The Vancouver Fire Department provides fire protection and emergency medical services to the city of Vancouver and, by contract, Clark County Fire District 5, in Washington. The department's response area is 91 square miles (240 km2) with a population of over 288,000 (2021). The Vancouver Fire Department is chronically understaffed and underfunded- it has the dubious distinction of the highest call volume per firefighter in the state. ALS (Advanced Life Support, or paramedic staffed) transport is provided by AMR, making Vancouver Fire's service area population by far the largest in Western Washington without public ALS ambulance service. (see Medic One)
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