vtach39680

easy it is called Post hoc ergo propter hoc simply after this, therefore because (on account) of this" "Since that event followed this one. that event must have been caused by this one.

Well with regard to people being confused and not knowing if FD is a tactical unit or the FD we do have ambulances in a town that have police on the side and front but treat patients and also pull people over as well as preform other LE duties. I can not tell you how many times I have heard I got pulled over by an ambulance and they gave me a ticket. (this SOP) causes greater confusion and harm to non LE emergency responders then the PD asking and getting permission from the FD to use there personnel, and the FD equipment to end a possible dangerous situation. just my 2 cents I am not saying the police were right or wrong nor the FD just stating facts on the poss. confusion issue PS the best uniform I ever had was green pants white shirt and orange patches. NYCHHC EMS

Thank you for hitting it on the head. we need to change the culture of what we do.

sure quarterback all you want dont we do that during QA/QI and call audits? either way names were not used so I have no problem with a heated discussion if it brings change. It does not matter if it was an intersection or not they were driving too fast take a look at the length of the skid marks if they t-boned the car and "pushed" it and ended up on the left side of the road then they were going really fast to have that much kinetic energy to push an object that far.

from looking at the skid marks the ambulance left and them being on the wrong side of the road. it looks like they were going way to fast and not using reasonable emergency driving tactics it is a shame. we have had way too many accidents in the recent years. this is # 2 for spring hill in a very short period of time. Now is the time to change the cuture. driving fast does not truly decrease your response time. just don't do it (and yes if it was my grand mother / wife / father or any other family member I would rather you drive slower and stop at all lights then go, then o crsh and not get to them at all)

who cares about the ALS / BLS fight. the real question should be why was the time on scene with patient so long without transport. even if the kid was seemingly BLS with mild to no resp. distress and no need for "extrication" why in the world would you still be on scene after 30min

Well just show up on time and dont act like a wacker and I am sure you will be fine. your partners may b**** and moan at first but if you know your way around a bus and how equipment works then I am sure they will be more then willing to show you "city way" of doing things. lol just like any new job listen alot and don't talk all that much the first few shifts until you can feel them out

http://www.recordonline.com/apps/pbcs.dll/...12033/-1/LIFE03 MOD NOTE: Topic already started here: http://www.emtbravo.net/index.php?showtopic=28485&hl=

I am glad that you had a good experience with a BLS crew but the true question is why was he still medic dependent, his clinical evaluation may have been correct but why did he not follow through with a small amount of oral glucose to see if patient status improves. he had the knowledge he had the tools but he only went half way in the treatment of his patient. what if no ALS was avail? do you think then he would have given glucose? I am not knocking the BLS crew. the person had gone through a class and and had done ride along with strong people. why add more stuff when EMT are afraid to treat pt with the things they already carry

I would rather see a mastery of the skills they already have. and instead of giving them "tasks" and more skills I would like to see better overall clinical judgement and knowledge

While you are out doing that. why don't you catch all the over weight people who have beards that don't make mask compliance that I see masking up and going into fires

Small airports and hospital helipads have been using this type of product for turning on and off runway lights and the like usually 3 clicks of the mic turn it on and off

they have a non-compeate clause for "private" companies that have a con in areas that they have a con to operate. so an employee could work paid for a municipality if they had a con that transcare also had a con for.

found this on lohud.com this morning. I am interested in how it will turn out. sounds like they need the money not just for "paid staff" but for general operations as well. http://lohud.com/apps/pbcs.dll/article?AID...EWS02/808170346

Shme the whole story was about the gym teacher doing CPR on a kid that was never in cardiac arrest. I was working the "Twinky" bus that day at Nyack.

"NYS statutes do not obligate an individual citizen, regardless of training, to respond to a situation or provide care unless there is a formal duty by job description or role expectation. Such a duty to act arises from participation with an agency having jurisdiction." "Pursuant to the provisions of Public Health Law, the individual having the highest level of prehospital certification and who is responding with authority, “has a duty to act” and therefore is responsible for providing1 2 and/or directing emergency medical care and the transportation of a patient. Such care and direction shall be in accordance with all NYS standards of training, applicable State and Regional protocols and may be provided under direct medical control."

I figured as much just thought it was interesting possibility lawyers are crafty people

The way it had been explained to me in my EMT class was that. when you are not working as part of an agency response, you are covered under the good samaritan law. When you treat and or transport a patient as part of a agency response and do not seek or expect monetaryy compensation for the action you provide you have to be found "grossly negligent" if you are working as part of an agency response and expect to receive monetary compensation for the acts or actions you provide then you only have to be found "negligent" here is a question that perhaps we could move to a different forum but what are the chances that a lawyer could argue that any person who is part of a volunteer agency that does not receive a "paycheck" from that agency ie volunteers, would only have to be found negligent due to the new fuel reimbursement act and the states "pension" programs for volunteers

also as a follow up. http://www.health.state.ny.us/nysdoh/ems/pdf/98-05.pdf "NYS statutes do not obligate an individual citizen, regardless of training, to respond to a situation or provide care unless there is a formal duty by job description or role expectation. Such a duty to act arises from participation with an agency having jurisdiction." "Pursuant to the provisions of Public Health Law, the individual having the highest level of prehospital certification and who is responding with authority, “has a duty to act” and therefore is responsible for providing1 2 and/or directing emergency medical care and the transportation of a patient. Such care and direction shall be in accordance with all NYS standards of training, applicable State and Regional protocols and may be provided under direct medical control."

