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ORANGE COUNTY FIRE RESCUE STUDY INTRODUCTION 1 judged average fire potential, a department must be able to pwnp a certain gpm 2 and volume of water at a scene. 3 4 IRV - Independent Rescue Vehicle: the program used by Orange County EMS that 5 assigns a paramedic to a vehicle and dispatches one or more of these units to a 6 medical call. The objective is for the paramedic to perform a more detailed 7 analysis/diagnosis and determine the level of transport required, or if any transport 8 is even necessary. This program is unique within the State of North Carolina and 9 allows the County to operate with EMS fewer transport units and a resulting lower 10 level of EMS staffing. The program requires rigorous quality control oversight and 11 analysis. 12 13 Medical First Responder - Usually a fire department member trained in basic 14 emergency medical care and certified to conduct patient assessment, take and 15 record vital signs, gather initial impressions to provide to higher level certified EMS 16 personnel upon their arrival at the scene. First responders are usually the first to 17 arrive at a scene and may have to provide caze at their level of training for as much 18 as 20 minutes prior to the arrival of higher level certified personnel. First 19 responders are critical to the EMS system as they are closer in proximity (especially 20 in the volunteer system) to most incidents/patients and their trainuig can enable 21 them to help stabilize a patient, saving lives. 22 23 Paramedic - Also known as a medic. This is the highest level of certification for EMS 24 providers. Paramedics are authorized to make a diagnosis, determine the need for 25 emergency transport, and administer drugs in accordance with medical protocols 26 and physician instruction. 27 28 POV - Indicates response to an incident in one's personally owned vehicle rather 29 than in the department's apparatus. Many departments allow POV in order to get 30 personnel to the scene most effectively, with a policy that requires responding to 31 the station if it is between the member and the incident. 32 33 Pumper or Engine - A fire apparatus used for initial attacks on a fire. These usually 34 carry less water on boazd than tankers, and are configured with attack hose lines for 35 interior fire attack on a structure fire. These are usually the first units to respond 36 and the first to arrive at a scene. 37 8 •