Why does a Fire Engine respond with an ambulance on medical calls?

Fire Engines assist ambulance crews on calls for several reasons. Certain types of medical calls require additional personnel as mandated by our Medical Control Doctor. Heart attacks, strokes, gunshot wounds, major accidents, and many other medical calls require additional personnel for effective medical treatment. 

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1. Why does a Fire Engine respond with an ambulance on medical calls?
2. Are Fire Engines staffed with medically trained personnel?
3. What is the difference between a fire engine and a fire truck?
4. How many firefighters does each fire apparatus respond on incident calls?