ny10570

Vaccinations have been going on for two days now and I haven't seen anything like this in the Bronx or heard anything about it through the usual rumor mill. Deadly sick kids definitely get the rumor mill going. We had a rash of asthmatic arrests the last few weeks and BLS crews have become very gun shy because its something a lot of people were talking about. I also just checked with Lincoln ER and they've had zero pediatric anaphylactic cases today in their code room. on that latex point, latex gloves still dominate the prehospital setting in NYC from EMS, FD, PD, and many school nurse offices.

ALS said something that people seem to over look. Tasers are less lethal devices, not non-lethal. They are certainly a better alternative to led and arguably better than a handful of cops with batons.

people are soft and suck for transmitting vibration. We're also not very massive. You'll notice it more inside a vehicle. Its not meant to be jarring or painful. Its just suppose to get people to leave the little 2" hole they're staring through and start looking at the world around them for a second where they'll hopefully notice our little light show.

This occured at an intersection between 2 lane side streets at a 4 way stop with good visibility. The truth is everyone cheats these intersections and as long as there are no cars waiting at the line you treat them almost like a green light since anyone approaching is suppose to stop. Just because everyone does it, doesn't make it right but at the same time find me anyone who does everything by the book.

NYS DMV written is available it Albanian, Arabic, Bosnian, Chinese, English, French, Greek, Italian, Japanese, Korean, Polish, Russian, and Spanish. Now if you cannot read your native language do not fret! An independent paid interpreter certified by a recognized organization can read the test for you! If anyone is in disbelief over this feel free to flag down a few livery cabs in the bronx. I guarantee at least half speak little if any english. A short while ago some NYS legislators were pushing to label all highway and state road signs within 100 miles of Quebec in both French and English. Their argument was that Canada does it, we should too. Apparently no one had thought to mention that Quebec has two official languages, and not an undying love for American tourism motivating their signage.

The single biggest difference between EMS and Fire is the complete disconnect between the field personnel and the officers in EMS. Nothing like assessing your patient and finding them to be something and having your boss call them something else. While the LCC's injuries are significant he was in excellent shape and communicating with the crews throughout the extrication and transport to the ER. While in the grand scheme of things yellow vs red is semantics it matters to the people who hear this and know what it means. Rant over. Excellent job by FD on this. One hell of a tough job.

2ff's trapped. One requiring extensive extrication. All yellow and green tag.

They are support units assigned to their respective Rescue Companies and roll with the Rescue when called for.

Aluminum would solve the earlier corrosion problems.

They wouldn't be an effective replacement for the TAC vehicles as you would now need something to do the job of the TAC vehicles. While yes there are many pieces of apparatus that are seldom used their functions are extremely difficult to duplicate using other FD or civilian resources. A crane is extremely easy to come by in NYC as well as rotators.

IIHS recently collided a 1959 Chevrolet Bel Air and a 2009 Chevrolet Malibu in a 40 mph offset frontal impact, each a with a modern test dummy. Since 1959 the cost of a car has jumped 30% compared to income and accident repair costs have nearly tripled largely to pay for safety advances. Was it worth it? Here's the video. http://www.youtube.com/watch?v=_xwYBBpHg1I...player_embedded

Bigger with the right engineering is definitely better. At the very least catch the last 10 or 12 seconds of this video. http://www.youtube.com/watch?v=cu95gB04VC4&feature=fvw Rolling a car no longer sets off front airbags because the driver is unlikely to strike the steering column with major force or be ejected through the front windshield. If after or during the roll you were to strike the front or rear of the vehicle the airbag would deploy.

Unless his dept participates in EMS the last time he was trained in CPR was probably the academy. Intact arrests were occurring before hypothermia and hopefully will grow as hypothermia spreads No high quality early CPR means you're not going to get a patient viable for cooling. Neurologic benefits from the use of early cardiopulmonary resuscitation. Annals of Emergency Medicine, Volume 16, Issue 2 We conducted a study to determine the effect of early CPR versus no CPR on resuscitability, 24-hour survival, and neurologic deficit in an animal model of cardiac arrest. Twenty-two mongrel dogs were subjected to five minutes of electrically induced ventricular fibrillation. In 11 dogs, closed-chest massage and ventilation with room air was begun immediately and was continued for five minutes. The other 11 dogs received no CPR. At five minutes defibrillation was attempted and advanced cardiac life support (ACLS) protocols were followed until the animal was resuscitated or died. No statistical difference in resuscitability or 24-hour survival between the two groups was demonstrated. Eight of 11 “early CPR” animals were resuscitated and survived 24 hours; six of 11 “no CPR” dogs were resuscitated, and five lived for 24 hours. A significant difference was demonstrated by the Student t test in neurologic deficit and ease of resuscitation. “Early CPR” dogs had no neurologic deficit, while “no CPR” dogs had a 41% deficit (P < .01). “Early CPR” dogs were resuscitated in significantly less time once ACLS was started (29 versus 317 seconds), and required less electrical energy (100 versus 560 J), fewer countershocks (1.3 versus 4.0), and less epinephrine (0.1 versus 1.7 mg) than did “no CPR” animals. In this animal model of cardiac arrest, early CPR was shown to be beneficial to neurologic function and ease of resuscitation, even when ACLS was provided within five minutes.

I completely disagree. Step one is bystander CPR. Everything else is tits on a bull without good quality CPR IMMEDIATELY after sudden cardiac arrest. In fact where hypothermia is having the greatest impact is patients with prolonged down times. Best way to prevent a prolonged down time is early CPR followed by step 2, early defibrillation. Then you can get into the other 244 steps leading up to hypothermia. Without that bystander CPR all you get is another asystole arrest that you run in and out of PEA until you finally pronounce. The new CPR should get more bystanders involved doing better CPR more frequently.

Find a song to fit your taste. http://djbpmstudio.com/bpm-music-index.html

Let me guess Loud, you're either 07B or 07C.

Isn't the work life of these dogs usually only until 8 to 10 years of age? Even if he was healthy they're not getting an effective return on their investment of partnering him with a new officer.

Its a 90 day PM rotation for buses.

Ford, make sure you're switching off every two minutes. You may feel like you're going strong but quality really drops off over time. Even with regular rotations 20+ minutes in cpr quality drops off.

415 City Island Ave X Ditmars All photos taken from myfoxny.com

Considering the film crew was from COPS I'll bet they're still filming and still on the air.

fdny ems is/was piloting as similar schedule. everyone I know who works it has come to love it. The OT issue is up in the air. You can trade in a few of your extra days off to work OT. You still wind up with a net gain of days off and can still get your OT. The complaint people have is that they now have to come in to work when before it was just rolling over into the next shift.

The hood doesn't have enough mass to retain that much heat that long.

any idea on fill and dump times?

This whole thing is good practice for a real pandemic. Since the outbreak we're talking about a few hundred deaths nation wide. While sad, this is a drop in the bucket for regular flu. People need to take a deep breath and worry about how this is going to affect themselves. Any time you get a patient with a fever or productive cough you should be wearing a face mask and eye protection prior to administering nebulized meds. Same goes for intubation. We should always be washing our hands after each patient. We need to stop coming to work when we're sick. If you're at risk or are taking care of young children you need to get this vaccine. If you've ever really had the flu then I'm sure you'll be right behind me getting the vaccine.