District of Columbia Fire and Emergency Medical Services Department explained

District of Columbia Fire and Emergency MedicalServices Department
Subdivision Type1:Federal district
Reference1:[1]
Annual Calls:~212,459
Annual Budget:$258,502,000
Employees:2,153
Staffing:Career
Chief:John A. Donnelly, Sr.
Chief1 Description:Mayor of Washington, DC
Chief1 Name:Muriel Bowser
Alsorbls:Advanced Life Support (ALS) and Basic Life Support (BLS)
Iaff:36
Reference2:[2]
Battalions:9
Stations:34
Engines:33
Tillers:15
Platforms:1
Rescues:3
Wildfire Engines:1
Fireboats:4
Ambulances:43
Hazmat:2
Usar:1
Light And Air:2
Crash:1

The District of Columbia Fire and Emergency Medical Services Department (also known as DC FEMS, FEMS, DCFD, DC Fire, or DC Fire & EMS), established July 1, 1804,[3] provides fire protection and emergency medical service for the District of Columbia, in the United States. An organ of the devolved district government, Fire & EMS is responsible for providing fire suppression, ambulance service and hazardous materials containment for the federal district.[4]

History

On January 13, 1803, District of Columbia passed its first law about fire control, requiring the owner of each building in the district to provide at least one leather firefighting bucket per story or pay a $1 fine per missing bucket.[5]

The first firefighting organizations in the district were private volunteer companies. To end the problems created by rivalries between these companies, District of Columbia approved in 1864 an act to consolidate them and organize a paid fire department. Seven years passed before it was implemented on September 23, 1871, creating the all-professional District of Columbia Fire Department (DCFD) with a combination of paid and volunteer staff. The department had seven paid firefighters and 13 call men to answer alarms, manning three engines and two ladders.

By 1900, the DCFD had grown to 14 engine companies, four ladder companies, and two chemical companies.

In 1968, the entire DCFD was mobilized during the riots that followed the assassination of Martin Luther King Jr. The four days of disorder saw widespread civil unrest, looting and arson, which ultimately required help with 70 outside companies to battle over 500 fires and perform 120 rescues.[6]

In the 1970s and 1980s, the department was rife with racial tension, as the nearly all-white department became much more racially integrated and African Americans sought upper-level supervisory and management positions.[7]

2010s Budget and Maintenance Problems

See main article: History of the District of Columbia Fire and Emergency Medical Services Department. In January 2010, The Washington Examiner reported that, in a major management failure, the agency failed to budget for seniority pay in its fiscal 2010 budget, causing a $2 million shortfall.[8] After a hiring freeze left 130 positions unfilled, the department was projected to spend $15.4 million in fiscal 2010 (2.5 times the budgeted amount). More than 75 percent of the agency's budget goes to salaries and fringe benefits.

Problems with vehicle maintenance also worsened after 2010. The department lost track of the location of reserve vehicles, and sometimes listed fire engines as available for duty when they had been stripped for parts and sent to the junkyard. In 2012, the agency hired a consultant at a cost of $182,000 to create an accurate database of vehicle status and location. Both the D.C. Council and the District of Columbia's inspector general have strongly criticized the department's record. The District of Columbia Firefighters Association, Local 36, and the International Association of Firefighters (IAFF) have argued that the problem lies with poor management, while DCFEMS has said the problems either cannot be accounted for or are the result of rank-and-file incompetence or neglect.[9]

In July 2013, more than 60 DCFEMS ambulances were out of commission due to maintenance issues, and the department was forced to hire a private ambulance service to provide staffing at a Major League Baseball game. On August 8, 2013, a DCFEMS ambulance ran out of fuel while part of President Barack Obama's motorcade, and ended up stranded on the South Lawn of the White House (EMS personnel said they reported a broken fuel gauge months ago, while DCFEMS said workers failed to fill the vehicle with gasoline.) On August 13, 2013, two DCFEMS ambulances caught fire—one while delivering a patient to MedStar Washington Hospital Center, the other while responding to an emergency call at an apartment building on Benning Road SE (another ambulance was dispatched to take the patient to the hospital.)

