Carrying water on a rescue truck. is it necssary?

[housil]

(...) typically the first unit on scene makes the request for air evac

The biggest difference from German EMS to what you know in the US is, we always send an ER Doc to the scene once there is a danger for life. Either by a ER Docs car with EMT as a driver additional to the ALS ambulance:

or by helicopter. We have +70 helicopter all over the country, every 50km (~35miles) is a helicopter with flight paramedic and an ER Doc.

[Militaryration_guy]

(...) typically the first unit on scene makes the request for air evac

The biggest difference from German EMS to what you know in the US is, we always send an ER Doc to the scene once there is a danger for life. Either by a ER Docs car with EMT as a driver additional to the ALS ambulance:

NEF_BY_2017_1_1024.jpg

or by helicopter. We have +70 helicopter all over the country, every 50km (~35miles) is a helicopter with flight paramedic and an ER Doc.

The closest thing we can send to a MVA (motor vehicle accident) is a Critical Care Paramedic which can either be a ground paramedic or a flight paramedic via helicopter, the company that my department calls on wrecks for air evac has 5 helicopters in the area