Fire Trucks & Ambulances in the United States

Learn about the main types of U.S. fire trucks and ambulances, their common names, and what they’re used for.

Fire Trucks

Fire trucks are specialized vehicles built to fight fires, perform rescues, and manage hazardous situations. Each type has a specific role in protecting communities across urban and rural areas.

1. Pumper / Fire Engine

Also Called: Engine Company, Structural Engine

Used For: Front-line firefighting and water delivery in cities and suburbs.

2. Ladder Truck / Aerial

Also Called: Aerial Ladder, Tower Ladder, Tiller Truck

Used For: Accessing tall buildings and performing elevated rescues.

3. Rescue Truck

Also Called: Heavy Rescue, Squad Truck

Used For: Specialized rescue operations such as vehicle extrications and technical rescues.

4. Tanker / Tender

Also Called: Water Tender, Rural Engine

Used For: Supplying water in rural or remote areas without hydrants.

5. Brush Truck / Wildland Engine

Also Called: Type 3, Type 4, Type 6 Engine; Grass Unit

Used For: Fighting wildfires and off-road brush fires.

6. Command Vehicle

Also Called: Battalion Chief Vehicle, Incident Command SUV

Used For: On-scene coordination by fire officers.

7. HazMat Truck

Also Called: Hazardous Materials Response Unit

Used For: Responding to chemical or toxic material incidents.

8. ARFF Truck (Aircraft Rescue & Firefighting)

Also Called: Crash Truck, Airport Fire Truck

Used For: Aircraft emergencies and airport firefighting operations.

9. Quint

Also Called: Combination Engine-Ladder Truck

Used For: Performing both pumping and aerial operations in a single vehicle.

10. Fireboat

Also Called: Marine Fire Unit, Harbor Boat

Used For: Firefighting and rescues on waterways and coastal regions.

11. Aerial Platform Truck

Also Called: Tower Ladder, Platform Truck

Used For: Large-scale firefighting requiring stable elevated platforms.


Ambulances

Ambulances are essential for saving lives and providing rapid medical care. They transport patients safely and ensure timely treatment in emergencies, from city streets to remote areas.

1. Type I Ambulance

Also Called: Box-Style, Modular Truck Ambulance

Used For: Advanced Life Support (ALS) by fire departments and paramedic units.

2. Type II Ambulance

Also Called: Van Ambulance, Transport Ambulance

Used For: Basic Life Support (BLS) and hospital transfers.

3. Type III Ambulance

Also Called: Cutaway, Modular Van Ambulance

Used For: ALS/BLS transport by hospitals and municipal EMS.

4. Type IV / Critical Care Unit

Also Called: Specialty Ambulance, Mobile ICU

Used For: Inter-hospital transfers or long-distance critical care transport.

5. Rapid Response Vehicle

Also Called: Paramedic SUV, Quick Response Unit (QRU)

Used For: Fast on-scene medical response where a full ambulance isn’t needed.

6. Bariatric Ambulance

Also Called: Heavy-Duty Ambulance

Used For: Transporting larger patients safely and comfortably.

7. Neonatal / Pediatric Ambulance

Also Called: NICU Transport, Pediatric Critical Care Ambulance

Used For: Transporting newborns or infants to neonatal intensive care units.

8. Air Ambulance

Also Called: Medical Helicopter, MedEvac, Flight Ambulance

Used For: Rapid air transport of critically ill or injured patients.

9. Military / Tactical Ambulances

Also Called: Field Ambulance, Tactical Medical Vehicle

Used For: Military or disaster response in extreme conditions.


Summary

Fire trucks and ambulances are the backbone of emergency response in the United States. Each vehicle type is designed with a specific purpose, ensuring communities are prepared for a wide range of emergencies, from fires and natural disasters to medical crises and accidents.

Fire Trucks: Built to fight fires, perform rescues, and manage hazardous situations. Urban areas rely on pumpers and ladder trucks for rapid access, while rural areas use tankers and brush trucks to supply water and fight wildfires. Command vehicles and specialized units, such as HazMat and airport rescue trucks, allow departments to coordinate complex operations efficiently.

Ambulances: Essential for saving lives and providing rapid medical care. Type I, II, and III ambulances ensure patients receive proper care while being transported. Critical care, neonatal, and pediatric units address specialized needs, while rapid response vehicles provide immediate on-scene intervention. Air ambulances extend care over long distances or difficult terrain, and tactical ambulances serve military and disaster situations safely.