The money for the trucks comes from Georgetown County’s Capital Equipment Replacement Fund, which Midway contributes to and then uses to buy new apparatuses. Midway’s pumper trucks have a 15-year lifespan; its ladder trucks have a 20-year life span. Once a truck’s life span has passed, it then spends five years in reserve.

Oak Bay fire and municipal staff worked with InterContinental Truck to create a vehicle specific to local needs. The new Battalion One is a commercial Isuzu chassis with 14-foot aluminum welded box that will carry more equipment. “We created this vehicle for us,” Cockle said. “It gives us deployment options [and] it fits in the same space that the current Chev and utility box but it carries more equipment.”

At the Middletown, Ohio, fire department, calls for actual fires are rare. These days the station responds to more calls for drug overdoses — four to five a day on average.

Firefighter Bryan Oliver goes on a lot of these runs. Oliver and his team administer Naloxone and then perform CPR. He says they may treat the same patient for multiple overdoses, sometimes in the same day.

"Anybody you talk to who does this job will tell you it's frustrating and you put that to the side because you have a job to do," he says.

The vehicle combines a fire engine with pumping capabilities with a ladder truck, including a 107-foot aerial ladder enabling firefighters to access the new taller buildings to be built on the nearby Facebook campus and other parts of Menlo Park.