All CFD Medic units are staffed with 1 FF/EMT & 1 FF/Medic. All fire apparatus are staffed with FF/EMT's and at least 1 FF/Medic making all in service companies ALS. CFD formerly sent an engine on all medic calls and then they would call for a medic unit or when they expanded to ALS & BLS ambulance to which ever was needed. Now pretty much the norm is the engine and closest medic unit is dispatched on medical calls. If it there are no medic units are available and serious in nature, they will request M/A from Hamilton County units or Covington or Newport in Northern Kentucky, location dependent. If it is not serious in nature, the engine or possibly the ladder will wait on scene until a CFD medic unit becomes available. Much easier now that NKY has gone 800 MHz to communicate with CFD.