ny10570

http://www.vententersearch.com/?paged=2 Scroll down a bit, some good photos of hidden rooms that are relatively common.

How has the roll call feature been working out? Happened to be at the rock during a highrise drill when they were working on the roll call. Each member keys up their mic 3 times in a row and it is supposed to register them in the system. There were still some kinks where too many simultaneous transmissions would block each other, but one company at a shot seemed to work well.

I don't claim to know everything about air travel, but my non-stop from LGA to San Francisco seems like a longer flight than Vegas. I'm guessing length plus departure angle is the problem.

The man he rescued. There's something to be said for encapsulation...

I never understood that. I have yet to see a pump operator able to just stay parked next to the panel leaning against the supply line. Usually too many jobs and not enough hands, especially at a drafting operation.

The men and women out there doing the work are absolutely capable of building beautiful, heavy duty, classically built structures. Look at the some of the Estates of our countries super rich. Its the people placing the orders who have put expanding their profit margin above all else.

What he said...

I have a an excellent working relationship with the nurses at my primary hospital everywhere I've worked because I talk to them. Forcing call audits, CMEs or ride alongs aren't going to help. Take an extra minute to talk to them, ask about your patients and god forbid help out a bit. Some will always be evil Nurse Ratchet wannabe's but he majority are doing an under appreciated job for some ridiculous reason, just like us.

DDixie nailed it. Skills are nice, but I can teach a monkey to splint, immobilize, suction, control bleeding, intubate, and start IV's. None of these are hard skills especially in the lab setting. They only get tricky when you have to do them on live people. No matter how many hours you spend in class you're not going to learn about down jackets and people who won't let you move their broken arm until you get to that down jack wearing broken armed patient. I can intubate the mannequin blindfolded, upside down, backwards, digitally, and without a stylet. However there are still people that with all the help in the world and the ideal conditions myself and later the ER could not intubate without a camera. Lab time will never be enough for the real world. Pathophysiology, anatomy, physics, and pharmacology are what separates the professionals from everyone else. If you understand spinal anatomy and the basics of newtonian physics given enough time you can figure out the KED. It all makes sense. Instruction just helps you put it together faster. Instruction teaches you about using the padding and the shoulder roll to fill the voids. Understanding anatomy and physics should be enough that you apply the collar, then gently work the ked behind the back, secure it to the torso, and then secure the head. Armed with this detailed knowledge we can properly apply our skills to the patients who don't fit the classroom scenario. Take the 250lb patient in xyz scenario. There isn't an EMT or Medic class out there that has a mannequin for this one, yet with the right education you can understand what the classroom skills are trying to accomplish and adjust them for this reality.

Tour Bus Inspection In the wake of this accident the DOT and NYPD have begun stepped up enforcement of tour bus operations. In the first Manhattan check all 14 buses inspected failed and were pulled from the road. This after an accident where all the operators knew they would be under more scrutiny.

The order is now finalized and full production approved to the tune of just over $46.5 million for 285 vehicles. FDNY EMS will have an almost entirely new fleet in the next 2 years.

Jessica Tata reportedly surrenders to authorities Her brother, Ron Tata, 26, said Saturday that Jessica turned herself in around 11 a.m. According to his relatives in Nigeria, workers at the U.S. Consulate in Lagos traveled to her location in Port Harcourt, he said. “She planned to do it a couple days ago and they came over to pick her up, after she called them and said she wanted to turn herself in, basically,” Ron Tata said. The U.S. State Department, local officials with the U.S. Marshals Service, U.S. Embassy in Abuja, and local officials could not confirm Ron Tata’s report. One official close to the investigation confirmed that Tata is in custody, but could not provide any details.

Those agencies are long gone. They merged and became F U Ambulance Service and exist everywhere. Nothing like the medic running for his flycar before we even got inside the ER so he could jump on the hot call coming in.

This is an issue for the agency to handle. The liability here doesn't apply to the individual units as long as they're operating according to agency guidelines.

He lost a few days pay and spent several weeks on a patient care restriction because he was wrong. He may have also been reprimanded by the state but I'm not sure. The gist of the argument was that because we really don't know what we have till we actually get there we have to treat the patient we have in front of is. If you're on scene with a booboo and you hear a cardiac arrest get dispatched a few block away can you just leave the booboo for the arrest? Thats the way the state looks at it. It doesn;t matter where you were going, you are now on scene with your patient.

