OK CAN SOMEONE EXPLAIN THIS TO ME ARE THE FIREFIGHTERS IN THE AMBULANCE ALSO FIREFIGHTERS WHO ACTUALLY FIGHT FIRES LIKE DO THEY SWICH ONE DAY THEIR IN THE AMBULANCE AND THE NEXT DAY THEIR IN A FIRETRUCK IM CONFUSED
@Mariklin123 I can explain things to you. First of all, when you type in ALL CAPS using the Internet, it means you are shouting. In Los Angeles, all firefighters are EMT-B certified (in LA). As such, they rotate through a variety of apparatus, including engines, trucks (hook and ladder), and Basic Life Support (BLS) ambulances. There is a group of firefighters who are also Paramedics (EMT-D) and those individuals work either in Advanced Life Support (ALS) rescue ambulances, or on fire engines.
@LAFD027 What is a EMT-D where I am from we follow the NREMT and have FR (EMR) EMT-B (EMT/BASIC) EMT-I (ADVANCED EMT) and EMT-P (PARAMEDIC). I have never heard of an EMT-D, oh I live and work in MN and the () are the new terms coming out by the NREMT.
@ShaddyDaddy77 in Los Angeles, all sworn firefighters are EMT-B certified. Within the ranks of firefighters, a number are Paramedics (EMT-D) certified.
@firebird960 Thanks for your comment. The LAFD has a number of Paramedic resources on both Engines and Truck Companies. These resources may be dispatched with or without an ambulance. Because a paramedic is on board, these engines and trucks are ALL considered ALS resources.
@sharkowner95 LAFD members do not work in hospitals. BLS ambulances have two firefighter/EMT members on board. ALS ambulances have two paramedics on board.
@LAFD027 Ok thanks, so when you apply to become an EMT, is firefighter training required(im trying to say do you have to go through firefighter training as well) ? Or is EMT training apart of the firefighter training ?
@sharkowner95 If you're asking about Los Angeles, all LAFD members are EMTs. You cannot be a member of the LAFD and only have EMT status. There are plenty of private ambulance companies that will hire individuals who are EMT trained. The LAFD operates its own training facility. If you are already an EMT, that's useful to getting hired, but is not even 10% of the requirement.
@LAFD027 Ok i see so since its a fire department and ambulance stay there you have to have EMT training plus fire fighter training. So when is BSL ambulance called to the scene ? And when is a ALS ambulance called to the scene ? Does it depend on the urgency of the call ?
@sharkowner95 The dispatch of BLS vs. ALS resources has many variables. There are a series of parameters where ALS resources are automatic. If the patient is altered, has suffered a specific mechanism (MOI), etc., then an ASL ambulance or an ALS engine will be dispatched. If you go to school and become an EMT, you'll learn the difference and understand more about this issue overall.
@LAFD027 Yea i understand, i plan on volunteering at my local fire department in october, i was trying to get some much needed information. So i have another question. When a call is made and EMS is needed, how come sometimes like you said an engine will come instead of an ambulance ? And would if the patient needs to be transported to the hospital, will an ambulance come and pick the patient up ? Or do they travel together or is it different from state to state ?
Regarding choosing careers, b/w a cop and a firefighter, will firefighters/EMT's get any action on their job? I think it is the action which makes the job of cops exciting.
@soumya5200 There are private ambulances in all communities, as one might expect. The LAFD considers its apparatus to be used for "rescue" - and as such calls them rescue ambulances. There are two types, including Basic Life Support (BLS) and Advanced Life Support (ALS).
How tough is it to become an LAFD firefighter. I live in oregon and it's so ungodly competitive. it seems like you have to score at least 98% on every exam, have a BS and be a medic, which in oregon is a required degree as well just to become a medic. i work with a basic who applied all throughout oregon with no luck and applied in LA and got a job quick.
@mikiedeath That must have been some time ago. The LAFD has not hired any employees in more than two years. There will be no additional hires until 2014. The cause is the current budget crisis. Competition is intense and everyone must have a very clean background, not to mention the ability to pass physical, written, and oral exams.
...what a surprise, an old guy hit a guy on a motor cycle! ...time to get mandatory re certification for drivers licenses at age 65 70 72 74 75 76 77 78 79 80 etc.
why is CA so ass backwards!!!! you guys dont already have straps on your backbords , your so called ALS unit has a AED on it ??? WTF ,,, you use air splints , so your telling me that the hospital is actually going to send you back your air splint ,, please give me a brake ,,, do u just wait at the hospital till thay are done with it ???
@knpdyeballarice As of this date, the LAFD has a rescue ambulance staged in all 106 fire stations around the City of Los Angeles. Some fire stations have multiple ambulances. There are two types: Basic Life Support, staffed by firefighters (who are all EMT-B rated), and Advanced Life Support, with two paramedics on board. The LAFD responds to as many as 1,000 medical calls per day, and often transports more than 500 people per day to area hospitals for treatment.
@i5adam8 Great question regarding EMS Captains. The individuals are paramedic trained, and provide supervisory support for both BLS and ALS rescue ambulance crews. As you may know, the LAFD is going thru some evolutionary changes, so the role of EMS Captains is likely to also evolve in the coming months.
Yes, this presentation is confusing, it shows 2 paramedics at the beginning of video and states each every firehouse has an ambulance staffed with 2 Paramedics. Then we see a basic life support Ambulance equipment presentation. Personally the BLS or EMT Staffed Ambo. Is useless in Fire based EMS. Its a pea shooter. a bed with oxygen.its a waste of hardware. The violence in urban American cities& after 911 and Oklahoma require EMS big guns, 2 PARAMEDICS & a ALS AMBULANCE. EMS CAUSE SHIT HAPPENS
How many Firehouses does L.A. have have to cover those 400 plus miles ? How many ALS Paramedic Ambos. Do you have ? How many BLS EMT staffed Ambos. do you have ?
@annacfd28 Thanks for your comments. Every LA Firefighter is also an EMT. EMT rescues transport more than 400 people per day to hospital care and in a manner not consistent with private operators. ALS rescues transport an additional 150 or more people per day (500 + per day). This process provides badly needed revenue to the city, and the immediate (avg response time to scene is < 4 minutes) response of all rescues saves lives every day.
