ny10570

Because only absence of respirations and circulation will absolutely result in brain damage and likely death within the 8 minutes it takes ALS to get there. Absolutely 15, 30, or 60 minutes waiting for transport is obscene. Sadly another standard directly related to transport response times is needed locally and I'm sure in other areas. However BLS care within 4 minutes and ALS care within 8 will provide the care required to keep people alive to arrive at definitive care. CVA's currently have 3 hrs from onset for TPA administration. Studies on direct administration via catheter are showing greater than 6 hr effective windows and general TPA administration has enough promise where some hospital shave expanded their onset window to 4 hours. STEMIs guidelines currently shoot for 40 minutes from ER arrival to catheter, 90 minutes for transport, and 15 minutes for EMS on scene time. All this is without a definitive answer as to how long is too long. Asthma, APE, anaphylaxis, and lethal cardiac arrhythmia while all necessitating timely transport benefit more from having that oxygen and a BVM standing by in 4 minutes and a medic on scene in 8 minutes rather than an ambulance on scene in 4 minutes and the ER 10 minutes away.

AED and good CPR are the only interventions proven to improve ROSC and the most effective at improving survival to discharge. A cop with a Defib is good enough for the BLS clock.

I believe Capt Nechis was quoting AHA's guideline for AED capable care within 4 minutes and ALS within 8. NYC is very close to meeting that standard. Since its an AHA standard and it specifically refers to AED capable units I'm going to help our numbers and just refer to our cardiac arrest/choke numbers. At 4:10 for the first EMS or CFR we're extremely close and may actually be there if we chopped our longest %10 from the equation. Manhattan and queens traditionally have the longest response times and last month ALS was averaging just shy of 7 minutes for all call types in Manhattan. The point of all this babble, bvfdjc, NYC is almost there. As for Westchester, are they planning to stop the clock at the first responding unit (ie: medic fly car or engine) or will the 4 minutes apply to all responding units?? Its an important difference. The difference between status quo and real change.

New stadium was built atop several little league fields. Old stadium had to come down to replace them. Renovating the old stadium would not have allowed the construction of the restaurants and all the luxury boxes. Renovating back to its older roots would have further reduced capacity and eliminated many of the cash cows the new stadium has.

Nycemt nailed it. The new stadium is about the cash. It is beautiful but unnecessary. I'm a die hard Yankee fan and huge history buff. Demolishing the old stadium was necessary. That neighborhood doesn't need a massive monument to the Yankees across from the new one. As it is that neighborhood shuts down in the off season. The Parks and fields are sorely needed and a substantial upgrade over what was there.

Its not just in the headers and rockers anymore. Any place you have unusually thin steel structures you're probably facing one of these high density alloys. Some luxury cars are using these for the entire pillar. The new Mercedes CL coupe is 70% high strength steel alloys including a nearly invisible B pillar made of Mega high strength steel (sounds fake, but Mega high strength is the latest alloy). I haven't been to any latest and greatest techniques lectures on a few years but it seems like tearing is still your best bet for defeating these alloys. Attack where they're welded to other components and alloys. One instructor a few years ago promised plasma cutters would be standard equipment inside of 10 years. I'm starting to think he was right if only a few years off.

If the states don't request, FEMA can't act. How is this one FEMA dragging their feet?

Because if the terrorists get our money then they can buy our guns. http://www.foxnews.com/politics/2011/04/28/fbi-247-people-terro-watch-list-bought-guns-2010/

So anyone who makes it past the first week of EMT or Medic training gets at the very least a cursory introduction into liability, malfeasance, misfeasance, nonfeasance, and any other feasances lurking in the courts. Police are also well informed on the pitfalls and repercussions of not doing their job properly along these lines. It has been my experience that as long as the fire goes out firefighters tend to feel they did a good enough job. Often critiques end with, "The fire went out, everyone went home, enough said." Is there a precedent for an FD being held liable for excessive damage? I'm specifically talking about malfeasance. An action that causes harm. Anyone who's been around for a few minutes has been at that job where some idiot went around breaking windows they didn't have to or the dept that extinguished the ragging wastepaper basket fire with dual 2.5" handlines. Yes, firefighting is by nature destructive and the risk of trying to preserve a few boards of sheetrock is absolutely not worth the resulting damage from a rekindle. I bring this up after witnessing discussion between a chief and young officer where the chief was trying to explain why the clearly unnecessary hole that was cut into the gorgeous slate roof with antique copper flashing was, "An F***ing embarrassment" to the dept and his ability as a firefighter. Nothing was ever mentioned about liability. Everything was about ego and professional appearances. Not looking like a F***shop was of paramount concern. According to the medical standard of malfeasance, since any firefighter with similar training and experience would know that a hole in the roof of a 2 story home experiencing a small, self vented, room and contents fire is unnecessary and did not serve to assist in firefighting operations by the time he began operating on the roof this firefighter and by extension his dept could be liable.

