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Everything posted by x635
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Great video of a great grab. Article and video: http://www.nydailynews.com/new-york/nypd-officers-rescue-suicidal-man-verrazano-narrows-bridge-article-1.1513584
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A great article about this awesome Yonkers structure. This building made Grand Central possible. I'm glad to see it will be restored, and not knocked down...hopefully. Full article and photos: http://www.iridetheharlemline.com/2013/11/12/decay-and-rebirth-the-glenwood-power-station/
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A very interesting concept: Video: http://www.youtube.com/watch?v=x6LhR39htQs&feature=share&list=UU7MwkvzzoUJ1SOHHl-PvLBQ
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To all of our veterans here on EMTBravo, thank you! To those still serving, including those members of EMTBravo who still check in from overseas, our thoughts and prayers are with you for a safe return and we thank you all for your service and sacrifice to this country. As for my little rant, the words "Homeless" and "Unemployed" should never be found in the same sentence as "Veteran" To really support our veterans, especially the ones of the wars of this generation, support the Wounded Warrior Project . http://www.woundedwarriorproject.org/
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Yonkers Fire Department New EMS Truck Car 45 2014 Chevrolet Silverado 2500 4x4/Outfitted by Proliner
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Enough with the thread hijacking, this is about the Car 45 and not RMA Billing so let's end all that here and get back on track. In fact, RMA Billing would probably make for a good topic on it's own if you or another member wants to start one.
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From jetBlue....other airlines are also following this.. November 4, 2013
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The words "Next week" seem like such a long time ago now.....
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What an excellent topic. And LOL, Bill-you were one of my first main career mentors! I've had a lot of success due to awesome mentors. I'm afraid I'll forget to mention someone or post too long an article, because many of them are members of this forum and are reading this right now. They all know who they are - I hope, and what effects they had on me, because I have made it a point to tell them. I'm going to have to think of the best way to list all these people, lol.
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Depends on the situation. For example, if the ambulance responded to a diabetic, and administered D50, and the patient became coherent and RMA'd, then they get billed. If you RMA'd, you were, at the least, examined by EMS Personnel and then chose to decline care, then you get billed for that. If you never called or requested an ambulance, and can back that up, it doesn't cost anything and whoever is disputed the cost should contact the billing department. RMA's get billed for $250 and more in other systems as well. But what does all of this have to do with the new Car 45?
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This is not a problem that's isolated to FDNY or NYC, departments nationwide are struggling with these types of hiring issues. Source and full article: http://www.adversity.net/lafd/default.htm I don't like the NY Post and their sensationalism and twisting facts, so I'm going to reserve judgment about this situation until I read about it from a source I trust. I don't doubt the story, I don't like articles where 95% of the "facts" presented are from unnamed sources. I'd like them to at least publish a firm fact on how many other probies in her class failed out because of the running time, and how they didn't get as many chances as her. Many of those guys aren't going to speak out about her getting extra chances because they want to be able to get back into the next academy per procedure.
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Occasionally, I'll hear the term "Expedite the medic". What does that mean? Does the medic put the truck into jet powered mode? Drive even faster and less cautiously? Wouldn't it be more prudent to say "Advise the medic that the patient is complaining of chest pain, and is pale, cool, and diaphoretic with a pulse of 50". (Not every first responder is equipped at first with a BP cuff). At least the medic will have an idea what they are going to. When that term is used by a unit on scene, the dispatcher or field unit should be asked why. Should the term "Expedite" be thrown out of our vocabulary?
