a chassis;

a crew cab for dual discipline trained EMT and firefighter personnel, the crew cab supported by and permanently attached to the chassis;

a complete and fully equipped pumper supported by and permanently attached to the chassis and disposed behind the crew cab and having a fire pump having a high volume per minute capacity, a water tank having a high volume capacity, a foam tank, a substantial length and diameter of fire hose, at least one ground ladder, and a control panel including a number of the following: a master pump intake pressure indicating device, a master pump discharge pressure indicating device, a pumping engine tachometer, a pumping engine coolant temperature indicator, a pumping engine oil pressure indicator, a voltmeter, pump pressure control (s), pumping engine throttle, a primer control, a water tank to pump valve control, a water tank fill valve control, and a water tank level indicator; and

a supine patient and fully equipped rescue transport supported by and permanently attached to the chassis, disposed behind the pumper and having means to perform emergency medical procedures that include airway maintenance, ventilation, oxygenation, suction, cardiac monitoring/defibrillation, mechanized CPR, administration of intravenous fluids/medications, and the monitoring of blood pressure and heart rate by emergency medical technicians while enroute to a hospital emergency room, the rescue transport further comprising rear entry double doors for patients, a rear dump capability, two patient carrying positions, a side entrance door, and air conditioning;

whereby the transport pumper's owner maximizes capital and manpower utilization by combining medical rescue and fire suppression capabilities into one emergency vehicle.