ny10570

I take that back. Apparently is all of the Trauma and Burn centers have the capability.

NYC has addressed delays in the ER by not bringing patients to the hospital. Nothing gets an administrators attention faster than losing the money train that is EMS arrivals. After a unit is extended more than 40 minutes, the hospital goes on "redirection" and only telemetry approved or critical transports can go to that facility until all of the units are cleared out. It has made a significant impact on many hospitals.

Cost is not the reason for a switch from Seagrave. Seagrave has always been the lowest bidder to meet the spec in the past. The deal breaker for most depts is the extensive waranty protection FDNY requires.

Any hospital lab can detect cyanide. FDNY EMS now has the cyano kits(hydroxycobalmin) and are standing order for any smoke inhalation victim with unexplained hypotension, AMS, coma, seizure, respiratory failure, or arrest. The only catch is that it turns the patient red. Skin, organs and fluids so these are the only patients we're drawing bloods for before drug administration. One catch is Sodium Thiosulfate, Diazepam, and Dopamine cannot be administered via the same IV.

Is the little spot OK?

Its coming. The NYC stemi and cooling center programs are pilots that the state is evaluating for implementation.

http://www.jems.com/news_and_articles/colu..._an_answer.html "A 2008 Kansas Court of Appeals case again demonstrates that the courts will uphold a patient's refusal -- and provide immunity for EMS -- when EMS properly assesses a patient's decisional capacity and follows protocols for refusals." "This case makes it clear that courts are willing to uphold patient refusals if certain criteria are met. EMS must assess and document the patient's decisional capacity and show that they have informed the patient of the potential harm that can result from refusing to be transported and treated. However, when EMS providers follow protocols and perform the appropriate assessment and treatment, the courts will rule in their favor. " If someone wants to drag you into court, there's nothing you can do to prevent it. What you can do is make sure you do the right thing and document appropriately. An earlier thread... http://www.emtbravo.net/index.php?showtopic=26342

I've found incentives may get someone in the door, but they're not enough to make anyone stay and do even less to make someone an active member. No depts incentives are enough to compensate you for the time you lose or are enough to have a significant impact on your wallet. People who want to volunteer are going to volunteer with or without the incentives. The money would be better spent on the facilities to encourage members to spend more time, train more, and just be more active.

Lightweight composite structural members. As far as building construction and architecture are concerned its a substantial advancement over stick lumber construction or heavy timber construction. Nothing has done more to fundamentally change the way we operate on the fire ground since SCBA.

Senator Kennedy and many of the Kennedys were public figures who while often scandalous left a massive impact on this country. The voting rights act, anti-apartheid legislation, and title IX all bear his mark. COBRA insurance protection and the National Cancer Institute exist in part because of him. He's a "bleeding heart liberal" regularly slammed by conservative think tanks and the NRA and praised by liberal groups and the ACLU. That still didn't prevent him from going against his own party and reaching across to Republicans to achieve what he felt necessary. Imagine if more of our politicians could be like that, independent thinkers rather than whores to the party. Love him or hate him he had convictions and he stood up for them.

We're right there with you JBE. As an added bonus, any EMS dispatcher or CRO that down grades the initial UCT assessment gets punished if the call is later found to be serious. So UCT makes it an unconscious for the woman who is dizzy having a migraine, no dispatcher is going to change the call type for fear of punishment. Instead of a low priority sick. Its a high priority ALS job with an Engine and if the medics are extended, a BLS joins the party too. All diabetics are AMS and anyone with a cardiac history is cardiac call, even a broken hand.

Does anyone have a vaccination program in place? FDNY has the bio pod program where with a few hours notice they can vaccinate every on duty member in 12 hours. As far as handling the call volume its going to be a suck it up and deal situation. EMD gives us the luxury of being able to identify lower priority calls and letting them wait for as long as need be. On a busy day now its not unusual to see a job sit in the system for 20 minutes while units get assigned and then preempted for higher priority jobs over and over. The hospitals all seem to be transitioning to surgical masks to control H1N1 exposure. I haven't seen any literature to support this, I'm just going by their posted protocols for dealing with suspected cases.

