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Much has been written about the impact of emergency service work on personnel, but very little is known about the lives of personnel once they have retired. The purpose of this paper is to explore the experiences and assess the quality of life (QoL) of emergency service retirees (ESRs) and to ascertain the possible longer term effects of emergency service work.

A series of one-to-one interviews was conducted with ESRs (n=10). These were then transcribed and analysed using interpretative phenomenological analysis.

A number of key emergent themes and associated sub-themes were identified from the analysis including: retirement as a major life change; potential impact of working role and unique aspects of emergency service work; trauma; and health and ageing more generally. Overall, the findings highlight the unique experiences of ESRs and the potential longer term impact of emergency service work on QoL in retirement.

In an under-researched area, the findings point towards a need to improve the transition to retirement for ESRs and, in particular, to enhance available supports, information and guidance for retirees, both prior to and following retirement.

Occupational stress occurs in a variety of forms, types, and situations. Arguably, a certain level of stress can encourage productivity, ingenuity, and satisfaction. As occupational stress escalates, however, people’s capacity to deal with it diminishes, eventually compromising work performance and provoking people to express negative emotions. These negative aspects of stress are buffered to a certain extent by individual differences such as personality as well as external contextual factors such as the working environment. This chapter reports a study applying an affective events theory (AET) as a framework to investigate perceived stress in response to negative events in emergency services’ workplaces and the potential buffering effects of servant leadership, affective team climate, and psychological capital. An experience sampling methodology (ESM) was used to record daily cases of self-reported negative events experienced by participants over the three week data-collection period. A structured survey questionnaire independent of the ESM was also used to collect data from 44 emergency service operation members. The findings indicate that servant leadership behavior, affective team climate, and individual psychological capital all are significantly related to reduced perceived occupational stress in emergency service team members.

The purpose of this paper is to assess the decision-making process of multi-role emergency response volunteers and their preferences for which agency they would choose to volunteer for in an emergency, utilizing the New South Wales Rural Fire Service as an example.

Large-scale online survey data collection method, which enabled in depth analysis of responses.

There are a large number of individuals who hold multiple volunteer roles and their decisions as to which service they would prefer to volunteer for is influenced by many complex factors.

Research in this topic is rare and future research should be undertaken on a wider scale involving both quantitative and qualitative methods.

Findings will help policy makers and those responsible for providing emergency services with an understanding of the decision-making process of volunteers.

The results may help to promote understanding of a volunteers social preferences when engaged in work for emergency services.

This is an area that has had little research undertaken in and is therefore quite an original piece of work that will have resonance for emergency services across the globe.

Incident sites can be described as the joint work site of the emergency services, where one of their challenges is to interact with the public. The purpose of this paper is to study how this interaction is structured by the emergency personnel's jurisdictional claims.

This paper rests upon qualitative method and in-depth interviews. In total, 28 people have been interviewed, out of which 13 are emergency personnel and 15 are unaffiliated volunteers. The interview material has been analysed qualitatively and thematically by the authors.

The findings show that the interaction between emergency personnel and unaffiliated volunteers can be described in terms of three different boundary practices: cordoning off, division of labour and conversation, varying in degrees of inclusion and exclusion. The result shows that the emergency personnel's relationship to volunteers is ambivalent, as they are both seen as an uncertain element at the incident site in need of control and as a valuable source of information.

While most other studies have been focusing on the interaction between emergency organizations, the authors have investigated the interaction between emergency organizations and a group previously unstudied: unaffiliated volunteers. While sociologists in the field of boundary work normally describe boundary practices in terms of negotiation, sympathizing with the concept of negotiated order, the results point to the fact that boundaries are not necessarily a subject for negotiation.

Major incidents in tunnel environment will pose several challenges for the emergency service organisations in terms of heat, visibility and lack of experiences from working in confined environments. These aspects, in turn, could pose challenges to establish collaboration. This study aims to contribute to the field of collaborative tunnel responses by exploring how “common knowledge” (Edwards, 2011) is built by the emergency services organisations, that is, what the organisations consider important while working on a potentially common problem, and their motives for the interpretations and actions if a major tunnel incident occurs.

Participants from the road traffic control centre, emergency dispatch centre, emergency medical service, rescue service and police were included in the study. Data from four focus group sessions was analysed using thematic analysis.

The study revealed that the tunnel environment presents specific aspects of how common knowledge was produced related to lifesaving and safety. The themes structuring mechanisms to reduce uncertainty, managing information for initial priorities, aligning responsibilities without hampering each other's work and adjusting actions to manage distance, illustrated how common knowledge was produced as crucial aspects to a collaborative response. Organising management sites, grasping and communicating risks, accessing the injury victims, was challenged by the confined environment, physical distances and imbalance in access to information and preparedness activities in tunnel environments.

This study offers new insights of common knowledge, by illustrating a motive perspective on collaborative responses in tunnel incidents. Creating interoperability calls not just for readiness for action and tunnel safety, but also training activities acknowledging different interpretations and motives to further develop tunnel responses.

In emergency services, maximizing population coverage with the lowest cost at the peak of the demand is important. In addition, due to the nature of services in emergency centers, including hospitals, the number of servers and beds is actually considered as the capacity of the system. Hence, the purpose of this paper is to propose a multi-objective maximal covering facility location model for emergency service centers within an M _(t)/M/m/m queuing system considering different levels of service and periodic demand rate.