the good Samaritan laws pertain to the lay public. all certified EMS providers in NYS are covered under part 800 of the public health law. below is a segment of part 800 that holds some of the answers to the questions posed "800.15 REQUIRED CONDUCT Every person certified at any level pursuant to these regulations shall: (a) at all times maintain the confidentiality of information about the names, treatment, and conditions of patients treated except: (1) a prehospital care report shall be completed for each patient treated when acting as part of an organized prehospital emergency medical service, and a copy shall be provided to the hospital receiving the patient and to the authorized agent of the department for use in the State's quality assurance program; (2) to the extent necessary and authorized by the patient or his or her representative in order to collect insurance payments due; (3) to the extent otherwise authorized by law; ( when acting as a certified first responder, an emergency medical technician, or advanced emergency medical technician, treat patients in accordance with applicable State-approved protocols, unless authorized to do otherwise for an individual patient by a medical control physician; and © comply with the terms of non-hospital order not to resuscitate when provided with such order issued on the standard form prescribed by the Department of Health, or when a DNR bracelet, developed by the Department of Health to identify individuals for whom a non-hospital order not to resuscitate has been issued, is identified on the patient's body. (1) Emergency medical services personnel may disregard the order not to resuscitate if: (i) they believe in good faith that consent to the order has been revoked, or that the order has been cancelled, or (ii) family members or others on the scene, excluding such personnel, object to the order and physical confrontation appears likely. (2) Hospital emergency service physicians may direct that the order be disregarded if other significant and exceptional medical circumstances warrant disregarding the order. (3) No person shall be subjected to criminal prosecution or civil liability, or be deemed to have engaged in unprofessional conduct, for honoring reasonably and in good faith pursuant to this subdivision a non-hospital order not to resuscitate, for disregarding such order pursuant to paragraph (1) or (2) of this subdivision or for other actions taken reasonably and in good faith pursuant to this subdivision. (d) note use an automated external defibrillator unless: (1) he or she is acting as a certified first responder, emergency medical technician or advanced emergency medical technician; and (2) under medical control; and (3) when authorized by and serving with an agency providing emergency medical services which has been approved by the regional emergency medical advisory committee to provide AED level care within the EMS system; and (4) after completing AED training which meets or exceeds the state minimum AED curriculum." The key to the statements above is "when acting as part of an organized prehospital emergency medical service" so it could be argued with good success that when you are in a non marked IE (full lettered agency vehicle) you are not working as part of an organized prehospital emergency medical service. and have no duty to act.

I happened to be at WMC when they got 23 or so patients almost all by a bus

That sounds like a resonable request of money given, i think it is ambulance 3 is posted for 12 hours and has no station. (cant have the crew with no AC or heat )

we have a standard policy at my agency that if the difference between arrival time and pt contact time are greater then 4 min pt contact time is to be noted on the pcr in the narrative.

in the westchester region you can get mac'ed for the I level so long as you are part of an als agency, or a bls agency running at the "I" level. there are a few other things to consider. 1. if you are part of an ems agency the class is free pending successful completion and passing of the exams 2. your knowledge base will only go up and you can use it as a feeler to see if medic class is for you a side note. i am not recommending taking the class at one place or another but i know the instructor who is teaching the I class at phelps come september 3 people I work with took his I class last year and he did not just teach to the nys-I exam he really taught the national registry I-99 which as far as i can tell is really = to the nys-cc

the campus truck 87A1 is part of batt 11. these are the only jobs they have been assignened today: 10-086-9080051316:10:5516:11:20ALS110 WOODS RD : @TAYLOR CARE CENTER (GRS444) MT_PLEASANT37M1, 87B1, DPT3700, WCPD16:12:226-9080051209:33:4109:42:5109:45:01ALS19 BRADHURST AVE : @MEDICAL CENTER OFFICES HAWTHORNE37M1, 6300_ma, 87B1, DPT3700, WCPD09:57:1610:28:586-9080051109:08:1609:08:2009:10:51ALS110 WOODS RD : @TAYLOR CARE CENTER (GRS444) MT_PLEASANT37M1, 87B1, DPT3700, WCPD09:42:456-9080051005:41:3205:41:5805:45:13ALS20 HOSPITAL RD : @BEHAVIORAL HEALTH CENTER (GRS443) MT_PLEASANT87A1, WCPD06:04:3506:06:0706:49:07