经过Michael Morse
The first time I drove a piece of fire apparatus to a fire incident, I nearly wiped out everyone on scene. The second story of a three-level house was fully involved, a man in a wheelchair was trapped on the first floor, and a lady with an infant struggled to escape the third floor. Engine Co. 10 was out of their district. My truck—the 2s—were covering.
这是我第一天驾驶车辆。我们regular officer was out and a callback officer sat in his place. He had no idea how green I was and, as it turns out, neither did I. The stillbox came in at 1000 hours, a few streets from where we were conducting a fire extinguisher drill. We roared toward the smoke, the sound of sirens enveloping the city as six companies sped toward the incident. I turned down the dead-end street where the fire was. Cars were parked on both sides; some stopped directly in front of the occupied house fire.
好主意，对吧？Ladder Co. 5并不这么认为，Engine Co. 11也没有试图从我的卡车上进行反向躺在我面前200英尺的消防栓上。我的努力设法封锁了通往所有反应的设备的道路，使一份艰难的工作几乎不可能，并迫使我们的工作人员比应有的努力更加努力。
Tunnel vision happens. Fortunately, my department adheres to the philosophy that “Plan A is great, Plan B is always ready, and Plan C is to do whatever needs to be done in case an idiot blocks the road!” The people were rescued, the fire went out, and I lived to learn how to fight fire and spot apparatus another day.
有效的紧急医疗服务反应的最重要方面之一是设备安置。实际上，安置是我们回应许多紧急情况成功结果的关键。高级生命支持引擎公司通常是在流畅的场景中。当通话是在荒凉的街道上的单户住宅中为一个患者打电话时，搞砸的机会很小。
有关的：在定位设备上进行振荡，以提高效率和安全性”Adams on Apparatus Load Balance Guidelines”Dunne on Apparatus Positioning
回应拥挤区域的高增长有些挑战。夜总会关闭后，在高速车道中发生的汽车事故实际上可能是受害者和响应者的生与死问题。
看到通话未来的能力对于多年来对类似电话的消防员来说很容易出现。大多数公司官员都有经验和能力。他们确切地知道将卡车放在哪里。较新的消防员不像去过那里的人那样容易看到通话的未来。他们无法设想救护车在他们做的几分钟后到达现场，不得不将车辆留在一个尴尬的地方。
保持隔壁机组人员的道路清晰已成为第二天性。训练有素的工程师或驾驶员可以相应地预测传入的公司并将设备列为这些设备。
发现设备时要记住的五件事：
- Anticipate incoming apparatus, and leave room for the ambulance crew.
- Stay out of the way by pulling forward or stopping before the patient’s house.
- 始终有出口的手段。
- Use the vehicle as a shield on roadways—spot apparatus in front of the accident scene by taking up two lanes (if prudent) while leaving room for the ambulance closest to the wreckage.
- Be ready to operate any fire department vehicle on scene (see//www.sacthai.com/articles/2015/06/i-need-a-driver.html）
我们经常忽略最简单的事情。一家好的引擎公司认识到，在回应紧急情况时，小事会产生很大的不同。一辆位置不佳的卡车妨碍了，使工作更加严重，只是消防不良的一个例子。188金博网网址多少
谈论小事可以帮助公司中的每个人。我们都想表现最好；俯瞰小东西永远不会使任何人发光。看上去锋利通常只是警报之前的沟通问题。
更多的Fire EMS
样本调查
Protecting Patients from the Dirty Work of Firefighting
EMS EMS：我们现在要做什么？
Quit Wasting Time on Your Devices and Learn Something Useful!
Michael Morse是普罗维登斯（RI）消防局（PFD）的前队长，作者和受欢迎的专栏作家。他在PFD的Engine Co. 2.，Engine Co. 9和Ladder Co. 4中任职10年，然后成为救援公司的EMT-C和Rescue Co. 5的Captain。