@LAFD027 Do you all require EMT certification for all new hires ? Did you know that the city of New York firemen are only first responders trained in first aid. And again I must disagree with you again on the BLS ambulance in a 911 provider its has to be a nightmare and present a potential liability from a " sorting" and dispatching prospective. Why bring a "knife to a gun fight" and in this case a butter knife, Sorry but during a medical emergency I would want the highest level of care.
@annacfd28 Thanks for your note. Actually, most large and medium sized cities REQUIRE all of their firefighters to have medical training. In Los Angeles, all firefighters are EMTs, and about 20% are Paramedics as well. The dispatch of BLS resources is not a nightmare and in fact is very straight-forward. The mix and management of ALS and BLS resources is pretty cool, and LA bills nearly $1.3 million per month for use of its EMS services.
What a fascinating insight into your work and the equipment that you use. I have just one question though. How does the identifying numbering work..Maybe because I am British I don't understand LOL..You said something about Battalion 5 and then you went on to say that you were at Fire Station 76. I don't understand the combination! How does the numbering work?
@thedivinemrsjones Los Angeles covers 470 square miles at the moment. Within the city, the LAFD breaks up that territory into regions. There are (currently) 3 divisions. Within those divisions, there are 16 Battalions, each one commanded by a Battalion Chief. Within each battalion, there are on average six fire stations (it varies), making up a total of 106 fire stations within the city. Each station is numbered, but the history of numbering is a different story altogether... 76s is part of B5.
Question to those who would know? You guys are talking about LA City. As far as LA County goes I understand those folks have contracts with 3 party providers like AMR etc and the EMT's with those 3rd parties provide transport and pretty much go along with County fire on the calls but....I also understand that within the county if an EMT-B wants to transit to an ALS Certification thats fine but I hear fire does not let them practice ALS on calls ???? Only fire can be ALS ???? Comments ??
Question to those who would know? You guys are talking about LA City. As far as LA County goes I understand those folks have contracts with 3 party providers like AMR etc and the EMT's with those 3rd parties provide transport and pretty much go along with County fire on the calls but....I also understand that within the county if an EMT-B wants to transit to an ALS Certification thats fine but I hear fire does not let them practice ALS on calls ???? Only fire can be ALS ???? Comments ??
What is the Firefighter/EMT scope of practice? I'm a Primary Care Paramedic in Ontario Canada. We carry limited drugs such as: Epi, Nitro spray, ASA, Glucagon, Gravol and ventolin (Advanced Care Paramedics Get the other drugs). I didn't notice any symptom relief drugs in the rescue ambulance, can they administer them?
@PZMedic in a BLS (EMTs) truck like this, you can usually expect only ASA, charcoal, epi pens, and oral glucose. in an ALS (paramedic) unit, you can expect dozens of drugs to include analgesics, narcotics, cardicac drugs, B blockers, pressors, albuterol, ipratropium, narcan, D50, etc etc etc
Very interesting video and like the Ambulance vehicle. The only thing that I disagree on is the stretcher that is used as they can over balance and you could loose the patient off it if used as a chair stretcher.
@ylen13 I really hope that one day your not in an ambulance and dying cuz there could be another poor bastard like you out there and would do the same thing and keep you from getting to the hospital but all in all may God have mercy on your soul.
@ylen13 Okay, I have to call BS on this one. Can someone really be this stupid? I know when responding code 3 it seems like it's possible, but seriously? I have worked in several states around the U.S. and know that many of them have laws that allow fire and EMS workers to report failure to yield cases to the police, who, in turn send the owner of the vehicle a ticket for failure to yield to an emergency vehicle. That's a well deserved $500 fine.
@DissensionFilms Keep dreaming. How can you ticket and put point on someone DL unless you know how was driving. This a moving violating which requires police to witness the violation and pull the driver over. What basically happens is police send register owner a letter saying you been reported do not do it again. No they will not be fined as result of you reporting it.
@ylen13 You are very wrong. My state allows emergency vehicle operators to cite people for failing to yield. I have done it twice, in very extreme situations. The drawback is that the operator has to go to court to testify in the case. I'm going to have to call BS on you anyway. Could anyone be this stupid?
@aweird1 Really? Lets think about that for a second. You behind me and i am blocking you. You write down my plate and finally get around me. You maybe see my face for 1/2 a second at most. I am not the register driver, how are you going to fine me? Are you going to fine the register driver unless he tells you who is driving. This ticket comes with points which can't be assigned to someone that is not guilty. So good luck on fine me. I am calling bs that your state permit you to fine drivers.
@ylen13 Given your obvious failure to properly comprehend the basics of the English language, I am willing to believe that you really are that stupid. If my family member were in the ambulance and you prevented them from getting to the life saving care they needed, I would make damn sure that you were held, at very least, civilly liable. I would sue you, the registerED owner of the vehicle and then slap the crap out of your parents for raising such a stupid and worthless child.
@aweird1 Hahahahahaha keep dreaming. It's obvious what you posted previously is bs, as you could not answer the question if you going fine the register driver? It's very simple, unless cops witness the violation and pulls the vehicle over there is nothing EMS can do about it.
@ylen13 Also, legal issues aside, you have to remember that at that ambulances destination someone could be dying. Maybe one day it is one of your friends or family members, but unfortunately, the life saving help that they need can't get to them because some idiot like you thinks they shouldn't have to move because "they are not cops."
When is L.A. and most of California going to catch up with the times? Fire based EMS services are outdated and inefficient. Third city service EMS like the systems of Austin-Travis County EMS, New Orleans EMS, Honolulu EMS and state run EMS agencies like all of Australia are the way to go. They provide quality healthcare, something that is often lost when you try to divide your time between fire and EMS.
@aweird1 Thanks for your post, but note that every community has differing needs. In Los Angeles, with 4 million + people, the LAFD responds to more than 1,000 EMS runs per day. The ability to send appropriate resources (equip. and manpower) means faster and better care for patients. All firefighters are EMTs, and there is a core group of Paramedics and EMS Captains. And key point: all fire stations in LA are designed to ensure an RA can reach you within five minutes - citywide.
@LAFD027 Please don't misunderstand me. I appreciate the great work that firefighters do. Given the budget crisis in L.A. right now and the fact that you guys have been forced to reduce the number of ambulances on the street (unless that has changed since the last news report that I saw) I would love to see you guys switch to a system that could be more efficient and more effective than the one currently in place.
