The Department provides the bulk of its services through its Operations Bureau, which is divided into four fire districts. Within that bureau there are 26 fire stations that house 26 engine companies that respond to fires, emergency medical service (EMS) incidents and other types of emergencies. Half are paramedic engine companies and the other 13 are basic life support (BLS).
There are also 12 ladders companies that respond to emergencies and all of them provide basic life support services. In addition to those units, there are:
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2 heavy rescue units
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1 aircraft rescue and firefighting unit at Lunken Airport
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6 basic life support ambulances
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4 advanced life support rescue units (ALS)
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Paramedic field supervisors
All of the ladder companies are apart of Four fire districts. The districts are staffed by chief officers, that provide daily supervision of all services provided in their respective districts.
