ny10570
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Everything posted by ny10570
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Check Senior Care in the Bronx. They've been growing recently and other than the uniforms people usually have pretty positive opinions of the place.
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Listen, I know hanging with Eddie at your 89 is an awful lot of fun, but things are shaking up in queens. Marry Immaculate and St. Johns. Employees received their 60 day notice, so short of a state bail out (40 million in the last 2 years) the hospitals will close their doors and begin shuttering over the next 90 days. LIJ was among a couple of groups that may step in, but all are either looking for state money or to demo the facility there and rebuild from scratch. What they plan to build I have no idea.
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Thats an old debate that no one can prove or disprove any part of. One problem is that when times are bad and you give people money they hoard it. The stimulus in theory is suppose to give the masses the same amount you would give as tax cuts, but in this form it more directly enters the economy. Then you have trickle down. Give breaks and subsidies to businesses and let them hire people. That would work great if every CEO was Henry Ford (He created a market for his cars by paying his employees enough to afford them)
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Its the cities job to provide fire protection for the city and the firefighters job to ensure they have what it takes to do the job. Their tactics are based on either having the 5th man so keep the 5th man. In the mean time if the city has to cut companies than you do what you can with resources available. I beg to differ on two levels. First, the size of the system allows weak medics to get by. We have weak medic pairs, weak EMTs, weak supervisors, weak cops, weak firefighters, weak teachers, do I have to keep going? We have in the neighborhood of 650 paramedics (not including supervisors). Find a way that can improve on quality control without being prohibitively expensive and you can get a sweet gig consulting for every major ems system in the country. The second issue is, I've seen weak medics running fly car ALS and working buses with an EMT. The big difference there is there was no one to pick up the slack. No matter how high you set the bar there will always be weaker employees. As far as cardiac cath, yes we are deep into this issue. Stemi's are treated like trauma in that the clock is ticking as soon as we're on scene. Within 15 minutes we're to be on the phone with telemetry setting up the alert at our nearest cath lab. Post arrests also receive 12 leads and will be transported to a stemi center if applicable. We have also begun transporting all post arrests to hospitals capable of hypothermic therapy. This doesn't eliminate the need for ALS rather it requires better teamwork and quick medics. There is no doubt that Mike knows money. The only problem is he has become more and more of a politician. When the economy first hit the skids all non-essential programing should have gone. His million tree goal, bike paths, etc. Instead he kept them until the bitter end. Why does he blame civil service employee benefits for problems the city created? Every financial planner in the world will tell you your first priority is to save up enough cash to miss work for 6 months, yet every government, as soon as it has some extra cash starts spending like drunken sailors. There is no doubt the cuts have to happen, I just want all of the cuts to be absolutely necessary.
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ALS I don't think any of the generalizations apply to you. Hell you're the only person I know who doesn't transport dead people lights and siren. A few consider it, and most won't even talk about it. Anyone know where I can look up the blanket roll?
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And here's the pound of flesh... http://www.nyc.gov/html/omb/downloads/pdf/tech1_09.pdf A quick summary NYPD - losing 1000 officers from its headcount (they still are short of filling their allotted roster) FDNY - 3 engine, 1 ladder overnight closures and Governors Island are are now eliminated. - 12 additional companies in double houses will be eliminated through attrition. - The brand new Fire Marshal base opened in Queens to much fanfare just a year ago will be closed. - 30 BLS tours will be eliminated through attrition. - 90 ALS tours will be converted from 2 Paramedics to 1 Paramedic and 1 EMT. - 9 Lieutenant positions will be eliminated. There are also a slew of civilian staff reductions, fleet maintenance changes, etc.
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No, and this is something I see people foul up constantly. Trauma is an injury. The severity of the injury or potential injury dictates the treatment. Sprain your ankle stepping off a curb wrong and you've suffered a trauma. Step off a curb and get hit my car doing 20 mph and you've also suffered a trauma. I'm tired of seeing things like a kid with a broken wrist hauled off to a trauma center for something that could be handled in any ER or even an orthopedists office. There is trauma, Major Trauma, and the gray area in between. In Westchester, a 70 y/o woman falls and breaks her hip. Which hospital do you go to? I'd strongly consider Phelps. They have an excellent orthopedic surgery program and one of the best in house PT programs in the county. Yeah, there are a lot of other factors but far too often people see injury and start looking for excuses to go to the Trauma center.
