ny10570

Either consolidate on your own terms or get consolidated (or in this case eliminated). Even if the economy magically returned to growth and prosperity tomorrow, we'd be years away from catching up to years of cuts austerity budgets.

Between the annual proof that money wins elections and the idiots who vote for dead people every once in a while I have a hard time continuing any conversation with someone against term limits.

Moving it to draw traffic to other areas makes sense. To reduce clutter, why? I'd sandwich shoutbox and the new content areas in ads. Its far from confusing as you've done a good job keeping things linear.

Helicopters are a phenomenal asset. Stories like this however hopefully make providers think carefully about utilizing them. Aircraft don't don't tend to fail "small". Ambulance hits a deer or engine fails on the way to the ER you put the patient in another ambulance. In a helicopter too often the whole crew and patient go to the morgue. "Well, since its here." Is never a justification for flying out a patient. If the flight will actually save time and the patient needs those minutes, then absolutely fly them out.

When you disappear a thread and a month later suddenly restore it amongst other threads that are no longer active you have effectively killed it. This forum is large and many like myself only go to the new content link. Especially on a mobile device, navigating each individual section and subsection is time consuming and onerous. When restoring a thread, quick bump post would help hopefully help to restart the discussion.

What are you trying to research? How far along are you into this? Are you receiving any support for this study? There's a lot of data out there, but to get access you've got a few hurdles. If you want, pm me the details and I'll see if I can help you get access.

With the economy in the tank crime will go up. As for the safety of our small towns, there is nothing that is changing. When crimes and tragedy are so infrequent a couple of incidents in short succession really stand out. Over the years these spurts fall within the average.

Did you read up on the industry before starting this thread or is this just a random train of thought that inspired you to log onto here? I only ask because depts across the country have been looking at how to reduce fleet costs. One of the big selling points of the new Ford police packages is the fuel efficiency gains without power loss thanks to the turbo charged 6 cylinder engines. Several big depts tried hybrids as part of patrol fleets and many depts of all sizes uses hybrids in non-patrol functions. At some point however savings in one category result in costs in another. The fuel savings of an all hybrid police fleet does not make up for the costs of operating an all hybrid police fleet.

Short answer is no. There is no protocol for sPO2 based therapy ALS or BLS.

What are you looking for? There's nothing even for ALS dictating treatment based upon sPO2. It's a great tool to help monitor the efficacy of your therapy and to impartiality quantify the severity of a respiratory complaint. It is absolutely not a treatment indicator...yet. There's enough research on the harms of oxygen administration to begin questioning the NYS approach of high flow O2 for all. But that's for another thread.

Fewer companies over short staffing any day. If it takes more companies to do the job it is still going to take longer to get the job done. At least with fewer companies it is more obvious to the average citizen what they're losing. People see fire trucks they assume the help is here. They don't understand that there aren't enough firefighters. When their firehouse closes they'll take notice.

The city is arguing the 5th man was a separate agreement from the collective bargaining agreement.

Some clarifications. First, the city doesn't give a rats behind who runs the ambulances. Neither does the city council. The fire department would like to run the entire system, but that is a very expensive proposition. The only people actively pursuing an all FDNY EMS system is Local 2507. EMS DOES NOT TURN A PROFIT IN NYC. Not for the FD and not for the hospitals. The only people making money are the commercial operators, and their 911 profits are razor thin. Senior Care only began going after 911 when their growth in the transport sector stagnated. By becoming a hospitals 911 provider they also become the primary transport provider. No matter what anyone working for FDNY*EMS says the dept has no desire to suddenly take over EMS. They don't have the equipment, budget, or staffing to make it happen. The usage fee that is to be assessed upon all of the hospitals was not designed to chase them out of the system. If it was, then why not charge something astronomical like $1 million per unit rather than the thousands per unit they settled upon? Because they wanted to get as much money without any added responsibility. This was a measure to close a budget gap. If you think chasing voluntary units out of the system helps that, please see above. The dept has no ability to unilaterally take over EMS. They tried to kick transcare out of the system years ago, but lost badly in court. The hospitals have a contract with the city and as long as they uphold their end of the deal they keep their units. EMS is currently "overstaffed". We were approved to hire above head count for two reasons. The first is the financial house of cards many Brooklyn and Queens hospitals are currently dealing with. Several hospitals are very close to bankruptcy proceedings or outright failure. There have been informal conversations about shuttering EMS operations and what that means to hospitals and their bottom line. The second reason for being flush with members is the revolving door that is EMS. For the past 6 years except for a few pauses we've been hiring constantly. Part of that has been the expansion of the system but a lot is also in response to a hiring binge and system expansion 25 years ago. We have a large number of members coming up on retirement. We also have members frequently leaving for other careers. The biggest destination in the coming years is going be to fire where we will see several hundred current members go. Since St Vincents closed NY Downtown has been chomping at the bit to pick up more tours. They added an overnight coverage to one of their ALS and another 24 hour BLS. The rumored addition of a Rescue unit to lower Manhattan is not to prevent another unit from operating. Their operation is funded by federal grant money and at this point is still a rumor. The dept is not preventing anyone from running more units. Bronx Lebanon added an ALS and I believe there were two new voluntary units in Brooklyn last year. I would expect EMT hiring to continue at its current pace. Another 60 EMTs were pulled from the streets to go to paramedic training starting today and there has been more and more BLS overtime available recently.