@LAFD027 I think a public EMS Department (third city services), or at very least, single role paramedic ambulances would help you greatly. If you were to put the EMS crews on 12 hour shifts in a system that posts ambulances and moves them in response to system status management needs it would help reduce the number of ambulances needed and cut cost. I know that it's hard to break from tradition and L.A. has a great traditional fire based EMS system, but the time for change is here.
@LAFD027 I would really hate to see the great city of L.A. fall into the hands of private, for-profit ambulance services where quality always gives way to profitability.
@aweird1 I live in Seattle and they still use Fire based EMS services all of the time, because there is no EMS service, except for AMR the private ambulance company that only trains EMT's. Seattle Fire Department are the only working Paramedics in Seattle.
@aweird1 I disagree. Here in Shreveport, the fire department does EMS. All of them on the ambulances are paramedics. A "private EMS" division like in N.O. (Shreveport is in Louisiana, and I'm a N.O. native) will hire anyone- even EMT basics. And what you have to comprehend is that whether a paramedic is a fireman or works for an EMS agency, all paramedic training is universal in the U.S.- it's all national. Fire-Medics are just as trained as regular EMS medics.
@silenceisaweapon101 New Orleans is NOT private, as much as Acadian would love. 911 in New Orleans is run by the New Orleans EMS Department. Yes the training is similar across the board for most states (not all. Not every state is a National Registry state. I have no idea why not). The issue is experience and expertise gained by doing the job. If you are dividing your time between the HUGE spectrum of emergency healthcare and firefighting in a system whose very name and nature are gear...
@silenceisaweapon101 ...ed towards fire fighting primarily and EMS secondarily, the quality of care provided is naturally going to be lower. Just because Paramedics have the same minimum set of knowledge does not make them equal. And what is so bad about Basics? In most studies it is shown that Paramedics usually miss Basic level skills both in testing and in the field. Saying that Basics shouldn't be on ambulances is like saying Techs or Nurses shouldn't be in hospitals.
@aweird1 but how will it be lower? a paramedic is a paramedic, firefighter or not. and nothing is bad about them, but if you send an ambulance with only basics on it to a call that deteriorates rapidly and they are limited in what they can do, that's where problems arise. and with do respect to Acadian, an independent EMS, they are far behind the Fire/Medics with SFD... the LifePak heart monitors are newer, and the fire/medics with SFD see crazy stuff all the time.
@aweird1 I disagree. Here in Shreveport, the fire department does EMS. All of them on the ambulances are paramedics. A "private EMS" division like in N.O. (Shreveport is in Louisiana, and I'm a N.O. native) will hire anyone- even EMT basics. And what you have to comprehend is that whether a paramedic is a fireman or works for an EMS agency, all paramedic training is universal in the U.S.- it's all national. Fire-Medics are just as trained as regular EMS medics.
I am a little confused.... this is a paramedic working here but they have an AED and its a basic truck? I am assuming that medics carry their own ALS gear.
@Messier83 We really should replace this video - it's outdated and you're right, it can be confusing. The video is showing a BLS (Basic Life Support) Rescue, but the demonstration includes a Paramedic, who would ride on an ALS (Advanced Life Support) Rescue. In this case, the Paramedic rode on an assessment engine. Expect an updated ALS-based video within a few weeks.
@LAFD027 I figured that was the case. I have always thought its strange how a lot of EMS services in CA do that. There is a BLS ambulance and a Paramedic on an engine or chase care and he will ride in on ALS calls.
@Messier83 This is a 800 series BLS unit. The ALS equipment is located on an RA paramedic unit. The firefighter does not have to a paramedic on an 800 series. In this case they were using a paramedic firefighter for the interview
the fasplint! i broke my arm in November playing high school football and the ambulance drove onto the football field and put that fasplint on me, and at first i thought it was a beanbag lol
Less than 1 minute into the video and I'm jealous. Their stretchers convert into chairs??? Jesus. How much time would we save going through narrow hallways in houses filled with garbage to get to the 80 year old bedbound pt kept waaaay in the back of the house? Meanwhile, the front room where the main entrance is located is being used for storage.
Also, the AHA recently released a memo stating that compression only CPR was no LESS effective than CPR with breaths, but this hasn't been made common practice and we still do the breaths in case they might be beneficial. Part of the motivation behind this was to get bystanders to do CPR more as some would be uncomfortable without a barrier device, EMTs are now allowed to do it this way as well if they have no access to a barrier for some reason. It might be what you were thinking of...
I agree, one was given to me included with my AHA Healthcare Provider course fee, and the EMS service I run with will provide me with a new one if I use the issued one so I have no excuse not to carry one! I also think they need to make pocket masks and gloves available in public places much like they do with AEDs.
You know, I was amazed to find out that people who learn lay CPR arn't even taught what a pocket mask is! When I had a save at a local pool this year, a day care supervisor was the first one to start CPR, and then I brought over the mask and she freaked out and said "OMG what is that?!" I was floored.
@kotetsu131 Not just that, but you have to wonder how effective those chest compressions were. Perfect compressions are only about 20% as effective as the heart itself, so lousy compressions do very little. It's better than nothing, but not by much. That's why good CPR training and recertification is so important!
You are spot on. Also, since people are generally squeamish to give breaths without a barrier and may (in a state of panic) forget to open the airway properly, stopping compressions to give breaths which may not even be effective is a waste of time. The compressions are what really buy the patient time. They have residual oxygen in their blood which you can circulate, and their lungs will get some passive oxygenation without breaths.
The starter kit is not the only thing we carry with. That´s only to "start". As you see on the stretcher are splints (orange bag), and as you can see in 0:28 there´s a lifepak defibrillator and in 2:53 you can see some things for harts reponses and a green bag. I don´t know what´s in it but i thing it is the "rest" you can carry with you (maybe oxygene and inutbation and so on
Do you seriously only have that "starter kid" or however you call it in your ambulance? No backpack or something? We in germany got atleast one huge backpack in a ambulance.
I like the new ALS RA's, but those old RA's are gonna be in my heart forever :) omfg. pumperman, your an idiot. Wannabe EMS? I've never heard of anyone being an EMS before. I'm actually a Paramedic/firefighter right now. I think he is an EMT. So your saying he's an Emergency Medical Response? not possible unless he's an RA. Not only that, but if your so big, what city do you work for, if you work for one? I'm trying to get into Station 9. Or move to Santa Monica. Chief Hone's awesome!
