights and sirens, such as strokes, seazures, mild hypoglycaemias, fractures, crompressable bleedings, hypertensive emergencies without critical symptoms. In a small range, the crew of a RTW may apply drugs

      NAW (or NEF+RTW, for a NEF cannot transport a patient) do all the rest. Everything where invasive measures are necessary, such as heart attacks, status epilepticus, unconciousness, extensive pain, intoxications, intubation...

      A few years ago (as in "less than five") Germany added a new educational level under the emergency physician, the Notfallsanitäter. Before that, the highest EMT level was the Rettungsassistent, who would spent one year at EMS school (including three month internship at a hospital) and 1600 hours internship onboard the RTW. Now, it's a three-year vocational education combining EMS school and internships in EMS and hospital. After the completion of the education, the Notfallsanitäter has learned to use some more invasive measures. But by now, the law has still to allow the Notfallsanitäter to use those measures. It is to expected, that this will happen in the upcoming years, so the range of jobs, the RTW can handle without the NEF/NAW will widen.

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    • Bass D. schrieb:

      I should take the NAW for the ALS units.
      I think this is the best "translation" from the German to the USA system:
      KTW = BLS/EMT
      RTW = AEMT/Intermediate
      NAW = ALS/Paramedic

      NEF = ALS first responder
      FR = BLS first responder
      I agree, however the functionality of KTW = BLS transport; RTW = ALS transport; and NEF = ALS member/unit better reflects the real-world usage. I tried a version with everything scaled up one (NAW = ALS, RTW = BLS, etc.) but the functionality was not realistic.
      --Jeremy
    • I used the RTW first as a ALS unit. But after a while I changed all RTW into NAW.
      With RTW as a ALS unit, the ALS transport unit can ask for a NEF/doctor. But with ALS/paramedic as the highest level of EMS, it doesn't reflect to the real-world as well...
      A NEF (in Germany the doctors car) and NAW (Ambulance with a doctor on board) is the highest level of EMS in Germany.
      I use KTW for BLS and NAW for ALS. I personally don't use the RTW, but only KTW and NAW.
      There are a lot of skills a RTW doesn't perform and need back-up from a NEF. (intubation, some kind of medication, quicktrach, etc...)
    • Bass D. schrieb:

      I used the RTW first as a ALS unit. But after a while I changed all RTW into NAW.
      With RTW as a ALS unit, the ALS transport unit can ask for a NEF/doctor. But with ALS/paramedic as the highest level of EMS, it doesn't reflect to the real-world as well...
      A NEF (in Germany the doctors car) and NAW (Ambulance with a doctor on board) is the highest level of EMS in Germany.
      I use KTW for BLS and NAW for ALS. I personally don't use the RTW, but only KTW and NAW.
      There are a lot of skills a RTW doesn't perform and need back-up from a NEF. (intubation, some kind of medication, quicktrach, etc...)
      You're right, but a "Medic Unit" consists of 2 ALS responders with CRT-I certification (minimum) which is one step below Paramedic. So, by extension, every Medic Unit is not guaranteed to be Paramedic-onboard, so RTW is the closest analog to providing this functionality. There are a few Paramedic ambulances (and engines) and they augment the resources needed for full EMS coverage. Additionally, practically every suppression piece (Truck, Tower, Engine, Rescue Squad) will have at least 1 ALS provider, so RTW + NEF (or Medic Unit + Engine) provides sufficient medical response.

      EMS Officers (e.g., EMS1) are added to calls that require additional or more advanced ALS response (e.g., rapid sequence intubation, ineffective breathing, penetrating injuries, cardiac arrest).
      --Jeremy