Mayor Muriel Bowser and Chief Gregory Dean

Muriel E. Bowser was sworn in as the seventh Mayor of the District of Columbia on January 2, 2015. On March 2, 2015, Mayor Bowser named Gregory Dean as Chief of the District of Columbia Fire and Emergency Medical Services Department. Dean previously served for 10 years as the Fire EMS Chief for Seattle, Washington.

Chief Dean's primary focus would be stabilizing emergency medical services, boosting the department’s understaffed ranks, addressing the increasing call volume, improving training for patient care, improving vehicle fleet reliability and improving operational safety.

In June 2015, Dr. Jullette M. Saussy was selected to serve as the Medical Director of DC Fire and EMS.[10] On January 29, 2016, just months after her appointment, she announced her resignation from that position in a letter to Mayor Muriel Bowser. In her letter, she called the department's culture "highly toxic to the delivery of any semblance of quality pre-hospital medical care."[11]

Dr. Robert P. Holman[12] was appointed as the Interim Medical Director effective on February 16, 2016. Dr. Holman would ultimately be retained as the permanent Medical Director and is currently the Department’s longest-serving Medical Director.

Chief Dean communicated his vision, the Department's progress and it's challenges to the community in a letter published in the Washington Post on February 19, 2016 - A changing D.C. Fire and EMS Department will make the city safer.

Starting in March 2016, the Fire and Emergency Medical Services Department (FEMS) began using American Medical Response (AMR), now renamed Global Medical Response (GMR), to supplement patient transport services. AMR-GMR provides BLS patient transport services upon request from FEMS first responders.https://fems.dc.gov/page/amr-gmr-operations

Dr. Holman immediately went to work on improving EMS training, improving and expanding the EMS Continuous Quality Improvement (CQI) Office, and led the transition to criteria-based dispatching.

Dr. Holman would go on to establish the nation's largest 911 Nurse Triage Line (NTL), institute quarterly paramedic training symposiums, re-organize and reestablish the Department's Public Health / Street Calls Mobile Integrated Health Team, and improve the Department's Controlled Medication Program.

Dr. Holman was also responsible for the co-development of DC's Sobering and Stabilization Center which opened for operation in October 2023.

Most recently, in April 2024, the Department implemented a program to provide whole blood transfusions in the field. This program was implemented with support of the American Red Cross and the George Washington University Hospital’s blood bank.  DC Fire and EMS is using “universal: low-titer type-O whole blood when it transfuses eligible patients suffering from hemorrhagic shock. Transfusion of patients by DC Fire and EMS increases the chance of surviving a devastating blood loss injury - more than doubling the odds of surviving and making it home from the hospital.  

Stations and Apparatus

These are the DCFD's stations and equipment.[13]

Firehouse NumberNeighborhoodEngine CompanyTruck CompanyRescue Squad CompanyAmbulance or Medic UnitSpecialized UnitCommand UnitBattalion
1Engine 1 Truck 2Ambulance 1
Medic 1Ambulance 66
Twin Agent Unit 2 6[14]
2ChinatownEngine 2Rescue Squad 1 Medic 2Mobile Command UnitRescue Squad 1 Support UnitBattalion Chief 6EMS 66[15]
3ColumbiaEngine 3Ambulance 3
Medic 3
6[16]
4Pleasant PlainsEngine 4Ambulance 4Air Unit 1Community Service Unit 4

Mass Decon

EMS 7Safety Battalion Fire Chief

Special Operations Battalion Chief

4[17]
5Engine 5Medic 5Canteen Unit 1Rehab Unit5[18]
6Engine 6Truck 4Ambulance 6Ambulance 611[19]
7Engine 7Medic 72[20]
8Lincoln ParkEngine 8 Ambulance 8Medic 8Air Unit 2Community Service Unit 2

