►
Description
No description was provided for this meeting.
If this is YOUR meeting, an easy way to fix this is to add a description to your video, wherever mtngs.io found it (probably YouTube).
A
A
B
Good
evening,
everyone
hi
welcome
to
our
final
presentation
for
the
civic
leadership
academy.
I
just
wanted
to
thank
you
all
so
much
for
sticking
it
out
with
us.
I
know
that
it's
not
easy
to
sit
on
zoom
for
two
and
a
half
two
and
a
half
extra
hours
every
evening
in
addition
to
what
you're
probably
likely
doing
a
lot
of
already.
B
So
this
is
our
last
presentation
before
we
celebrate
and
reflect
next
week,
please
feel
free
to
invite
friends
or
fam
friends
or
family
to
the
celebration
next
week,
it'll
be
pretty
casual.
We're
going
to
do
a
small
reflection
activity
and
we
have
a
guest
speaker
who
will
hopefully
send
us
all
out
into
the
world
to
be
inspired
by
our
time
here.
So
I
think
it'll
just
be
fun,
fairly
short
kind
of
ending
to
our
time
together
and
before
next
wednesday,
which
is
february
17th.
B
So
before
our
celebration,
it
would
mean
the
world
to
me
if
everybody
could
take
a
few
minutes,
probably
around
15
minutes,
to
fill
out.
The
survey
that
I
posted
on
engage
pgh,
it's
in
the
celebration
and
reflection
tab
and
it's
an
exit
survey,
I'm
just
looking
for
feedback
about
how
this
experience
was
for
you.
B
Obviously
this
is
the
first
time
that
we've
ever
done
civic
leadership
academy
virtually.
So
I'm
looking
for
a
lot
of
feedback
about
that.
It's
definitely
been
a
learning
experience,
so
any
suggestions,
improvements,
feedback,
you
know
they'll
just
know
that
they
will
be
used
and
listened
to,
and
I'm
really
looking
forward
to
what
you
all
have
to
say
there.
B
So,
in
regard
to
the
engage
in
regard
to
the
engage
pgh
page,
that
will
stay
online
after
the
civic
leadership
academy
is
over.
So
if
you
ever
are
having
a
conversation
with
someone
and
you're
like
oh,
I
think
city
planning
told
me
about
that.
You
can
feel
free
to
log
back
in
check
out
the
powerpoint
check
out
the
links
that
are
provided
there.
B
B
In
addition,
I
do
encourage
everyone
to
continue
using
engage
pgh
after
the
civic
leadership
academy
that
is
kind
of
it's
a
new,
it's
a
very
new
platform
for
the
city,
but
it's
meant
to
be
kind
of
the
one
stop
shop
for
online
engagement.
That's
on
informing
decision
making
policy,
making
all
kinds
of
feedback
on
projects
and
stuff
like
that
citywide.
B
B
As
we
know,
these
sessions
have
been
recorded
and
we've
had
a
representative
from
our
city
channel
pittsburgh
with
us
for
every
single
class.
His
name
is
alex.
He
doesn't
show
his
face,
but
he's
been
doing
a
lot
of
work
for
us
recording
every
session,
editing
it
and
posting
it
on
our
city
channel
youtube.
B
B
B
Okay,
I
don't
see
any
cool.
All
right
great
well,
obviously
feel
free
to
reach
out
to
me.
If
you're
having
trouble
logging
in
to
engage
pgh,
no
judgment
zone,
I'm
not
going
to
be
mad.
If
you
haven't
been
able
to
do
it,
I
just
want
to
make
sure
that
people
are
able
to
access
that
information
and
take
the
survey.
B
C
Thank
you
good
evening,
so
I
want
to
thank
everyone
for
being
here.
It's
the
new
world,
it's
hard
to
believe
we're
almost
a
year
into
this,
but
thank
for
all
you
going
through
this
program,
virtually
I'm
not
the
biggest
fan
of
doing
virtual
stuff,
but
after
a
year
of
it,
I'm
pretty
much
used
to
it
now.
So
this
will
be
a
little
bit
scaled
down
that
we
would
do
for
the
in
person
program.
C
We
would
have
a
shorter
lecture
than
I'm
going
to
do
tonight
and
then
we'd
make
everyone
do
some
compression
only
cpr,
and
then
we
had
some
vehicles
down
and
let
you
get
some
hands
on
and
see
some
of
our
vehicles.
So
unfortunately,
we
can't
really
do
that
tonight.
I'm
gonna
go
through
a
a
lecture,
just
give
an
overview,
our
system
and
some
of
the
stuff
we're
doing
right
now
and
then,
at
the
end,
we'll
have
some
q
a.
C
They're
all
currently
shut
down,
we're
still
kind
of
locked
down
what
we
call
an
accident
protection
package
and
we're
not
doing
any
live
community
or
public
health
events,
but
hopefully,
by
summer
time
we
can
get
out
and
start
doing,
cpr
training
again
and
some
other
public
health
programs
we'll
talk
about
tonight,
so
we'll
send
the
information
out
and
let
you
be
able
to
take
a
look
at
it.
So
let
me
see
if
I
can
get
my
screen
up
here.
This
is
all
new.
This
is
a
new
world
here.
C
C
C
For
the
last
year
so,
but
we'll
go
into
this-
is
our
mission
statement,
but
really
we're
here
to
really
just
take
really
good
care
of
people.
We
have
an
international
reputation
as
one
of
the
leading
ems
systems
in
the
united
states
and
across
the
world,
and
we
get
a
lot
of
interest
nationally
and
internationally
a
lot
of
the
research
and
other
things
that
we're
doing.
C
I
apologize
you.
Some
of
these
slides
are
a
little
bit
low
when
we
got
hit
pretty
hard
by
that
third
wave
of
the
pandemic
starting
in
november.
That's
normally
when
we
correlate
our
yearly
quality
improvement
that
and
obviously
had
no
chance
to
do
that
for
the
last
two
and
a
half
months
or
so
so
the
some
of
these
slides
will
be
able
to
date.
It
I
apologize
to
you,
but
we
just
recently
started
trying
to
recover
that
data
and
update
all
our
information.
C
So
if
there's
some
older,
this
isn't
a
2020
summary
updates.
I
apologize,
but
this
is
what
we
got
at
the
moment,
but
our
budget's
about
21
million
dollars
per
year
and
we'll
recover
about
two-thirds
of
that
through
billing
health
insurance.
So
we
take
someone
to
the
hospital,
we
gather
their
insurance
information
and
we'll
do
we'll.
We
do.
Third-Party
billing
will
bill
the
health
insurance
for
whatever
part
of
the
the
trip
they'll
cover.
If
you're
a
city
resident,
then
that's
all
you
have
to
do.
C
C
At
the
moment
we
just
had
a
retirement.
My
original
crew
chief,
when
I
was
new
in
1990,
just
retired
after
nearly
40
years
on
the
job,
I
always
have
24
emergency
medical
technicians.
Those
are
providers
that
provide
a
lower
level
of
care
than
a
paramedic.
They
provide
what's
called
basic
life
support,
so
they
will
provide
cpr
bleeding
control,
splinting
kind
of
basic
care
paramedics
provide
a
more
advanced
level
of
care.
C
C
We
staff,
13
paramedic
units
or
advanced
life
support
units
to
provide
the
level
of
care.
I
just
told
you
about
they're
each
staffed
with
two
paramedics
per
ambulance,
and
then
we
also
staff
three
basic
life
support
ambulances
with
the
emts
we're
a
fairly
high
volume
system,
and
I
apologize.
These
slides
are
a
little
bit
dated,
hopefully
for
the
spring
class
I'll
have
a
chance
to
update
them,
but.
E
C
Generally,
run
about
60
to
65
000
total
911
calls
per
year,
and
out
of
that
number
will
transport
about
65
to
75
percent
of
the
people.
So
a
lot
of
those
calls
or
just
calls
random
people
calling
on
cell
phones.
You
get
there
and
there's
nothing
there.
We
go
a
lot
of
accidents
or
incidents
with
no
injuries.
C
C
That's
our
busiest
unit
and
the
units
that
are
busy
are
units
that
are
in
more
densely
populated
parts
of
the
city
or
medic
14's
case
we're
very
densely
populated
during
daylight
hours
and
week.
Weekdays
and
then
weekends,
not
so
much,
but
there
are
some
variants
in
how
busy
some
of
the
units
are,
but
this
is
leveling
out
now
that
all
the
units
are
in
24
7..
C
C
We
also
were
kind
of
unique
in
as
far
as
ems
systems
that
we
incorporate
rescue
as
part
of
the
ems
bureau.
So
we
do
that
primarily
with
the
rescue
division
and
the
the
lead
units
of
that
we
have
two
als
heavy
rescue
units
they're
staffed
with
paramedics.
They
have
capability
to
do
we'll
get
more
into
a
little
bit
later,
but
they
can
do
all
the
advanced
technical
rescue
in
the
city,
so
they
can
cut
people
out
of
cars.
C
C
You
see
the
boathouse
outside
of
pnc
park
and
actually
the
quarters
for
riveresque
are
actually
inside
pmc
park
kind
of
down
from
where
the
bullpens
are,
and
so
we
have
two
paramedic
master
divers
down
there
with
one
police
officer,
and
I
think
the
police
just
recently
increased
their
staffing
on
this
to
two
officers
and
we'll
talk
more
about
what
they
do
a
little
bit
later
on,
and
then
we
staff
other
teams
as
needed.
We
get
in
spring
and
summer
and
they're
calling
for
flash
flooding.
C
Heavy
rains
will
staff
flood
response,
that's
a
general
joint
public
safety
operation
with
police
and
fire.
