ny10570

FDNY actually tested the buoyancy of their gear. Its initially buoyant, but as water displaces air it begins to drag you down. I believe they came up with 5 minutes of buoyancy as long as the member reduced their motion. More thrashing meant faster sinking.

I believe one of the voluntary units in NYC was trying them out but I never heard any more. As it was explained to me at Cornell, the water jell washes off well enough from intact skin and open wounds are being debrided anyway. It doesn't make a real difference in their treatment and usually stopped the burning sooner and made the patient more comfortable. This was anecdotal, but does seem to make sense.

Not for long. Now NYC has like 2 1/2 PSAPs slowly being beaten into one. What if we offer one location and 100 different phone numbers?

Sorry, I should have been more clear. There absolutely repercussions concerning the physical space you occupy. I was simply referring to the photos one would take.

What do you Yonkers guys think of the jacking system on the Smeals?

If you get 10 people from one combination agency vs 4 volunteers from 4 agencies your poll would look like there are more many more combination agencies. You're better off just doing a roll call of every community in Westchester.

NYC isn't short officers. They have exactly what they need. The just adjust their desired head count to meet the actual head count. They're not stupid, they know crime will go up. They're just betting that the economy will improve faster then crime will climb and they can stay ahead of the curve.

There are no legal restrictions to taking photos while on duty (paid or volunteer) nor to using your status as a member of an organization to take any photos. You two issues are going to be your agency and civil suits. The magic term they can use to get you in civil court is breech of public trust. You're granted special access just by being a member of one of these emergency service agencies and using that access in way not intended by the public you're open to a civil suit. There's a case heading to court soon in NYC after a retired ESU detective while working as a Richmond University Medical Center EMT photographed a suicide victim and posted it on facebook. There's a laundry list of legal actions coming out of this, one of which is an action against the EMT for a yet undisclosed amount of cash.

http://www.emtbravo.net/index.php?showtopic=32916 Van going south on Northbound Taconic struck two other cars. So far, 7 fatalities including 6 children from two vehicles. Several injuries transported to WMC. Taconic closed for AI.

Was it 10 or was it 20 minutes? usually notifications are made once the pt reaches their destination. What was the priority of the job? Basic sick job and you're average response time is 6 to 8 minutes. That just gets the crew outside GCT. Now they've got to find the right track and get down to you. Lets say it were a volunteer service in North Westchester during the period this whole thread started. You have to add another 10 to 15 minutes because this whole thread is about getting a unit in service and responding. How many volunteer agencies advertise the time it takes them to assemble and the time it takes to respond?

Chief LaGrippo and his first crew on scene really deserve an atta-boy here. I've been part of some horrendous accidents and have seen grizzled and experienced members lock up at the sight of a dead child. To rapidly and effectively asses and triage 5 children without becoming fixated on any one is a rough task for anyone. At Pleasantville Rd to accidentally go S/B on the N/B side is extremely difficult. The ramp is clearly marked and the N/B ramp is hundreds of feet away on the other side of Pleasantville Rd.

I'm not picking you probie, its just a good example of something that is frequently said and never challenged. How do we know this? There has never been a randomization trial of ground vs air transport. The ironclad golden hour has been chipped away at by several recent studies and was established by one surgeon based upon a fairly limited data set and has not been addressed with the advent of modern prehospital and in hospital technology. In my own life I had a cousin involved in a serious accident where my aunt was told his only chance was getting to a trauma center within the hour. Too bad even fixed wing aircraft were grounded and he got to spend the night a community hospital. They stopped the major bleeding and he was driven to a Trauma Center a few hours later. Its difficult to prove who actually was saved by being flown and no one all that excited to figure it out. The companies running these flights don't benefit and even after the recent spate of crashes didn't generate a lasting furor. The FAA issued recommendations for better avionics and Maryland tasked people with looking into the issue, but then everything went away.

Sounds like Jacobi. Flight crew walks and usually beats the pt to the ER.

fdny's last round went for about 550k I believe, a significant portion of which is the extended all inclusive warranty FDNY requires.

Or go here and get them from the source... http://www.nyc.gov/html/fdny/media/video/f...ies/index.shtml

Wear all the vests you want and put as many lights of every color you can imagine on the rig but nothing is a substitute for proper apparatus placement. On July 15th outside Kansas City, Mo crews were operating a secondary incident to an MVA when an 18 wheeler cruised at highway speed into the back of their rescue. As you can see in the video everyone has vests, it was a newer truck so I'm assuming it had an adequate lighting package and they were operating at night when all of these things give us our greatest advantage. Don't sleep on these highway jobs. http://www.kmbc.com/news/20068067/detail.html

Why wait, for about $1.50 each you can buy LB Agar Plates or for about $0.70 each you put your own plates together. LB Agar is probably your best bet as it grows a variety of bacteria, fungi, and mold. Just a little practice in aseptic technique and you're on your way to knowing who's your dirtiest co-worker. If you really want to get crazy you can get into colony sampling and find out what you guys are carrying around.

I wonder if they even saw it coming. Worst I had was on the Deegan, a kid took a steel pipe through the windshield grazed his head and imbedded in his headrest. Only because he drove leaning on his center console is he still alive. He didn't see it coming, just saw the windshield "explode" in his face. Kudos to the drive for not wrecking after this happened.

Not for nothing, but they're not a charity organization. They're a business that has to answer to owners and creditors. If life safety is so important then why are Fire and EMS still volunteer services? Money is a finite resource and it potentially affects every decision.

The scrub use has to change too. Some hospitals now have specific scrub colors for OR suites and forbid employees from wearing scrubs outside the hospitals. On a similar note, after a call when you wash up, how many people just wash their hands? Our hands are the one thing we cover throughout a call. Our forearms and faces probably get more exposure and less attention.

Personal cyanide detectors are both available and reasonably priced. The same company that makes the CO monitors FDNY uses makes a Hydrogen Cyanide sensor for the same monitor. I believe the CO monitors run about $250 and the HCN monitor would be about $400.

Sounds like a great scam. I wish I'd thought of it. 2 peace officers for Westchester vs 16 for Yonkers and they never get called.

CO is absolutely an issue as these fires tend to smolder for long periods of time with poor ventilation. Incomplete combustion is one of your biggest CO producers. If a duct system is properly maintained and cleaned this wouldn't be an issue. They just need to legislate better maintenance and inspection rules.

I still don't get it. No extrication means Somers to WMC is faster by bus than by bird and we still fly out patients. Yet every time this comes up no one come up with a reason why these people are still being flown. If it is true that everyone actually agrees that many of these flights are unnecessary, too many medics/chiefs/vac capts/etc read and comment on this board for nothing to have changed.

Anyone know of any upcoming classes in the tri-state are that are not on the peppsite.com? I'll even take the contact info for a PEPP instructor.