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Starting to bang head against wall.......what is your advice on dealing with the emotional and legal aftermath in EMS if a provider shoots a patient or someone on scene? How would you compensate the provider for the extra responsibility? Where is the line between help and hurt? How is being around firearms since a young age qualify you to make statements regarding EMS carrying weapons? Are you even old enough to own your own weapon? Are you a certified EMT or Paramedic? If YOU truly knew anything about the NRA classes, you would know THEY ARE NOT INTENDED for using a weapon in the way you are advocating it be used. You are also advocating using a weapon offensively by using it to intimidate people. If you get on the job, you are going to get yourself into serious trouble with that attitude. You're not standing up for what you believe in, nor are you reading what other members are writing. All you are doing is spouting off how proud you are of your "belief". You're not even stimulating conversation or adding anything to back up this "belief". I can see the headlines now........... "EMT Shoots 80 year old dementia patient, claims he was being assaulted", "EMT Pulls Weapon On Drug Dealer With No Backup, Gets Shot".......
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I think people, including me, are getting upset about this because you don't know what you're talking about and are so aggressive about it. I know arguing with you about this is probably useless and a waste of time, but I'm bored so what the heck. As mentioned above by other members,the NRA class is NOTHING like what they teach you in the police academy. Police Officers have to regularly train and certify on their weapons. It's a tool of their profession, and the LAST line of defense. You can't just shoot everyone who attempts to assault you, nor will it deter someone from assaulting you. Ever watch "Cops"? Also, take a look back at some of your comments...you are advocating using a weapon offensively! You need to learn to have an open mind, and listen to others who may have more experience then you, and are actually on the job, and not just "lol" them off. Being that you are at such a young age so closed minded and stubborn as you are presenting this opinion of yours, that scares me. If you're pursuing a career in emergency services, that's going to need to change.
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For EMS providers? Name them. Also, ever heard of the medical term "First, do no harm"?
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Empress provides EMS for free, and makes money off the billing. The $0 contract was required by the City for the exclusive franchise. The city pays nothing. I'm actually surprised that Yonkers is not a fire based EMS system, and I'm even more surprised that New Rochelle isn't. But both cities look at the dollar signs and aren't going to pay for the expensive upstart and maintenance of an EMS system when they can barely get the money needed for proper firefighter staffing.
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What about federal and other grants to Fire Departments for equipment that they really didn't need and could have benefitted another jurisdiction that's sitting around collecting dust? The NYS Thruway system is critical to the NYS economy. And the Tappan Zee Bridge is one of the most important pieces of the system. I'm not arguing the politics of the grant, the grant is out there and I think it is very smart of Tarrytown to get some money back for all they do for the bridge and the toll road.
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Radio designation will be "Car 45".
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So you know EMS Providers that have been assaulted multiple times and deadly force was needed every time? It's just my opinion, but when you make such a bold, blanket statement like you did, you need some firsthand training and experience to back it up. You are welcome to your opinion, but assaults on EMS personnel is not that much of an issue where a weapon would be required. Most EMS personnel are trained and experienced with scene safety, and are good at AVOIDING situations where they can be harmed using a variety of methods. And, 99% of the time, PD is there to have our backs when we need them. Take into account a lot of patients don't even conciously know what they are doing when they assault EMS. Are you going to use deadly force and shoot the diabetic patient, wrestle to get some Glucagon into him, or retreat and await PD? What makes the most sense?
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Have you worked as an EMT in an urban area, are you trained as an EMT, or even been to EMS calls without FD or PD there? What basis or experience do you have to make you assert your opinion so strongly, and even go as far as to insult another member's opinion just because they don't agree with you?
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This will change the game a bit for the newly redesigned Chevrolet Tahoe and in the emergency services business. I see a few departments that will be getting a little more life, perhaps until 2015, of their current Tahoes. This includes FD and EMS agencies too, lol. Full article and photos: http://www.government-fleet.com/channel/vehicle-research/news/story/2013/11/pursuit-rated-4wd-chevy-tahoe-arrives-for-2015.aspx?prestitial=1
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I wonder if there would ever be a diesel engine option? With it sharing a lot with the Silverado, I would think that it would be relatively easy to put a DuraMax in there. I bet there would be a lot of FD/EMS and commercial interest in that. However, Diesel seems to be on the decline.