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An emergency service unit (ESU), alternatively emergency service detail (ESD) or emergency service squad (ESS), is a type of unit within an
emergency service Emergency services and rescue services are organizations that ensure public safety, security, and health by addressing and resolving different emergencies. Some of these agencies exist solely for addressing certain types of emergencies, while oth ...
, usually
police The police are Law enforcement organization, a constituted body of Law enforcement officer, people empowered by a State (polity), state with the aim of Law enforcement, enforcing the law and protecting the Public order policing, public order ...
, that is capable of responding to and handling a broader or more specific range of
emergencies An emergency is an urgent, unexpected, and usually dangerous situation that poses an immediate risk to health, life, property, or environment and requires immediate action. Most emergencies require urgent intervention to prevent a worsening ...
and calls for service than regular units within their organization, such as
rescue Rescue comprises responsive operations that usually involve the saving of life, removal from danger, liberation from restraint, or the urgent treatment of injury, injuries after an incident. It may be facilitated by a range of tools and equipm ...
,
emergency management Emergency management (also Disaster management) is a science and a system charged with creating the framework within which communities reduce vulnerability to hazards and cope with disasters. Emergency management, despite its name, does not actu ...
, and
mass casualty incident A mass casualty incident (often shortened to MCI) describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of Casualty (person), casualties. For example, an ...
s. They are similar to
police tactical unit A police tactical unit (PTU) is a specialized police unit trained and equipped to handle situations that are beyond the capabilities of ordinary law enforcement units because of the level of violence (or risk of violence) involved. The tasks of a ...
s,
fire department A fire department (North American English) or fire brigade (English in the Commonwealth of Nations, Commonwealth English), also known as a fire company, fire authority, fire district, fire and rescue, or fire service in some areas, is an organi ...
technical rescue Technical rescue is the use of specialised tools and skills for rescue, including but not limited to confined space rescue, rope rescue, trench rescue, structural collapse rescue, ice rescue, swift water rescue, underwater rescue, and cave rescue. ...
, and incident response teams in other emergency services and organizations, and often have similar or overlapping roles; the term is also used synonymously for these units, or as a catch-all for units that combine multiple disciplines and roles under one banner. The term originated with the Emergency Service Unit of the
New York City Police Department The City of New York Police Department, also referred to as New York City Police Department (NYPD), is the primary law enforcement agency within New York City. Established on May 23, 1845, the NYPD is the largest, and one of the oldest, munic ...
, which handles emergencies ranging from tactical responses and K-9 deployments to technical rescue and even
emergency medicine Emergency medicine is the medical specialty concerned with the care of illnesses or injuries requiring immediate medical attention. Emergency physicians (or "ER doctors") specialize in providing care for unscheduled and undifferentiated pa ...
.


Structure

An ESU operates at the direction of the command staff and responds to emergency and high-risk situations that occur outside the scope of duties of responding patrol and criminal investigation units. ESU members train continually both in-house and with other similar units and organizations across jurisdictions.


