ny10570
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Everything posted by ny10570
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generally before I reach down into a hole intended to exhaust heat I want at least some gloves or even mittens.
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Date: 2/8/08 Time: 9:30pm local time Location: Beijing China A fierce fire engulfed a major new building in Beijing that houses a luxury hotel and cultural center on Monday, the last day of celebrations for the lunar new year when the city was ablaze with fireworks. The building was designed by the Dutch architect Rem Koolhaas and is part of China Central Television’s new headquarters, an angular wonder of modernist architecture that sits astride the city and was built to coincide with the Beijing Olympics last year. The fire was burning from the ground floor to the top floor, the flames reflecting in the glass facade of the main CCTV tower next to the hotel and cultural center. The 241-room Mandarin Oriental hotel in the building was due to open this year. Flames were spotted around 9:30 p.m. and within 20 minutes the fire had spread throughout the building. http://www.nytimes.com/2009/02/10/world/as...beijing.html?hp http://vinnyswebsite.com/blog1/video-fire-...arters-youtube/ Writer:<span style='color:#008080'>ny10570</span>
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Everything NFPA currently has for ambulances is covered in KKK, which manufacturers generally stick to. That will however change as NFPA is planning an EMS committee.
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No age ceiling for White Plains?
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If someone can remove a fully inflated foley someone can defeat anything. No such thing as perfectly restrained. I am damn proud that I have never had to thump a patient. I have had my bus trashed on 3 occasions, but restocking and cabinet repair is always preferred to throwing down with someone who may not be all that perceptive to any pain you might inflict. I have also had one family member complain about the nature in which I restrained patient, however I backed up by everyone involved and everyone went home without injury. I am fully confidant that as long as you treat your patient with the same care and respect your family would receive you will be all right.
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Who is going to bring back the caprice? As much as you may like the way they look, much like the Mack Engine they are gone. So tonight I had a few beers with an NYOD Capt and he claims these cars ar enot for severe service. They will not be used for regular patrol. The toyota hybrids have proven cost effective for traffic and Nissan is offering a comparable price for a larger vehicle with similar performance as the Prius. It looks like a win win for NYPD. Good job.
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http://www.vaildaily.com/article/20090206/...izure%20patient He's in a wee bit of trouble.
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At this point the closest thing to speeding ticket you'll get from EZ-Pass is your account suspended for going too fast through the toll plaza. The fear is that the revenue generated by tracking speeders would be less than the revenue lost by cancelled EZ-Pass accounts.
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Are these becoming patrol vehicles or are they going to traffic enforcement? The newest traffic cars now look identical to real police cars except on the back beneath NYPD it also says traffic. I'm not sure about the sides or front.
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It only records the plates that matched a plate in the database. Not every plate that it sees.
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A great video of what probably happened during the flight. http://www.break.com/index/duck-vs-jet-engine.html
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ALS, that smell is always torture. Last summer 4 hrs after abandoning my diner mid warming I got stuck at a fire stand-by immediately downwind. Absolutely cruel.
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Did she roll or did she strike something that knocked her roof in?
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In NYC any call that qualifies as an Anaphylactic an ALS ambulance is assigned. If the ALS is determined to be greater than 10 minutes away a closer BLS is assigned. A BLS on a lower priority sick, abd pain, injury, etc can be preempted off their job and assigned to the Anaphylactic if they are the closest unit. I still don't see the pressing need for Epi Pens in all BLS in NYC. BLS interventions are very effective in the majority of Anaphylaxis patients. It is a rare situation where there isn't a medic or a hospital within 10 minutes of you. Epi is not a drug without risks and the cost of training and stocking is substantial. You're talking more than 160 units plus restock supplies and training 2000 people. To get new drugs added we have to horse trade with the department or demonstrate a pressing need for the medication. While many people have stories where Epi pens saved the day, no one has a story about a death as a result of lack of access. While I hate reactive medicine every decision has to pass a cost benefit analysis. There is only so much money to go around, and there are other things to spend money on that will have a greater affect on more people.