We
have
a
tactical
ems
team
that
supports
pittsburgh
swat
operations,
a
lot
of
other
people
now
and
then
our
highly
infectious
disease
unit
was
a
a
team.
We
only
kind
of
used
for
federal
exercises,
but
that
unit
has
been
our
primary
unit
for
the
past
11
months
or
so.
C
C
Obviously
we
see
a
lot
of
drug
overdoses
and
people
intoxicated
either
on
alcohol,
or
we
see
what
we
call
polypharmacy
where
people
are
under
the
influence
of
multiple
drugs
and
alcohol.
Together
we
see
a
lot
of
people.
Chest
pain,
there's
a
lot
of
people
with
chronic
respiratory
disease
in
the
city
in
the
older
population.
It
goes
back
to
the
steel
mill
days.
We
see
a
lot
of
people
emphysema
from
that
and
more
recently
we
still
see
a
lot
of
people
with
asthma
or
heart
failure
and
that
kind
of
stuff.
C
So
just
kind
of
show
what
we're
doing
for
kind
of
the
last
year.
The
pandemic
operation
has
really
dominated
everything
we've
done
for
about
the
last
11
months.
This
is
just
a
little
graph,
showing
our
weekly
case
incidents
and
we're
coming
out
of
this
third
wave.
Finally,
rather
nicely
so
we
had
a
nice
law.
C
This
is
kind
of
the
end
of
the
second
wave
they
hit
back
in
the
beginning
of
july.
We
tailed
out
of
that,
and
then
we
got
in
the
fall
and
things
were
pretty
good
and
were
pretty
excited.
We
had
one
week,
we
didn't
see
any
covent
patients
and
then
this
exploded
in
november
and
we
got
hit
pretty
hard
for
a
while
and
now
we're
just
tailing
out
of
this.
Finally,
so
we're
doing
better.
This
is
the
third
wave
we've
seen
our.
C
So
these
cases
are
hospital,
confirmed
cases
that
we've
transported,
so
we
get
reports
daily
from
the
hospitals.
If
we
brought
covet
positive
patients
in,
we
risk
assess
all
those
and
we
feed
them
back
to
the
crews
to
make
sure
they
wore
proper
ppe
and
they
didn't
do
any
high-risk
procedures
such
as
airway
management
and
stuff.
Like
that,
and
so
far
we've
done
very
well.
C
F
C
C
The
other
cases
we've
seen
are
more
community
acquired
cases.
They
got
them
in
the
community
from
a
family,
member
or
someplace
else.
So
we've
done
very
well
with
this.
We
have
to
keep
doing
well.
We
anticipate
having
a
little
wall
again
for
about
four
to
six
weeks,
but
I
was
on
a
couple
of
conference
calls
with
the
health
department.
Some
other
people
today
and
our
concern
is
the
pace
of
vaccination,
is
so
slow
at
the
moment.
We're
going
to
lose
this
opportunity.
C
We
have
right
now
and
probably
potentially
see
a
fourth
wave
come
april,
so
we're
going
to
try
to
reload
and
deal
with
that,
but
we've
done
very
well
so
far
with
this
our
lead
unit.
For
this
we
took
our
infectious
disease
team
and
we
broke
it
up
and
I'll
talk
more
about
this.
Later
too,
that
was
a
specialty
team
and
it
was
developed
in
2014
at
the
request
of
the
state
during
the
ebola
scare
and
it's
a
state-funded
team.
C
So,
in
the
city,
the
tertiary
hospitals
for
infectious
disease
were
presby
and
agh,
and
we
also
had
a
contingency
to
go
down
to
the
fema
region,
three
hospital,
which
was
john
hopkins
down
in
baltimore,
so
the
epidemic
hit.
We
broke
this
team
up
more
for
local
defense
and
to
support
all
our
units
in
the
field.
It's
been
very
effective
and
we'll
get
into
a
bit
later
on
how
this
has
worked.
C
C
We
do
a
lot
of
testing
out
in
the
community
for
high
risk
of
vulnerable
populations
or
for
people
that
we
don't
want
to
leave
their
houses
and
potentially
affect
other
people.
We
actually
just
did
a
mission
in
another
part
of
the
county
today,
and
I
think
we
test
identified
the
first
case
of
the
new
variant
locally,
which
isn't
really
a
big
deal
in
my
mind.
I
think
the
media
over
hypes
that
we're
not
really
more
concerned
about
that
variant
than
we're
about
anything
else.
C
There's
actually
some
pictures
of
our
team
doing
a
mass
testing
mission
down
at
the
light
of
life
mission
on
the
north
side,
so
they
you
know,
had
an
outbreak
there.
Obviously
we
don't
want
those
people
out
and
about
so
we
went
there
tested
them
and
the
other
thing
we
do
in
conjunctions
with
department
of
human
services
when
we
get
high-risk,
vulnerable
people
such
as
homeless
people,
people
with
mental
health
issues
etc,
and
they
have
no
place
to
go.
C
We
don't
want
them
to
be
on
the
streets
positive,
so
we
watch
another
team
transport,
positive
patients
to
a
safe
haven
facility
outside
the
city,
where
they
can
be
safely
isolated
and
quarantined
get
into
some
of
our
clinical
metrics
and
one
of
the
ones
nationally.
We're
kind
of
proud
of
is
our
cardiac
arrest
response.
C
So
look
at
this
grass
that
shows
kind
of
our
outcome,
so
we
every
time
we
have
a
cardiac
arrest.
We
enter
it
into
a
right,
a
cdc
registry.
It's
called
cares
that
stands
for
cardiac
arrest
registry
to
enhance
survival
and
it's
kind
of
a
pain
entering
all
these
cases
into
it.
But
the
nice
thing
is
we
get
benchmarking
and
data
on
how
we're
doing
compared
to
the
region
and
the
county.
So
the
blue
bar
is
what
we
did
this
red
one
is
what
we
call
the
ems
west
region.
C
C
Ross
means
we
delivered
a
patient
who
is
in
cardiac
arrest
to
the
emergency
department
alive.
They
had
a
pulse
of
blood
pressure.
This
is
a
actually
survived,
the
ed
course
and
were
admitted
to
the
hospital
they
survived
to
be
discharged
from
the
hospital
and,
most
importantly,
survived
with
good
neurologic
functions
means
they
were
neurologically
intact.
They
could
go
back
home,
they
could
live
on
their
own
or
with
minimal
assistance.
So
you
see
in
our
system
we
outperform
western
pennsylvania,
the
state
and
the
national
metrics.
C
C
If
someone
sees
someone
having
an
emergency
and
calls
9-1-1
right
away,
we're
pretty
efficient
about
getting
their
heart
started
and
getting
him
into
the
hospital,
and
then
it
comes
down
to
how
the
brain
does
and
there's
a
lot
of
critical
care
things.
We
do
in
the
field
with
someone
who
gets
a
pulse
back
and
then
we
actually
are
kind
of
lucky.
C
So
if
we
can
get
these
patients
to
them,
there's
a
really
good
probability
of
surviving
with
good
outcome.
But
the
first
thing
is
happening.
We
need
someone
to
kind
of
witness
or
realize
there's
a
problem
and
call
911
right
away,
and
then
I'm
going
to
jump
ahead
and
the
other
important
thing
is.
We
need
people
to
do
cpr,
so
the
effect
will
receive
bystander.
Cpr
from
this
data
is,
it
makes
a
little
bit
of
difference
as
far
as
getting
people
into
the
hospital
alive
you
see.
C
The
other
thing
that
has
effective
the
patients,
what
we
call
initial,
what
we
call
shockable
rhythm,
so
we
see
ventricular,
fibrillation
or
particular
tachycardia.
That's
usually
related
to
someone.
You
know
having
a
witness,
cardiac
arrest
and
they
haven't
been
in
cardiac
arrest
for
so
long
and
usually
there's
not
a
whole
lot
of
structural
issue
with
the
heart
a
lot
of
time.
With
these
rhythms
it
could
be
just
an
electrical
problem
and
if
we
convert
that
with
electric
shock,
there's
pretty
good
survival.
So
you
can
see
here
there
are
people
in
shock,
it
rule
rhythms.
C
They
do
really
well
and
again.
Here
we
outperform
some
of
the
other
national
metrics
and
you
look
at
the
survival
here
for
shockable
rhythms
about
a
third
of
the
people.
We
see
have
a
shock.
More
of
them
will
survive
the
discharge
with
good
neurologic
function,
and
this
is
also
something
the
public
can
impact
with
aed
automatic
defibrillator
availability
in
public
buildings.
C
Our
cpr
rates
aren't
bad.
We
would
like
them
to
be
a
lot
better,
so
our
overalls
close
to
50,
but
that
includes
cpr,
that's
done
by
staff
in
a
nursing,
home
or
doctor's
office,
or
something
like
that
out
in
public
locations.
We're
around
40.
That's
not
bad
nationally
that
stacks
up
pretty
well,
but
we
would
like
that
number
to
be
a
lot
higher
and
our
ultimate
goal
would
be
80
of
the
time
we
get
some
cpr
done
before
we
get
on
scene.
C
So
I
will
send
that
information.
We
are
not
currently
running.
Those
courses,
like
I
said,
we're
locked
down,
but
when
the
world
gets
a
little
better,
hopefully
by
summer
we
want
to
get
those
courses
starting
again
and
his
last
thing
on
survival.
This
is
the
oldstein
survival.
So
this
is
like
the
best
case
scenario.
C
So
this
is
someone
had
a
witness
collapse,
got
some
bystander
assistance
and
was
in
a
shockable
rhythm.
So
you
see
we
get
like
70
percent
of
these
people
into
the
hospital
alive
and
survival
tails
off
we're
very
good
at
getting
the
heart
to
start.