These videos are designed to provide insight and a glimpse at real-world experiences. They are not designed to inspire competition, or adversarial dialog. There is a place for all forms of first responder agencies, volunteer or paid. And, having experienced both environments, I would note that each is unique, and members of both communities deserve respect and at least reasonable (and properly spelled) comments.
Your're wrong "pumperman26", then again, your're also right. Us small town volunteer EMT's do sit in our tiny little chairs at home, until we have to drop what were doing and respond. Unlike you guys in the "big" city, we don't get paid while jacking around at the station. More than once I've had to leave my family on a cold and snowy January night to respond to an MVA. So don't question us "wannabees" until you've experienced what we have.
Everyone is entitled to their opinion. As noted, this video clip is several years old. LAFD RAs have all been replaced (except for reserve rigs) by this time.
wow, i would expect much more from LA? no spider straps? that almost looks as if it just a cut up sheet. and the tackle box for a jump bag? im really disappointed, i figured that they would be much more on the front edge
Note that this video is four years old - and many of the tools and tactics have been significantly updated since then. No need to be disappointed. Also, note that only a fraction of what is carried on a BLS ambulance (separate from ALS equipment) is being referenced.
Oh yeah? What would you know about urban EMS, you little wannabe? It's easy to judge from your little chair at home until you've actually worked in a big city. Don't question them, they know what they're doing.
Oh yes, Im not a "wannabe" I work for a pretty aggressive urban system so yes I believe I have the right to question them because I know what Im doing than you very much. And I never said they didnt know what they were doing, just that I would have expected more from a system such as theres
Hello, I am italian. I admire paramedics and their job... Seeing american paramedics in action is very fascinating and interesting. Thanks for your videos and congratulations for your work. Greetings from Italy (excuse me for my bad english...)
you said you were running duel paramedics on the trucks, but going over equipment only showed BLS supplies >.>
tweakz20 1 week ago
Love the tackle box! And I'm sure you could use a pillow as a splint at a fraction of the cost of an air splint.
daajj 2 weeks ago
when are you guys getting new stretchers lol
ArmyRescue2 3 weeks ago
Good Video Guys i love Paramedics
MrAndre1428 1 month ago
OK CAN SOMEONE EXPLAIN THIS TO ME ARE THE FIREFIGHTERS IN THE AMBULANCE ALSO FIREFIGHTERS WHO ACTUALLY FIGHT FIRES LIKE DO THEY SWICH ONE DAY THEIR IN THE AMBULANCE AND THE NEXT DAY THEIR IN A FIRETRUCK IM CONFUSED
Mariklin123 3 months ago
@Mariklin123 I can explain things to you. First of all, when you type in ALL CAPS using the Internet, it means you are shouting. In Los Angeles, all firefighters are EMT-B certified (in LA). As such, they rotate through a variety of apparatus, including engines, trucks (hook and ladder), and Basic Life Support (BLS) ambulances. There is a group of firefighters who are also Paramedics (EMT-D) and those individuals work either in Advanced Life Support (ALS) rescue ambulances, or on fire engines.
LAFD027 3 months ago 7
@LAFD027 What is a EMT-D where I am from we follow the NREMT and have FR (EMR) EMT-B (EMT/BASIC) EMT-I (ADVANCED EMT) and EMT-P (PARAMEDIC). I have never heard of an EMT-D, oh I live and work in MN and the () are the new terms coming out by the NREMT.
scttmosh1 2 months ago
@scttmosh1 if you're referring to EMD, it's emergency medical dispatcher.. many are EMTs so maybe that's the designation they use in MN
tweakz20 1 week ago
@LAFD027 I've seen you guys wear bunker pants on medical calls, what's the reason?
nikittoo1 2 months ago
I have the same fishbowl helmet
Waddle5blue 3 months ago
In LA are all Paramedics Firefighters as well or just Medics?
ShaddyDaddy77 4 months ago
@ShaddyDaddy77 in Los Angeles, all sworn firefighters are EMT-B certified. Within the ranks of firefighters, a number are Paramedics (EMT-D) certified.
LAFD027 4 months ago
@LAFD027 Thanks! And great videos!
ShaddyDaddy77 4 months ago
This could confuse people. They talk about ALS paramedics first then show you a BLS rescue ambulance.
rangerpuppy100 5 months ago
does no one relize that this was uploaded the same day michael jackson died
weatherfreak123 5 months ago
This has been flagged as spam show
@weatherfreak123 no one cares
MrLeaflitter 5 months ago
That was very well presented thank you
wattstarr911 5 months ago
does the engine respond to all calls witht rescue? are any engines ALS?
firebird960 6 months ago
@firebird960 Thanks for your comment. The LAFD has a number of Paramedic resources on both Engines and Truck Companies. These resources may be dispatched with or without an ambulance. Because a paramedic is on board, these engines and trucks are ALL considered ALS resources.
LAFD027 6 months ago
@LAFD027 thx for the reply so how many medics are on the engine? 1 or 2?
firebird960 6 months ago
because sometimes the fastes resource to arrive at the scene is an engine company to stabalize while the ems unit is enroute...
robthestud2003 6 months ago
how many emt or paramedics ride in an ambulance ? and whats the difference between working at a hospital and working at the station ?
sharkowner95 6 months ago
@sharkowner95 LAFD members do not work in hospitals. BLS ambulances have two firefighter/EMT members on board. ALS ambulances have two paramedics on board.
LAFD027 6 months ago
@LAFD027 Ok thanks, so when you apply to become an EMT, is firefighter training required(im trying to say do you have to go through firefighter training as well) ? Or is EMT training apart of the firefighter training ?
sharkowner95 6 months ago
@sharkowner95 If you're asking about Los Angeles, all LAFD members are EMTs. You cannot be a member of the LAFD and only have EMT status. There are plenty of private ambulance companies that will hire individuals who are EMT trained. The LAFD operates its own training facility. If you are already an EMT, that's useful to getting hired, but is not even 10% of the requirement.
LAFD027 6 months ago
@LAFD027 Ok i see so since its a fire department and ambulance stay there you have to have EMT training plus fire fighter training. So when is BSL ambulance called to the scene ? And when is a ALS ambulance called to the scene ? Does it depend on the urgency of the call ?
sharkowner95 6 months ago
@sharkowner95 The dispatch of BLS vs. ALS resources has many variables. There are a series of parameters where ALS resources are automatic. If the patient is altered, has suffered a specific mechanism (MOI), etc., then an ASL ambulance or an ALS engine will be dispatched. If you go to school and become an EMT, you'll learn the difference and understand more about this issue overall.