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Wow, do I have some problems here. First off, this article is about someone who want Epi Pens based on the fact that 2/3 of all FDNy buses are without Epi. This isn't about a case of a death or injury as a result of this set up. Epi pens save lives in the hand of the those with the allergy. As an EMT in NYS you are only allowed to use an Epi pen on someone suffering from Anaphylaxis who has been prescribed an Epi pen. How many people does this even apply to? Most people with this severe of an allergy are very good at carrying their Pen, and in NYS you are allowed to assist any Pt in administering their own medication. Lets start the NYC/Westchester comparison. How often do Westchester ambulances beat ALS to calls? How many times have Epi pens been used by BLS units? If you were stuck treating a patient w/out epi, what would happen? First, the issue is respiratory failure due to exhaustion. The narrowing airways result in increased effort leading to respiratory failure. BLS ventilation, while not ideal is capable of maintaining oxygenation until ALS arrival or transport to definitive care. Only 1/3 of all FDNY buses carry Epi because thats how many ALS units we run. As far as getting Epi to the right people, we have EMD to address that issue and ensure that ALS is assigned to every possible allergic reaction. As an EMT I handled 1 bad anaphylactic w/out ALS and only because the caller said "I feel sick" then hung up. I requested ALS who was 5 minutes out. I was 5 minutes from Monty so I split and calmly transported. Within minutes of IV epi she was talking and thanking everyone. This was the first time it had happened to her so she still wouldn't have earned BLS Epi. As a medic the vast majority of my Anaphylactic calls are people who claim dyspnea and a an allergy without an actual anaphylactic reaction. In short FDNY does not cary Epi auto injectors because there is no evidence of need. The system currently in place addresses this particular set of needs. The only Atropine injectors are part of our WMD kits, of which we now carry Duodote (Atropine and 2-Pam in a single injector).
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HUD windows became a common sight in urban areas during the 70's and 80's. They were initially installed by the Dept of Housing and Urban Development to secure vacant properties. They were copied and spread in their popularity. In their simplest form it is a sheet of plywood on the front of the opening with 2x4's across the front. Carriage bolts are run through the front 2x4 and plywood back to another set of 2x4's inside the structure. You can pry away at the plywood all day long, but unless you want to remove it in first size chunks you have to remove the 2x4's. Thats where the plunge cuts around the carriage bolts or cutting the bolt heads off comes to play. As with everything the world creates to hamper firefighters HUD windows have been improved upon... http://www.vacantpropertysecurity.com/ For anyone with a firehouse.com sub, here's how to handle the VPS guards... http://cms.firehouse.com/print/Firefightin...ms/14$2807
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IN NYC, depending on the circumstances you can get substance abuse help and keep you job. If its an illegal drug you have to come to them for help before they catch you. Once they catch you through conviction or drug test, you're done.
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Its about recognizing your limitations and pre planning how to handle it. I agree with Raz. 60 years of "old school" and "when I was your age" is much more dangerous than a deaf chief who everyone is aware of and step have been taken to address any potential problems.
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When they were offered to FDNY EMS the biggest knock was you still need 2 medics to carry all of the equipment and couldn't transport. At least with a fly car one medic can carry enough to begin treating just about anything.
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http://www.Break.com/index/semi-jack-knife...fire-truck.html Vests, blue lights, LEDs, strobes, rotators, chevrons, or anything else you can think of to add to a scene are never going to be anywhere near as effective as proper apparatus placement. Since we cannot close every road we have to operate on you need to make sure you have enough blocking especially, but not limited to foul weather. Sorry to bring up this well trodden thread, but in this video if that police car is the only warning before the accident scene its remarkably better than what is done at the scene of most minor MVAs. The cars are not flying by, and appear to be traveling at a very reasonable speed for the conditions. The initial scene appears to out of the lane of traffic and on the median yet they still took the left lane as an added buffer.
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Thats a brutal proposition, but thats what the city counts on. If things are turned around by the next contract will the officers get their 7% back plus a raise? If they cut 250 cops now, as soon as they have the money they will start hiring them back. Its your job to ensure your pay and benefit. Its the city's job to ensure there are enough police to do the job.
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1st degree murder is reserved for pre-meditated murder involving special circumstances. Politicians, judges, police officers automatically get upgraded. Murders of a particularly heinous nature can also be prosecuted as 1st degree murder. 2nd degree is any premeditated murder.
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30 tours a day or 10 24hr units.
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I think the greater issue here is what the purpose or PCRs and RMAs. A PCR is just there to document the different aspects of treatment. In an MCI a triage tag is the standard and therefor acceptable documentation of any treatments made in the field. The PCR written by the transporting unit should reflect everything done in the field and during transport. RMAs are only for people involved that you believe need to be treated or evaluated at a hospital. Just because their car is involved it doesn't necessarily make them a patient.
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I second that. The alternative is they go under and they all lose their job. I'm sure the "top people" at another failed firm are more than willing to work for less.