The
problem
we
haven't
solved
is
how
to
protect
the
brain
post,
cardiac
arrest.
The
brain
through
goes
where
we
call
reperfusion
injury
and
the
brain
will
just
swell,
and
then
the
person
will
die
so
a
lot
of
research.
Looking
at
interventions.
C
C
One
other
thing
we
do
for
cardiac
arrest
is
a
research
protocol
and
had
to
be
terminated
when
the
when
the
pandemic
started.
Is
we
do
emergency
ecmo
for
selected
cardiac
arrest
patients?
So
ecmo
is
basically
it's
called
external
corporal
membrane,
oxygenation,
basically
you're
putting
the
person
on
a
form
of
cardiac
bypass,
and
if
you
do
that
for
someone
in
cardiac
arrest,
basically,
you
stop
the
clocks,
you
don't
have
to
do
cpr
anymore,
the
brain
and
heart
are
being
perfused
and
it's
got
gives
you
some
time
to
fix
the
problem.
C
There's
a
theory
of
some
of
these
younger
people
that
collapse
and
sudden
cardiac
arrest.
We
can't
resuscitate
them.
They
have
a
large
blood
clot
in
one
of
their
coronary
arteries,
and
we
can
do
cpr
all
day.
We
can
give
drugs
all
day.
We
can
do
defibrillations
all
day,
we're
not
going
to
fix
that
problem.
So,
with
this
program,
the
goal
is
we
identify
early
on
this
person
might
be
a
candidate.
So
this
needs
to
be
someone
who
had
that
witness
cardiac
arrest
got
bystander,
cpr
and
they're
in
a
viable
cardiac
rhythm.
C
Then
we
do
a
quick
assessment,
make
sure
they
don't
have
any
end
stage
disease
that
would
preclude
doing
this
and
then
we'll
consult
talk
to
the
doctors
at
presby
and
if
we
get
a
go,
our
goal
is
to
be
off
the
scene
in
10
minutes
be
at
the
emergency
department
within
30.
They
put
them
on
the
bypass
and
now
you've
got
time.
Now
the
clock
starts.
They
can
take
them
to
the
cardiac
catheterization
lab.
They
can
start
cooling
them
down.
C
Gives
you
potential
to
resuscitate
some
people,
so
we
did
have
one
good
outcome
with
this.
This
was
about
a
year
ago,
as
a
53
year
old
male
he's
in
squirrel
hill.
He
collapsed
on
the
street.
He
got
some
bystander.
Cpr
fire
department
runs
first
responder
calls
for
us.
They
got
there
continued
cpr
and
shocked
him
with
a
defibrillator.
C
Medic
unit
got
there.
He
was
still
in
a
shockable
rhythm.
We
do
all
things.
We
normally
do
high
performance,
cpr,
defibrillation,
vascular
access,
cardiac
drugs
and
advanced
airway,
and
this
gentleman
was
actually
getting
good
enough
cpr.
He
was
breathing
during
cpr,
but
he's
still
cardiac
arrest,
and
this
entitled
co2
number
is
pretty
good.
That
means
he
has
good
profusion,
so
they
identified
him
as
an
ecmo's
candidate.
They
put
a
lucas
device
on
them.
C
So
that's
like
kind
of
a
mechanical
cpr
device,
and
normally
we
don't
move
people
while
they're
in
cardiac
arrest,
but
once
you
do
that
your
quality
of
cpr
decreases,
but
in
these
situations
we
need
to
move
rapidly.
So
we
put
them
on
the
lucas
device.
They
get
off
the
scene
in
20
minutes
or
at
the
ed
in
28
minutes,
and
this
guy
actually
was
a
little
bit
awake
with
cpr.
So
they
gave
him
a
sedative.
C
They
put
them
on
bypass.
They
had
a
little
complicated
place.
Placement
taurus,
femoral
artery.
It's
not
the
end
of
the
world
went
to
the
cath
lab,
had
a
big
occlusion
on
one
of
the
main
arteries
in
the
heart.
Once
they
opened
that
up
his
heart
started.
Beating
again
they
fixed
his
femoral
artery
and
I'm
missing
a
slot
here,
but
others.
C
So
he
woke
up
the
next
morning,
came
off
the
life
support,
came
off
the
ventilator
and
died
day
six
out
of
icu
day
nine
and
went
home
about
two
weeks
after
that.
So
without
this
program
that's
a
guy
probably
would
have
failed
to
resuscitate
and
he
would
have
died.
So
it's
a
very
small
subset
of
patients
that
qualify
for
that
intervention,
but
it's
definitely
something
we
were
working
with.
C
We
had
to
terminate
it
when
the
study
started
because
they're
using
all
the
ecmo
devices
for
covet
19
pneumonia
patients
now
so
when
we
get
out
of
that,
we
will
keep
working
on
this
and
we
were
close
to
bringing
allegheny
general
on
board
into
this.
So,
like
I
said,
when
medicine
kind
of
gets
back
to
normal
we're
going
to
hit
this
program
again.
C
So
that's
a
lot
of
cardiac
arrest,
but
it's
kind
of
a
cool
program
we're
happy
about.
We
have
a
lot
of
what
we
call
core
critical
program
core,
I'm
sorry
core
clinical
programs,
where
we
really
try
to
provide
really
regimented,
really
good
care
to
patients
to
improve
outcomes.
Easy
stroke
highlighted
here
that's
one
of
our
big
programs
for
2021
we're
rebooting
and
I
actually
was
just
generating
our
first
quality
improvement
port
for
stroke,
get
off
that
slide.
C
So
for
our
critical
care
programs,
we
roll
stuff
into
bundles,
and
they
do
this
in
hospital,
it's
kind
of
new
to
do
it
out
of
hospital.
We
look
at
hey,
what's
the
stuff
that
has
to
happen
for
every
one
of
these
patients
and
what's
a
time
standard,
we
want
it
done
in.
So
this
is
what
we
call
stemi
stemi
is
a
basically
a
heart
attack.
It's
a
it's!
A
type
of
it's
called
an
st
elevation
mi
and
that's
a
patient.
C
You
take
to
the
cardiac
catheterization
lab
and
you
open
the
vessel
up
and
then
you
reperfuse,
the
heart
and
life
is
pretty
good
at
that
point.
So
we
look
at
core
things
that
have
to
happen
for
those
patients
and
we
order
them
in
order
a
priority.
In
order
of
time,
we
set
goals
for
how
long
we
need
to
be
on
the
scene
for
what
time
we
need
to
be
in
the
hospital,
and
we
wanted
stuff
like
that.
C
It
really
gives
us
a
way
to
improve
our
outcomes,
so
we
set
time
standards
and
our
goal
for
someone
is
having
a
heart
attack
from
the
time
we
arrive
on
scene
to
the
time
you're
up
in
the
cardiac
catheterization
lab
at
the
hospital
and
that
vessel's
been
reopened,
that's
less
than
90
minutes.
So
there's
a
lot
of
stuff
that
has
to
happen
right
to
accomplish
that.
C
We
want
to
be
on
scene,
no
more
20
than
20
minutes
want
to
be
at
the
emergency
department
in
30..
We
push
them
up
to
the
cath
lab
at
that
point
and
it
gives
them
60
minutes
to
open
the
vessel
up.
So
there's
a
lot
of
stuff.
That
goes
right,
but
generally
we
accomplish
that
in
about
70
80
minutes.
Most
of
the
time,
and
the
sooner
you
open
that
vessel-
that's
more
heart
muscle,
that's
saved
and
now
we're
seeing
what
we
call
this
year
of
reperfusion,
the
sooner
you
do
it.
C
C
We
for
the
last
three
years
have
been
recognized
because
of
this
as
a
mission
lifeline
gold
plus
service
by
the
american
heart
association.
So
basically
it
means
we're
meeting
that
standard.
As
far
as
quarterly
the
standard
is,
you
have
to
get
75
percent
of
your
your
stemi
patients
through
the
hospital
in
less
than
90
minutes.
We
mean
then
there's
multiple
other
metrics
you
have
to
meet
for
that,
so
we
need
all
those
metrics
and
some
additional
ones.
C
C
We
also
do
a
lot
of
basic
clinical
programs,
so
we
notice
the
problems
with
what
we
call
crashing
patients
where
we'd
arrive
on
scene
and
then
the
patient
subsequently
suffers
a
cardiac
arrest
at
some
point
after
we
get
there.
Sometimes
it's
primarily
because
of
cardiac.
I
mean
a
heart
attack
other
times
it's
because
of
respiratory
failure
because
of
shock.
C
So
basically,
we
just
did
targeted
therapies
based
on
addressing
kind
of
abc
issues,
as
we
call
them
airway,
breathing
and
respiratory
problems
and
treating
shock,
and
we
saw
we
did
that
this
green
number
is
the
national
figure
for
these
kind
of
crashing
patients,
and
the
red
and
blues
are
what
happened
in
our
system.
We
really
dramatically
over
about
three
or
four
years
knocked
the
incident
of
that
down.
C
So
as
a
result,
the
state
of
pennsylvania
has
statewide
ems
protocols
and
they
took
our
protocol
and
they
adapted,
and
it's
now
a
statewide
protocol.
So
we
try
to
really
be
cutting
edge
and
drive
the
care
regionally
and
nationally-
and
this
is
just
one
example
how
we
were
able
to
do
that.
So
it's
now
a
statewide
protocol,
that's
helping
people
across
the
state.
I
know
there's
some
other
states.
