The paramedic squad is equipped to provide ALS (advanced life support) service by paramedic firefighters. The equipment and medications required for ALS are carried in secured compartments.

Over-the-side ropes and rescue hardware allow the paramedics to assist patients who may be in inaccessible locations, such as a hiker who has fallen down a hillside. Wildland ALS packs allow the paramedics to accompany firefighters in brush fire operations to treat heat related injuries, cardiac or other medical emergencies while far away from vehicles.

The paramedic squad normally responds with an engine, but is capable of working as a stand-alone unit providing ALS. Private ambulance companies handle the transportation of patients.

Staffing: Two paramedic firefighters staff the paramedic squad. At times, trainees or evaluators may accompany the paramedics.

Radio designation:

Squad + station number.
i.e.: Squad 50.