Mass Decon

Battalion Chief 2EMS 22[21]
9U StreetEngine 9 Truck 9Ambulance 94[22]
10TrinidadEngine 10 Truck 13Medic 101[23]
11Columbia HeightsEngine 11 Truck 6Ambulance 11Battalion Chief 4EMS 44[24]
12Ambulance 12Customer Service Unit 1Gator 1

Hazmat Unit 1

Hazmat Unit 2

Haz Mat Support Unit

Battalion Chief 1EMS 11[25]
13L'Enfant PlazaEngine 13 Truck 10Ambulance 13Foam Unit 1Foam Unit 2

Foam Trailer

Twin Agent Unit 1

6[26]
14Engine 14 Ambulance 14
Medic 14
1[27]
15AnacostiaEngine 15 Rescue Squad 3Ambulance 15
Collapse UnitCollapse Support Unit

Community Service Unit 3

Rescue Squad 3 Support Unit

Battalion Chief 3EMS 33[28]
16Franklin ParkTower 3Ambulance 16Communications Support UnitAssistant Fire Chief – Operations BureauDeputy Fire Chief - Operations

Deputy Fire Chief of Special Operations

Deputy Fire Chief - EMS

Battalion Fire Chief - EMS

Battalion Fire Chief - Homeland Security

6[29]
17BrooklandMedic 171[30]
18Engine 18 Truck 7Ambulance 182[31]
19Ambulance 19Ambulance 19B

Medic 19

3[32]
20Engine 20 Truck 12Ambulance 20Battalion Chief 5EMS 55[33]
21Medic 21Brush Unit5[34]
22Engine 22Truck 11Ambulance 22Ambulance 644[35]
23Ambulance 236[36]
24Engine 24 Rescue Squad 2Medic 24Mass Casualty Support Unit 1Mass Casualty Support Unit 2

Medical Ambulance Bus 1

Medical Ambulance Bus 2

Rescue Squad 2 Support Unit

Tunnel Rescue Unit (Long Duration Breathing Apparatus)

Heavy Wrecker

Fire Investigation Unit4[37]
25Medic 25Ambulance 63Mass Decon Unit 33[38]
26Truck 15Ambulance 261[39]
27Ambulance 27
Medic 27Ambulance 62
2[40]
28Engine 28 Truck 14Ambulance 285[41]
29Engine 29 Truck 5Ambulance 29Gator 25[42]
30Engine 30 Truck 17Ambulance 30
Ambulance 30B
Medic 30
2[43]
31Medic 31Ambulance 655[44]
32Engine 32 Truck 16Ambulance 323[45]
33Engine 33 Truck 8Ambulance 33
Medic 33
Mass Casualty Support Unit 3Medical Ambulance Bus 33[46]
Marine Fire and Rescue StationFire Boat 1Fire Boat 2

Fire Boat 3

Fire Boat 4

Water Rescue Support UnitSpecial Operations Battalion[47]
Training AcademyThe SchoolEngine 34

