ny10570

There was no delay. Release event went off with iPhone 4s unveiled

http://amber.ny.gov/view.cfm?ID=06f069fd-c966-4383-a40a-518560fc82fe Amber alert cancelled

It wasn't the multi-million dollar boats and helicopters that made the difference. The first respiratory arrest was secured and hoisted up a ladder to a waiting stretcher. The second was on her way up the ladder when miscommunication caused the haul to fail and she went back into the water. That's about where the news footage kicks on and you see them bring the victim to the fire boat. Not every department needs their own boats, but every department on the water needs to be familiar with how to work with those boats and what to do until help arrives. Swift water and ice rescue teams are great, but you can't just sit there waiting until the cavalry shows up. You need a strategy for mitigating the situation without making the situation worse.

No matter what anyone tells you, get documentation from as many specialists as you can and then go after the job. Have them be specific that this condition will in no way prohibit you from performing the tasks and meeting the standards required by the FDNY. If they deny you, appeal. People have been successful appealing the initial decision of the doc.

Why do EMS agencies need to provide their own rescue services? How many fully self sufficient fire departments are there handling their own investigation and prosecution? Members trained to work with firefighters in rescue operations is just as effective. Or should firefighters be providing the rescue, treatment and transport for all fire victims while EMS handles the MVAs? What about a car accident involving fire? Police are capable of investigating accidents after fire performs the extrication. EMS handles victims of crime without PD taking over treatment and transport. Why is an accident or building collapse, fire victim any different? Fire based first response is just a stop-gap way of filling a gap in coverage. Some of the bigger changes in EMS recently have been the emphasis on prompt transport to appropriate facilities. Great, you have the medic there but what good is that medic without a bus for your CVA, MI, GI bleed, etc. Wouldn't the patient be better served providing a paramedic ambulance rather than a paramedic engine? If fire based is truly a better service, why allow the patient to be handed off to a lower quality provider for transport? But this goes back to my original assertion that the IAFF did not get into this for altruistic reasons. They found a need, communities needed to get care to their patients faster; that fit their needs, they needed more productivity for their members. People still need that fast initial response, but they also need rapid transport. Healthcare is absolutely government run. The biggest single customer in any hospital system is Medicaid and medicaid dictates many of the policys and procedures hospitals and the insurance industry follow. On a more local level the single biggest hospital system in NYC is HHC running many of the city's larger hospitals and all over the country there are municipal hospital systems. On every insured patient or cash patient that can't afford the full bill, the hospital loses money if they are not admitted. Hospitals want as many patients as they can because that means more admissions. They do not want the minor complaints that are choking these over crowded emergency rooms. Find them a way to keep the hospital packed and ER empty and they will jump at the opportunity. Not too long ago the idea of specialty referral centers for EMS was seen as just as risky as transport refusal and treat and release programs. Things change, and agencies across the country are trying different means of keeping the BS out of the system. Saying that EMS should only be used for Emergencies is ridiculous. 911 should only be used for emergencies. Just as fire departments have evolved to handle more than fires EMS needs to adjust and handle more than just "emergencies".

Fire based is absolutely not the best way to go. A dedicated 3rd service EMS is the ideal way to go. However it is more expensive to implement and maintain such a service. Once municipalities start looking at EMS as more than just a ride to the hospital and use it as an integrated part of their healthcare system, benefits emerge that cannot be accomplished with an agency trying to also serve as police or firefighters. In other countries and in a growing number of communities here EMS is used as an outreach to reduce ER visits, able to mitigate minor illness and injury on scene rather than transporting, and provide local services like education and vaccination. The IAFF is absolutely only pushing EMS because it keeps their members busy and helps to protect them from budget cuts. If cities were burning like they did 30 years ago there is no way this would be anywhere near their agenda. Why would they seek to add more work to an already busy workforce? EMS is a perfect fit as fire companies are already distributed throughout the community and already somewhat familiar with EMS due to the nature of the job. This is not to say that fire based systems don't work. That's just flat out stupid as they are currently performing very well through out the country. But to suggest the IAFF began aggressively pursuing EMS for anything other than self preservation is naive.

The squads are getting (don't think they've arrived yet) smaller pickup mounted pump systems.

