EMS - ALS

100_0518_thumb.JPG South San Francisco Paramedics
South San Francisco Fire Department’s paramedic program was first proposed in March of 1973.  The first and still the only fire department to provide full paramedic transport, South San Francisco has been providing paramedic service to its residents for 27 years. 

Fourteen fire fighters applied to the original paramedic program, which required each of them to receive Emergency Medical Technician (EMT) training before being accepted into the paramedic program at Stanford.  Internships were done in the Los Angeles area since LA County had one of the few established paramedic programs in the country.  Kaiser served as the first base hospital.  Paramedic programs were required to be affiliated with a base hospital because at that time medics had to get approval from an emergency room physician before administering any Advanced Life Support case other than CPR.

The first vehicle was a large yellow Ford van.  The seats were taken out and cabinets were built to store equipment and a bench seat was added for storage and ride-a-longs by County Health and Kaiser staff.  The van had two red lights on top and “South San Francisco Fire Department Paramedic” and city seal on the door.  This vehicle carried very basic equipment consisting of a large orange box containing the mobile radio and the EKG monitor, as well as a drug case resembling a large toolbox.

Today’s paramedic program is vastly different.  South San Francisco Fire has 36 paramedics on staff ensuring that each day we have two paramedics on the two full time ambulances and on as many engine companies as possible creating an Advanced Life Support (ALS) engine company.    Engine 61 and Engine 64 became the first ALS engines in our department in 1996, followed by Engine 63 in 1997 and Quint 62 in 1998 and Quint 65 in 2000.  Starting in January of 1999, all fire departments in San Mateo County began offering paramedic services via the ALS engine concept.