Engine 35

Engine 36

Engine 37

Truck 34Truck 35Ambulance 34Battalion Chief 8 (Emergency Mobilization)8

See also

External links

Notes and References

  1. Web site: FY 2014 Proposed Budget and Financial Plan – Fire and Emergency Medical Services Department. Office of the Chief Financial Officer. Chief Financial Officer. 26 March 2015.
  2. Web site: Apparatus. District of Columbia Fire Department. 26 March 2015.
  3. Web site: FEMS History. About FEMS. DC FEMS. 2. 2009-09-09.
  4. Web site: About FEMS. DC FEMS. 2009-09-09.
  5. Web site: FEMS History. About FEMS. DC FEMS. 1. 2009-09-09. https://web.archive.org/web/20091009021318/http://fems.dc.gov/fems/cwp/view,a,3,q,525920,femsNav_GID,1507.asp. 2009-10-09. dead.
  6. Web site: FEMS History. About FEMS. DC FEMS. 3. 2009-09-09. https://web.archive.org/web/20091009005913/http://fems.dc.gov/fems/cwp/view,a,3,q,525934,femsNav_GID,1507.asp. 2009-10-09. dead.
  7. Hsu, Spencer S. "Black D.C. Firefighters File Lawsuit." Washington Post. October 16, 2010.
  8. http://www.washingtonexaminer.com/local/D_C_-fire-running-millions-over-budget-82177247.html Neibauer, Michael. "D.C. Fire Running Millions Over Budget."
  9. https://www.washingtonpost.com/local/two-dc-ambulances-catch-fire-while-on-call/2013/08/13/40e5f68c-0427-11e3-88d6-d5795fab4637_story.html Hermann, Peter. "Two D.C. Ambulances Catch Fire While On Call." Washington Post. August 13, 2013.
  10. Web site: Audit finds D.C. fire officials failed to implement overhauls after 2006 death.
  11. Web site: Jullette Saussy Resignation Letter . 2016-02-09.
  12. News: Williams . Clarence . December 28, 2018 . "If he’d stuck with family tradition, he would have been another surgeon. But he didn’t." . May 7, 2024 . The Washington Post.
  13. Web site: Fire and EMS Locations. DC Fire & EMS. 15 June 2015.
  14. Web site: Engine House 1. DC Fire and EMS Department. 14 June 2015.
  15. Web site: Engine House 2. DC Fire and EMS Department. 14 June 2015.
  16. Web site: Engine House 3. DC Fire and EMS Department. 14 June 2015.
  17. Web site: Engine House 4. DC Fire and EMS Department. 14 June 2015.
  18. Web site: Engine House 5. DC Fire and EMS Department. 14 June 2015.
  19. Web site: Engine House 6. DC Fire and EMS Department. 14 June 2015.
  20. Web site: Engine House 7. DC Fire and EMS Department. 14 June 2015.
  21. Web site: Engine House 8. DC Fire and EMS Department. 14 June 2015.
  22. Web site: Engine House 9. DC Fire and EMS Department. 14 June 2015.
  23. Web site: Engine House 10. DC Fire and EMS Department. 14 June 2015.
  24. Web site: Engine House 11. DC Fire and EMS Department. 14 June 2015.
  25. Web site: Engine House 12. DC Fire and EMS Department. 14 June 2015.
  26. Web site: Engine House 13. DC Fire and EMS Department. 14 June 2015.
  27. Web site: Engine House 14. DC Fire and EMS Department. 14 June 2015.
  28. Web site: Engine House 15. DC Fire and EMS Department. 14 June 2015.
  29. Web site: Engine House 16. DC Fire and EMS Department. 14 June 2015.
  30. Web site: Engine House 17. DC Fire and EMS Department. 14 June 2015.
  31. Web site: Engine House 18. DC Fire and EMS Department. 14 June 2015.
  32. Web site: Engine House 19. DC Fire and EMS Department. 14 June 2015.
  33. Web site: Engine House 20. DC Fire and EMS Department. 14 June 2015.
  34. Web site: Engine House 21. DC Fire and EMS Department. 14 June 2015.
  35. Web site: Engine House 22. DC Fire and EMS Department. 14 June 2015.
  36. Web site: Engine House 23. DC Fire and EMS Department. 14 June 2015.
  37. Web site: Engine House 24. DC Fire and EMS Department. 14 June 2015.
  38. Web site: Engine House 25. DC Fire and EMS Department. 14 June 2015.
  39. Web site: Engine House 26. DC Fire and EMS Department. 14 June 2015.
  40. Web site: Engine House 27. DC Fire and EMS Department. 14 June 2015.
  41. Web site: Engine House 28. DC Fire and EMS Department. 14 June 2015.
  42. Web site: Engine House 29. DC Fire and EMS Department. 14 June 2015.
  43. Web site: Engine House 30. DC Fire and EMS Department. 14 June 2015.
  44. Web site: Engine House 31. DC Fire and EMS Department. 14 June 2015.
  45. Web site: Engine House 32. DC Fire and EMS Department. 14 June 2015.
  46. Web site: Engine House 33. DC Fire and EMS Department. 14 June 2015.
  47. Web site: Fire Boat . DC Fire and EMS Department. 14 June 2015.