If you are flagged, you are flagged. That is now your patient. What if you were on scene at a skinned knee and hear a call go out across town for that confirmed arrest? You're still obligated to either transport or RMA that patient. You have no legal liability in that case unless you were to delay notification that you were flagged. What if that CVA were actually Bells Palsy and your general malaise was a massive MI? You assessed the sick, blew it off as just being a sick and hurried on to the stroke. Now you are in trouble because YOU denied the sick definitive care in a timely manner. If you get into a wreck on the way to call, its not your fault the patient didn't get the ambulance. If you stop for a sandwich then it is your fault the patient didn't get their ambulance. If you're transporting a patient then once again the patient you have is your priority. if they're stable feel free to get involved. If they're unstable document accordingly. Accurately describe the situation over the air. Continue on to the ER. If stopping will cause harm to the patient in the bus, you must continue to the ER.

You are to render aid at the emergency you have, not the emergency you might have. It doesn't matter what you are going to you, if you are presented with a patient requesting help you are to help that patient. I'm just an lowly field paramedic but this is coming from a former partner's patient abandonment hearings after he ignored the civilian flagging him for the same old drunk on the same old corner while he was headed to a cardiac arrest. In the first scenario the chest pain patient is not your patient until you get on scene. The could no more hold you responsible for getting flagged than they could jam you for getting into an accident on the way. Now failing to respond or intentionally delaying your response is a different matter. Your second scenario is the reason why the law does not differentiate between call types of the potential patient. There may very well not even be a patient at the scene, but there is definitely a patient in front of you at the accident or whatever you've been flagged for.

My ambulance has been parked on 163 & Westchester, Southern & 167, and 149 & Union in the Bronx for many full moons as a medic and I was scattered all over the north Bronx as an EMT. I've done my share of shenanigans filled evenings with EDPs, PCP abusers and the latest inductees to the knife and gun club. There is not a correlation between the moon and the stupid. I'm going to go with selective memory to explain this one. The big incidents or crazy nights that happen on or near a full moon reinforce a previously held notion. This causes a stronger emotional response and makes a stronger memory. Then years later when you reflect back on all your "bilat 14g's" all those events near a full moon are clearer in your mind. The research is there. Read for yourself, The Google knows all...

Update - "Rescue" Not Quite What It Seems Not so amazing...turns out he escaped to an evacuation center and returned to his crushed home some time after.

There is no tide in your brain. Everything at all times is experiencing the effect of the moon's gravity. Water is fluid so the differences in the the moon's gravity are visible. This does not mean that the moon is not also pulling on the land, trees, brains, and bones. Tides are the result of differences in this gravity. On the far side of the earth from the moon the gravity is less because it is further away. The difference in your brain between the near and far side is too small for there to be any fluid shift. In 1991 James Kelly and several other researchers published a meta analysis of all the studies concerning moon phase affects on human behavior titled "the moon was full and nothing happened". In over 100 studies none have been able to demonstrate a statistical bump from the moon. This weekend will be nuts in the ER and on the streets because its going to be sunny and warm. Good luck and be safe out there.

No onspots, useless in more than a few inches of snow. There was a push for some 4x4 vehicles as part of the order but after all the headaches with the lowering suspension on the HazTac trucks it was rejected. Family will probably still be in the back as the second seats are going to wind up buried under PPE bags and our personal crap.

Another great example of why all the blue lights, LEDs, and reflective stripping aren't going to save your butt. We're plenty visible, but if the idiot behind the wheel isn't looking it doesn't matter.

I love that "this will not affect service garbage. If thats true than you've been ripping off the taxpayers for years! So either these officials are terrible managers or flat out liars.

Need more cab space. With the addition of coolers medics can no longer secure all their equipment and Ford's cabs are losing leg room with each redesign. Even though they have the same parent company they are still competing and have a profit margin to watch. Wheeled coach hasn't had a real crack at NYC in years. They were given a chance during the McCoy Miller mess but declined the no-bid contract because they felt it was too restrictive. Structural integrity is a substantial part of the spec. It makes the trucks heavy and expensive, but I'm a fan. Gotta be overall. The current price is in the range of 155k to 160k per ambulance.

How about, what are the roles of a VAC officer? If it is just to push paper then there is no reason for the training. PCR review can easily be delegated to an EMT. Now if your VAC officer is going to functioning like a counterpart in fire or PD then an EMT card is just the beginning of what they should be required to have. Which agencies require more than just an EMT card? If you're going to be managing the medical branch of an MCI, your EMT card and few years of teching are not going to cut it.