This week’s Extra Alarm insights come to us from Assistant Chief Chad Costa, highlighting squad programs as a solution to rising medical call volumes in fire services. Squad programs involve deploying smaller, specialized units for medical emergencies, preserving larger apparatus for critical incidents and extending their operational lifespan. Costa argues that these programs enhance efficiency, reduce costs, and improve service delivery by implementing data-driven decision-making, tiered response models, and strategic staffing adjustments. The ultimate goal is to maintain high service standards while ensuring personnel wellness and resource longevity.