1. LACoFD and LAFD use Fiamm / Stebel / Unus compressor horns, only Fiamm being still available from a US distributor located in Southern California.
2. A very loud disc horn (electromagnetic) is to use 2 sets of Hella Supertone horns (2 each, hi and lo) with an alternating flasher. These are not melodious,...they are intense and harsh, to be heard. At a slightly different frequency, the same horns are sometimes used in Germany on EVs, especially in the past on police cars (fire trucks mostly used/use Martin air horns). 4 horns are very loud (about 118-119 dbA in LAFD testing at 10'), but directional, straight ahead. LAFD used these in the mid 70's on ambulances, but found the Hi-Lo air horns to be better because they were less directional or some other reason, so they went back to them. The Hella horns cost about 70.00 per set, but they are about 3-4X louder than a regular horn.
The Hella horns are a combined 280 watts, 140 per side. A suitable relay must be used, and a flasher must be HD, preferably with an alternating rate of 70-80 per minute. When all 4 horns are sounded together, they are piercing and aggressive.