ny10570

What about a coolant loop from the engine block through the pump panel? Anyone utilizing that?

Because that takes jobs away from FDNY EMS. If you're going to just have the Fire medics just to assessment and initial intervention, how much can you afford to pay them since you still have to have the ALS ambulance come and continue care? EMS is still running 8 hour tours. A 12 hour program in Brooklyn wound up in a flaming pile of wreckage. Starting pay for EMTs is 31,931 and paramedic is 43,690 EMS Pay Chart

Gotta be an EMT first. They put you through a refresher then training on FDNY EMS ops, HazMat ops, EVOC, etc. They do run their own in house Paramedic program but you have to do a year as an EMT first.

video of explosion http://www.nbcphiladelphia.com/news/breaking/Dramatic_Video_of_Tacony_Explosion_Philadelphia-114181874.html Article http://www.nbcphiladelphia.com/news/breaking/Tacony-Explosion-114177649.html While this wasn't your typical gas emergency, there's really no half way with these calls. 99% of the time they're nothing, but that 1% where they go south do so in a big way.

Someone could figure this out with some free time at a dept computer, but I know a few guys who were still waiting on that promotional list. The last rumor I heard was the 2 year promotional was gone and they were only offering it with the open exam. There is zero difference between the rules applying to the open and the promotional. The only advantage to the promotional was it is a substantially shorter list and was burned through much faster. I believe the quota was 10% of each class was promotional, but that is going off a fuzzy memory and may be wrong.

If that's true, why such a long wait to do it? Promotion and Open are the same test I don't see how they would escape the judge's ruling.

A Washington Times Editorial on the mess http://www.washingtontimes.com/news/2011/jan/21/justice-department-undermines-fdny/

Come on now, 343 is a symbol. Saying 343 firefighters, paramedics, chaplains, and deputy commissioners is a wee bit wordy and quite frankly stupid. I personally don't care who's included and who's not nor do I see the point of this nit picking. 302, 456, 109 are all shocking and the worst loss of first responders in a single incident. Yes 411 would be a better number as that includes everyone who responded that day, but in the end 343 is the number that became stuck in everyone's collective conscious. Without googling it, who can tell me how many lives were lost that day? Do the exact number take away from the horror of that day? Is 341 a tolerable number while 343 or 411 or 2977 is suddenly a tragedy?? Maybe its just me, but I have yet to meet the family wether it be civilian or PD that were bothered by 343 being the oft referenced number. Mercury, everyone who lived down there, worked down there, and did even a single hour of time at or near the pile, the barges, fresh kills, etc has been asked to register and come in for annual medical monitoring. Any of these people found to have at least one of over 20 different medical and mental conditions after 9/11 are offered treatment.

Thats the one. One edit, it wasn't so much asbestos, but PVC that was the main culprit. In the WTC and every fire we face PVC and pages of other synthetic plastics are what is burning. Here's the Daily News article about it... http://www.nydailynews.com/archives/news/2004/03/14/2004-03-14_three_decades_after_an_infam.html

Date: 01-19-2011 Time: 18:18 Location: 60 Dowling Circle, Hillendale, MD Frequency: Units Operating: Weather Conditions: Description Of Incident: http://www.cnn.com/2...efighter.death/ A volunteer firefighter, the father of two young children, died Wednesday evening in a four-alarm apartment fire in the Parkville area of Baltimore County, Maryland, officials said. Mark Falkenhan, 43, of the Lutherville Volunteer Fire Company, died at a hospital, said Baltimore County Fire Chief John J. Hohman. Firefighters had rescued a woman and were searching for more possible survivors on the second and third floors when a "flashover" occurred, according to the chief. From Firefighterclosecalls It is with deep regret that we advise you of the Line of Duty Death of Baltimore County FF Mark Falkenhan, 43. Mark was killed this evening after becoming trapped and calling a mayday in a multi-family dwelling fire and suffering massive burns. FF Falkenhan had recently left as a career Baltimore County FF to take a position with the United States Secret Service. However, he was an active member of Baltimore County's Lutherville Volunteer Fire Company (Station 30), a part of the Baltimore County FD. Mark was also an Instructor with MFRI, the Maryland Fire & Rescue Institute. He leaves his wife and 2 children, ages 10 & 13 behind.