Isn't Moynihan station supposed to open up space at Penn for MetroNorth in the distant future? These revenue neutral projects are ridiculous. They need to spend money attracting more customers rather than adding services for existing customers.

I've been doing this myself for 14 years because its just common sense. No one wants a car blowing by a foot or two away on the side of the road. Even 30 feels fast when they're close enough. If you can't figure this out you deserve the ticket.

I've been in the back of several impalas, a vic, and even an altima. While none have been with bracelets the Vic was far and away the most spacious. The other two my back is facing one door and my legs are facing the other. Had I been a perp the officer would literally have to lift me out of these smaller cars.

Sorry I meant "I wasn't there when the hole was cut", but you make an excellent point. Have this Guy at any point said something about going to the roof, venting the roof, etc this could have been avoided. Even beyond damaging the roof, why put yourself or others at risk working on this roof for no reason.

I guess the actionable cause would be the damage to the roof. Assuming one can prove the hole was not necessary and the firefighter should have known that.

Anyone who hasn't watched Glen Beck doesn't know what they're missing out on. I watch it at least weekly and am truly disappointed he will not be on the air for the coming election. Its a regular broadcast of a man going insane. Blows away any reality programing. EMSer, if its factual you can post it. So which agency has this sweet heart deal? If the biggest evil you can come up with is a few thousand a year in higher education I'll happily go toe to toe with examples of Conservatives supporting, requesting, and enjoying classically liberal ideals that just so happen to benefit them. I'll even spot you some union corruption and bid rigging cases in the last few years that have cost hundreds of thousands if you need some help. Obama as liberal as he is, is not pushing for a communist or even a socialist state, he is not trying to cripple the upper class, and he is not going to destroy the country. You can't get much more nanny state than FDR, but his programs were extended by Eisenhower. Then LBJ comes in with more social reforms and some sweeping civil rights legislation, and wouldn't you know Nixon followed him up by adding to social security with a lil deficit spending. He also added OSHA, the EPA, and a few other federal oversight agencies. No sitting president can place any meaningful cuts upon medicare or social security and hope to return to office. Old people vote too much. Hell, for all his talk Bush did nothing to curb the growth of medicare. Any attempt was crippled by partisan politics and resulted in more shuffling of numbers. Obamacare has huge potential if it can get preventative healthcare to more people. Get sick enough or hurt badly enough and everyone eventually ends up on the government dole. If you can keep them healthy enough to work you can keep them earning. Republicans have stopped arguing that it will save the country money, they're focusing on the cost to implement and the fed butting into states rights. But I thought this was about the budget? They're all agenda driven. Republican or Democrat, they all have someone behind them pulling the strings. So when you say that the unions are s*** because they're in bed with the democrats you sound like an idiot. The democrats support the unions and the republicans support big business. The middle class and small business are universally paraded around as the cause du jour but when the legislation is written they're the one's left out.

Since you're so very well versed in NYC's unions, how did you miss Giuliani's mayoral campaigns and the union support they've received? Bloomy didn;t do too badly either whatever party line he happened to be running on. Absolutely the unions support Democrats. Maybe that has something to do with many Republican ideologies flying directly in the face of union interests. If you are going to base your politics solely on fiscal matters, nearly impossible by the way since money is what pushes the social agenda, then how could you ever call yourself a conservative republican?? You do not make nearly enough money to benefit from any of their economic policies. Democrats are no friend to your wallet either, but they at least support most union agendas. See, and here we are back at the unions almost universally backing democrats. The right to bargain, workplace safety, pensions, health benefits, etc are all benefits won with the help of democratic legislators. yes, the unions and the people they represent we all scream "Me me me me me." We take every penny we can get at the bargaining table often fighting protracted fights through the arbitration process and working for years without new contracts. But isn't that the American way?? Isn't that the essence of the American dream to come here and fight for what is yours as best you can? We unionized and did that. Then when cities after years of fiscal irresponsibility come back and say we're broke what did the unions do? They didn't tell the cities to go screw, they asked to sit down at the bargaining table and find a way out of the mess. In yonkers they found concessions and additional funding sources. In Wisconsin they gave up almost everything the governor was asking and delivered a balanced budget WITHOUT HAVING TO GIVE UP BARGAINING. Why then did he take it away? In NYC every agency has met their budget reductions and every union has been meeting with the city to identify cost savings. However unless its a head count reduction Goldsmith doesn't want to hear about it. So I ask you, how is it the unions and not the politicians that are wrong this time? Public unions already do not have nearly as many rights as private sector unions. What rights are you referring to? In your posts you allude to union corruption, and thats a very big issue. However no union has swindled more people out of more money than corporate America. The tech collapse of the 90's was fueled by billions in out right fraud, the savings and loan scandal of the 80's another economic collapse driven by fraud, and today's mortgage crisis a slightly different situation. This time instead of anyone going to jail they all go bonuses. These executives who knew what they were doing was at the very least unsustainable and in many cases out right wrong were actually rewarded for destroying whole companies because they had fairly negotiated contracts that guaranteed them certain compensation. They didn't go back to their investors and renegotiate their retirements. The only changes were restrictions on executive compensation for anyone still owing the fed money. Since the crash bonuses and overall compensation are right back up there yet none of these companies are showing balance sheets to match these increases. I'm just a lowly paramedic with a SUNY education but that math just doesn't add up.