C
We
want
to
get
people
identified
and
get
a
ct
scan
at
the
hospital
very
quickly
and
then,
if
they
have
a
blood
clot
in
the
brain,
they
go
up
to
an
interventional
suite
and
they
can
either
give
clot
busting
drugs
or
put
a
catheter
in
the
brain
or
relieve
that
clot
there's
a
lot
of
stuff
that
has
go
right.
We
have
to
do
all
of
our
stroke.
C
Screenings
check
the
blood
glucose
and
initiate
a
stroke,
we'll
learn
in
less
than
10
minutes
once
again
off
the
the
scene
less
than
20
to
the
hospital
in
30..
That
gives
the
hospital
20
minutes
to
get
a
ct
scan
done.
The
goal
once
again
is
once
we
arrive
on
scene
they're
in
the
ct
scanner
less
than
50
minutes
after
the
time
and
then
once
they
scan
the
brain.
C
The
neurologist
can
make
a
decision
of
what's
going
on
if
it's
someone
that
would
qualify
for
qualify
for
an
intervention
or
not
so
it's
kind
of
like
our
time
metrics-
and
this
is
early
in
this
program.
This
is
this-
was
low
before
the
pandemic
really
hit.
But
you
know
we
look
at
10
minutes,
20
30
get
them.
Scanner
goal
is
first
medical
contact,
the
ct
less
than
50
and
then
typically
within
the
next
30
to
40
minutes,
they'll
start
a
reperfusion
intervention.
So
the.
E
C
We
can
get
the
brain
reperfused,
the
sooner
the
person
can
have
a
good
outcome
and
we
get
a
fairly
good
percentage
of
our
patients
treated.
So
if
you
don't
do
everything
right
and
things
take
too
long,
they
may
not
treat
them
because
the
brain
injury
becomes
reversible.
But
we
kind
of
look
at
these
pieces.
What
we
call
high
modified
race
score.
C
So
those
units
will
day
to
day
a
lot
of
their
business,
is
going
out
and
assisting
other
units
in
the
field
on
medical
backup
calls.
So
if
they
have
like
a
cardiac
arrest
or
real
sick
patients,
they'll
do
this
medical
backup
and
then
kind
of
core
things
to
you
from
vehicle
rescue
is
a
vehicle
extrication
kind
of
people
on
cars.
We've
noticed
during
the
pandemic.
Everyone
drives
like
bats
out
of
hell
out
there.
We
have
a
lot
of
really
bad
wrecks
anymore.
C
They
do
high
low
angle,
rope
rescue,
so
we've
got
a
lot
of
people
trying
to
climb
down
mount
washington
and
go
over
other
various
hillsides
will
fall
or
get
stuck.
They
have
to
go
get
them.
They
can
do
structural
collapse,
they
assist
with
water
rescue
trench
rescue
confined
space
and
elevator
rescues,
so
they
do
about
750
responses
per
year.
C
River
rescue,
like
I
told
you
before,
staffed
by
two
paramedic
master
divers
and
now
two
police
officers
and
basically
they're
responsible
on
the
rivers
and
waterways,
doing
surface
and
subsurface
rescues
of
persons.
So
a
lot
of
businesses
rescuing
people
on
the
surface,
but
if
a
person
drowns
becomes
submerged
they'll,
do
a
rescue
drive,
try
to
recover
the
person
in
less
than
an
hour,
and
if
we
can
do
that,
we'll
attempt
to
resuscitate
them.
C
The
boats
are
licensed
as
advanced
life.
Support
squads,
so
they'll
attend
to
any
medical
emergencies
on
the
water.
So
if
someone
gets
ill
on
a
boat
on
the
gateway
clipper
fleet,
if
there's
an
incident
on
the
shore
somewhere,
these
boats
can
go
and
initiate
care,
so
they
can
hand
off
to
a
field
medic
unit.
C
They
all
went
through
a
competitive,
advanced
swat
course
and
a
tactical
medical
course
to
qualify,
and
then
we
do
an
additional
16
hours
of
continuing
education
a
month,
although
we
haven't
been
doing
that
for
the
last
few
months,
obviously,
and
they
provide
medical
support
to
pittsburgh
swat
on
swat
call-outs,
we
run
about
150
incidents
a
year
with
pittsburgh
swat.
So
this
is
a
very
busy
team.
C
Everything
from
high
risk
search
warrants
to
barricaded
subjects,
hostage,
rescue
anything
else
that
goes
on
and
also
we're
involved
in
active
shooter
response,
this
team's
getting
busier
and
busier.
In
addition
to
swat
supporting
pittsburgh
swat,
we
now
support
allegheny
county
swat,
the
local
fbi
field
office
and
their
tactical
team,
and
then
u.s
marshals,
support
now
too
so
we're.
F
C
C
C
We
are
one
of
the
lead
agencies
in
this
program.
We
did
most
of
the
exercises
and
we
helped
to
develop
our
regional
training
programs
as
part
of
this,
so
that
won't
work
pretty
well
when
the
pandemic
was
getting
ready
to
start.
In
march,
we
broke
this
team
up
and
re-tasked
it,
and
this
team's
been
invaluable
in
getting
us
through
the
kind
of
early
days
of
this,
where
everyone
was
scared
to
death
and
things
were
pretty
dark
and
now
that's
the
pandemic.
C
Operation
is
just
a
day-to-day
thing
for
us,
so
some
of
the
re-taskings
we
did
contain
and
mitigate-
and,
like
I
mentioned
before,
we
do
that
with
the
health
department
in
dhs,
we
do
test
sample
collection,
we
move
vulnerable
populations
off
the
streets
or
out
of
congregate,
living
to
the
safe
haven
location,
and
we
also
started
a
public
safety
testing
program.
So
if
we
had
public
safety
providers
potentially
exposed
or
ill,
we
had
people
do
our
own
test
collection
and
we
can
roll
them
in
or
roll
them
out
quicker.
C
E
C
Our
losses
have
been
very
low
through
the
pandemic.
We
also
threw
them
out
there
to
support
units
in
the
field,
so
they
would
go
out
meet
up
with
fields.
Do
training
on
proper
personal
protective
equipment
to
use
they
would
enforce
proper
uses
on
uses
on
calls.
In
the
early
days
of
this,
they
went
out
and
did
the
high-risk
airway
stuff,
so
they
would
place
endotracheal
tubes
put
people
on
cpap
or
ventilators.
C
Do
the
high
risk
stuff?
Now
we've
built
the
operational
doctor
doctor
and
pretty
much
everyone's
comfortable
doing
that
so
they're
not
doing
that
really
as
much
anymore,
they
will
supervise
doffing
of
ppe
and
make
sure
it's
done
on
the
right
way.
They
assist
with
decontamination
and
resupply
of
units
in
the
field.
So
this
really
kept
our
units
safe.
They
kept
them
feeling
confident
out
there
and
assisted
with
decon
and
turning
units
around
pretty
quickly,
so
those
units
really
have
been
worth
their
weight
in
gold
for
the
last
10
months.
C
F
E
C
C
We
have
people
on
federal
disaster,
medical
assistant
teams
and
we
also
have
a
motorcycle
unit
so
motorcycle
unit.
We
have
18
paramedics
that
have
completed
the
motorcycle
course.
They
complete
the
80
hour
police
motorcycle
training
and
they
have
to
do
48
hours
of
recertification
training
every
year
and
then
the
motorcycles
are
licensed.
Als
squad.
C
They've
got
all
the
basic
advanced
life
support
resuscitation
equipment.
We
need-
and
you
see
these
a
lot
at
bigger
events
that
it's
hard
to
get
vehicles
around
at
so
where
we
deploy
these
steeler
games
pick
games
around
the
stadiums
just
because
it's
hard
with
the
crowds
to
get
in
and
out
of
parking
lots
or
locations
and
motorcycles
get
in
those
locations
pretty
efficiently
on
the
marathon.
The
great
race
and
other
big
races
will
have
them
large
concerts
back
in
the
days.
We
would
have
those
so.
E
C
C
C
C
All
these
specialty
teams
eat
up
training
hours,
so
we
make
sure
we're
running
training
for
them,
and
then
we
also
launch
quality
improvement
teams
out
on
the
field.
So
for
some
specific
resuscitation
problem,
we
want
to
work
on
we'll,
send
a
couple
trainers
out
the
field
they
catch
units
on
duty
and
do
some
quick
training
with
them
for
quality
improvements
purposes.
C
We
do
a
lot
of
community
outreach
and
we're
always
happy
to
come
out
and
do
education
in
the
public,
and
this
is
all
for
free,
so,
like
I
mentioned
before,
we'll
come
out
and
do
community
cpr
and
aed
training.
Those
typically
are
not
certification
courses,
but
it
teaches
you
how
to
do
chest
compression
only
cpr
how
to
use
a
defibrillator.
C
We
do
blood
pressure
and
glucose
screenings
and
we
have
a
car
seat
safety
program-
that's
not
running
at
the
moment,
because
the
the
pandemic,
but
in
normal
times,
usually
on
mondays
down
in
our
training
division.
People
come
down
we'll
make
sure
your
car
seats
are
installed
properly
and
do
safety
checks
on
that.
So
it's
a
pretty
popular
program.
C
Another
thing
we
do
keeps
us
busy
is:
we
cover
all
the
special
events
in
the
city,
so
we
cover
all
the
professional
sports
venues,
so
pirate
games
steeler
games
hockey
all
the
college
sports,
all
the
high
school
sports,
public
events,
carnivals
festivals,
the
art
festival,
conferences,
there's
a
huge
range
of
stuff.
We
cover,
so
we
cover
120
to
usually
150
a
month
in
the
normal
world.
Obviously
the
last
few
months,
none
of
that's
been
going
on,
although
we
are
covering
the
hockey
games
in
the
empty
arena
at
the
moment.
