ny10570

Why does it matter aside from maybe helping figure out what is wrong with the patient? Forget about how its just wrong to treat someone differently based upon a medical condition, what if they don't know they're carrying some disease. Everyone gets treated the same unless I suspect an infection requiring droplet precautions. Moderator note: This was the very last post made by Lenny, before he left us for keeps. RIP.

PEMO3 how long have you been out of NYC? Since I got on on '06 we've been doing field pronouncements. Pissed off 6'3" 220lb brother screaming you'd better save his life = transport no matter how cold and dead his brother was. I've had very few families get upset and the few that did actually thanked us after calmly explaining what we did, what the hospital would have done, and what they can now do. I am a huge advocate for field termination and that's before you start considering the risks to the crews carry the pt and transporting to the ER. Public places, businesses, or volatile situations get transported. Otherwise we clean up as best we can, inform the family, and leave with PD. You don't need training, just compassion and common sense. For any doubting the benefits of working arrests in the field, look at the horrible CPR thats performed during packaging and transport. They've already been down for however long it took you to be notified and respond. Add the time you spend for just the initial interventions and medications. In NYC, the average best case scenario for in home cardiac arrest without bystander CPR is 6 to 8 minutes from arrest to first responder. Another 12 to 18 for first round of ALS interventions. Interrupting quality CPR at this point just to get to an ER that will essentially push the same drugs you would isn't helping the patient. Stay, give it your best effort, and ensure quality CPR.

Transit already has 'em http://communitym.com/article_images/police%20at%20subway%20stop.jpg

Never understood why you guys carry full spares. Getting flats has got to be rare enough and keep you out of service long enough that it'd be cheaper to handle with a roving repair unit or back at the precinct.

Definitely TL5. The lettered SCBA brackets, fleur de lis, and compartment layout give it away. The spec doesn't mention it, but did they include the lost finger tip in the rear A/C blower??

HazMat is an especially contentious issue in NYC because technically the NYPD is the lead agency until the incident is determined to not be terrorism or criminal. However the FDNY is still to be in charge of decontamination and mitigation. NYPD frequently does not notify FD of suspected HazMat calls while they investigate them. This is not speculation, since I started working in Manhattan I have witnessed this on multiple occasions. This has been going on for years though. 9/11 hasn't changed anything, as HM1 is probably busier now than it was before. The volume seems about right. The truck takes an inordinate amount of abuse for the sheer number of miles it covers. Fire Chiefs Claim Cop Commanders Hinder Them At Emergencies Posted: Monday, July 9, 2012 4:15 pm | Updated: 4:16 pm, Mon Jul 9, 2012. By SARAH DORSEY | 0 comments Police commanders frequently prevent firefighters from doing their jobs properly during emergencies, ignoring protocols set up after 9/11 to ensure that the two agencies cooperate effectively, Fire Chiefs said in a 2008 survey published last year. Nearly 200 Chiefs were asked about the Citywide Incident Management System (CIMS), which was established in 2004 after the 9/11 Commission found that poor coordination between agencies hampered rescue efforts during the terrorist attacks. The program dictates which agency takes command in emergencies, with the FDNY leading technical-rescue operations and the NYPD commanding hazardous-materials incidents until criminal intent or terrorism is ruled out. Other agencies, such as the Department of Health and the Department of Environmental Protection, often also advise the first-responders. http://thechiefleader.com/news/news_of_the_week/fire-chiefs-claim-cop-commanders-hinder-them-at-emergencies/article_0d442094-c9cf-11e1-8f17-001a4bcf6878.html

That NPR article is from when NYC first proposed the tax and is talking about Peteluma California. I do not believe NYC ever actually started charging the crash tax.

True, the standard alone isn't enough. However a member's injury that could have been prevented with proper staffing would be cause.

http://secondavenuesagas.com/2012/07/11/metro-north-to-test-smartphone-based-paperless-tickets/ Looks like MetroNorth is leading the way with the latest ticketing innovation. Anyone that has tried to purchase a peak ticket at a busy station while rushing to catch a train can attest to the pains of waiting for someone to try and force some crusty bottom of your shoe bill into a machine while you frantically wait. I'm looking forward to this.

With NFPA being the industry standard, has anyone tried suing any dept under 1710 to compel proper staffing? Seems like an injury as a result of decreased staffing would be a good starting point.

If everyone would just keep that info in their purse or wallet none of this ice, yellow dot, etc junk would be necessary. Do yourselves a favor. Emergency contact, med history, allergies and medications. Date it, update it as needed, and burry it in your wallet. I will find it when I pick your pocket, I promise.

The people being robbed by valets were handing over their house keys with their car keys. People programing their actual home address into their GPS have also gotten into trouble. People getting their identity stolen are handing over sensitive information. I'm not saying leave your DOB, social, and checking account number in there. My comment about the sheriffs not being stupid is I'm hoping they would not ask for sensitive info on that card. Personally my registration and insurance cards are copies with my address blacked out. Unless the state is going to hand out and replace scanners you will have a system that few citizens use and even fewer agencies can read.

Assuming the state sheriffs aren't complete idiots the info in there wouldn't be that useful. Home address is already on your registration and insurance cards. An emergency contact name and phone number, medications, allergies, and medical conditions is pretty benign info. If they're breaking into your car, crank phone calls aren't really that profitable and generally not a priority for car thieves.

NYS makes it very easy to identify who is and who is not part of an EMS system. No agency number, then you're not an EMS agency and you are not part of the EMS system any more than any other resource they could call upon to help at a scene. All of this from the NFPA blows back on the agency. They did not train you or certify you to operate in that capacity, then that is their responsibility as the AHJ. Yes, firefighters are tasked with protecting life, but that is as firefighters. Stumble upon a gun battle, and they have no duty to act yet there is a threat to life.

Westchester could very easily operate just as efficiently and with just as many if not more resources with a centralized command structure. We have the staffing and manpower, but too often no where we need it when we need it.