LAFD027 6 months ago
@LAFD027 Yea i understand, i plan on volunteering at my local fire department in october, i was trying to get some much needed information. So i have another question. When a call is made and EMS is needed, how come sometimes like you said an engine will come instead of an ambulance ? And would if the patient needs to be transported to the hospital, will an ambulance come and pick the patient up ? Or do they travel together or is it different from state to state ?
sharkowner95 6 months ago
Im gona say this once, Michael Jackson Died the day this was made
Blorenz24 6 months ago
Regarding choosing careers, b/w a cop and a firefighter, will firefighters/EMT's get any action on their job? I think it is the action which makes the job of cops exciting.
soumya5200 7 months ago
can someone please clarify what is a Rescue ambulance? Is it the same as a regular ambulance?
soumya5200 7 months ago
@soumya5200 There are private ambulances in all communities, as one might expect. The LAFD considers its apparatus to be used for "rescue" - and as such calls them rescue ambulances. There are two types, including Basic Life Support (BLS) and Advanced Life Support (ALS).
LAFD027 6 months ago
How tough is it to become an LAFD firefighter. I live in oregon and it's so ungodly competitive. it seems like you have to score at least 98% on every exam, have a BS and be a medic, which in oregon is a required degree as well just to become a medic. i work with a basic who applied all throughout oregon with no luck and applied in LA and got a job quick.
mikiedeath 7 months ago
@mikiedeath That must have been some time ago. The LAFD has not hired any employees in more than two years. There will be no additional hires until 2014. The cause is the current budget crisis. Competition is intense and everyone must have a very clean background, not to mention the ability to pass physical, written, and oral exams.
LAFD027 6 months ago
This has been flagged as spam show
who else thinks it would be better if firetrucks and ambulances played "move, bitch get out the way," instead of using sirens?
if you agree follow on twitter @_tafarii
suuperduude1 8 months ago
...what a surprise, an old guy hit a guy on a motor cycle! ...time to get mandatory re certification for drivers licenses at age 65 70 72 74 75 76 77 78 79 80 etc.
FFIrish23 8 months ago
why is CA so ass backwards!!!! you guys dont already have straps on your backbords , your so called ALS unit has a AED on it ??? WTF ,,, you use air splints , so your telling me that the hospital is actually going to send you back your air splint ,, please give me a brake ,,, do u just wait at the hospital till thay are done with it ???
seanybigz2514 9 months ago
anyone know how many ambulances LA has staged around the county constantly? I know SF always has 11 staged constantly...
knpdyeballarice 9 months ago
@knpdyeballarice As of this date, the LAFD has a rescue ambulance staged in all 106 fire stations around the City of Los Angeles. Some fire stations have multiple ambulances. There are two types: Basic Life Support, staffed by firefighters (who are all EMT-B rated), and Advanced Life Support, with two paramedics on board. The LAFD responds to as many as 1,000 medical calls per day, and often transports more than 500 people per day to area hospitals for treatment.
LAFD027 9 months ago 2
What exactly is an EMS captain? What level of training do they have and what are the duties?
i5adam8 10 months ago
@i5adam8 Great question regarding EMS Captains. The individuals are paramedic trained, and provide supervisory support for both BLS and ALS rescue ambulance crews. As you may know, the LAFD is going thru some evolutionary changes, so the role of EMS Captains is likely to also evolve in the coming months.
LAFD027 9 months ago
Yes, this presentation is confusing, it shows 2 paramedics at the beginning of video and states each every firehouse has an ambulance staffed with 2 Paramedics. Then we see a basic life support Ambulance equipment presentation. Personally the BLS or EMT Staffed Ambo. Is useless in Fire based EMS. Its a pea shooter. a bed with oxygen.its a waste of hardware. The violence in urban American cities& after 911 and Oklahoma require EMS big guns, 2 PARAMEDICS & a ALS AMBULANCE. EMS CAUSE SHIT HAPPENS
annacfd28 11 months ago
How many Firehouses does L.A. have have to cover those 400 plus miles ? How many ALS Paramedic Ambos. Do you have ? How many BLS EMT staffed Ambos. do you have ?
annacfd28 11 months ago
@annacfd28 Thanks for your comments. Every LA Firefighter is also an EMT. EMT rescues transport more than 400 people per day to hospital care and in a manner not consistent with private operators. ALS rescues transport an additional 150 or more people per day (500 + per day). This process provides badly needed revenue to the city, and the immediate (avg response time to scene is < 4 minutes) response of all rescues saves lives every day.
LAFD027 11 months ago
@LAFD027 Do you all require EMT certification for all new hires ? Did you know that the city of New York firemen are only first responders trained in first aid. And again I must disagree with you again on the BLS ambulance in a 911 provider its has to be a nightmare and present a potential liability from a " sorting" and dispatching prospective. Why bring a "knife to a gun fight" and in this case a butter knife, Sorry but during a medical emergency I would want the highest level of care.
annacfd28 6 months ago
@annacfd28 Thanks for your note. Actually, most large and medium sized cities REQUIRE all of their firefighters to have medical training. In Los Angeles, all firefighters are EMTs, and about 20% are Paramedics as well. The dispatch of BLS resources is not a nightmare and in fact is very straight-forward. The mix and management of ALS and BLS resources is pretty cool, and LA bills nearly $1.3 million per month for use of its EMS services.
LAFD027 6 months ago
Comment removed
annacfd28 11 months ago
What a fascinating insight into your work and the equipment that you use. I have just one question though. How does the identifying numbering work..Maybe because I am British I don't understand LOL..You said something about Battalion 5 and then you went on to say that you were at Fire Station 76. I don't understand the combination! How does the numbering work?
I hope you do answer this question for me.
Thank you for posting.
thedivinemrsjones 11 months ago
@thedivinemrsjones Los Angeles covers 470 square miles at the moment. Within the city, the LAFD breaks up that territory into regions. There are (currently) 3 divisions. Within those divisions, there are 16 Battalions, each one commanded by a Battalion Chief. Within each battalion, there are on average six fire stations (it varies), making up a total of 106 fire stations within the city. Each station is numbered, but the history of numbering is a different story altogether... 76s is part of B5.