So how do we get this water over the Rockies??? Most aqueduct systems utilize reservoirs uphill from their consumers. LA is currently pumping the highest climb in the world at 2,000 feet. The continental divide is a substantial challenge with its lowest point around 4,000 feet at the Mexican border. More Northern routes start in the 6 - 7,000 foot range. Then you have issues of head pressure. The Mississippi River Basin is largely less than 1000' above sea level and Vegas is 2000'. So, lets say you go further up stream to a matching elevation, you still have the fiction loss over the 2000 to 3000 miles that tunnel would have to cover. To reach a proper source elevation you're going to wind up missing out on most of not all of the flood areas you're trying to save. To make this an effective flood control and water source you're going to need a massive reservoir. Where is that going to be?? Its a great idea, but a lot harder than it sounds.

The original Croton Aqueduct was first proposed as the Bronx River Aqueduct over 50 years before the plan for a Croton Aqueduct was finally commissioned. Even then it was another 5 years before it was completed at a proposed cost of over $4 million. Depending on who's math you use today that's about 14 Billion. The last straw was a Cholera epidemic that killed almost 2% of the city's population, or about 17,000 people today in one year. We've never been good at responding until our hands are forced by tragedy. Texas is suffering, but not like the suffering that prompted NYC's water supply or New Orleans' revamped levee system. Then add in examples like the decimation of the Colorado river and piping water in becomes incredibly politically unpopular. LA is running out of water too, but every attempt to tap into a new source is met with fierce opposition. Back during Bahrain's boom years the Saudis were building the worlds largest desalination plant, claiming they could finally make it affordable. Their system is nuclear powered and has no intake or discharge regulations. No one is going to allow a nuclear powered desalination plant in the US, although I think a proposed Texas power plant was planning to recycle their heat waste in a desalination plant. The largest American plant is in Florida (Miami?) and they spent years running at minimum capacity while they addressed regulatory issues concerning diluting the brackish discharge and keeping marine life out of their intakes. Their claim of success came when their price per cubic meter was around $3, about the same as NYC's. Except that the price doubles when municipalities tack on distribution costs.

The air defenses are not concentrated around DC. Otis was given to the Coast Guard and the fighter wing moved out to Westfield. For a time during the move air cover was coming out of Burlington, but I believe they're no longer participating in Noble Eagle. Westfield Mass is not a significant change in response time from Otis for an F-15. The Egg Harbor wing is part of this NORAD program in which there are 18 different locations across the country with aircraft on "alert status". This includes Andrews, Barnes in Westfield and Atlantic City in Egg Harbor.

How much is your insurance a year. Sounds like your ISO rating is possibly in the unprotected category. Paid firefighters in conjunction with the current volunteers should be able to take a good chunk out of your insurance premiums.

They NYPD will not be shooting down any aircraft!!!! No matter what system they use, they need to get it deployed in time. How much of a heads up would they have?? Even if it was an armed helicopter waiting at Floyd Bennett, how soon could it get airborne over midtown? if its a surface based system are they mounting it atop several buildings scattered across the city or is it sitting at the WTC command traillers waiting to be carried up to the top of 1 WTC? How long would it take to get such a system deployed? The timeline just doesn't make this a reality. Then include the politics and bureaucracy of NYPD as some of our contributing officers have highlighted and there's no way they're shooting down an aircraft.

http://www.concretecanvas.co.uk/index.html 2 hours to set up and 24 hours till they're inhabitable. Fire proof, secure, and cleanable. They seem like an excellent solution for long term disaster operations.

Same way you take down any other concrete structure. Crush it.

Read the article. Boston firefighters have been required to be EMTs for 15 years. In the faked training scandal in Massachusetts many BFD members got caught, so the EMT cert has gained greater scrutiny. They were given ample opportunity to get their cert and can still come back if they get their EMT.

Yep, that shooting range was on the opposite side of the parkway. I haven't been there in a while, but I'm pretty sure the range is no more. Over development has been an issue forever and the increase in storm run off is absolutely adding to the problem. Since you cannot undo the development of the river's watershed devices like berms, levees, lined stream beds or other attempts at stopping flooding only make the problem worse. The river needs to flood, managing that flooding is the only best solution. The only other option is turning the entire thing into an LA style flood channel, but who wants that running through their community? While a lot of money is being spent on restoring the river's flow through Yonkers much of it will forever remain running through sluices and channels at least as long as downtown Yonkers continues to exist.

