The present invention discloses and claims a single vehicle that has both full fire fighting capability in the form of a pumper in permanent combination with full medical rescue and transport capability. Provided is a transport pumper of conventional design having a crew cab with four entrances, a large capacity fire pump, a tank containing a quantity of water, another tank containing a quantity of foam, a substantial length and diameter of fire hose, ground ladders, a side controlled pump operator's panel, and all other necessary equipment to be in substantial compliance with NFPA Standard 1901. Permanently provided on the same chassis as the pumper is an ambulance or rescue transport including rear entry double doors for patients, a rear dump capability, two supine patients on stretchers carrying capabilities, air conditioning, a side entrance door and all necessary equipment be in substantial compliance with federal standard KKK-A-1822E for a rescue transport. The rescue transport is modified only to the extent necessary to accommodate ground ladders and a hose bed on the top of the rescue transport. The vehicle concept is one of a modular design in permanent combination on a single chassis using standardized equipment already familiar to fire rescue personnel which can be readily refurbished and replaced with conventional equipment at minimized cost.