medic25

Generally the reason for the ALS assessment/transport is not so much the actual tasing, but the reason why they were tased in the first place. The vast majority of deaths associated with taser patients have been due to agitated delirium; the patient is in a medical condition (drugs, psychiatric, etc) that caused the actions leading to them being tased. We teach our medics that it is not the shock we are concerned about; it's the big dose of cocaine (or hypoglycemia, or acute psychosis, or half a dozen other causes) that led to their agitation in the first place.

Actually the most recent study out of Canada showed at 21% reduction in mortality after the introduction of CPAP in the field to EMS (Annals of Emergency Medicine last year, don't remember which issue). I'm a little surprised to see etomidate-only intubation being done. The research on that is far less favorable; for the most part you either need to go all in and give the paralytic as well, or don't give anything. The problem with just sedating the patient is that you can frequently go from a bad SOB'er who can't be intubated to an unconscious bad SOB'er who's jaw is still clenched. Not really what you want, especially if they start vomiting.

Hopefully he will do the right thing and pass it. The amount of service replication in New York is mind-blowing. I thought that the Hudson Valley was bad enough, but after living on Long Island for 2 years and seeing the excesses of their departments I was converted to the concept of consolidation. For the amount of tax money New Yorker's are paying they deserve much, much more from their municipal services. If the governor has the courage to sign this into law, perhaps it will be the first step in bringing some of the systems into the 21st century.

AMR New Haven put their first two Sprinters into service earlier this year, and so far the crews love them. Lots of headroom in the back, and very comfortable up front.

A little off-topic, but as a PA I've had plenty of doctors come to me for personal medical issues, and as far as I can tell they've been pretty happy with their care so far OK, back on topic.....

I'm a little unclear why you would need a landing pad on the roof when you live in a desert. If your whole country is flat sand, it seems like there would be no shortage of places to land......

Nice; it's not to often they make it on your first time! If I remember correctly, my first was in a snow-covered driveway in Geneseo, NY. Also the first time I used an AED; unfortunately he did not make it. I don't remember how I felt afterwards; too many years I'm afraid!

http://www.nytimes.com/2009/04/26/world/am...s/26flu.html?hp Looks like it's already made it to the NY area.

Rest in Peace.

Rest in Peace.

New Haven Sponsor Hospital Program is now accepting applications for a full-time day paramedic program, beginning September 1, 2009. This will be a rigorous program, and will meet all of the classroom and clinical requirements of a traditional part-time program in less than a year. Upon graduation, students will be eligible to sit for the NREMT Paramedic Examination. The class will run from September 1st 2009, until July 1st 2010 (assuming completion of clinical requirements). The classroom portion will be Tuesday, Wednesday and Friday 0800-1700 until May 1st 2010. Clinicals will be on Mondays and Thursdays until completion of the didactic component, at which point they will be full time. Certifications embedded in the course include ACLS, PALS, PEPP, PHTLS, AMLS and GEMS. Please call (203) 562-3320 or visit www.sponsorhospital.org for more information.

You should double check with the NYS DOH, but I believe as a bordering state, you can simply apply for reciprocity using your Connecticut paramedic license. http://www.health.state.ny.us/nysdoh/ems/c...reciprocity.htm

You don't hear Sierra on the air too often, but Yale Student EMS does sign on with CMED while doing athletic standbys (at least for varsity games; not sure about intramurals). I believe they generally utilize 1-Sierra-1.

Yes, 10-Romeo-1 would be the SHARP team. The SHARP team is structured differently from other agencies in that the individual members are assigned a CMED ID number, rather than assigning it to a vehicle. Since SHARP team members may be responding in personal vehicles or onboard another agency's vehicle, this is an easier way of keeping track of who is responding.

The way South Central CMED's ID's are structured, the first number represents the level of care, the letter designates the agency, and the second number is a unique vehicle identifier. 1= Non-transport first responder 2= Transporting BLS ambulance 3/4= Rescue/Intermediate (no longer really used) 5= Transporting ALS ambulance 10= Physician So as an example New Haven FD Engine 11 (BLS first response) would be 1-A-11; if AMR ambulance 20 is staffed by a paramedic, they would be 5-C-20.

Since you've got the Valley down: Alpha: New Haven FD Charlie: AMR NH Delta: Hamden Echo: West Haven (includes Allingtown and West Shore) Fox: Nelson Gulf: Milford Hotel: Branford India: North Branford Lima: Bethany Mike: North Haven November: AMR Valley/Bridgeport Papa: Hunter's Quebec: East Haven Romeo: SHARP Team Sierra: Yale Student EMS Whiskey: Wallingford X-ray: Madison Yankee: Guilford I'm sure I might of missed someone, but that covers most of the New Haven area at least.

Really glad you are doing this; Grady is a great guy. Could you just clarify the time? I'm assuming it's March 28th, but only the -30 showed up on the first notice.

Not that uncommon once you get out into rural America. I've talked to colleagues who work in Northern Maine, and they have volunteer ambulances who have to "relay" their patients from service to service because the hospital is well over a hundred miles from town. They'll meet up half way with an ambulance service that is located closer to the hospital and transfer care; this sometimes happens 2-3 times on a transport depending on the distance. Funny to think back in the old days I used to have BLS crews get mad about going from Putnam county to Danbury with a trauma......

If you're wondering what a state without counties would look like, just look at us in Connecticut. If you thought it was tough to sell regionalization in NY, try getting buy-in in a state without counties!

Your Mom's b@x.... Thank god for XM.

Have any attempts been made to have the non-profits pay a PILOT/PILT (Payment in Lieu of Taxes)? This is done by a fair amount of universities, government institutions, etc that take up a big chunk of the tax base. Yale University and Yale New Haven Hospital both contribute several million dollars/year to the city of New Haven, a percentage of which is based upon how many fire calls the university generates.

A real tragedy. I got my start in EMS volunteering there while I was a student at Geneseo; my thoughts are with his family, and his fellow members at GFD. -Kevin

I guess there are a few Medic 25 alumni on here; I still miss working that truck....

If you are interested in running a first response service, you could try talking to the EMS service at SUNY Geneseo (Geneseo First Response). It's where I got my start in EMS, and since I left (all the way back in the mid 90's) I believe they are now fully integrated into the county 911 system, providing BLS first response with an SUV. You can check out their website at http://www.geneseo.edu/~esquad/index.html

Cool bike, but the logo on there is London Ambulance Service (the NHS stands for National Health Service). Long mutual aid response to Amsterdam?