Dnieguan Bureau of Emergency Medical Services

Bureau of Emergency Medical Services
Motto : So Others May Live
Established	March 17, 1984
Staffing	Enlisted Conscript Reserve
Strength	172,564
Regional Commands	10
Divisions	56
Battalions	292
Daily average call volume per battalion	162
Licensed Paramedics	31,571
Licensed Flight Paramedics	2,247
Licensed Advanced Prehospital Practitioners	776
Number of Ambulances	37,754
Stations	2,448
Mobile Intensive Care Units (MICUs)	244
Special Transport units	208
HazTach Ambulances	170
Technical Rescue apparatuses	110
Major Emergency Response Vehicles (MERV)	22
Helicopters (MEDEVAC and transport)	226
Fixed wing Aviation	21
Annual call volume (2016)	24,276,944 Emergency calls
Number of Ambulances (ALS/BLS)	37,754

The Dnieguan Bureau of Emergency Medical Services, also known as the Royal Emergency Medical Corps, or Bureau of EMS (Dnieguan: Byurå na Evernyya Meditskyna Serväjtnir) was established on March 17, 1984, united the command of all 9 holds state Emergency Medical Sercives, Government-operated and municipal operated EMS organizations, local, volunteer services, and a number of private EMS organizations with one another under direct control of the Dnieguan Armed Forces Civilan Corps. The Bureau of EMS provides emergency care and treatment of the sick and injured persons of all 9 holds and the capital of the Hetmanate of Dniegua. The B-EMS staffs ambulances 24 hours a day, 7 days a week, 365 days a year and is one of three designated emergency responding agencies of Dniegua, along with the local Police Brigade and Fire Brigades, who respond to 999 calls. All ambulances are staffed to at least a Basic Life Support level, with some 35,000 advanced practitioners providing more advanced care methodologies. The Dnieguan Royal Medical Corps is the primary emergency medical response and critical care transport entity in Dniegua, receiving over 24 million calls annually, as of 2017.

Structure and Ranks

The Bureau of EMS is composed of 10 regional commands, each representing Dnieguas 9 holds and the largest city and capital of Ostengrad. These commands are further subdivided into Divisions, which are organized at discretion of regional command, and Battalions, who are divided among their respective stations and headquarters. Individual standard operating procedures may vary battalion to battalion at discretion of the battalion headquarters officers and staff.

The BEMS is considered one of Dnieguas alternative uniformed services, and is considered a civilian Uniformed Service, entitling Dnieguan citizens who serve 2 years to veteran status. Dnieguas yearly conscription pool offers conscripts reaching acceptable test scores to join the BEMS as a technician-grade enlistee for a 18 month term of service; most typically those who enter this role stay within their local territory. Conscripts receive Technician level training of 220 hours after completion of 8 weeks of Candidate BCT at the Dnieguan Royal Military Medical Academy. Yearly, the BEMS accepts 210 conscripts.

Reserve BEMS personnel is used to describe both part time EMS personnel working for the BEMS for at least 36 hours per month, and auxiliary EMS personnel who respond only as needed and can be called up for further service.

Rankings are typically only used for pay and seniority between Enlisted and Warrant ranked crewmen. Sergeants are approved as field training officers and may take on new enlistees or conscript in a field training roll, but are unlikely to use rank as a position of subjective authority traditionally. Rather, experience level and competency is seen as markers of true leadership, and individuals regardless of rank typically work in a cooperative agreement.

Vehicles and Apparatus

The Dnieguan BEMS operates some 47,000 total vehicles, numbering 37,754 transporting units, 755 specialty transportation and response Apparatuses, some 4,000 chase cars, 850 motorcycles, and is the worlds 5th largest aeromedical evacuation and air-transport service by fleet and second by volume.

Ambulances

The Dnieguan BEMS operates four classes of ambulance; Class A, B, C and D, which detail respective sizes, weights, and roles. To meet the classification of Ambulance, a vehicle must have the capacity to transport an ambulance crew of two, hold a standard-size stretcher, have a rear cab capable of providing sufficient room and space for an ambulance crew to provide care and treatment of a patient, and have stowage capable of meeting the Dnieguan legal minimums of a Basic Life Support ambulance.

Class A Ambulance

A class A ambulance, usually simply referred to as an "Alpha unit" or "Class A", and, informally, an "Vanbulance", is a Van or Compact Truck style ambulance with two axles, cable of holding a single patient stretcher. Class A ambulances are the most common road ambulance in the BEMS service, owing to low cost, comfortable ride, maneuverability, and greater efficiency. Class As most typically do not contain external stowage. Rescue equipment includes only two fire extinguishers, a glass breaker, Immobilizing Extraction Apparatus, backboard, and a breaker bar.

