Fire-based EMS agencies across the country are facing increasing volumes, higher-acuity patients, and long transport times to definitive care. Traditional ALS models are no longer enough to meet the clinical complexity of modern prehospital care. This presentation explores how fire departments can strategically integrate critical care transport (CCT)-level capabilities—including advanced airway management, ventilator management, expanded vasoactive medication choices, point-of-care testing, and advanced resuscitation—into existing fire-based EMS operations.
Drawing from real-world fire service examples, system redesign strategies, and evolving national guidelines, this session will provide a roadmap for fire departments seeking to expand into critical care without overwhelming their workforce or budget. Attendees will learn how to build a scalable model that enhances patient outcomes, improves resource allocation, and strengthens an agency’s clinical identity.