The process of serving patients is modeled according to queuing theory and mathematical programming. To cope with multi-objectiveness of the proposed model, an augmented ε-constraint method has been used within GAMS software. Since the computational time ascends exponentially as the problem size increases, the GAMS software is not able to solve large-scale problems. Thus, a NSGA-II algorithm has been proposed to solve this category of problems and results have been compared with GAMS through random generated sample problems. In addition, the applicability of the proposed model in real situations has been examined within a case study in Iran.

Results obtained from the random generated sample problems illustrated while both the GAMS software and NSGA-II almost share the same quality of solution, the CPU execution time of the proposed NSGA-II algorithm is lower than GAMS significantly. Furthermore, the results of solving the model for case study approve that the model is able to determine the location of the required facilities and allocate demand areas to them appropriately.

In the most of previous works on emergency services, maximal coverage with the minimum cost were the main objectives. Hereby, it seems that minimizing the number of waiting patients for receiving services have been neglected. To the best of the authors’ knowledge, it is the first time that a maximal covering problem is formulated within an M _(t)/M/m/m queuing system. This novel formulation will lead to more satisfaction for injured people by minimizing the average number of injured people who are waiting in the queue for receiving services.

The paper seeks to show the relationship between organisational structure and flexibility of training has not been well researched. Focusing on the role of recognition of current competencies, this study provides evidence of the effects of the former on the latter.

In this paper evidence was obtained by comparing six emergency service organisations using comparative case study. Data were collected through individual and group interviews and from document searches. Organisations were categorised as organistic or mechanistic based on volunteer experiences and published organisational structures. The flexibility of curriculum, delivery of training, and recognition of current competence were assessed and compared with organisational structure.

The paper finds that mechanistic organisations had high levels of insular trust and relied on training as a means of socialising new volunteers into the norms and practices of the organisation. They required all recruits to undertake the same training and did not recognise competencies acquired outside the organisation. In contrast, those organisations with a more, organic structure, had more flexible training strategies and used holistic assessment to recognise current competencies that volunteers brought to their roles.

The paper could be replicated in other industries to examine the generalisabilty of the findings. The implications for the wider issues of flexibility and responsiveness of some emergency service organisations could be an area for further investigation.

The paper shows that achieving greater flexibility in training in emergency service organisations may require organisational change in order to build trust within a work context that can involve extreme risks.

The paper concludes that, while it was the fire services that were the more mechanistic of the organisations included in the study, there was sufficient diversity in their structures to allow one to conclude that across these four cases the more organic the organisation, the more flexible was the approach to training. It is concluded therefore that an inflexible approach to training is not an essential feature of the fire service industry.

Paramedics increasingly attend to mental health-related emergencies; however, there has been little evaluation of the mental health training for paramedics. This study aims to analyze the fit between paramedicine pedagogy, patient needs and the conditions for paramedics’ skill development.

Data were collected in a single, qualitative, critical ethnographic case study of pre-hospital mental health and psychosocial care in paramedicine in Ontario, Canada. Transcripts from interviews (n = 46), observation (n ∼ 90h) and document analysis were thematically analyzed using a constant comparative method. The study is theoretically grounded in a feminist political economy framework.

Tensions are explored in relation to the pedagogy of paramedicine and the conditions of work faced by paramedics. The paper presents challenges and insufficiencies with existing training, the ways in which certain work and training are valued and prioritized, increased emergency care and training needs and the limitations of training to improving care.

Recommendations include more comprehensive didactic training, including the social determinants of health; scenario training; practicum placements in mental health or social services; collaboration with mental health and social services to further develop relevant curriculum and potential inclusion of service users.

This paper addresses the lack of mental health pedagogy in Ontario and internationally and the need for further training pre-certification and while in the workforce. It presents promising practices to ameliorate mental health training and education for paramedics.

The purpose of this paper is to examine the role that psychological screening and surveillance can take in improving the delivery of psychological support to emergency service responders (ESRs) at a time of increasing demands and complexity.

The study aims to present and discuss the use of psychological screening and surveillance of trauma exposed emergency service workers.

The evidence supports the use of psychological screening and surveillance using appropriate validated questionnaires and surveys.

The findings suggest that emergency services should be using psychological screening and surveillance of ESRs in roles where there is high exposure to traumatic stress.

These findings will help emergency service organisations to recognise how psychological screening and surveillance can be used as part of a wider programme of well-being support. This approach can also help them meet their legal health and safety obligations to protect the psychological health and well-being of their ESRs.

The purpose of this paper is to explore the nature of humour within two different organisations, policing and ambulance work, which are linked by their focus on emergency work.

Semi structured interviews with 45 police officers and ambulance staff sought to understand more about the relationships between these two distinctly different professions who work together closely and regularly in often very difficult situations.

Interviews with police officers and ambulance staff revealed that humour is a key component in the working relationship of police officers and ambulance staff. The humour of superiority and the humour of exclusion are used to both cope with the demands of their work, reinforce group values and to strengthen the shared bonds between the two occupations.

Humour has been studied within organisations but this paper reveals that humour also functions across occupational divides. Police officers and ambulance staff draw from a mutually acceptable but culturally defined joke‐book in the course of their work. The informal forces of humour appear, ironically, to provide a means of enhanced interoperability between the two organisations but at the expense of other agencies involved within the emergency service field.