In a medical emergency, time is of the essence. Each fire engine has all of the capabilities of an ambulance with the single exception of patient transport to the hospital. In most cases, an engine will arrive on scene prior to the ambulance. Life saving medical assistance can begin immediately in preparation for the arrival of the ambulance and subsequent transport to the hospital. In addition, during complicated medical emergencies, the paramedic from the fire engine will assist the ambulance crew during transport, increasing patient care while en route to the medical facility.