In the casualty Service,members are trained to life saving,emergency first responder,medical first responder and instructer/EMT levels to deal with casualties and provide a first aid and ambulance service.The service involves diagnosis,treatment and evacuation/transportation of patients.Training in the use of defibrillators is now coming on stream.Members of the casualty service act as a backup to the regular ambulance service at major events and are avalible in times of major emergency. PHECC (Pre hospital emergency care council) have now taken overall command of the requirements to crew ambulances in ireland.