C
C
And
kind
of
last
thing:
we
do
we're
involved
in
a
lot
of
public
health
programs,
so
this
really
paid
off.
We
were
pretty
well
good,
had
good
relationships
with
the
health
department
and
department
of
human
services
before
the
pandemic,
and
we
use
that
relationship
to
really
build
program,
good
programs
when
the
pandemic
started.
So
we
do
a
lot
of
different
programs.
C
We
actually
wrote
the
first
leave
behind
our
narcan
protocol
for
the
state
and
we're
actually
the
first
ems
system
in
the
state
that
started
doing
lead
behind
nope
narcan
and
that's
a
pretty
robust
program.
It's
been
pretty
successful
and
we
give
a
lot
of
narcan
out.
So
what
that
program
does.
If
we
go
to
a
call
for
an
overdose
yeah
and
the
person
was
refusing
transport,
we
would
leave
narcan
behind
with
them.
C
We
expanded
that
during
the
pandemic,
because
we
were
seeing
big
spikes
and
overdose
deaths
and
there
wasn't
really
a
way
to
do
any
other
interventions.
So
now
we
we
can
leave
narcan
behind
pretty
much
any
call,
and
actually
I
just
ran
out
of
again
I'm
waiting
for
the
health
department
to
send
me
a
new
shipment.
C
So
what
that
consists
of
is
a
lot
of
times
we
get
called
for
calls
with
infants.
Unfortunately,
it's
usually
minor
stuff.
You
know
the
kid
has
a
fever:
vomiting
diarrhea
won't
stop
crying,
etc.
So
we
look
at
those
calls
as
an
opportunity
to
ask
hey:
where
does
the
baby
sleep?
Can
I
see
real,
quick
and
the
the
crew
can
do
what's
called
a
30-second,
safe,
sleeping
screening?
C
I
never
knew
before
we
started
working
on
this
program.
The
national
headquarters
of
state,
safe
cribs
is
actually
in
pittsburgh
and
it's
down
in
hazelwood
on
second
avenue,
and
this
is
kind
of
just
a
little
screening.
We
do
so
we'll
just
go
through
a
quick
checklist
if
something's
in
the
gold,
it's
not
a
best
practice.
E
C
C
Guidance
and
we
partner
with
a
lot
of
agencies
in
public
health
there's
a
big
push
for
ems
to
help
out
in
public
health
was
really
where
the
last
of
the
safety
net
a
lot
of
people
at
their
own
need
help
and
there's
really
no
one
else
to
kind
of
link
in
the
services.
So
we
kind
of
look
at
our
role
to
try
to
link
people
to
services.
C
C
So
that's
a
lot
of
stuff
to
throw
at
you
in
45
minutes.
Virtually
that's
kind
of
the
end
of
my
presentation,
like
I
said
I'll,
send
this
presentation
and
some
additional
literature
and
you
should
have
access
online
to
it
for
tomorrow
and
I
would
be
happy
if
anyone
has
questions
I'd
be
happy
to
answer
any
questions
at
this
point.
C
C
Dr
dr
nancy
caroline
started
the
freedom
house
system
and
they
took
people
from
economically
disadvantaged
areas
and
trained
them
to
be
the
original
ems
providers
and
had
a
couple
of
ambulances
that
were
providing
ems
services
so
pits
that
was
kind
of
like
the
and
that
was
kind
of
a
nationally
recognized
program.
There.
C
You
had
a
lot
of
minority
engagement,
a
lot
of
minority
employment,
and
so
the
system
grew
out
of
1975
and
just
in
the
early
days
of
it,
the
system
was
driven
by
the
physician
leadership
and
it
was
really
the
fathers
of
ems.
Dr
ron,
stewart,
dr
paul
paris,
some
people
really
the
fathers
of
ems
and
emergency
medicine
were
involved
in
the
system.
So
in
the
early
days
the
system
did
a
lot
of
the
original
research
on
how
to
resuscitate
people
how
to
take
care
of
people
and
stuff
like
that.
C
So
we've
always
had
that
relationship
and
that
continues
to
this
day
through
the
university.
We
still
do
a
lot
of
research
and
stuff
in
conjunction
with
the
universities,
and
we
present
on
a
lot
of
stuff
nationally
and
internationally.
We
have
a
lot
of
people
from
other
parts
of
the
country
who
come
here.
Do
ride-alongs
see
what
we're
doing,
and
we
usually
have
a
nice
group
of
people
from
australia
come
up
every
year
and
that
got
cancelled
this
year.
C
C
Bob
kennedy,
who
was
one
of
the
original
chiefs
just
always
had
good
leadership
and
good
people
to
work
with
and
build
a
lot
of
relationships
as
far
as
robotics
yeah
we're
looking
to
be
involved
in
technology.
Obviously,
drone
technology
is
a
big
thing
right
now.
The
department
of
public
safety
is
looking
at
that
and
we
do
a
lot
of
work
with
the
students
at
cmu.
They
have
ideas
and
they'll
bring
them
to
us.
They
have
a
lot
of
good
ideas.
C
Where
the
technology
is
right
now
we
have
we're
doing
telemedicine.
Now
we
threw
that
together
during
the
pandemic,
because
it's
in
capability
we
have
before
so
we
have
telemedicine
capability.
We
have
bluetooth
transmission
to
be
able
to
send
ekgs
and
send
stuff
forward.
We
can
do
that
for
stroke,
so
we
are
working
on
the
technology
with
cmu
and
pit.
B
C
A
good
program
they're
starting,
it's
called
free
freedom,
house
2.0.
I
think
it's
funded
through
the
university
or
one
of
the
foundations
and
looking
at
bringing
people
from
disadvantaged
communities,
minority
community
stuff
in
and
kind
of
do
a
freedom
house
2.0.
Now
we're
not
involved
in
this
through
the
university.
C
But
it's
looking
more
focused
on
community
paramedics,
so
I'm
putting
three
people
through
baseball
and
training
them
to
go
out
into
the
the
community
and
do
kind
of
this
public
health
role.
Community
paramedicine
that
kind
of
stuff.
So
you
always
have
it
interesting
go
online.
If
you
search
freedom,
house
2.0,
there's
information
on
it
and
I
don't
know
if
that's
started
yet
or
if
they're
taking
applications.
I
should
research
it
better,
but
I'll
try
to
get
some
information
and
send
it
to
you.
G
C
No,
we
we
don't
do
that,
it's
just
the
cost
of
doing
business,
but
I
know
like
out
west
that's
been
looked
at
a
lot,
especially
for
there's
a
cost
to
doing
that,
but
we
usually
don't
call
like
off-duty
personnel
or
anything
in
for
that,
but
I
know
out
west
for,
like
people
get
lost
on
hiking
and
they
have
to
do
these
big
operations
with
wilderness
search
and
rescue
or
mouth
and
search
or
rescue
right
there's
been
talk
of
making
them
pay.
Some
of
that
cost
for
doing
stuff.
C
G
C
We
do
and
it's
a
big
problem
and
we
actively
try
to
work
with
solutions.
We
engage
with
community
partners
and
try
to
get
them
into
housing
programs,
treatment
programs,
but
the
problem
with
all
that
the
community
resources
out
there.
If
the
person
doesn't
agree
to
help,
they
really
can't
do
anything
and
we
have
people
that
don't
want
any
help
and
they
either
call
9-1-1
frequently
or
someone
sees
them
sleeping
on.
Sidewalk
calls
911
for
them.
D
C
Yeah
so
we're
a
little
different
than
fire
and
police
and
some
other
departments
their
academies
will
take.
You
basically
come
off
the
street
with
no
training
and
they'll
train
you
all
the
way
through.
So
please
take
you
all
the
way
through
through
so
police.
Take
you
all
the
way
through
all
the
training.
You
need
to
be
a
police
officer.
When
fire
does
their
presentation
a
little
bit,
they
take
you
and
do
all
the
training
to
be
a
a
firefighter
with
us.
We
have
to
have
certified
people
when
they
come
in.
C
It
takes
about
two
years
to
become
a
paramedic,
an
emt.
You
can
become
an
emt
in
a
few
months,
so
we
require
our
personnel,
have
their
training
and
either
their
paramedic
certification
or
their
emergency
medical
technician
certification.
So
that
limits
our
pull
a
little
bit.
We
recruit
heavily
out
of
the
university
of
pittsburgh
emergency
medicine
program
and
we
go
out
a
lot
and
do
recruiting
from
other
programs
in
the
area.
So
we
got.
C
Actually,
we
got
a
good
recruiting
pipeline
with
reading
pennsylvania
with
youngstown
state
up
in
erie
we've
been
reaching
out
to
so
we'll
go
out
and
actively
recruit.
Our
staffing
is
pretty
good
at
the
moment,
like
I
said
we're,
budget
165
paramedics
and
I
think
we're
at
162
163.
So
we
don't
have
very
many
vacancies
at
the
moment,
so
we
we
tend
to
do
pretty
well
as
far
as
personnel
and
we're
not
hiring
at
the
moment,
because
everyone
in
the
city
has
the
same
problem.
C
D
B
C
B
B
F
F
I
would
like
to
to
share
with
you
if
I
can
share
my
screen
here,
all
right,
so
there's
also
a
small
video
short
video
in
this,
but
we're
gonna
we'll
have
to
play
that
one
by
ear
as
well
as
us
stated.
My
name
is
daryl
jones.
I
am
the
chief
of
the
pittsburgh
fire
bureau.
I've
been
with
the
city
of
pittsburgh
since
2007..
F
I
started
my
career
in
aliquippa,
just
northwest
of
us
here.
