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Chesterfield Fire and EMS medical services unit pulls double duty

The 41-foot medical ambulance bus provides on-scene rehab and mass casualty incident response

The medical service unit for the Chesterfield (Va.) Fire and EMS Department is a dual-purpose unit that combines on-scene firefighter rehabilitation functions and mass casualty incident response capabilities into one unit.

The MSU is a 2012 Sartin Medical Ambulance Bus with an overall length of just over 41 feet. The department first put the unit into active service in 2012 and it is currently housed in the department’s Fire Station #21.


MCI response and on-scene rehab in one vehicle. (Courtesy photo)

The MSU’s interior seating (each fully equipped with occupant restraint system) can be used for on-scene firefighter rehabilitation inside the unit or for the transport of multiple patients from rehab to a medical facility for further care.


Dual purpose seating. (Courtesy photo)

The MSU is fully air-conditioned and has a fully-stocked refrigerator onboard with water and sports drinks, such as Gatorade and Powerade. It is also stocked with snacks, such as peanut butter crackers for helping to refuel the body after intense work.


Interior view of the MSU, looking forward. (Courtesy photo)


Interior view of the MSU, looking toward rear of unit. (Courtesy photo)

The unit has an awning on the outside to provide shade for emergency workers as well as four forearm-cooling chairs (easily accessible from an exterior compartment beneath of the awning). The unit has a misting fan that can cool the environment under the awning to aid in cooling firefighters during on-scene rehab.


An awning provides shade and cooling during rehab. (Courtesy photo)

For MCI response, the MSU carries many of the same EMS supplies as CFEMS ambulances that can be used to provide care to multiple patients. The MSU has the capacity to transport 10 patients to the hospital that are fully immobilized on a long backboard.

Battalion Chief Robert Avsec (ret.) served with the Chesterfield (Virginia) Fire & EMS Department for 26 years. He was an instructor for fire, EMS and hazardous materials courses at the local, state and federal levels, which included more than 10 years with the National Fire Academy. Chief Avsec earned his bachelor’s degree from the University of Cincinnati and his master’s degree in executive fire service leadership from Grand Canyon University. He is a 2001 graduate of the National Fire Academy’s EFO Program. Beyond his writing for FireRescue1.com and FireChief.com, Avsec authors the blog Talking “Shop” 4 Fire & EMS and has published his first book, “Successful Transformational Change in a Fire and EMS Department: How a Focused Team Created a Revenue Recovery Program in Six Months – From Scratch.” Connect with Avsec on LinkedIn or via email.
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