LAFD027 11 months ago
@LAFD027 Thank you so much for taking the time to reply. I was very kind of you to explain..I now understand the principle behind the numbering :)
thedivinemrsjones 11 months ago
this was uploaded on the exact same day as mj death
weatherfreak123 11 months ago
i hate the stretchers with a passion
ArmyRescue2 11 months ago
Nice video
everythingnegative 1 year ago
That is an old ass gurney. lol or maybe im getting to used to the Striker power gurneys.
robstrevor 1 year ago
So wait are you a firefighter ?
havoc999998 1 year ago
I'm surprised they're not using Strykers.
KyprosNighthawk 1 year ago
Michael Jackson zomrel 25.Juna 2009 a ty si pridal to video 25.Juna 2009 .... OMG :/
aksim2579 1 year ago
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Question to those who would know? You guys are talking about LA City. As far as LA County goes I understand those folks have contracts with 3 party providers like AMR etc and the EMT's with those 3rd parties provide transport and pretty much go along with County fire on the calls but....I also understand that within the county if an EMT-B wants to transit to an ALS Certification thats fine but I hear fire does not let them practice ALS on calls ???? Only fire can be ALS ???? Comments ??
Tm30w06 1 year ago
Question to those who would know? You guys are talking about LA City. As far as LA County goes I understand those folks have contracts with 3 party providers like AMR etc and the EMT's with those 3rd parties provide transport and pretty much go along with County fire on the calls but....I also understand that within the county if an EMT-B wants to transit to an ALS Certification thats fine but I hear fire does not let them practice ALS on calls ???? Only fire can be ALS ???? Comments ??
Tm30w06 1 year ago
What is the Firefighter/EMT scope of practice? I'm a Primary Care Paramedic in Ontario Canada. We carry limited drugs such as: Epi, Nitro spray, ASA, Glucagon, Gravol and ventolin (Advanced Care Paramedics Get the other drugs). I didn't notice any symptom relief drugs in the rescue ambulance, can they administer them?
PZMedic 1 year ago
@PZMedic in a BLS (EMTs) truck like this, you can usually expect only ASA, charcoal, epi pens, and oral glucose. in an ALS (paramedic) unit, you can expect dozens of drugs to include analgesics, narcotics, cardicac drugs, B blockers, pressors, albuterol, ipratropium, narcan, D50, etc etc etc
CyberDeputySheriff01 1 year ago
Very interesting video and like the Ambulance vehicle. The only thing that I disagree on is the stretcher that is used as they can over balance and you could loose the patient off it if used as a chair stretcher.
bilwatk 1 year ago
Awesome! Cali EMS Rules! :-D
EMTSkaterMarine 1 year ago
@ylen13 I really hope that one day your not in an ambulance and dying cuz there could be another poor bastard like you out there and would do the same thing and keep you from getting to the hospital but all in all may God have mercy on your soul.
EPFireDept 1 year ago
@EPFireDept Oh well i guess i will not make it. I can only die once so if i die, i die no point in crying over it.
ylen13 1 year ago
When you see them coming with lights and siren, make sure to block them out. They are not cops and unless cop is around, you can not get a ticket.
ylen13 1 year ago
@ylen13 I hope you are being sarcastic.
DissensionFilms 1 year ago
@DissensionFilms Why? They are not cops and can't do anything about you not letting them through. It's very simple, no cop=no foul
ylen13 1 year ago
@ylen13 Okay, I have to call BS on this one. Can someone really be this stupid? I know when responding code 3 it seems like it's possible, but seriously? I have worked in several states around the U.S. and know that many of them have laws that allow fire and EMS workers to report failure to yield cases to the police, who, in turn send the owner of the vehicle a ticket for failure to yield to an emergency vehicle. That's a well deserved $500 fine.
DissensionFilms 1 year ago
@DissensionFilms Keep dreaming. How can you ticket and put point on someone DL unless you know how was driving. This a moving violating which requires police to witness the violation and pull the driver over. What basically happens is police send register owner a letter saying you been reported do not do it again. No they will not be fined as result of you reporting it.
ylen13 1 year ago
@ylen13 You are very wrong. My state allows emergency vehicle operators to cite people for failing to yield. I have done it twice, in very extreme situations. The drawback is that the operator has to go to court to testify in the case. I'm going to have to call BS on you anyway. Could anyone be this stupid?
aweird1 1 year ago
@aweird1 Really? Lets think about that for a second. You behind me and i am blocking you. You write down my plate and finally get around me. You maybe see my face for 1/2 a second at most. I am not the register driver, how are you going to fine me? Are you going to fine the register driver unless he tells you who is driving. This ticket comes with points which can't be assigned to someone that is not guilty. So good luck on fine me. I am calling bs that your state permit you to fine drivers.
ylen13 1 year ago
@ylen13 Given your obvious failure to properly comprehend the basics of the English language, I am willing to believe that you really are that stupid. If my family member were in the ambulance and you prevented them from getting to the life saving care they needed, I would make damn sure that you were held, at very least, civilly liable. I would sue you, the registerED owner of the vehicle and then slap the crap out of your parents for raising such a stupid and worthless child.
aweird1 1 year ago
@aweird1 Hahahahahaha keep dreaming. It's obvious what you posted previously is bs, as you could not answer the question if you going fine the register driver? It's very simple, unless cops witness the violation and pulls the vehicle over there is nothing EMS can do about it.
ylen13 1 year ago
@ylen13 Also, legal issues aside, you have to remember that at that ambulances destination someone could be dying. Maybe one day it is one of your friends or family members, but unfortunately, the life saving help that they need can't get to them because some idiot like you thinks they shouldn't have to move because "they are not cops."
DissensionFilms 1 year ago
@DissensionFilms Oh well, i guess they will not make it.
ylen13 1 year ago
In Michael Jacksons death, the windows were tinted more? so how did they get the photo? I want to know that MICHAEL JACKSON IS ALIVE!!!
MoonStruck95 1 year ago
what are color codes for helmets please
dillonlexington 1 year ago
When is L.A. and most of California going to catch up with the times? Fire based EMS services are outdated and inefficient. Third city service EMS like the systems of Austin-Travis County EMS, New Orleans EMS, Honolulu EMS and state run EMS agencies like all of Australia are the way to go. They provide quality healthcare, something that is often lost when you try to divide your time between fire and EMS.
aweird1 1 year ago
@aweird1 Thanks for your post, but note that every community has differing needs. In Los Angeles, with 4 million + people, the LAFD responds to more than 1,000 EMS runs per day. The ability to send appropriate resources (equip. and manpower) means faster and better care for patients. All firefighters are EMTs, and there is a core group of Paramedics and EMS Captains. And key point: all fire stations in LA are designed to ensure an RA can reach you within five minutes - citywide.
