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There is a huge difference between a Firefighter and a member of the Peace love back the red Firefighter shirt EMS community. Although many Fire Departments are a combination of both, as I have been, Firefighter training only touches on the most basic forms of first aid. According to EMT rib vs Paramedics, you must be an EMT before you can take the Paramnde course. Nothing. TV shows and movies just for entertainment. I have yet to see anyone with an FBI agent, a police officer, a firefighter or any other law enforcement officer
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Most FDs now require fire candidates to have an EMT or even an optimal certificate before they are considered hiring firefighters In the city I moved to and where I live now, firefighters are also paramedics. Ambulance service is private, contracted with the Peace love back the red Firefighter shirt city. This is also the case in my former community. It is usually arranged with an EMT and a medical staff. Since most FD calls handled these days are medical, they will turn to a medical call, service providers and ambulances will be the means of transportation.