ny10570
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Everything posted by ny10570
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Come on people..you just have to spin it as a sequal to Career Opportunities. Instant blockbuster
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Thats fine for the 300 to 400 lb pts. When they push 600 they start to stretch the load limits of stretchers (which by the way are usually measured at the ground position). Not only is lifting the pt a problem, but how are you gonna fit all that person onto the stretcher?? They are only so wide. I've seen people have to tie a pt to the stretcher with bed sheets. In this area, I believe the only Bariatric bus is a transcare rig base dout of Wappingers.
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Even in really sh!tty conditios you want the best vision possible. You get a real nasty fire with the smoke banking down hard on you, all you have to do is get your face to teh floor and you can usually see a pretty good distance. Now you're gonna wish you had your corrective lenses on when you can't tell if its a body or a pile of clothes at the end of the hall way.
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I have to disagree with 66alpha1 here. While none of us here want to see bad things happen to people, we(as a community) actively earch out and and on some level wish for bad sh!t to happen. Why is it that the busiest FD's and EMS posts have the longest lines to get in? When was the last time you heard someone say they were waiting to a position at Transcare doing transports so they can get the hell out of OLM 911? Has anyone on this site posted that their FD has had too much work in the last year. We celebrate other people's misfortune. When people were posting were posting their favorite pics of the year how many were of fires that were caugth before they caused any significant damage? I could go on and on with more examples. We are not evil people. Most of us bust our asses to help strangers in tehir time of need. But lets be honest; our jobs require us to prepare and wait for the worst. By the nature of it we are waiting for the worst to happen.
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The vast majority of fast incidents are the result of confussion and panic. A ff's original means of egress is either compromoissed or the ff loses their way. While I have only taken one FAST class, the class, and almost everything I have read emphasises a quick, mobile, and efficient start to FAST operations. This is mainly because of the nature of the majority of fast operations. The downed ff is most often not entrapped; only lost. All of the tools, stokes basket, rigging and other equipment stagged is for the FUBAR cases. The first two in usually carry a hook, irons, search rope, and air. You stabalize the situation and await the extra equipment you need or you begin egress. In this form FAST is potentially very effective when needed. The key to FAST is just that...being FAST. Be smooth, methodical, and get your hands on the victim quickly. PLEASE DO NOT TAKE THIS AS A KNOCK, but seeing as you went through probie school under teh watchful eye of ALS, I would have thought you would have a different view of FAST ops.
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now the kicker is, how long will it take to get the gator on scene. I can think of only a few brush fires in the county that have lasted for extended lengths of time.
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Wow...I'm not sure if I should be scared, but I'm definately impressed. Please tell me this is catalogged somewhere and not off the top of your head.
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It varys from company to company. Some don't even allow medics to fly, staffing out with flight nurse's instead.
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Gotta love the hysteria factor. What about the pressure powered ventillators used in the field by medics? They are tested to operate for weeks on end without failure. While it would be nice to have a $30,000 vent for each person, its not practicle. The question that needs to be asked is how many of these portable ventillators are stockpiled? Those are teh ones that will save the most lives.
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Its not uncommonfor depts to leave a parade for an alarm. While you may have your first due rigs in district available, whats wrong with starting your other rigs back just in case. But as for why you shouldn't be using the siren and air horn...its f-ing brutal marching infront of those f-ing trucks with some sound happy jerkoff cranking away for half the parade(i'm not implying this is you, I'm just having a flashback).
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wow, alot of faith in duke here. A team that without its star has had a few rough outings and required 40+ point efforts to win some close games. I'm hoping for gonzaga, but I'm putting my money on uconn
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since this has now expanded outside westchester, I've gotta throw in Crickets upstate in Peru. Its only a mile of 87 and is still the best I've ever had.
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All of these prisioners get paid for the work they do. They can then spend the money in the prison or send it out to who ever. TThey do alot of work, especially in the south and mid-west. But even here in westchester the jails have furlough programs. There is also evidence to suggest that prisioners who work while incarcerated have a lower re-entry rate into the prision system.
