Which company is responsible for establishing the Medical Branch at a second alarm response?

The establishment of the Medical Branch during a second-alarm response is primarily the responsibility of the second arriving fire department paramedic ambulance. This is because the Medical Branch is specifically focused on managing medical needs that arise in the wake of an incident, such as triage, treatment, and transport of casualties.

When a second alarm is called, it indicates an escalation in the incident, often resulting in more personnel and victims in need of medical attention. The second arriving paramedic ambulance is equipped and trained to assess the scene and begin the necessary medical procedures. They coordinate with other units on the scene to ensure a comprehensive and organized medical response, which is vital in larger emergencies where multiple victims may require attention simultaneously.

The first arriving engine company typically focuses on fire suppression and establishing a water supply, while the second engine company generally assists with firefighting operations. The first truck company may handle ventilation and search and rescue missions. Therefore, while all of these units play essential roles, it is the second arriving paramedic ambulance that specifically addresses the medical component in this context.