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Paramedic equipment ⛑ Firefighters specialize in saving lives and property, in that order. Firefighters are trained to do a lot more than just fight fires, in fact, medical emergencies make up the majority of the calls that most fire departments respond to. When you call 9-1-1 for a medical emergency, a firefighter will be trained as an Emergency Medical Technician (EMT) or paramedic. The biggest difference between EMTs and Paramedics is the amount of education they receive and the level of care