Chase Cars

A Chase Car is a non-transporting type of emergency vehicle, typically used by intercepting advanced providers, like Paramedics, Nurse technicians, Medical Control Physicians, and may be used to deliver additional manpower, material, and supplies to calls. These take the form of a variety of vehicles, usually purchased on a battalion basis of needs. Chase vehicles most typically use a four number alphanumeric identification code, as opposed to an ambulances three digit numerical code. A 'Charlie car" is a Paramedic unit, a "Delta car" is a Nurse Technician car, and an "Zulu car" is most usually a medical control officer, typically a Physician or a Feldscher.

Motorcycles

BEMS Motorcycles are operated by Paramedic and AEMT servicemen who have completed the Royal Police Academys Dismounted Officers Vehice training course.

Pay Grades

Pay Grades of Enlisted And Officer Personnel

Pay Grades are based upon a 180-hour working month; overtime is tabulated based upon the current monthly rating of the serviceman, and is subject to hazard pay, shift differentials, and other augmentations, such as continued education hours, experience level, call volume, and specialty certifications.

Pay ranks of EMS Personnel, Basic Grade (as of Jan. 1, 2018)

Pay Grade	Years Of Service
	2 or fewer	Over 2	Over 3	Over 4	Over 6	Over 8	Over 10	Over 12	Over 14	Over 16	Over 18
Cadet and Conscript	₭1,614.70
E-1	₭1,638.30	₭1,678.30
E-2	₭1,836.30	₭1,886.30	₭1,945.30
E-3	₭1,931.10	₭2,052.30	₭2,176.80
E-4		₭2,248.50	₭2,490.60	₭2,596.50	₭2,596.50	₭2,746.50
E-5		₭2,590.00	₭2,680.30	₭2,833.30	₭2,995.30	₭3,225.70	₭3,390.70	₭3,490.50

The Advanced Technician grade is awarded after a 400 hour course administered by the Academy of Emergency Medicine and its satellite teaching facilities. Advanced technicians receive training in administration of medications, basic trauma life support, Intravenous cannulation, Intravenous, Intramuscular, Transdermal, and PO medication administration, and recognition of common 4 lead ECG arrhythmias.

Pay ranks of EMS Personnel, Advanced Technician Grade (as of Jan. 1, 2018)

Pay Grade	Years Of Service
	2 or fewer	Over 2	Over 3	Over 4	Over 6	Over 8	Over 10	Over 12	Over 14	Over 16	Over 18
Cadet and Conscript	₭1,744.30	₭1,789.60	₭1,789.60	₭1,789.60	₭1,789.60
E-1	1,744.30	₭1,778.30	₭1,844.30	₭1,910.50
E-2	₭1,946.30	₭2,086.30	₭2,145.60	₭2,255.60
E-3	₭2,071.10	₭2,125.30	₭2,276.80	₭2,640.50	₭2,785.00
E-4	₭2,217	₭2,580.50	₭2,660.60	₭2,996.50	₭3,296.50	₭3,446.50	₭3,710.50	₭3,990.00
E-5		₭2,790.00	₭2,980.30	₭3,183.30	₭3,495.30	₭3,625.70	₭3,890.70	₭4,190.50
E-6			₭3,490.00	₭3,685.50	₭3,885.50	₭4,110.30	₭4,320.50	₭4,762.30	₭5,060.00	₭5,400.50

The Paramedic is a 2-year, 2850 hour course, requiring at least 1 year of Advanced Technician, or 18 month in a high-acuity, high-volume service as a basic level technician. Entrants are required to submit an application to the Royal Academy of Emergency Medicine. Paramedic Degrees are available from local universities, due to Paramedics common place in the Emergency Department. Conversion to a Bureau Paramedic requires a skills and competency test, and 100 hours of classroom time in leiu of experience in EMS previously.

Due to their status as the highest level prehospital provider, Paramedics are traditionally considered Warrant Officers, and bear rankings appropriate for years of service, skill level, and ranking.

The WO-A Ranking is given to only the highest level of Paramedics with experience, and typically acts as a Battalion officer.

Pay ranks of EMS Personnel, Paramedic Grade (as of Jan. 1, 2018)

Pay Grade	Years Of Service
	2 or fewer	Over 2	Over 3	Over 4	Over 6	Over 8	Over 10	Over 12	Over 14	Over 16	Over 18
Cadet and Conscript	₭2,274.30	₭2,501.60	₭2,501.60	₭2,501.60	₭2,501.60	₭2,501.60	₭2,501.60	₭2,501.60	₭2,501.60	₭2,501.60
WO-1		₭2,574.30	₭2,644.30	₭2,710.50
WO-2			₭2,665.60	₭2,955.60	₭3,250.50
WO-3			₭2,776.80	₭3,540.50	₭3,785.00	₭3,950.70	₭4,080.60
WO-4				3,296.50	₭3,646.50	₭3,890.50	₭4,190.50	₭4,350.00	₭4,500.00
WO-5					₭3,595.30	₭3,825.70	₭4,290.70	₭4,590.50	₭4,765.25	₭5,100.30
WO-A							₭5,685.00	₭6,262.30	₭6,760.00	₭7,050.50