LAFD027 1 year ago 10
@LAFD027 Please don't misunderstand me. I appreciate the great work that firefighters do. Given the budget crisis in L.A. right now and the fact that you guys have been forced to reduce the number of ambulances on the street (unless that has changed since the last news report that I saw) I would love to see you guys switch to a system that could be more efficient and more effective than the one currently in place.
aweird1 1 year ago
@LAFD027 I think a public EMS Department (third city services), or at very least, single role paramedic ambulances would help you greatly. If you were to put the EMS crews on 12 hour shifts in a system that posts ambulances and moves them in response to system status management needs it would help reduce the number of ambulances needed and cut cost. I know that it's hard to break from tradition and L.A. has a great traditional fire based EMS system, but the time for change is here.
aweird1 1 year ago
@LAFD027 I would really hate to see the great city of L.A. fall into the hands of private, for-profit ambulance services where quality always gives way to profitability.
aweird1 1 year ago
@aweird1 yea i agree my fd has 4 ambulances and 6 als units
timberland1108 1 year ago
@aweird1 I live in Seattle and they still use Fire based EMS services all of the time, because there is no EMS service, except for AMR the private ambulance company that only trains EMT's. Seattle Fire Department are the only working Paramedics in Seattle.
kambelzful 1 year ago
@aweird1 I disagree. Here in Shreveport, the fire department does EMS. All of them on the ambulances are paramedics. A "private EMS" division like in N.O. (Shreveport is in Louisiana, and I'm a N.O. native) will hire anyone- even EMT basics. And what you have to comprehend is that whether a paramedic is a fireman or works for an EMS agency, all paramedic training is universal in the U.S.- it's all national. Fire-Medics are just as trained as regular EMS medics.
silenceisaweapon101 1 year ago
@silenceisaweapon101 New Orleans is NOT private, as much as Acadian would love. 911 in New Orleans is run by the New Orleans EMS Department. Yes the training is similar across the board for most states (not all. Not every state is a National Registry state. I have no idea why not). The issue is experience and expertise gained by doing the job. If you are dividing your time between the HUGE spectrum of emergency healthcare and firefighting in a system whose very name and nature are gear...
aweird1 1 year ago
@aweird1 so whether a fire/medic or regular EMS medic, if they see the same thing, one is no more experienced than the other.
silenceisaweapon101 1 year ago
@silenceisaweapon101 ...ed towards fire fighting primarily and EMS secondarily, the quality of care provided is naturally going to be lower. Just because Paramedics have the same minimum set of knowledge does not make them equal. And what is so bad about Basics? In most studies it is shown that Paramedics usually miss Basic level skills both in testing and in the field. Saying that Basics shouldn't be on ambulances is like saying Techs or Nurses shouldn't be in hospitals.
aweird1 1 year ago
@aweird1 but how will it be lower? a paramedic is a paramedic, firefighter or not. and nothing is bad about them, but if you send an ambulance with only basics on it to a call that deteriorates rapidly and they are limited in what they can do, that's where problems arise. and with do respect to Acadian, an independent EMS, they are far behind the Fire/Medics with SFD... the LifePak heart monitors are newer, and the fire/medics with SFD see crazy stuff all the time.
silenceisaweapon101 1 year ago
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@aweird1 I disagree. Here in Shreveport, the fire department does EMS. All of them on the ambulances are paramedics. A "private EMS" division like in N.O. (Shreveport is in Louisiana, and I'm a N.O. native) will hire anyone- even EMT basics. And what you have to comprehend is that whether a paramedic is a fireman or works for an EMS agency, all paramedic training is universal in the U.S.- it's all national. Fire-Medics are just as trained as regular EMS medics.
silenceisaweapon101 1 year ago
I am a little confused.... this is a paramedic working here but they have an AED and its a basic truck? I am assuming that medics carry their own ALS gear.
Messier83 1 year ago
@Messier83 We really should replace this video - it's outdated and you're right, it can be confusing. The video is showing a BLS (Basic Life Support) Rescue, but the demonstration includes a Paramedic, who would ride on an ALS (Advanced Life Support) Rescue. In this case, the Paramedic rode on an assessment engine. Expect an updated ALS-based video within a few weeks.
LAFD027 1 year ago
@LAFD027 I figured that was the case. I have always thought its strange how a lot of EMS services in CA do that. There is a BLS ambulance and a Paramedic on an engine or chase care and he will ride in on ALS calls.
An updated video would be interesting.
Messier83 1 year ago
@LAFD027 When is this video coming you have promised here? I would be quite interestet in it.
oemmel0183 1 year ago
@Messier83 This is a 800 series BLS unit. The ALS equipment is located on an RA paramedic unit. The firefighter does not have to a paramedic on an 800 series. In this case they were using a paramedic firefighter for the interview
CasaDeGomez 1 year ago
the fasplint! i broke my arm in November playing high school football and the ambulance drove onto the football field and put that fasplint on me, and at first i thought it was a beanbag lol
lolrofl1000 1 year ago
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thatellen 1 year ago
you think LA City FD would buy some new stryker gurneys not that old POS
cmanleyspy 1 year ago
Less than 1 minute into the video and I'm jealous. Their stretchers convert into chairs??? Jesus. How much time would we save going through narrow hallways in houses filled with garbage to get to the 80 year old bedbound pt kept waaaay in the back of the house? Meanwhile, the front room where the main entrance is located is being used for storage.
rook901 1 year ago 2
I wish I could live in LA to work your EMS district.
csustudent209 2 years ago 6
MAN i sure going to have to remember alot of this in training in couple month's.