I
did
20
years
there
in
their
fire
department
and
before
coming
to
the
city
as
an
assistant
chief
in
2007
and
in
september
of
2007,
I
was
named
the
chief,
the
position
I
currently
hold
and
really
enjoy
doing,
I'm
going
to
play
this
short
video
and
then
we'll
be
right
with.
H
H
I
I
J
J
Fears
I
try
not
to
think
about
that.
I
think
that
would
hinder
how
I
do
my
job.
You
know
I
got
three
little
kids,
I'm
gonna
go
home
and
see
him
every
night,
but,
like
I
said
I
try
not
to
think
about
it.
I
work
with
seven
of
the
best
guys
on
this
job
and
they
all
do
their
job,
so
I'm
pretty
safe.
Most
of
the
time.
K
H
L
L
L
J
J
M
It
takes
a
strong
person
to
be
able
to
do
what
they
do.
They
put
their
lives
on
the
line
and
still
manage
to
come
back
and
have
a
smile
on
their
face.
They're
the
men
who
will
jump
at
a
moment's
notice
to
help
those
in
need
those
that
they've
never
met
before,
because
it's
what
they
do,
they're
the
heroes
of
pittsburgh
and
they
are
heroes.
To
me.
Thank
you
to
all
of
the
firefighters
of
house
4
in
pittsburgh
pa.
M
F
F
F
Some
people
call
it
a
calling.
I
refer
to
it
more
as
a
lifestyle,
it's
something
that
once
you
get
into
you'll
find
that
it
is
probably
the
best
most
rewarding
job
you
can
ever
have.
This
is
our
mission
and
with
our
purpose,
the
whole
organization.
The
reason
we
exist.
The
reason
we
train
so
hard
is
to
be
able
to
fulfill
this
mission
and
basically,
what
it
comes
down
to
is.
F
F
28
of
those
are
engine
company
stations,
11
truck
companies.
We
have
specialty
units
like
a
mobile
air,
compressor
and
I'll
talk
to
you
guys
about
that.
A
little
bit
we
have
five
hazmat
units,
we
work
in
coordination
with
ems
and,
to
some
extent,
police
on
the
hazmat
team,
and
we
recently
acquired
a
fire
boat.
It
was.
I
was
amazed
that
the
city
of
pittsburgh,
which
is
the
second
largest
inland
port
in
the
country
right
behind
saint
louis,
did
not
have
a
fire
boat.
F
F
So
that
means
the
guys
work.
Basically,
at
eight
day
month,
they
work
eight
days
a
month,
the
other
22
days.
It's
your
free
time
to
do
what
you
want.
Many
of
them
work,
other
jobs,
part-time
jobs.
Many
of
them
have
hobbies,
there's
a
couple
who
even
have
dual
careers:
they
both
do
firefighting
and
something
else
you
can
spend
more
time
with
your
family,
complete
your
education,
whatever
it
is
that
you
desire
to
do.
We
have
about
that
numbers.
F
Wrong
should
be
167
people
on
duty
every
day
we
also
have
the
vehicle
repair
garage.
We
have
a
supply
warehouse
that
we
maintain
equipment
and
spare
equipment
and
other
essentials
that
we'll
need
scba
stands
for
self-contained
breathing
apparatus.
That's
the
air
tanks
that
you
see
on
the
guys
back.
We
know
we
have
to
maintain
and
prepare
those.
We
have
a
training
academy
and
we
have
a.
F
F
We'll
start
from
scratch
upon
graduation
you'll
be
certified
as
a
firefighter
level.
Two
you'll
be
certified
as
an
emergency
medical
technician,
basic
you'll
be
certified
in
hazmat,
hazardous
materials,
operations,
specialty
and
technical
rescue,
swift,
water
rescue
and
there's
a
couple
other
certifications
as
well.
F
F
There's
opportunities
to
branch
out.
You
can
become
a
public
education
specialist.
You
can
get
into
code
enforcement
and
there's
also
fire
investigations
as
well.
So
the
difference
between
an
engine
company
and
a
truck
company,
and
most
of
the
time
you
see
people
I
saw
the
fire
truck
going
down
the
street.
Well,
there's
a
difference
this.
What
you
see
right
here
is
an
engine
company.
You
notice,
it
is
one
of
those
is
smaller
than
a
truck
company.
F
The
purpose
of
an
engine
is
to
move
water
you'll
see.
This
is
the
rig
that
will
be
hooked
up
to
the
hydrant
and
it'll,
be
the
pumping
water
to
firefighters,
operating
hoses
or
to
a
truck
or
a
ladder
tower,
as
we
call
it
like
we
had
to
use
on
monday.
We
had
to
use
three
of
them
for
that.
Far
on
the
south
side.
F
And
this
is
a
truck
company
and
notice.
The
big
ladder
on
top
of
the
the
truck
is,
and
it's
the
bigger
apparatus,
and
if
you
see
one
with
the
the
ladder
on
top
like
this,
then
it's
a
truck.
The
smaller
one
is
considered
called
an
engine.
This
is
designed
to
above
operate
above
grade
above
street
level.
Also,
staff
of
four
people
primary
mission
is
to
ventilate
the
building
cut,
a
hole
in
a
roof.
F
Do
search
and
rescue
operate
above
the
fire
control
utilities,
special
operations,
things
like
that
that
it
does
and
this
apparatus
as
it
sits
right
now,
costs
1.2
million
dollars
apiece
and
we
have
11
of
them
front
line
and
three
of
them
are
in
reserve
and
we
have
two
more
on
order
and
they're
scheduled
to
arrive
late
this
spring
early
summer.
Each
one
of
these
vehicles,
both
the
truck
and
the
engines,
are
custom
custom
built
vehicles
they
are
built
once
ordered.
F
F
F
F
We
responded
to
14
000
500
emergency
medical
calls,
approximately
197
actual
fire
calls.
I
don't
know
why
that's
not
on
here.
It
should
be
on
here.
We
have
hazardous
calls,
no
fires.
This
would
be
things
that
people
would
call
in.
I
don't
know
bats
in
the
house.
Those
type
of
calls
like
that
we
we
respond
to
those
are
as
well.
Public
service
calls
could
be
people
locked
out
of
their
homes
locked
out
of
their
cars.
F
They
have
a
we.
We
have
a
smoke
detector
program,
we
will
install
smoke
detectors.
Those
cause
good
intent
calls
are
calls
that
people
believe
there
is
a
fire
there's,
no
malicious
intent
as
opposed
to
false
alarms,
which
are
malicious,
and
we
do.
We
did
about
seven
thousand
of
those
we
did
about
twelve
thousand
or
four
thousand,
I'm
sorry
false
alarms.
F
F
F
That
is
a
little
bit
of
a
sore
spot
with
me,
because
I
believe
the
certification
is
what
makes
gives
you
professionalism,
but
right
now,
if
I
was
to
go
to
the
suburbs
to
volunteer
fire
department,
I
can
go
in
and
say
hey.
I
want
to
be
a
volunteer
fire
department
and
all
I
would
need
really
is
a
pulse
and
they
will
give
me
equipment.
Put
me
on
the
truck
and
I'll
be
out
there
responding
to
calls.
F
This
is
dangerous
for
numerous
reasons,
because
there
is
a
minimal
amount
of
training
that
you
must
have
become
a
firefighter
one,
which
is
the
lowest
level
of
certification,
is
about
188
hours
of
training.
That
training
will
give
you
the
ability
to
operate
on
a
fire
ground
supervised.
It
does
not
give
you
the
ability
to
be
in
charge.
It
does
not
qualify
you
to
drive
the
apparatus.
F
It
just
basically
means
that
you
can
walk
around
and
not
get
hurt
and
people
there
are
departments
out
there
that
are
not
even
making
meeting
that
minimum
and
the
state
does
not
require
it.
However,
the
state
offers
you
to
do
it
on
a
voluntary
basis
and
we
accepted
that
challenge
and
so
you'll
see
on
our
apparatus,
this
particular
sticker
or
label.
F
F
F
We
were
part
of
that
and
as
a
being
of
a
integral
link
in
the
cpr
of
life,
survivability
chain,
the
city
of
pittsburgh.
Right
now
you
have
a
16
survival
rate
for
people
who
go
into
cardiac
arrest.
What
does
that
mean?
That
means,
if
you
have
a
sudden
cardiac
arrest
in
the
city
of
pittsburgh,
there's
a
16
chance
that
the
person
will
walk
out
of
the
hospital
and
have
a
normal
life.
F
The
national
average
is
hovering
around
five
or
six
percent.
We're
still
working
to
improve
this.
I
believe
seattle
is
around
25
percent.
I
think
dallas
is
up
there
close
to
around
20
25
as
well,
and
we
are
striving
in
the
city
of
pittsburgh
to
to
increase
that
as
well
and
make
sure
that
we
that
you
have
a
great
chance
of
survivability
here
in
the
city,
other
things
that
we
do.
F
F
That's
required
we're
involved
in
the
planning
of
special
events,
the
river
regatta,
the
marathon
first
night
national
night
out
light
up
night,
all
of
the
things
that
are
standard,
special
events
throughout
the
city
that
we
have
usually
on
a
normal
year.
We're
involved
with
that
we're
doing
inspections
targeting
high
risk
occupancy,
specifically
residential
high-rises
schools
and
things
of
that
nature.
We
mentioned
the
hazardous
materials.
F
We
do
a
lot
of
the
tank
inspections.
However,
like
I
said,
the
hazard
materials
team
is
comprised
of
police
ems
and
fire.
However,
again
with
the
size
of
our
unit
and
the
number
of
people
we
have,
we
take
up
the
bulk
of
the
heavy
lifting
on
that.
We
review
plans
anytime.
You
see
some
new
construction
going
on
in
the
city.