Duties

In law enforcement, an ESU often provides services analogous to a
police tactical unit A police tactical unit (PTU) is a specialized police unit trained and equipped to handle situations that are beyond the capabilities of ordinary law enforcement units because of the level of violence (or risk of violence) involved. The tasks of a ...
, and in some police forces it may simply be the name of their tactical unit without any additional roles. Some ESUs provide services typically handled by
fire department A fire department (North American English) or fire brigade (English in the Commonwealth of Nations, Commonwealth English), also known as a fire company, fire authority, fire district, fire and rescue, or fire service in some areas, is an organi ...
s and
emergency medical services Emergency medical services (EMS), also known as ambulance services, pre-hospital care or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to d ...
, such as emergency medicine, technical rescue,
search and rescue Search and rescue (SAR) is the search for and provision of aid to people who are in distress or imminent danger. The general field of search and rescue includes many specialty sub-fields, typically determined by the type of terrain the search ...
, and
HAZMAT Hazmat, HazMat or HAZMAT may refer to: * Dangerous goods, hazardous materials and items * Hazmat suit * Hazmat diving * Hazmat (comics) is a Marvel Comics character * ''HazMat'' (film), a 2013 horror film See also * Hazmat Modine Hazmat Mo ...
; however, as they are usually not intended to fully replace these services, in some cases they may be unable to provide the full extent of their services based on their roles or scope, such as being able to stabilize patients for further treatment but not fully treat their ailments, or being able to rescue victims from structural fires but not fight the fire itself to a significant extent. ESUs are generally trained to handle multiple types of emergencies in various disciplines, particularly in specific situations such as basic
firefighting Firefighting is a profession aimed at controlling and extinguishing fire. A person who engages in firefighting is known as a firefighter or fireman. Firefighters typically undergo a high degree of technical training. This involves structural fir ...
,
vehicle extrication Vehicle extrication is the process of removing a patient from a vehicle which has been involved in a motor vehicle collision. Patients who have not already exited a crashed vehicle may be medically (cannot exit a vehicle due to their injuries) or ...
,
elevator An elevator (American English) or lift (Commonwealth English) is a machine that vertically transports people or freight between levels. They are typically powered by electric motors that drive traction cables and counterweight systems suc ...
rescue,
urban search and rescue Urban search and rescue (abbreviated as USAR or US&R) is a type of technical rescue operation that involves the location, extrication, and initial medical stabilization of victims trapped in an urban area, namely structural collapse due to natu ...
, diver rescue,
battlefield medicine Battlefield medicine, also called field surgery and later combat casualty care, is the treatment of wounded combatants and non-combatants in or near an area of combat. Medicine, Civilian medicine has been greatly advanced by procedures that were ...
, and
bomb disposal Bomb disposal is an explosives engineering profession using the process by which hazardous explosive devices are disabled or otherwise rendered safe. ''Bomb disposal'' is an all-encompassing term to describe the separate, but interrelated fun ...
. As many ESUs are also in law enforcement or also serve as tactical units, they tend to also have training in
firearm A firearm is any type of gun that uses an explosive charge and is designed to be readily carried and operated by an individual. The term is legally defined further in different countries (see legal definitions). The first firearms originate ...
s, tactical procedures,
arrest An arrest is the act of apprehending and taking a person into custody (legal protection or control), usually because the person has been suspected of or observed committing a crime. After being taken into custody, the person can be question ...
procedures,
de-escalation De-escalation refers to the methods and actions taken to decrease the severity of a conflict, whether of physical, verbal or another nature. It is the opposite of escalation. De-escalation may also refer to approaches in conflict resolution, b ...
,
door breaching Door breaching is a process used by military, police, or emergency services to force open closed or locked doors. A wide range of methods are available depending on the door's opening direction (inward or outward), construction materials, etc., ...
, and
combat Combat (French language, French for ''fight'') is a purposeful violent Conflict (process), conflict between multiple combatants with the intent to harm the opposition. Combat may be armed (using weapons) or unarmed (Hand-to-hand combat, not usin ...
.


Equipment

ESU equipment can include: vehicle extrication tools, high-angle and low-angle rope and victim rescue equipment, SCUBA, forcible entry tools, lighting equipment, irritant chemical agents, HAZMAT detection instruments, HAZMAT PPE, HAZMAT decontamination, pneumatic breaching tools,
self-contained breathing apparatus A self-contained breathing apparatus (SCBA) is a respirator worn to provide an autonomous supply of breathable gas in an atmosphere that is immediately dangerous to life or health from a gas cylinder. They are typically used in firefighting a ...
(SCBA), water rescue gear,
animal Animals are multicellular, eukaryotic organisms in the Biology, biological Kingdom (biology), kingdom Animalia (). With few exceptions, animals heterotroph, consume organic material, Cellular respiration#Aerobic respiration, breathe oxygen, ...
control tools, semi- and fully automatic firearms, and ballistic gear, portable cutting and hand tools, high-energy hydraulic rescue tools,
metal detector A metal detector is an instrument that detects the nearby presence of metal. Metal detectors are useful for finding metal objects on the surface, underground, and under water. A metal detector consists of a control box, an adjustable shaft, and ...
s, climbing gear, body bunker ballistic shields, portable field lighting, small marine craft, fire-fighter protective clothing, ballistic
body armor Body armour, personal armour (also spelled ''armor''), armoured suit (''armored'') or coat of armour, among others, is armour for human body, a person's body: protective clothing or close-fitting hands-free shields designed to absorb or deflect ...
and shields,
basic life support Basic life support (BLS) is a level of medical care which is used for patients with life-threatening condition of cardiac arrest until they can be given full medical care by advanced life support providers (paramedics, nurses, physicians or any ...
(BLS) or
advanced life support Advanced Life Support (ALS) is a set of life-saving protocols and skills that extend basic life support to further support the circulation and provide an open airway and adequate ventilation (breathing). Components Key aspects of ALS level care ...
(ALS) equipment, as well as additional medical equipment.