Looking at pic 4 and 6 it looks like he was found where the canyon comes into a wedge. Too tight to get the bird in. Looks like they used it as their anchor to ferry him across the gap.

phew saved by the water line

Whelen was pushing a voice operated system a while back, but I never heard of anyone using it.

I know a guy who worked an NYRA bus back in the day. They had a small refrigerator in the back for the meds. It also just happened to fit a six pack or 4 cans and a sub.

You have hours to administer anti venom in the vast majority of envenomations. There really is no need to fly someone out. Take them to the nearest or if you feel up for the drive go visit the Bronx. As ckroll mentioned the biggest issue is anaphylaxis.

restaurants, supermarkets, bodegas, WalMart, the list goes on. Stores continue to lock people inside wether while they work or sleep its a serious problem. Probably 2 years ago there was a grab in the Bronx of two guys who hid in a walk in cooler after a fire broke out in a store they were locked in.

I'll use Pleasantville as an example here. We have TL5. Still called TL5 and its a 100' stick while we figure out the replacement. Back when we had TL5, it was a few hand lines short of being a quint. So say we load those on there and we were Quint 5. You're running a fire in a volunteer dept, and as you get near the scene see the smoke and start out the mutual aid so you can get a jump on this thing. Since you still doesn't know exactly what is going to be responding you have a quint and Fast assigned as you confirm a working fire. Quint 5 rolls out from Pleasantville and shows up. If you were hoping to put them to use as an engine, good luck. It took about 5 minutes and lifting of the boom to get 5" out of the bed and carries no water. Made for an excellent truck with plenty of ladders, hooks, axes fans, saws, 100' scope, etc but it would have been a POS engine.

Its not a mark of disrespect to those who gave their lives to question the story presented to us. Its sad to see conspiracy theorists grab at straws in the face of logical explanations and clear facts. Its scary to thing how vulnerable we were and still are to the evil people out there that want to do us harm. Its a lot like being scared of the dark. If you can identify something clear and tangible to blame for your fear then you can begin to wrap your mind around it. In this case its the government since they're this big ambiguous thing that becomes a convenient scapegoat. This is also why all FDNY apparatus are carrying large diameter hard suction. Remember, its much easier to push water up hill than pull it. Unless you can get right on the water catastrophic failure of the water supply is going to need some outside the box options. There is the NJ super pumper system that I'm sure could be called in to Westchester, but wouldn't be available to use in the initial hours.

There are a few variables there, but the probes are low speed and shouldn't be able to significantly penetrate a ballistic vest. As long as they can't complete their circuit the officer would be fine. However a vest saturated in sweat would still conduct a charge. A probe close enough to the skin could jump the gap.

Quints are a compromise where you sacrifice some capabilities in exchange for others. As a first response unit they're useful, but if you need an engine, ladder, or both call for such.

In the end it doesn't matter which court this is decided in. It becomes a precedent that can be cited in any court in the country and will eventually spread. Remember when everyone use to say NFPA was just a suggestion until people went to jail for not following it. NIMS is the standard and people might as well accept it before they too find themselves appearing before a judge.

NYPD was looking into being able to receive video and picture texts for crime reporting, but I never heard anything about it being implemented.

There's no conspiracy. This is a woman with a problem that no one in her family stepped up and addressed properly. She had 6 grams of alcohol (a little less than 1/2 a drink) in her stomach and almost 10 drinks in her blood. That much in the blood and that little in the stomach sounds like rapid absorption or drinking on an empty stomach. I can hold my fair share at the bar, but there's no way I could fire back that much vodka in such short period. Another problem, if a friend or relative called and said they weren't feeling well while driving home I'd just tell them to take it easy, be careful, and if they ran into any trouble to give me call. I wouldn't be making calls to 911 and jumping into my car to find them. Thats a bit of an over reaction. If that person called and was slurring their speech or sounded incoherent, then I'd be on the phone to the troopers and hauling butt to try and find them. Hopefully at the very least people can take from this that the actions of those around us have a potentialy massive affect on us all. If you know someone with a problem, get them help. There's no such thing as "Its their problem."