Description
Respond to fires, medical emergencies, and hazardous incidents as a dual-role firefighter and paramedic. Suppress fires and perform rescues while delivering advanced life support, coordinating patient transport, and supporting prevention, training, and community education.
- • Provide advanced life support, including patient assessment, airway management, IV/IO access, and medication administration per protocols.
- • Perform cardiac monitoring, acquire and interpret 12-lead ECGs, and deliver defibrillation, cardioversion, or pacing as indicated.
- • Triage, treat, and package patients at medical calls, trauma scenes, and mass-casualty incidents.
- • Rescue victims from fires, vehicles, confined spaces, and water hazards.
- • Don structural firefighting PPE, SCBA, and medical PPE, following infection-control practices.
- • Size up incidents and transmit conditions reports to command and medical control via radio.
- • Advance hose lines, select and operate nozzles, and apply water or foam to extinguish fires.
- • Force entry and ventilate structures using axes, saws, and other tools.
- • Raise, position, and climb ladders for access, ventilation, and rescue.
- • Operate fire apparatus, ambulances, pumps, and related equipment safely.
- • Establish and manage patient care areas, treatment, and transport priorities.
- • Coordinate patient destination and communicate with receiving hospitals and online medical control.
- • Perform vehicle extrication and stabilization to access and remove patients.
- • Provide obstetric, neonatal, pediatric, and geriatric emergency care.
- • Maintain continuous patient monitoring and reassessments during transport.
- • Complete electronic patient care reports and fire/incident documentation accurately and promptly.
- • Clean, test, and restock EMS equipment, monitors, airway kits, and medications, including controlled substances.
- • Decontaminate equipment and vehicles; follow exposure reporting and post-exposure protocols.
- • Conduct overhaul; check for extension and eliminate rekindles after suppression.
- • Protect property with salvage covers, smoke ejectors, and water removal.
- • Participate in pre-incident planning, building inspections, and fire prevention education.
- • Respond to hazardous materials incidents at the awareness/operations level; identify, isolate, and support mitigation.
- • Maintain contact with dispatch and command, requesting additional resources as needed.
- • Participate in drills, continuing medical education, and skills verification to maintain licensure and firefighting proficiency.
- • Provide on-scene firefighter rehabilitation and medical monitoring during incidents and training.
- • Search for, triage, and evacuate survivors and victims.
- • Operate hydraulic rescue tools and technical rescue equipment within training and policy.
- • Serve within the incident command system, assuming roles appropriate to certifications.
- • Train and mentor colleagues in EMS protocols, equipment, and safety practices.
- • Maintain physical fitness and readiness; perform station and apparatus maintenance.
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Tasks & skills:
O*NET occupational data (work activities, skills, knowledge).
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Last reviewed: Jan 2026