Many paramedics have criminal records. There are also many prisoner staffed fire companies around the country that are at times used for mutual aid by their surrounding communities.

You either do less with less or you do your job poorly. No matter how dedicated the members are they're not going to be able to do more. As Capt Nechis has pointed out again and again, in most cases improvements in ISO rating result in savings greater than the tax increase. I don't know the numbers, but it seems like Pelham is small enough where they could realize a significant improvement in fire protection for very little cost by merging with New Rochelle. So taxes aren't the issue. Why aren't people more vocal on this? The firefighters are rolling the dice with their lives and residents are essentially writing off their property as lost because they will not/ can not give their fire dept the money to do the job.

Don't know where he was when it happened. But he was certainly there after the fact. Wasn't there when the hole was cut.

Dinosaur you actually highlighted the problem with the golden hour. The concept was first conceived during research into combat mortality in vietnam. They found that after an hour between injury and surgery the survival rate had a significant drop. Combined with a retrospective review of Korean War data that supported this claim it became Crowley's talking point. The catch is relatively few of our patients are gun shot and blast victims (blast victims being the largest portion of 1 hr drop off). We're treating two different patient populations. Our patients can often afford the longer transport times where as it turns out medical events such as an MI is much more time sensitive but many times harder to get the patient off scene quickly. In the context of ground transport being safer and keeping air resources available for patients that really need them we are long overdue for re-evaluating our air medical resource utilization.

I can't believe people are shocked at the Henry family being pissed at this. Lose a child and see how reasonable you become. The family is pissed and will always be pissed. Their kid did something stupid and got himself killed. This wasn't a malicious or pre-meditated attack on Officer Hess. So the family has to come to grips with that. They have no villain or clear reason to hold on to and explain the loss of their child. Any number of things happen differently that night, Officer Hess never has to kill anyone, he never gets his leg broken, and DJ goes home alive. Wait, so we're expecting the Henry family to essentially say, "Thanks for shooting my son and saving us the stress and burden of a wrongful death suit in the event that he might have stuck and killed someone that night." The DOJ will eventually exonerate Aaron of wrong doing, he should enjoy his award, and we should write off the Henry's claims as irrational and the result of emotional trauma.

Yes. It looks a little different than the federal version or maybe thats a cover. But those look like the rumbler cones.

If there were significant problems with Ferrara's ability to construct a reliable rig they would not have been selected. They have a variety of rigs running in several different capacities. Seagraves recent quality and warranty troubles in NYC are well documented. As long as the ladder goes up and the rig rolls, how much does it really matter?

At some point adding more museums becomes redundant. NYC has a much more interesting history than westchester and their museum isn't exactly expansive. They do an excellent job, but outside of children and fire community no one gives a rats a**. So should every community have a museum? Absolutely not. There are not enough people who care and not enough exhibits to make it interesting to the few who do care. So we go larger, one for each county?? Sorry, but I don't see Westchester as being able to maintain an interesting museum beyond one or two visits. On the state level, you can now pull from enough places to have enough stories to get people to go repeatedly. The state museum in Albany has an extensive storage capacity and constantly has new exhibits from all over the state rotating through. A pitch to them for a fire exhibit or maybe even a permanent exhibit may work. No one is saying that the MoMA, Natural History, American History, The Field Museum, Smithsonian, Intrepid, or any other museum is necessarily a waste of money. People are just saying that in April 2011 a Westchester Fire museum is a ridiculous proposal. Next time you're in NY check out the Nassau Fire museum. No offense to the guys from Nassau but as beautiful and well put together as it is, there just isn't a whole lot worth going back a second time for.

There are so many things worth protecting but the local VAC and VFD history doesn't really rank that high in my book. Check out the NYS museum in Albany. They are a bit focused on the capitol district but have a variety of revolving exhibit and do an excellent job with their displays. Do we need a museum for Westchetser, Putnam, Dutchess, Rockland, Orange, Ulster, and on and on?