In the composition of the Comité Départemental de l’Aide Médicale Urgence, de la Permanence des Soins et des Transports Sanitaires (Departmental Committee for Emergency Medical Assistance, Continuing Care and Medical Transport) for Paris and the Hauts-de-Seine, Seine-Saint-Denis and Val-de-Marne departments, and in the composition of the sub-committees, the Directeur Départemental du Service d’Incendie et de Secours (Departmental Director of the Fire and Rescue Service) is replaced by the General Commanding the Fire Brigade or his representative, the departmental chief medical officer of the fire and rescue service by the chief medical officer of the fire brigade or his representative, the fire officer in charge of operations by the officer of the Paris fire brigade or his representative appointed by the general commanding the Paris fire brigade.
In Paris, the local authority representatives are four Paris councillors appointed by their councils.
In Marseille, the fire brigade officer in charge of operations is the commander of the marine fire brigade.