We've
reviewed
those
plans
to
make
sure
that
the
building
is
going
to
meet
current
codes
and
that
fire
protection
and
detection
devices
are
installed
and
installed
properly.
F
F
So
what
we're
doing
is
those
that
are
low
risk
buildings,
we're
developing
a
program
where
the
operator
owner
will
inspect
the
building
themselves,
send
us
the
information
and
we
every
third
year
we'll
go
out
and
do
a
site
visit
on
that.
So
things
like
aunt,
betty's
hat
shop
or
a
dental
office,
a
lawyer's
office,
these
things
they're
very
low
risk.
When
it
comes
to
fire,
they
will
qualify
for
that
inspection
program.
F
F
We
do
special
needs.
We
recently
received
a
grant
from
the
department
of
homeland
security
to
provide
smoke
alarm
systems
for
the
hearing
impaired,
and
we
have
a
training
program
that
we
have
we're
just
waiting
for
the
covet
to
subside
so
that
we
can
institute
that
program.
Give
these
people
this
underserved
population,
the
safety
education.
They
need,
provide
them
with
these
devices,
and
we
also
have
a
smoke
detector
program
in
which
we
partner
with
the
red
cross,
and
we
will
hit
specific
neighborhoods
knock
on
the
door,
say:
hey.
We
have
a
smoke
detector.
F
What
are
some
of
our
achievements?
Well,
like
I
said
we
are
100
credentialed
and
we
were
the
very
first
metropolitan
department
in
this
in
the
country
to
become
100
certified.
We
have
received
grant
funding
for
five
straight
years,
totaling
over
seven
million
dollars
the
life
safety
grant
that
I
just
spoke
of.
That's
the
one
about
what
they
for
the
hearing
impaired
we've
improved
our
iso
rating
from
a
class
four
to
a
class
one.
What
does
that
mean?
F
F
When
I
first
started
here,
I
had
council
members
coming
up
to
me
and
said:
hey
chief,
you
know
you're
very
expensive
you're,
an
80
million
dollar
hole
in
our
budget.
Why
are
you
so
expensive?
Why
is
fire
so
expensive
and
I
would
say
you're
paying
for
a
mercedes
and
not
a
hugo
and
of
course
the
first
thing
they
would
say
is:
well
that's
just
you
tooting
your
own
horn.
So
to
get
around
that,
I
said.
Okay,
you
might
have
a
point.
We
went
to
the
iso
for
evaluation.
F
F
F
Right
now
of
the
656
people
I
have
less
than
two
percent
are
female,
less
than
six
percent
are
african-american
and
the
other
groups
are
are
about
less
than
one
percent
as
far
as
asian
hispanic
and
things
like
that,
we
need
to
that.
That's
shameful
for
the
city
of
pittsburgh
to
be
the
melting
part
part
that
it
is.
We
need
to
do
better
at
that
and
we're
striving
to
make
that
make
improvements
improve
our
infrastructure.
I
have
some
stations
here,
that's
older
than
states
in
this
country.
F
We
can
go
to
some
stations.
I
can
still
show
you
the
loft,
where
they
kept
the
hay
to
feed
the
horses,
and
so
we
need
to
we're
working
hard
to
do
that,
but
money
and
resources
are
short.
So
it's
going
to
take
some
time.
I
mentioned
the
fleet
improvement
in
the
self-expression
program.
We
also
we're
credentialed.
Now
we
would
like
to
become
accredited,
and
that
too
is
one
of
the
goals
that
we'll
be
striving
for
in
the
future.
F
All
right
very
good
question,
so
the
pittsburgh
public
schools
initiated
a
public
safety
program,
it's
similar
to
a
magnet
program,
but
it's
a
little
bit
different,
a
little
bit
more
robust
than
the
magnet
school
program
in
the
past,
and
they
run
this
program
out
of
westinghouse
high
school
and
you
can
go
there.
The
students
can
focus
on
law
enforcement,
emergency,
medicine
or
firefighting,
and
it
seems
to
be
a
very
popular
program.
F
F
F
So,
yes
again,
we
also
just
discussed
that,
but
the
partnership
with
the
pittsburgh
public
schools.
They
felt
that
this
way
would
be
more
robust
and
more
attractive,
and
my
only
criteria
was
that
this
could
not
be
a
program
for
troubled
kids,
because
although
they
need
help,
troubled
kids
eventually
become
troubled.
Firefighters,
we've
seen
problems
in
other
cities.
That
did
that
it
just
didn't
end
well,
so
these
kids
aren't
kids
that
are
forced
to
go
there.
F
They
want
to
be
there,
they
work
hard,
they're
motivated,
and
they
do
very
well
and
we
support
them
wholeheartedly,
and
we
also
have
even
some
of
our
vendors
supporting
them.
Mine
safety
appliance
company
msa,
which
is
a
huge
safety
company
based
here
in
the
pittsburgh
area,
donated
helmets
for
this
program
just
to
help
it
out.
So
there's
a
lot
more
than
just
us
in
pittsburgh.
Public
schools
there's
a
huge
partnership
trying
to
make
this
a
success.
P
I
remember
late
in
the
summer,
maybe
early
fall
and
thank
you
for
the
presentation
chief
jones.
I'm
sorry.
I
should
have
said
that
from
the
jump.
Remember
the
dry
spell
that
we
were
in
in
august
and
september
or
so,
and
there
were
you
know,
warnings
about
use
of
fire
and
fireworks,
certainly
in
in
wooded
areas
and
when
the
weather
like
that
presents
such
a
great
risk.
P
F
Funny
you
should
mention
that,
because
the
state
changed
the
law
it
used
to
be
you
weren't
allowed
to
buy
these
fireworks.
You
know
the
fireworks
were
very
the
consumer.
Fireworks
were
limited
to
being
sparklers
or
we
used
to
call
them
snakes.
You
would
just
put
down
something
that
well,
the
state
changed
the
law
for
whatever
reason,
and
now
you
can
go
to
phantom
fireworks
and
buy
a
whole
display
of
anything
you
want.
I
mean
you
can.
I
saw
some
of
these
things.
F
They
come
in
cases
like
a
case
of
paper
about
that
size
box
and
you
would
just
like
a
fuse
at
one
corner
of
the
box
and
it
would
give
you
a
whole
show,
including
a
grand
finale
at
the
end
and
they're,
not
legal
here
in
the
city,
but
we
don't
have
the
resources
to
find
these
people
and
to
cite
them
for
this,
because
you
actually
almost
have
to
catch
them
in
the
act.
It's
almost
like
trying
to
say
hey.
F
We
got
a
report
that
you
ran
a
stop
sign
last
week:
here's
your
ticket,
you
know
it
doesn't
work
that
way.
So
we
try
to
do
the
public
service
announcements
and
we're
always
our
public
information
officer
is
always
putting
things
out.
Don't
do
this?
Don't
do
this?
Don't
do
this
people
they
just
what
I
call
they
have
a
normalization
of
deviance.
F
They
know
that
there's
something
that
can
go
wrong,
so
they
do
it.
They
buy
the
fireworks.
There's
no
catastrophe.
So
then
they
say
okay,
so
nothing
happened
that
time.
Let
me
do
it
again,
and
so
they
do
it
and
there's
no
catastrophe
and
eventually
it
becomes
a
habit
to
them.
It's
just
like.
However,
it's
just
like
russian
roulette
sooner
or
later
you're
going
to
get
the
full
cylinder,
and
then
you
get
the
consequences.
F
G
F
Back
in
when
I
was
in
aliquip,
I
also
worked
as
a
9-1-1
dispatcher
part-time
for
like
19
years,
so
I
I
get
the
system.
If
you
dial
9-1-1,
the
call
taker
is
going
to
ask
you
a
series
of
questions.
They
ask
everyone.
The
same
seven
questions
right
off
the
bat
annoys
people
when
they
call,
but
they
don't
understand
that
the
purpose
for
that
is
to
make
sure
that
everyone
gets
the
same
standard
of
care.
F
Judging
by
which
you
stay.
In
those
seven
questions,
they
will
determine
the
priority
of
your
call.
Now
certain
things
become
automatic,
high
priority
difficulty,
breathing
cardiac
arrest,
uncontrolled
bleeding.
Those
things
like
that
are
high
priority
calls
we
will
respond
to
those
high
priority
calls
we
call
them
e0
the
highest
priority.
We
do
that
during
the
covet
response.
We
still
respond
to
those
calls
prior
to
covet.
We
were
responding
to
almost
all
of
them.
F
I've
fallen,
but
I
can't
get
up
instead
of
tying
up
an
ambulance,
because
there
are
so
many
of
us
there
we
would
go.
We
would
assess
that
patient
patient
says,
there's
no
injuries.
I
just
need
some
help.
Getting
back
in
my
chair
assist
the
patient
getting
back
in
the
chair,
patient
signs
off
that
they
refine
and
we
move
on
that
keeps
an
ambulance
on
the
street
for
a
more
serious
incident.
F
That's
that's!
Basically
the
way
that
that
works.
Like
I
said,
all
of
us
are
trained
to
a
minimum
of
emt
basic.
However
myself
and
several
other
others
are
paramedics,
I
even
have
oh,
multiple
nurses,
registered
nurses,
and
I
have
one
or
two
physician
assistants.
That's
on
the
job
now,
so
we're
we're,
prepared,
well
equipped
and
ready
to
assist
on
the
medical
end
of
it.
D
But
could
you
address
a
little
more
what
you
mentioned
about
the
the
really
I'm
shocked
at
the
lack
of
diversity?
When
I
was
young,
I
have
people,
I
know
people
that
took
the
fire
test.
Like
seven
times
I
mean
it
was
like
the
most
popular
job
and
I'm
just
amazed
that
there's
so
such
a
lack
of
diversity.
