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Q&A

Ariola asks when fire engines are dispatched to medical calls

New York City Council · Oct 20, 2026 · starts 0:57:34 · 3 min 14 sec

Ariola asks about engine companies responding to medical emergencies, including a firehouse near the school in the speaker's example. Esposito says CFR engine companies are assigned only to segment one, two, or three life-threatening calls; they cannot transport and are not sent to lower-acuity injuries.

Joann Ariola

Okay, and the speaker noted that there was an engine company right next door to the school.

Joann Ariola

So in what's...

Joann Ariola

Circumstances, are engine companies dispatched to a medical emergency?

John Esposito

So our engine companies, the firefighters there are certified first responders with defibrillation capability.

John Esposito

They are assigned in segment one, two, and three calls.

John Esposito

All of our medical calls, when they hit the emergency medical dispatcher, get triaged and get a segment.

John Esposito

So if it's a segment one, two, or three, which we see as the life-threatening calls, that CFR engine, if available, will be assigned.

John Esposito

In the case that the speaker was talking about, that was a segment four or five, and the CFR engine is not, which cannot transport, is not assigned to those.

Joann Ariola

Has the FDMY ever explored the utility of having certain members of fire companies undergo training as EMTs and paramedics, those who did not come into the fire department through that pipeline?

John Esposito

I guess in years past, they were things they...

John Esposito

The possibility was looked at.

John Esposito

We've had thousands of our members over the last 25 or 30 years that came from EMS that were either EMTs or paramedics.

John Esposito

But the way we look at it now is that the EMTs and paramedics are on the ambulances.

Joann Ariola

Which is not optimal, right?

Joann Ariola

We want ambulances to go to ambulance calls.

Joann Ariola

So what is the process of getting an engine company back in service after responding to a medical call?

Joann Ariola

And does the company have to wait until an ambulance arrives?

John Esposito

Yes, once that CFR engine makes patient contact, they are required to wait for an ambulance.

John Esposito

And we've had times where that engine, because it winds up being a lower acuity call, could wait an hour or two with the patient waiting for an ambulance.

John Esposito

The engine is not able to transport, and they are not able to leave the patient.

John Esposito

They cannot abandon that patient, regardless of the level of illness or injury.

Joann Ariola

While the engine company is at the scene of a medical call.

John Esposito

That fire call would be handled by other fire companies.

John Esposito

That fire company cannot leave.

Joann Ariola

So what we're seeing is when a fire engine has to respond, there's gaps for possible fires that are happening in their district, in the area that they cover, their catchment area.

Joann Ariola

Then they have to call in another fire engine company, and that leaves another gap.

Joann Ariola

So you see what's happening here.

Joann Ariola

It's just it's...

Joann Ariola

It puts more people in danger and it creates more of a public safety issue.

Joann Ariola

I just want to mention also we've been joined by Council Members Gail Brewer and Lincoln Ressler.

Joann Ariola

I just have a couple more questions and then I will defer to Chair Narcisse.