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Northern Westchester- 20,000 sq ft ER expansion with 17,000 sq ft second floor addition reaching out into the parking lot and 500 space parking garage in the south lot They recently struck a deal with Chappaqua Crossing (Readers Digest property) to allow staff parking and shuttle buses to the hospital. I think the original figure was $25 million and the goal is completion by the end of 2010.
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We did pretty will this time around. The only violation found to potentially harmful to patient care was the Harlem narc lockers. Queens took a few hits on vehicles and facilities, but nothing more than warnings for things like O2 storage and a few expired catheters in needle trache kits. I believe the Bronx had no violations. But in the defense of Queens, they were inspected first. The issue at the harlem station was 2 steel boxes about 8"x12" mounted on the wall of the lieutenants' office. One is used for the station's narcotic restock and the other is used for securing narcotics pouches between tours. This HHC facility that FDNY*EMS uses after the brand new station 16 was demolished for hospital expansion has a history of roasting the members and the locker just happens to be located above the radiator. It has since been relocated and the problem solved. All of the other drugs and patient care equipment is stored in BLS and ALS supply rooms that are not subject to nearly as much heat and are within DOH guidelines. All of the results are public info, and I'm sure would be easy to get from DOH. We have plenty of problems but the members do a pretty good job of insulating our patients from the departments foul ups (like expired meds in our sealed inserts).
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If the patient in my judgement does not need to be immobilized he will be assisted to the bus. I don't care the patient is, who is watching, or what the paper may think. I have no problem discussing incidents based upon photos and videos, but from a quote or caption in a rag like the journal news. I can't find the picture on their maze of a website but just because he has a broken ankle doesn't mean he needs to be immobilized or that he didn't want to hobble to the bus.
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I'd love to see more photos once you guys load it up with everything. Why does every vac go with the CPR seat? In my short time doing volley EMS one person would consistently sit there and no one could do CPR while sitting.
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After hearing about a few incidents and witnessing a couple more I'm now pretty convinced that police in certain areas should have some sort of respiratory protection. More specifically the recent Mt. Kisco fire. This is not a knock on MKFD in any way shape or form, but from alarm dispatch to command on scene according to the incident alerts and discussion thread 12 minutes elapsed. Mt. Kisco made an excellent stop, but as volunteers responding from home to the fire house and then to the scene them and every other all volunteer dept is always going to be late to the game. The same goes for my FD. We have the added bonus of 911 going to PD and then getting transfered to 60. Thats another 30 to 60 seconds that we fall behind. You can even take the whole cop standing around not doing anything part of this and just make it about victim survival. How long can someone survive in that environment before the smoke gets them or the fire (which is doubling every minute) gets to them? In communities with paid or in house volleys this would be a non-issue as the firefighters would be getting on scene soon enough to effect a rescue, but this doesn't apply to most of this area or the rest of the country for that matter. With a reliable report of persons trapped how long are the police officers suppose to wait for the fire department? I know one officer personally who after doing a quick check of building after an oil burner back puff was nearly hospitalized days later with an asthma attack. He hadn't had asthma since he was a child, and it took nearly two months for him to get back to normal. This was first put to me by a friend in the Navy. Upon report of a fire the first people on scene are not in full PPE. They have SCBA and an extinguisher. Their job is to locate the fire, contain it, and effect rescue of injured personnel until the fully dressed guys can get in there and make a push with a line if necessary. Due to space concerns and cost benefit, something as simple as a personal rescue filter and SCBA bask could provide the officer with enough respiratory protection to assist residents with evacuation, close all doors, and maybe even give the FD a heads up as to where the fire might be. This is not meant to turn cops into firefighters. The polyester uniforms alone makes that a non-starter. it would however have kept 3 Mt. Kisco officers out of the hospital and go a long way toward preventing one of them from becoming a victim.
