I think this totally depends on the individual. Plenty of EMT-Bs, AEMTS, Medics, CCP, FFs or Doctors what would have no business running a scene. You want whoever has the best knowledge of local resources and the right temperament running a scene.
Rank/Education level do not always mirror these qualities (though often they do). I will always defer to he/she who is better suited for that position gladely.
I work casually all over the map so I am rarely in the place where I should be the IC, but I am typically the most "educated".
Orrrrrr, the EMS unit can establish command, and assign the fire unit to perform triage and report back the results......If this is a fire unit then you should let them setup the command and you as the first arriving EMS unit can focus on triage.
Again, why??? you take command, you give both fireman frank and captain chuck directions on what needs to be done. it's not exactly rocket science.Examples: You are first arriving ambulance and unit on a school bus accident. You can take/setup the initial command, identify and call for additional resources, and establish a staging area if needed so incoming units know what you have going on and where they're supposed to report. Once Fireman Frank, or Captain Chuck arrives on other apparatus to assist you can pass the command to them.
Orrrrrr, the EMS unit can establish command, and assign the fire unit to perform triage and report back the results......Again, why??? you take command, you give both fireman frank and captain chuck directions on what needs to be done. it's not exactly rocket science.
There are a couple things about command that people seem to forget:
1) According to NIMS, you CANNOT assume command, or take over command. So if that EMS unit is first on scene at a house fire, the person in charge is well within their rights to give orders to the fire crews (stretch a line here, do it, etc). The fire chief can't assume command, the IC needs to transfer it. Of course, at a fire, it's better to have the more experienced person be running the scene, because if something does happen, they are responsible (and this doesn't take into consideration, AHJ rules, local operating SOPs, and political BS).
2) Most FDs are better off when it comes to available staffing, at least compared to EMS agencies. Take FDNY: 4 FFs and an officer on every engine, 5 FFs and an officer on every truck, compared to two people on every ambulances.... While FDNYs is to known to be well staffed, having 3 or 4 people on fire apparatus is pretty common place, with one being a supervisor or acting supervisor; that's still compared to 2 people on the ambulance, with a supervisor in a separate vehicle. However, that doesn't mean EMS cannot and should not be able to run a scene on their own, using the manpower they have assigned to them.
3) Also remember, ICS can be used for big or small incidents, and on large incidents, the IC might not even be a public safety person. That's why you have operations sections chiefs, branches and divisions, who handle the actual work, while being supervised by managers who direct the strategic goals, leaving the technical stuff to the boots on the ground staff.
But as for to the original question, yes, EMS can establish command, assign tasks to incoming units, request additional resources, request specialized resources, direct additional units to set up a LZ, etc. In a real world situation, one EMS person is in the IC, while the second is the triage officer. once triage is complete, additional resources should have arrived to fill out additional positions within the ICS chart.
The answer to that is yes, you can. There is no requirement that you be a firefighter to use or set up incident command. All of the other statements and added fluff that people have added don't really answer the original question.hi, so let’s just say ambulance arrived first on scene of a MCI. After checking the Scene Safety, can you set up Incident Command? or would that only apply to the firefighter side of things.