Removing garbage from the streams will not prevent the flooding he is talking about. Dredging or any other modifications to the flow of these rivers is a much larger project that requires study and large scope oversight. The sawmill used to flood annually between the Chappaqua train station downtown Pleasantville due to a hard turn under the railroad and parkway in the area of Hillview drive. The water would back up into the lower yards along washington av and was damaging the train tracks. In response, the army corps of engineers lined the river bed with concrete and plastic. Now there's a very fast moving stream that runs straight into a fairly long section of slight grade. After about 10 years of high efficiency channeling a significant amount of sediment that would normally have been even distributed along the waterway was being deposited along this flat spot in the river. Between the high speed current carrying more sediment and debris, and the concrete bottom's inability to hold plant life that would normally accumulate sediment the problem was accelerated. What was once a stream is now a full on swamp in Pleasantville between Pleasntville Road and Grant St. Where there was a trail 15 years ago is now a soggy mess that you can barely walk through let alone ride. As this ground has become saturated and softened the parkway has sunk placing it at greater risk of flooding. Other changes like building a couple of athletic fields in a swamp and then raising and draining them into the sawmill are also adding to the problems on that stretch. Rivers flood. We need to take our cues from out west where they have much larger rivers doing much more damage and restore flood plains and natural wetlands. Eliminating the problem here in this one location is only going to move the problem downstream.

Lets pretend for a minute that the county can step in and mandate functional changes to the EMS system. I mean we've all been around this board enough to be well versed in home rule and yadda yadda yadda to know that the county can do nothing to force change upon the EMS system. So, you're saying that until they get EMS squared away every other function should stop?? Public Safety, parks and rec, public health, transportation, etc should all cease to function or at least be ignored until EMS is fixed? I get it that maybe one would want to be sure EMS, if its provision was within the county's span of control, received the maximum attention available but just because one program you deem superfluous is functioning does not mean that it is taking resources away from one that is floundering.

Now if only fire units could communicate with PD or EMS units on the day to day jobs where accurate and fast communication make a measurable difference every day. Or (crazy thought) hire universal call takers that are properly trained and compensated on a level commensurate with the job they are asked to perfor, like maybe the fire dispatchers.

We have a group of volunteers committed to helping pets and other animal during an emergency. Hardly a distraction from anyone's attempt at maintaining a functional EMS system. As for the priority of pets and animals try getting people to evacuate without their pets. Until their lives are actually in immanent danger of being lost many choose to stay with their pets. So, providing a simple resource that gets more people to evacuate before becoming victims that then put responders lives at risk is a waste?

Manhattan narrow house for rent. Interior photos

Feds aren't going near this. EMS is still state run.

I had partner that is color blind. Any time he couldn't tell he'd just ask me. It worked out just fine. I'm not sure to what extent, but I'll find out. He does have some red/green issues though. Our EKG transmission light is red or green and he's found a work around for it; usually just asks whoever is standing next to him.

The Paramedic AAS or Health Sciences BS offers no advantage over any other 2 or 4 year degree. At least getting a degree in another field offers other employment opportunities and a broader knowledge base. If medicine is where the heart lies Nursing and PA are both far better investments for your time and money. Hell, if you have an extra two years knock out the pre-reqs take your MCAT and go to medical school. Most programs will accept you without a BS. Public Health administration is a great graduate program but not very useful as an under grad. Most management jobs want Masters degrees, so why pigeon hole yourself so early? There are so many choices out there, make the most out of this opportunity. This may be your last chance to devote all of your attention to school. Once you hit the workforce priorities begin to change and people often have to start compromising. Take advantage of the fact that EMT and Medic do not require degrees and try something else.

There is zero advantage to pursuing a degree with your paramedic. Get a degree in anything else. If medicine interests you, go for a Physician Assistant program or or nursing degree. If EMS becomes a career and you start looking towards management requirements are usually for a bachelors in whatever and then specific grad programs.