SaberTanker22 2 years ago
when you are doing CPR. Do you do chest compressions straight through or pause for the breathing? Do you know what I'm trying to ask?
lastardriver 2 years ago
AHA standards are 30 compressions to 2 breaths, yes normally stop for the two fast breaths given under a second each.
plainman123 2 years ago 2
Thanks. I know they came out with this new concept where you should just continue compressions. So, I thought I would ask a pro.
lastardriver 2 years ago
Also, the AHA recently released a memo stating that compression only CPR was no LESS effective than CPR with breaths, but this hasn't been made common practice and we still do the breaths in case they might be beneficial. Part of the motivation behind this was to get bystanders to do CPR more as some would be uncomfortable without a barrier device, EMTs are now allowed to do it this way as well if they have no access to a barrier for some reason. It might be what you were thinking of...
kotetsu131 2 years ago
Yeah, thanks that is exactly what I was talking about.
lastardriver 2 years ago
I carry a pocket mask. I wish ARC and AHA would give pocket masks out to all students.
cory640 2 years ago
I agree, one was given to me included with my AHA Healthcare Provider course fee, and the EMS service I run with will provide me with a new one if I use the issued one so I have no excuse not to carry one! I also think they need to make pocket masks and gloves available in public places much like they do with AEDs.
kotetsu131 2 years ago
You know, I was amazed to find out that people who learn lay CPR arn't even taught what a pocket mask is! When I had a save at a local pool this year, a day care supervisor was the first one to start CPR, and then I brought over the mask and she freaked out and said "OMG what is that?!" I was floored.
cory640 2 years ago
You've got to be kidding me. How can those people be certified if they don't know what it is?! I'm sorry you had to deal with that!
kotetsu131 2 years ago
@kotetsu131 Not just that, but you have to wonder how effective those chest compressions were. Perfect compressions are only about 20% as effective as the heart itself, so lousy compressions do very little. It's better than nothing, but not by much. That's why good CPR training and recertification is so important!
hibob841 2 years ago
i have one i carry one me a small one an one of those bigger ones i keep in my pickup
TheFireman203 2 years ago
You are spot on. Also, since people are generally squeamish to give breaths without a barrier and may (in a state of panic) forget to open the airway properly, stopping compressions to give breaths which may not even be effective is a waste of time. The compressions are what really buy the patient time. They have residual oxygen in their blood which you can circulate, and their lungs will get some passive oxygenation without breaths.
hibob841 2 years ago
hey jeanorwin
The starter kit is not the only thing we carry with. That´s only to "start". As you see on the stretcher are splints (orange bag), and as you can see in 0:28 there´s a lifepak defibrillator and in 2:53 you can see some things for harts reponses and a green bag. I don´t know what´s in it but i thing it is the "rest" you can carry with you (maybe oxygene and inutbation and so on
EL16
einsatzleiter16 2 years ago
Do you seriously only have that "starter kid" or however you call it in your ambulance? No backpack or something? We in germany got atleast one huge backpack in a ambulance.
jeanorwin 2 years ago
Most ambulances, and I think this was an ALS rig, are packed to the brim with supplies
cory640 2 years ago
lafd rocks! and is one of the best but at0:02 it looks like fdnys logo
TheToppstv 2 years ago
I like the new ALS RA's, but those old RA's are gonna be in my heart forever :) omfg. pumperman, your an idiot. Wannabe EMS? I've never heard of anyone being an EMS before. I'm actually a Paramedic/firefighter right now. I think he is an EMT. So your saying he's an Emergency Medical Response? not possible unless he's an RA. Not only that, but if your so big, what city do you work for, if you work for one? I'm trying to get into Station 9. Or move to Santa Monica. Chief Hone's awesome!
EMT667 2 years ago
I meant Emergency Medical Service XD not Response
EMT667 2 years ago
These videos are designed to provide insight and a glimpse at real-world experiences. They are not designed to inspire competition, or adversarial dialog. There is a place for all forms of first responder agencies, volunteer or paid. And, having experienced both environments, I would note that each is unique, and members of both communities deserve respect and at least reasonable (and properly spelled) comments.
LAFD027 2 years ago 3
Your're wrong "pumperman26", then again, your're also right. Us small town volunteer EMT's do sit in our tiny little chairs at home, until we have to drop what were doing and respond. Unlike you guys in the "big" city, we don't get paid while jacking around at the station. More than once I've had to leave my family on a cold and snowy January night to respond to an MVA. So don't question us "wannabees" until you've experienced what we have.
engine173351 2 years ago
Those are some nice units. I like the red color.
brewdog11 2 years ago
This comment has received too many negative votes show
wow...dont like those rigs at all....they need to take notes from the chicago fire dept.
silobeats 2 years ago
Everyone is entitled to their opinion. As noted, this video clip is several years old. LAFD RAs have all been replaced (except for reserve rigs) by this time.
LAFD027 2 years ago
CFD rocks!
brewdog11 2 years ago
Are all Chicago Fire medics dual function yet? FF/PM?
Beardown502 2 years ago
wow, i would expect much more from LA? no spider straps? that almost looks as if it just a cut up sheet. and the tackle box for a jump bag? im really disappointed, i figured that they would be much more on the front edge
ncbeachstud 2 years ago
Note that this video is four years old - and many of the tools and tactics have been significantly updated since then. No need to be disappointed. Also, note that only a fraction of what is carried on a BLS ambulance (separate from ALS equipment) is being referenced.
LAFD027 2 years ago
yeah i didnt see that ti was that old, i was just really suprised. so any video of the als unit?
ncbeachstud 2 years ago
Good question. An ALS tour should be available in August. It makes sense to provide an updated example. Good call!
LAFD027 2 years ago
Oh yeah? What would you know about urban EMS, you little wannabe? It's easy to judge from your little chair at home until you've actually worked in a big city. Don't question them, they know what they're doing.
pumperman26 2 years ago
Oh yes, Im not a "wannabe" I work for a pretty aggressive urban system so yes I believe I have the right to question them because I know what Im doing than you very much. And I never said they didnt know what they were doing, just that I would have expected more from a system such as theres
ncbeachstud 2 years ago
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havingfunhere 2 years ago
Hello, I am italian. I admire paramedics and their job... Seeing american paramedics in action is very fascinating and interesting. Thanks for your videos and congratulations for your work. Greetings from Italy (excuse me for my bad english...)
Cobalto001 2 years ago 4
Great work as always!
jessefireguy 2 years ago 4
Just like their rating, this is Class I !
LTHenryD 2 years ago 4
Awsome! always wanted to see abit more of how the ambulance side of the lafd works.
A1nzfan 2 years ago 4
Well done video. LA has the respect for their excellent operations and size..
Retired
blinko656 2 years ago