Medication administration is the number 1 mistake in hospitals. Far from surprising. Yes, it is clearly a one sided piece, but this is absolutely believable. Even right here in the good ol US I've heard of and witnessed similar rigid refusal to look outside the norm for a solution.

Arbrow, I've been to a couple ambulance rollovers and the stretcher never came lose from the mount.

The highway construction and repair industry has been doing this far safer for as long as we've been operating on the roads. We need to take out cues from them. Clear but not blinding lighting. Separation between reflective and powered warnings. Protection lanes and vehciles while operating in traffic.

Very true, but since shift diff and meal money vary depending on assignment and schedule they really don't accurately factor into base pay. It also doesn't take into account union dues and pension deductions that are automatic and the same for everyone.

The iSTAT. Very cool machine. I get to play with it during the NYC Marathon. But at 8g for the device and almost $30 per ckmb or troponin test I wouldn't hold my breath on getting one soon. Especially since labs aren't necessary for intervention with a clinically indicative 12 lead.

I drove that section of the Bronx River dozens of times a week working in Soundview. Thats not even close to the most dangerous section of the parkway in the Bronx. The S up at 233 street is far more deadly and legitimately a hazard even when driving with traffic if you're unfamiliar with the road. The section at 180th st is only dangerous at high rates of speed. Its a straight stretch where drivers get into trouble for going too fast over the expansion joints or running up on the traffic backups generated by the Cross Bronx exit. They can stripe it, add 4 foot barriers, and light it light the runways at JFK. People will still drive too fast and lose control over the expansion joints or run up on the traffic back ups. The lost body on the CCP is a different issue. A lack of lighting is something that should absolutely be addressed. That is definitely not the problem here. The BRP is well lit and even if it wasn't, the train yard there is almost bright enough.

Here we go. Phase 2 the threat of closures and cuts. Next up comes the sudden surplus that saves the libraries and child care programs. http://www.reuters.com/article/2012/05/03/newyork-budget-idUSL1E8G3EVP20120503 Brooklyn Councilman Charles Barron saw the coming negotiations as a repeat of past showdowns. “It’s still the same nonsense every year,” he said. ”It’s on the City Council to say no to this budget and make him do what he should be doing with the money.” While the mayor has proposed a balanced budget for the upcoming fiscal year, the administration is projecting a $3 billion deficit in the following fiscal year beginning July 1, 2013. After that, the forecast projects a $3.7 billion gap followed by a $3.2 billion hole

Why are we blaming the road? Reckless driving caused the accident. After the multiple fatality in which the SUV crossed the divider several years ago the city raised the divider. Shortly after the work was completed a car jumped the barrier. You will never stop these accidents from happening. Were those barriers higher maybe the van wouldn't have gone off the road and instead it would have been sent back into traffic and killed the occupants of another vehicle.

While no cop in their right mind will chase a kitted out sport bike if the operator wants to run, they still haven't put one together that can outrun motorola. As a long time motorcyclist, good job officers safely keeping this idiot off the road if only for a little while.

Come on... http://www.nyc.gov/html/fdny/html/community/ems_salary_benefits_042607.shtml

Having the ability to transmit EKGs is useless unless someone is going to read it. It wasn't until STEMI Centers began becoming a destination options for ambulances that hospitals saw the benefit to coordinating with EMS. Thanks to EMS hopitals can tout their amazing door to balloon times because we do all of the ground work.

Very similar to NYPD. 5 on 2 off, 5 on 3 off. 8 hour shifts either overnights, days, or evenings.