D
F
F
Now
the
economy.
When
I
first
got
here
2007
the
economy
was
starting
to
go
into
the
downturn
of
2008
and
we
had
a
thousand
1200
people
take
the
test
right
now.
The
economy
is
pretty
good
and
so
are
relatively
good
prior
to
covet.
So
we
don't
get
that
many
people
that
test
anymore.
We
are
striving.
I
my
personal
opinion
is
when
it
comes
to
minorities
a
lot
of
them.
People
just
don't
understand
the
benefits
of
the
job,
and
so
I
would
go
out
to
recruit
in
the
african-american
neighborhoods.
F
I
would
go
to
the
churches,
the
barber
shops
and
the
hair
salons
and
the
community
centers,
because
those
are
the
four
places
that
I'm
going
to
get
most
of
the
people.
If
I
happen
to
see
a
game
at
the
basketball
court,
I'll
stop
and
try
to
talk
to
some
people
there,
and
they
just
didn't
understand
the
nature
of
the
job
they
see
us
coming
out.
We
had
the
black
stuff
coming
out
of
our
nose,
we're
coughing
and
hacking
we
put
in
some
hard
labor.
F
F
Okay,
so
you
have
plenty
of
time
to
be
with
your
family.
We
have
a
great
benefit
package.
We
have
a
great
retirement
package.
Okay,
you
can
come
on.
Yes,
we'll
train
you
and
we'll
pay
you,
while
we're
training
you,
okay,
so
that
32
weeks
that
eight
months
that
you're
inside
the
academy
there
you're
getting
paid.
F
So
those
are
the
things
that
we
try
to
do
now
when
it
comes
to
the
ladies:
let's
face
it
not
every
you
know
it
would
be
hard-pressed
if
we
have
50
of
the
population
in
the
city
being
female.
I
doubt
we're
going
to
get
50
firefighters,
that's
just
not
gonna
happen,
but
realistically
we
should
be
at
eight
percent
and
we're
not
there
we're
not
even
close
to
that.
So
I
was
out
recruiting
them
and
actually
looking
for
female
veterans
because
some
of
them,
you
know
they.
F
They
know
what
it's
like
to
work
in
a
predominantly
male
environment,
they're
physically
fit,
and
although
our
job
is
tough,
no
one
is
shooting
at
us
on
purpose.
Yet,
okay,
so
if
they
were
able
to
do
all
that
with
combat
experience
and
everything,
they
can
come
and
be
firefighters,
so
we're
just
reaching
out
to
them,
and
I
see
there's
some
ladies
here
any
of
you
interested
keep
your.
F
Ears,
open
we'll,
be
testing
soon
and
we're
gonna
gonna
be
reaching
out.
One
of
the
things
lisa
epps
come
up
with
is
a
girls
fire
camp,
which
is
something
that's
been
done
in
fairfax
county
and
I
believe
baltimore
did
it
and
they
had
a
one-week
camp
where
they
were
actually
looking
for
women
to
come
on
and
expose
them
to
the
fire
service
and
what
it's
like
to
be
a
firefighter
trying
to
increase
the
number
of
applicants.
So.
D
F
N
Thanks
for
the
presentation
yeah,
so
I
said
like
two
questions:
they're
not
related
to
each
other,
but
you
mentioned
at
the
end
of
your
presentation
that
you
were
seeking
accreditation,
accreditation,
accreditation
for
the
department.
I
was
just
wondering
like
what
the
differences
are
between
that
certification
and
is
there
like
any
specific
benefits
like
more
benefits
that
holds
for
the
department
in
the
future?.
F
Well,
if,
when
I
say
credentialing
credentialing
is
usually
related
to
personnel
and
accreditation
is
related
to
the
organization
as
a
whole,
and
so
with
this
process,
which
is
a
very,
very
difficult
process.
There's
most
departments
have
teams
of
people
working
on
the
accreditation.
We
don't
have
teams
so
we're
doing
it.
That
is
through
the
center
for
public
safety
excellence,
cps
ease.
If
you
go
to
their
website
and
click
on
accreditation,
they'll
give
you
the
whole
process,
it
would
take
us
if
I
started
it
today.
F
F
You
know
rub
that,
but
the
transition
that
we
go
through
in
the
process
is
where
we'll
get
the
value
by
be
trying
to
become
accredited,
we'll
have
better
record
keeping
better
at
training,
maybe
better
planning,
and
so
when
it's
the
process
that
we
need
to
go
through
to
get
us
there,
not
that's
where
the
value
is
more
so
than
the
final
outcome
I
used
to
have.
I
had
a
friend
roll
motorcycles
together
and
his
signature
line
on
his
emails
is,
is
not
the
destination
it's
the
journey,
and
so
that's
that's
what
I
mean.
F
P
F
F
Okay,
nice
to
know:
that's
there
if
there's
ever
a
fire
in
the
building,
so
that
would
be
something,
but
we
also
want
to
inspect
that
to
make
sure
that
tank
is
meets
the
code
and
regulations
and
there's
no
weaknesses
or
anything
processes.
That's
going
on
around
that
tank.
That
will
create
a
danger.
So
that's
where
we
we
do
that
kind
of
thing:
that's
different
from
responding
to
hazardous
material
spills
or
accidents.
F
P
F
They
are
cooperative,
it
depends
on
the
type
of
tank
and
the
chemical
and
the
process
that
the
tank
is
used
for.
So
in
some
of
the
manufacturing
or
commercial,
we
might
have
to
inspect
them
every
six
months,
usually
it's
a
year
every
year
and
they
have
to
apply
for
a
permit
that
they
have
that
tank
there.
So
that's
how
we
know
the
inspection
is
due.
F
F
The
good
news
is,
I
recognized
that
things
were
getting
a
little
unstable
and
we
moved
one
of
our
750
000
rigs
out
of
the
way
right
before
a
bunch
of
bricks
fell
on
top
of
it,
which
would
have
broke
my
heart,
but
that
was
also
one
of
the
challenges
as
well.
So
we
live
in
an
area
where
we
have
our
buildings
very
close
together
and
we
have
narrow
streets.
F
G
F
F
So
so
it's
funny
I
came
in
under
the
raven
stall
administration
and
mr
peduto
was
kind
enough
to
keep
me,
which
I
am
very
grateful,
for
I
am
the
only
one
that
he
kept
from
the
previous
administration
one
night
about
2
30
in
the
morning,
which
I
don't
sleep
very
well
anyway,
and
I
guess
he
wasn't
sleeping.
He
sends
me
a
text
message.
F
He
says
chief,
I
just
read
about
these
bomb
trains
going
through
the
city.
I
can't
sleep.
What
are
we
going
to
do
about
these
things?
Well,
mr
mayor,
I've
been
worrying
about
these
things
for
years
before
you
took
office.
So
in
my
usual
flip
itself,
I
just
text
back
join
the
club
sin,
and
that
was
it.
F
That
is
a
problem
just
to
give
you
an
example.
When
the
oil
prices
were
high,
we
had
approximately
10
000
cars.
A
week
of
bakken
crude
oil
coming
through
town
comes
right
up
through
beaver
county
along
ohio.
River
boulevard
right
across
the
north
side
crosses
the
bridge
right
there
by
the
convention.
F
Center
goes
by
the
east
busway
right
behind
shadyside
hospital
and
on
out,
if
they're
going
to
philadelphia,
then
the
cars
are
full
and
going
to
the
refinery
they're
going
west,
the
cars
empty
and
still
full
of
the
vapors
and
no
one's
been
able
to
tell
me
which
one
is
a
more
dangerous
situation,
and
these
things
will
travel
by
what
they
call
unit
trains.
A
unit
train
is
a
train
that
carries
nothing
but
one
product,
one
commodity.
F
F
We
have
resources
to
handle
one
car,
I'm
sorry
up
to
three
cars
burning
and
two
cars
exposed
as
far
as
having
enough
foam.
The
other
resources
is
the
international
airport.
They
have
a
large
quantity
of
alcohol
resistant,
a
triple
f,
which
is
just
a
fancy
name
for
phone,
and
they
will
back
us
up
and
support
that.
F
Last
but
definitely
not
least,
the
railroad
companies
have
very,
very
deep
pockets,
you'll
be
surprised
and
they
recognize
the
risk
as
well
and
they
have
resources
staged
in
various
areas
around
the
country
able
to
respond.
So
we
can
handle
our
end
of
it
if
we
need
more
resources,
we're
going
to.
We
have
that
covered.
It's
just
going
to
take
some
time.
The
funny
thing
about
that.
You
said
when
this
happens
and
you're
absolutely
right.
F
F
F
They
come
in
with
heavy
equipment
and
just
crushed
them
all
crushed
them
brand
new
cars,
and
they
just
had
to
get
those
rails
those
cars
out
of
the
way.
So
they
can
get
that
rail
back
in
service
and
get
that
money.
Now
they
wrote
a
check
to
general
motors
for
destroying
it.
You
know
they
had
that
all
covered
with
insurance,
but
I
do
know
they
have
the
resources
now,
who
you
have
to
really
shake
real
hard
to
get
the
resources
out
of
them.
B
F
Yes,
we
are
revising
that
now,
but
you
want
to
contact
personnel
in
civil
service,
anyone
interested
in
being
a
firefighter
and
or
to
process.
You
go
to
the
city's
website
under
personnel
and
human
resources.
They
they
are.
You
can
actually
fill
in
what
they
call
an
interest
card
online
because
they're
not
accepting
applications
right
now,
but
you
complete
that
interest
card
and
when
they
are
accepting
applications
they
will
shoot
you
in
their
email
and
say
the
application
period
is
open.