FY2022 NPS Budget Justification

https://www.doi.gov/sites/doi.gov/files/fy2022-nps-budget-justification.pdf

fire is mentioned 100 times in the document - mostly re repairing old
water supply systems and re wildfires

ambulance is mentioned zero times in the document

"emergency medical" is mentioned 4 times

Emergency Services The NPS provides emergency management, search and
rescue capabilities throughout all fifty States and territories, and
medical oversight and credentialing of over 2,000 emergency medical
providers that render aid more than 13,000 times per year on average.
Emergency services are provided by park personnel who are engaged in
various lifesaving and emergency management disciplines critical to
ensuring the safety of visitors and staff. The NPS also provides
medical services and currently collects fees for these services at ten
units.

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Critical Incident Response NPS emergency service operations are
critical to protecting and responding to visitors, employees, and
resources in distress throughout the system. Emergency services are
provided by park personnel who are engaged in various lifesaving and
emergency management disciplines. Operations include emergency medical
services, search and rescue, lifeguard services, and incident
management. Structural and wildland fire operations are provided,
including prevention efforts and suppression activities. Aviation
support is critical to furthering these efforts, as mission activities
support search and rescue, law enforcement, backcountry patrol,
wildland fire management, and natural resource management. These
services are also often utilized beyond the boundaries of the NPS to
assist in local and national disasters and emergencies.

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Justification of FY 2022 Program Changes The FY 2022 budget request
for Health and Safety is $43,136,000 and 207 FTE, a program change of
+$3,308,000 and +16 FTE from FY 2021.

Conservation Initiative – Permanent Incident Management Team
(+$2,000,000 / +13 FTE) – Funding will support a permanent incident
management team (IMT) to address the ongoing and persistent incidents
that continue to challenge the NPS. As the climate changes, natural
disasters have increased in complexity, duration, size, and number in
recent years. The current collateral duty-based model of team
management utilized across Federal levels is not sustainable as it
relies on personnel with other full-time responsibilities that prevent
them from adequately managing teams for skills, knowledge, and
experience necessary for professional response efforts. A standing IMT
improves preparedness and response and allows for streamlined
deployment of recovery teams and resources, sustainable rehabilitation
of infrastructure and lands, enhanced accountability and efficiency
for incident expenditures, and reduced timelines for reopening
affected units for public access and commercial services.