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From when you get the letter to become an FDNY EMT (provisional list, you're looking at 6 or more months till you get into the EMS academy. From there you take the EMS civil service test. After being a civil service employee for 1 year you can take the promotion to FF exam. People call it a back door to the FD, but its usually not faster and its definately not easier (2+yrs in FDNY EMS to become a FF). What it is, is a good back up to the open competitive list.
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I think I've seen this happen before. I think there was a roadrunner and coyote involved or something like that.
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Engine - Assuming there is no obvious threat from fire on 4th floor 2 side and the truck is right behind me...make the attack on the fire and protect the stairs. Truck - Get a ladder to that window. If its possible get two ff's into the occupied apartment from the interior stairs while the other ff's are laddering the building. After ensuring the ocupants are out start the search. Initial attack has failed (not making progress on the fire) - If you can't get a bigger and/or additional line up there withdraw and go exterior.
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4 guys on a 2 1/2?? Are you running smooth bore? And what are your pressures at the tip? While I haven't had the chance (or the need) to take a 2 1/2 into a fire, all the training I've done with a 2 1/2" has been with 2 guys on the knob. While its heavy as a mother, and you do work at the tip, its far from overwhelming to operate and advance within the confines of a room. Its really allways been the door man who is really taking the beating moving all that hose.
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I'm pretty sure its not just engines. Both the NYC EMS calls I've been involved in had trucks respond.
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I'd definately like to check out the FDNY hook, but everything I've seen to date has been (in my opinion) too large or too dangerous. If you don't have a tool; radiators, heavy pipes, etc. What ever you can find. I've seen people use bathtubs, kick a hole through an interior wall to use a stud, even Romex cable(I still can't believe it held) as anchors.
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KISS will always win out when the sh!t hits the fan. Rope and a caribiner is simple and consistant.
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First, I have never seen anything addressing the prohibiton of shorts or the recomendation of pants for anyone in EMS in any OHSA or DOH document. In other fields there is extensive information concerning things like foot wear and clothing requiremnets. Every document concernign exposure control address using masks, gowns and eye protection at your discretion to prevent exposure and to uses gloves and needle-stick prevention devices at all times. According to OSHA you are not considered "exposed" until the fluid comes into contact with a mucose membrane (eyes, nose, mouth) or broken skin. In one Canadian study of 509,312 patients in 12 hospitals there were 2,621 exposure incidents (0.5%) Of those, 65% were caused by needle sticks. Of the 2,621 exposure incidents 12% were infected with Hep B, Hep C, or HIV. 6 months later anit-bodies for Hep B, Hep C, and HIV were present in 0%, 36% and 20% respectively of those exposed. To break it down, lets assume that that in the EMS field we have a 10 times greater exposure risk than in Canadian hospitals (thats based on absolutely no fact). We are still only facing a chance of exposure to Hep B, Hep C, or HIV in 2 of every thousand patients we treat. And this doesn't mean wearing pants will protect us from this. This still doesn't eliminate mucosal exposure, bites, cuts sustained durring treatment, exposure to our hands and arms, etc. Wearing pants does not provide a significant increase in safety.
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If metronorth runs through your area, get in touch with them. They are allways willing to help with planning and even drilling for any train or track related emergency.
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Our current chiefs have started with the process of creating the SOG's that our dept is to operate by. Its been pretty good so far and has encouraged alot of input from the members as to how to adjust and tweak them to be effective.
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NYS allwos EMT's to check blood sugar. Its up to the local REMAC's to develop the training and protocall
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This was brough up earlier by ALS, but no one has addressed it. If shorts are so dangerous, what about exposed arms? And even more dangerous, exposed faces. If you get anything on your arms or legs, so long as you don't have a break in the skin, you just wash it off. You get it in your mouth or eyes we have a greater chance for disease transmission. Who wears face protection?