There's another thread about AEDs and CPR training for their members and it couldn't be more appropriate in reference to this even. Everyone who went out that window was treated by the firefighters on scene initially. Were it not for their initial interventions the outcome would certainly have been worse. Bail out ropes and self rescue training are extremely important, but just as important as what you do before poop hits the fan is what happens during and after.

Here's the after from the explosion

The 343 is very significant for the impact of that moment. What happened that day. The scores of people who have and will continue to suffer the effects of working there that day is only different in the sheer number. There was a massive fire at a Bell Atlantic property in manhattan years ago (sorry, on my phone can't look up the details) that a possible cancer cluster due to a massive exposure to asbestos and vaporized metals. At the time pulmonary function tests didn't exist and firefighters rarely wore breathing protection so the real damage will never be known. For 9/11 the real death toll will also never be tallied. The majority of the people exposed also regularly expose themselves to a host of carcinogens every day. Construction workers, especially iron workers already have higher rates than average of a variety of illnesses. Every year it seems like there's a new study about just how unhealthy firefighting is. Now keep in mind I am 100% behind the Zadroga act. It fills a serious gap in health coverage that people should already have, but when someone comes down with xyz cancer is it because of 6 months on the pile or 20 years of smoke filled hallways, sooty PPE and diesel exhaust?

Helicopter, there's an easy consensus. I'm right. Seriously though, you nailed it. Every time this comes up the conversation goes right into tactical training for EMS. In a system the size of NYC with the number of shootings you'd have to train everyone to be tac medics or have units standing buy just in case. Neither is practical. Awareness training in how PD operates and what they would expect with similar training for PD on EMS operations would go a long way towards clarifying what is a safe scene. As of now we get a short lecture on evidence preservation and that's it. Everything else is learned as you go.

For those companies/depts without defibs... How about sudden cardiac arrest is still killing more of us than fires. That's fine if EMS isn't your job, but CPR and early defibrillation have been proven to be far and away the most effective ways to improve survival. If your rig doesnt have a defib and your members are not trained in CPR, Just do it for yourselves. They're so cheap these days and CPR is so simple that there is no excuse not to.

Danger, look at precedent. These events happen all over the country and were usually without incident. Some movie theaters can't go a Friday night without a police response. I've been involved in many multiple shootings. None as large as this, but unless they are trying to cover multiple locations its usually just ALS, BLS, and a boss for multiple callers. Once PD or EMS arrives and starts giving patient totals the flood gates open up. Callers are unreliable. Whether it 3 or 13 people shot the caller will be excited and generally use vague terms. I'm spoiled in NYC when it comes to scene safety. Every time I was on scene during the shooting either the fight came to us or we just had bad info and didn't know what we were getting into. Otherwise if its a shooting I know an army of cops are on the way and will likely be on scene well before me. Staging away isn't practiced unless its a standoff type situation. I don't believe we should be waiting for a completely secured scene. Once the officers on scene are comfortable with my presence I'm in there. That has meant scoop and runs from an angry crowd and immobilizing while officers were charging past with guns drawn. Neither of these were the state definition of scene safety but were the best compromise for the patient at that time.

Compressions during defibrillation is coming. In the lab latex, vinyl, nitril, etc were all effective at insulating against shock. Modern defibs result in little to no current traveling across the skin as long as pads are properly placed. As of now we're doing CPR during charging only stopping briefly to deliver the energy. In theory at least, as soon as people hear that charging tone they start backing away reflexively. The Res q pod and other ITDs rapidly fell out of favor. In NYC we not only saw no improvement there was a small drop in ROSCs. I was told by one our docs that any real benefit is only realized with automated compressions and even then it's not as much as research initially suggested it would be. I'm still not sold on automated compression devices. They're not very quick to deploy, require substantially CPR interruption to implement, and don't work on everyone. I'm a huge fan of the Phillips q CPR Puck. Real time visual feed back right on the patient's CHEST with rate, depth, and recoil. With it perfect CPR is very possible. As far as CPR during transport, if after 20 to 40 minutes of CPR the patient isn't back the future is bleek. Good quality CPR with minimal interruption early is more important.