Response vehicles

ESU utilizes smaller patrol response vehicles which are supported by larger utility "rescue squad" type trucks. Smaller patrol ESU response vehicles can range from an SUV to a light or medium duty truck or van with a rear-mounted utility body. Larger ESU vehicles can range from a medium duty chassis to a heavy duty "squad" utility body mounted on a commercial chassis. Other ESU support vehicles can include one or more
ambulance An ambulance is a medically-equipped vehicle used to transport patients to treatment facilities, such as hospitals. Typically, out-of-hospital medical care is provided to the patient during the transport. Ambulances are used to respond to ...
s, wheeled or tracked armored vehicle, portable light towers/generators up to 100 kW, emergency support vehicles which contain inflatable marine
watercraft A watercraft or waterborne vessel is any vehicle designed for travel across or through water bodies, such as a boat, ship, hovercraft, submersible or submarine. Types Historically, watercraft have been divided into two main categories. *Raf ...
or massive inflatable
airbag An airbag is a vehicle occupant-restraint system using a bag designed to inflate in milliseconds during a collision and then deflate afterwards. It consists of an airbag cushion, a flexible fabric bag, an inflation module, and an impact sensor. ...
s.


Non-law enforcement ESUs

ESUs also exist as a non-law enforcement agency based municipal, county or non-government entity and may exist as both career and volunteer groups which are located in urban, rural and remote areas. Non-law enforcement ESUs provide temporary emergency response to incidents during major public events to support the jurisdictions primary 911 EMS, fire and rescue service. ESUs also provide tactical emergency medical support, rescue of confined space victims, wildland/urban interface initial
fire suppression Fire suppression may refer to: * Firefighting * Fire suppression systems * Wildfire suppression Wildfire suppression is a range of firefighting tactics used to suppress wildfires. Firefighting efforts depend on many factors such as the availabl ...
, underwater rescue/recovery, high angle rope rescue, wildland search & rescue (SAR), auto accidents victim rescue, building collapses. In rural areas, ESUs perform suppression of wildland forest, brush and grass fires that occur, cliff and mountain search and rescue, underwater search and rescue, swift water and flood rescue operations. The key rationale for the integration of the functions is that many rural and remote communities do not have dedicated staffing, resources and infrastructure to sustain immediate 24/7 emergency response. A local ESU may exist to mainly provide emergency training such as CPR/AED, first aid, 1st responder, etc. to citizens, communities, OSHA work site and to marine/boating. This mobile training capability uses a light-duty emergency vehicle that is fully equipped with a basic life support (BLS) responder medical, wildland/urban interface firefighting system, powered hydraulic and air bag rescue systems, self-contained breathing apparatus and protective fire gear and other equipment and, when requested, can support the local emergency response system as a rapid intervention vehicle. A state or local public health Emergency Services Unit manages the Department’s emergency supplies, supporting technologies used during disasters, and helps fulfill the National and state Emergency Support Function (ESF) #8 Health & Medical Services and ESF #6 Mass Care & Sheltering needs of community citizens during a major emergency or disaster. Local chapters of the American Red Cross often maintain an Emergency Services Unit to provide disaster relief assistance to individuals and families affected by local disasters at fires and local disaster shelters as well as mobile emergency response vehicles (ERV)/ mobile canteens. Scores of our Nation's hospitals and medical centers use Emergency Services Unit to denote their specific organizational section that encompasses their emergency department (ED), Hospital Emergency Incident Management System (HEICS)-Emergency Coordination Center (ECC) and/or their "First Receiver" outside patient decontamination system, and sometimes includes a hospital operated emergency medical service (EMS) paramedic ambulance program. Emergency Services Unit can also often denote a government or non-government entity emergency mental health or family crisis intervention team.


Criticism

Critics claim that the increasing number of ESU and SWAT is a sign of
militarization of police The militarization of police (paramilitarization of police in some media) is the use of military equipment and Military tactics, tactics by law enforcement officers. This includes the use of armored personnel carriers (APCs), assault rifles, ...
and an overreach of (or overreliance on) police to perform tasks that can otherwise be performed by other services. Among the critics is the
Cato Institute The Cato Institute is an American libertarian think tank headquartered in Washington, D.C. It was founded in 1977 by Ed Crane, Murray Rothbard, and Charles Koch, chairman of the board and chief executive officer of Koch Industries.Koch ...
's Radley Balko, who has written several books and articles on the subject.


See also

*
Community Emergency Response Team In the United States, Community Emergency Response Team (CERT) can refer to * an implementation of Federal Emergency Management Agency, FEMA's National CERT Program, administered by a local sponsoring agency, which provides a standardized training ...
(CERT)


Further reading

*''E-Man: Life in the NYPD Emergency Services Unit'' (Paperback) by Jerry Schmetterer and Al Sheppard 'Out of print'' {{Authority control Law enforcement in the United States Emergency services in the United States