Sycamore provides a 3 man ambulance crew. Management and the union have both agreed that this is the best staffing for our citizens and the most economical method considering our overall manning. The 3 responders allow multiple interventions to be performed on patients and allow for an overall lower injury rate to our employees. Per ITLS (International Trauma Life Support) TRAUMAassessment Simulation Video, a “3-person team is the smallest team size that can adequately care for a critical trauma patient.” Larger cities may provide 2 man ambulance responses, however, they are ‘chased’ by an engine crew who then assists in patient care. Our department simply does not have a large enough roster to make that an option. This option also adds wear & tear on the ‘chase’ vehicles.