ny10570

recently, fire and pd have been much more relaxed in their background investigation requirements. But asside from that; unless its a felony conviction or a crime related to your new job (ie: arson for ff's) it isn't an issue if you are honest about it with the investigator.

I think goon was looking for the new one put into service by FDNY.

If you have a few bucks to spend, and you can't afford switching over to stainless steel, after you get you diamond plate looking perfect, clear coat it. Then its windex all the way.

If you pass the physical agility and you aren;t using any drugs, very few peopel are removed durring the medical eval. Its serves more as a baseline for your medical portfolio.

After talking with the some people in the know at Monty, the empress crew was right to take the pt to Jacobi. With multi-system trauma, the nearest trauma center is appropriate. As far at the confusing nature of NY's protocols, I don't see it. NYC is about as confusing as it gets with some being peds trauma only, adult trauma only, psych only etc. Even with all of that, its not hard. We are tasked with remembering and handling more complicated situation on a regular basis.

We have to pay attention that we are bringing people to the closest appropriate facility. In NYC anyone with an amputation is suppose to go to the nearest reimplatation center if stable enough to survive the transport. In the bronx, that would be Montefiore. At Jacobi, the leg is probably going to wind up in the trash. At Montefiore, the pt at least has a chance at keeping the limb. This problem goes deeper to our every day transports. Was as insiders know which hospitals are better at treating what problems and we should be looking out for out pt's best interest and going to those hospitals, and not just one that is 5 minutes closer because we can dump the pt faster there.

Thank you stat, you explained my feelings with much more eloquence than I am capapble of.

wow, you can't count your compressions...thats scary. 100 degree temps, and even myself and the hose monkey (much love FF's, don't get offended, thats a nickname for FF friend of mine) we were counting off durring 30 minutes of CPR. Wasn't hard, all though he did have to take of one of my boots so he could keep count. Proper depth, proper rate, and proper ratio are all important parts of effective CPR.

Lets emphasise the fact that his fellow ff's were responsible enough to turn him over to PD. While this may look like sh!t for a while, it will fade away since there isn't much of a story. Had he actually injured someone or done some real damage this would have been a much bigger story.

All yellows and red are the way to go. Blues will actually add to the problem. They're bright as hell, especially the LED's that are out there now.

sorry stat, but around here, as a BLS provider if we come up on body and someone else is cranking away, we have to contine CPR until the ED doc calls it. Even ALS providers need to contact doc in the box if they want to terminate CPR in progress. They cannot decide on their own to do it.

I'm anything but an expert on disability. From what I understand if your career is ended through a debilitating injury or illness as a result of the job you performed, you are elligible for 3/4 pension in which you make 3/4 of your salary. If you go out on LODI, you have the option to use accrued comp or sick time, but after that you enter into Morkers Compensation. Once you go to workers comp, tehre is no distinction between job titles. Everyone is elligble for the same benefits. So assuming this is true, where does 207-c status come from?

I'm anything but an expert on disability. From what I understand if your career is ended through a debilitating injury or illness as a result of the job you performed, you are elligible for 3/4 pension in which you make 3/4 of your salary. If you go out on LODI, you have the option to use accrued comp or sick time, but after that you enter into Morkers Compensation. Once you go to workers comp, tehre is no distinction between job titles. Everyone is elligble for the same benefits. So assuming this is true, where does 207-c status come from?

Thats great for the limbs, especially the femoral artery, but what about pelvic and abdominal wounds?? Arterial and venous wounds below the knee and in the arms are relatively easy to treat and rarely cause death. Its the abdominal and femoral bleeds that are the real problem.

They tried it, and then rescinded the order. Now I believe the plan states that at any multi-jurisdiction incident plain english is to be used.

Why is it two of the top 5 are under paid and over worked, while the bottom 5 all make a friggin killing. I'll trade prestige for parity with business execs.

Use whatever you were last certified to use. The next time you recertify on CPR, you will most likely be taught the new protocol

Whats th eissue here? Other than the idiot trying to stamp out the grass fire, I don't see what you're talking about. There are several depts in Westchester, and many more through out the country that have drivers respond on the apparatus and members respond to the scene. As for not using PPE, go out west or to florida and see how they operate. You don't need bunker gear for this type of fire. Forest rangers on a regular basis deal with the intial attack on forrest fires wearing nothing more than cotton work pants, and a cotton long sleve shirt.

There is no set number that will get you cut off from getting on the job. Right now they are about 2 yrs into the current list and are at number 2771. It all depends on how well everyone else does on the list. The only consistancy from year to year is that you need a 100 on the physical if you want a realistic chance at getting on. Other wise get at least an 86 and you should have a shot at getting on before the list expires.

How would you propose to perform a controlled study on this type of situation?? Delay treatment to some people beyond an hour to see the result? The only way to study this is through observation. It is a goal to set for a treatment standard. Its not to say if you're only 10 minutes away from getting the pt to an OR and you have 30 min left you should take your time, or conversely that if you're more than an hour away you should give up and black tag the poor bastard. Its the same way they've established treatment timelines for cardiac arrests. I'm sorry, I stand corrected, there is a way to perform a controlled study on shock and the golden hour...it requires dogs, and it was done in the 1950s and 1960s by Dr R Adams Cowley, originally on dogs. He basically took the dogs and and phlebotomized them. They were hooked up to blood pressure and cardiac monitors. THose whose blood was autotransfused within a one hour period would usually recover, hold their blood pressure and survive. Those who waited for more than an hour for the auto transfusion did not. They would begin to rally and restore thier BP as thier body's compensentary mechanisms took over. But thier vitals would eventually decline in spite of a later transfusion and die.

You're right, one hour is not the cut off for survivablitiy, but there is research to back it up. Look up Dr. Adams Cowley. I believe he is the one who actually created the concept for the Army. After looking at many of the traumas comming out of combat, they found that with treatment from the field medics an hour after injury there was a dramatic drop off in survivablilty.

Luckily, its not a joke, and the new Rescue 37 is being added mutual aid to all alrams in Pleasantville. But god help Briarcliff the first time that truck arrives without being fully stocked with Fudgy the whales. I will personally hold all those responsible accountable for their actions!!!!!!!!!!

Riiight. See, you became a medic and forgot what its like to baby sit pt's for medics. Cam, if you want to use your skills get out of westchester(except yonkers) or become a medic. While there are a few exceptions, the majority of medics are entirely too happy to run every call they roll up on, and its awful hard to beat paid medics with volly response times. While it is great for the pts, too many EMT's in the field can't find their a$$hole with a mirror when the medic can't make the call.

Quick solution for Presby...just let 'em off the stretcher. If the pt is calm and reasonable, let 'em off and sit em down on the chairs.

Anyone taking bets on this one?? I got few bucks left over from my bonus in the last contract. I'll take segrave. What odds can I get?