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Wow, thank you Raz. Up for 48hrs didn't work so well. Its suppose to read, even though red is a longer wavelength and less prone to scatter, the decreased ability of the eye to see it is a much bigger factor. Its why as you pull up to that cruiser on the side of the road the blue lights seem so much brighter.
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Then why do we give firefighters bunker gear? Doesn't the encapsulation give them a false sense of security and allow then to get hurt?
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The lighting studies are difficult because there's two separate problems. The first is the ability to physically see and recognize the light. This is where the studies supporting blue lights on the back of PD vehicles. Even though red is a longer wavelength and less prone to scatter, the decreased ability of the eye to see it is a much bigger factor. Its why as you pull up to that cruiser on the side of the road the blue lights seem so much brighter. The second problem is perceiving the light. If drivers checked their mirrors as they're suppose to not much more than the old gumball light would be enough. Other than flashing, nothing that I'm aware of makes a significant difference in perception. Different patterns are touted as being more effective but I haven't seen any independent research to back it up. Ignoring environmental factors LEDs and strobes are most effective because their flash is crisper and brighter than incandescent. The biggest effect lights have is on behavior. Yellow lights are common and scene as uninteresting. Red lights are associated with danger and emergency vehicles. People actually pump adrenaline into their system when they see red lights. We're no different than Pavlov's dogs. Then there's the rubber necking. People want to see what is going on so their eyes and attention divert to the scene. Sound is the other part of the equation and is much better studied. But thats for another thread.
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H1's have been used as chief's cars. I've even seen Porsche Cayenne's, but not yet in the states.
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It doesn't matter what it looks like. You can get a surplus impala at any PD auction. What matters is what you do with it.
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I have never seen a quint that can handle all the functions of an engine and a truck. Every time a dept sells the switch to or addition of quints the first thing they talk about is how it is dual purpose and can be used as an engine or a ladder. It can only be used as a quint. If the dept can come to terms with that, then it can be useful.
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Go to FDNY close up link
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Leary is not a POS. He donates generously and has always supported ff charities. Yeah, the show is garbage. Its a fictional dramatization and it has funded contributions to the neighborhoods they shoot in, creates jobs in NYC, and hires firefighters. It does show a lot of trumped up garbage, but in general shows firefighters in a good light in the end. For every flaw and foul up there is redemption. The media on the other hand has publicized in detail every f-up and never finds the space for redemption or correction when the facts come out.
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yeah. From the article the bus wound up on the bank during the accident. Either thats where the car and bus met or attempting to place the struts they found out just how sturdy our rigs are. Its empty. Would you even take the risk to place the struts?
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Vinnys and Presby also have hiring freezes in pplace. Transcare is his best bet, but it doesn't look good. Two more hospitals in Queens are closing which could affect up to 12 BLS and ALS units. If he really wants the work, get into transports.
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What medical communications do Ham operators cover at the marathon?
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Now that would make for interesting reading. Wow, actual cause and effect. But without room for speculation and accusation its not juicy enough.
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Fine, its not about Bush or Obama, but Guitmo isn't working. Wether its one or 61 released detainees, we can't hold them all forever because not all of them are returning to the battle. Now how many didn't go back to the fight, but are instead recruiting more terrorists and insurgents? How many people joined the fight because their cousin, brother, father, son, etc was taken by the Americans? We can what if this to death. I don't know if any valuable info ever came out of these prisoners, but clearly nothing so important that it would justify its continued existence otherwise I would think they would have run it up the flag pole at the very least for the policy makers to see. We have a moral standard that we pride ourselves on, and no one is calling for an outright release of these people. They are taking a fresh look to make sure what we are doing is in the best interest of our country. I'm sure if they can't find a place for the prisoners they'll postpone or even cancel the closure of the prison. He's a politician, they're all very good at changing their mind and there is nothing stopping Obama from changing his mind here. Hell, they can't even switch TV broadcasts over to digital on time. Obama's order required that the CIA adopt the Army's interrogation manual, but left it up to the CIA to determine how to handle "high value" targets. He's not an idiot. Then there's that little issue of people confessing to things they're not guilty of or providing false information to make the "torture" stop.