Back in the mid 1990's when the CFRD first responder program was begun the Ladder companies were supposed to be trained and used as EMS first responders just as the Engines respond, however because of a demand for extra pay or compensation the Ladder companies were not made part of the CFRD program. Is that still the case?
In most other cities the Engines and Ladders share the first responder work load. One of the most foolish things that I can think of is not using Ladder companies on the Segment 1,2 or 3 serious EMS emergencies that the Engines respond to, (especially if it is a Segment 1 call). If the Engine is unavailable in a double company house instead of sending the Ladder company, the second due Engine is called to respond from a further distance away, which can make a difference in a life or death emergency.
In most other cities the Engines and Ladders share the first responder work load. One of the most foolish things that I can think of is not using Ladder companies on the Segment 1,2 or 3 serious EMS emergencies that the Engines respond to, (especially if it is a Segment 1 call). If the Engine is unavailable in a double company house instead of sending the Ladder company, the second due Engine is called to respond from a further distance away, which can make a difference in a life or death emergency.