So with 8 to 14" and up 25 mph wind gusts predicted as of 6pm, NYC is declaring a weather emergency. This doesn't remove parked cars from snow emergency routes, but does enable the city to tow any car blocking snow removal or traffic at the owners expense. Why the Fudge does this require a mayoral declaration?! This should be in effect 24/7. Sanitation has been in full Blizzard mode since this afternoon and as I write this there is a plow grinding is way down my snow dusted street (so much for 2" or more to plow). Salters have supposedly been sent down every street in the city. Transit has moved all running trains to interior tunnels, sending some express trains to local tracks but otherwise running a normal schedule. Blowers, diesels, and de-icers were deployed this afternoon. Fire is staffing all IMT and Brush Fire units. EMS has suspended all training, running all units 24 hours, staffing additional units as available and initiated 1 for 1 relief. There are also real shovels and tow straps issued to all command vehicles. According to one mechanic, the rear bumpers are not to be used for towing and the ambulances do not have tow hooks or marked anchor points. I hope our bosses are aware. This is gonna be a hoot!!

Was the change delayed to do reception problems? I start having radio problems if I even think about going near the subway. Stations just below the street where still have a cell signal I can't transmit.

umm apparently you have not been listening to the mayor. Snow is a major emergency and quite possibly the greatest threat to the safety of New Yorkers everywhere. For the first time in decades, there is snow on the ground in every state except Florida (even Hawaii).

Thanks for that vote of confidence efdcapt. I appreciate it. PEMO3, thank you. I don't think anyone with any sense takes anything said here to heart. Faceless conversations about passionate topics are bound to illicit knee jerk comments. I have been guilty of more than my fair share. I absolutely agree the patch means nothing so far as an ability to lead. However I to believe that for the good of the service paramedic bosses is the right step. Back to the topic of chief Perrugia's scapegoating. The latest rumor out of the knitting circle is he will not lose his rank and is going to be reassigned to a different post. Adding the start to the chief of EMS post enabled this.

I hate the expedite request. Give me usable info. Confirmed structure fire or occupants trapped. Upgrade the call to cardiac arrest or major injury. I understand the need by those on scene to express the severity of the emergency but repeated requests to "expedite" or "put rush on..." or "step it up" do not suddenly allow me to fire up the jato rockets and leap over the traffic.

Not necessarily. Accident on the shoulder or lane with little to no shoulder. One vehicle behind the accident and the other along side and both trucks are still exposed. Even if you can cover the entire back of the accident with one behicle, the second should be along side to prevent cars from careening off the far side of the road or those lovely drivers that pull on the wheel as they look over there shoulder at the passing accident.

Psst nwfd ... They bailed on SQ epi in favor of IM due to the decreased skin perfusion during anaphylaxis. Otherwise I couldn't agree more but have given up trying to explain that A + B doesn't always equal C. Its the difference between EMT-I and Paramedic that some people just don't get. Clinical judgment still has a place. Prucha, we cannot operate outside of our scope of practice however operating in more than one protocol and at times outside of protocol is an absolute necessity. To operate outside of protocol but within your scope of practice is why we specifically have the ability to call for discretionary orders. Before pain management and EDP sedation became protocol it was done by aggressive medics with consent from the doc.

You don't know me so you can drop the whole ego maniacal medic line. I never once said there were no phenomenal EMT supervisors. While I'm at it there are medic supervisors with time in the field that I wouldn't let touch a week old corpse let alone a living patient. The job is better for the higher standard. The half assed Lt exam and ensuing training does nothing to select or create real leaders. Its about time they started asking for more than a GED and knowledge of the ops guide to run the largest EMS system in the country.