JohnnyOV

I dont think it struck...just passed over head and broke up before it hit the ground edit: there would be a lot of catastrophic damage if something did hit

http://www.flame-sim.com/features/product-video.php Anyone ever heard of this before? Looks like good old hands on training and hard physical work are trying to be replaced with computer simulation now. Hopefully this doesn't replace the way we train now, any time in the future.

Full story - Local6.com - http://www.clickorlando.com/money/18845182/detail.html

Last time I drove back to FL from NY there must have been 20-30 different types of fire trucks and such parked in a field. There is also another area where a guy is selling 2 old trucks, 1 engine and 1 ladder...has been for the last 5 years.

Sitting here at work in Florida, I'm listening to another bad accident on I-95 with multiple people trapped, 1 DOA and numerous vehicles involved. As I'm listening, the IC is giving numerous updates to the hospitals and dispatch at the same time through a patch, including the number of patients the hospitals can expect, where all the patients are going, expected extrication time, severity of injuries, ambulance they will be arriving on and other important information regarding the patients injuries before the patient is even extricated from the car. This system seems very progressive, and extremely beneficial to the patient. This is not occurring from the back of the ambulance, which IIRC, is the only system in which the hospital is notified, and that is on a single patient basis. This system appears to enable to hospital to prepare a lot more for the incoming trauma alerts, and help with patient transfer from ambulance to the hospital, and is run off of a EDACS system. My main question is, is this possible in Westchester with the new trunked system that we have, and if not, what would have to be done to make something like this work?

pretty much hit the nail on the head

I couldn't even think of a more illogical statement to be thought of, on both sides. Who cares if it is commercial or public and what not. Down here its run with public fire and commercial private ambulance for the entire county. If one unit shows up to the scene first and determines the other is not needed, they are turned around, and a trip sheet is documented to show that. It seems absurd that there is even a debate on this. If you're not needed, go back in service. Same thing applies with fire scenes here...turn 'em around if they're not needed.

Yeah, basically right now, the entire safety department is in a crapstorm from our legal department now. Some quick facts for you all -Our organization provides a first response, non-transport, basic life support operation, that has a maximum of 3 min. response time to anywhere on campus from when our safety department is notified. Daytona Beach is served by a highly professional group of career firefighter/Paramedics and a commercial ambulance service that is the sole provider of transportation for the entire county. Now I am not knocking either department or wanting to start a response time debate, but on average, the average response time for the first unit on scene for our campus is anywhere from 10-15min from the 911 dispatch (this is documented through many cad reports)...this will come into play in my next point. -Its drilled into every students mind from the first day on, that if ANY emergency happens on campus, call safety, this is from a fire to medical emergency to gunman on campus. What they do not tell the student is that once you call, they will send a safety officer to check out the situation before doing anything more. And anything more is the dispatcher (who have absolutely NO EMD/emergency 911 training) actually picking up the regular land line phone, and dialing 911 themselves and giving all information second hand. So when a student calls for a true emergency such as a dorm room fire, or heart attack, Saftey will dispatch an officer, which takes anywhere from 3-5 min to get to the scene. Once they make a determination of whats going on (through the VAST training that none of them have [notice the sarcasm]) they will then notify the "dispatch" center to call 911, which takes another 2-3 min to gather all the information, and then the 911 center will dispatch the appropriate units. So you're looking at an actual response time of an ALS unit of somewhere between 15-25 minutes...well beyond the 10 min. golden rule for getting treatment to a patient -My partner and I have had numerous times a safety officer try and forcefully tell us to stop our care and wait for the ambulance to get there to do anything further, which we all know would be abandonment, negligence yadda yadaa and charges on the officer for his actions as well. -There have been cases of students falling and hitting their head on concrete, vomiting, dizzy, in and out of consciousness, all the classic signs of a traumatic head injury, and while we were in service, dispatch only sending a safety officer to check it out, and the officer determined that it was fine if a friend drove the injured student to the hospital, then told us about the incident hours after it occurred. There are numerous stories such as this one, and each hads been documented in an extensive after action report on our side. If anyone has any other questions please feel free to ask.

So I've been waiting a while to get back to you, but basically our problems have been summed up in an article that came out in our school newspaper today actually...I'll let you all read: http://media.www.avionnewspaper.com/media/...s-3643755.shtml prepare to be astounded...and go ahead and ask any questions you want, I'll be happy to answer any.

I hate to say it, but the writers of the show have complete freedom of speech on this issue. This goes with showing anything in a negative light, the writers can say what they want unfortunately, no matter how bad it makes us look. And because the show is a cartoon and for entertainment value only, slander really isn't even a viable option to get angry over.

For those of you who watch IRL racing (F1 Racing) or the Daytona 500, you may have seen during wrecks, a particular responder called the jump medic who carries a little orange bag that is placed on roof of the car that has critical airway devices for unconscious drivers wearing helmets. One of these devices is called the T.A.D. which stands for Trumpet Airway Device. I forgot to take pictures, but the device is quite simple, has been approved by the medical directors of the IRL and the medical director at Daytona Speedway, and basically goes against every thing you've ever learned about airways during head trauma. It is simply a regular nasal airway, combined with a 5.5 ET. Before insertion, the 5.5 ET is slid into the nasal airway, then the nasal airway is placed normally into the device providing a direct means to attach a BVM while the drivers helmet is still on. This method of ventilation however does not provide adequate ventilation for the Driver, but is basically the only way to ensure that they are receiving some type artificial ventilation while their helmets are still on and they are trapped in the car. Here is a research study done by NASCAR for producing the most efficient artificial ventliation. http://repositories.cdlib.org/cgi/viewcont...t=uciem/westjem What do you all feel about this device, and how would you feel about implementing it in situations like motorcycle accidents where the driver is unconscious and still wearing a full helmet?

The responders in the jump medic position are either EMTs' or Medics (confusing right...i know) So the EMTs have no idea how to do a nasal intubation, and the close proximity of the car to the drivers face makes it almost impossible to accomplish a nasal intubation normally. its basically a quick, dirty way to get oxygen into the driver fast if they are unconsious. The ET tube is placed in the trumpet for use to attach the BVM since a normal BVM mask will not fit into the voids of the helmet, since there are no voids

ALS you hit the nail on the head. The drivers are also required to wear the HANS or any other head/neck restraining device, which is attached to their shoulders and their helmet and is impossible to take off while the driver is still seated. This makes it impossible to remove the helmet while the driver is still being extricated.

Its not trauma proof. It is basically the only way to get air inside a driver when you cant get any type of mask or tube to the patient. I haven't really asked why its specifically used, but I know when removing a unconscious driver, it is an extremely lengthy process. It is not like a normal door pop by any means. There is almost no room to fit anyone inside the car to provide access for normal intubation and the helmet completely negates inserting a combi-tube/king airway , although the jump medic bag does have a King AD in it for the off chance you would need it/. When removing the patient, there are somewhere between 10-20 cuts on just the roll cage alone in order to completely remove the roof, then once that is done, we must use the KED to remove the driver and place him/her onto the stretcher. So it turns out to be quite the lengthy and difficult process.

I forgot to take any pictures while I was at work, but just picture a regular nasal airway, with a normal 5.5 ET tube, and placing the ET tube inside the nasal airways cavity in order to attach the BVM

So I've never really thought about this until now, but what is the meaning behind it being called 60-control, and Putnam used to being called 40-control, especially over the radio. Why not dispatch or something else? Is it because of history, or tradition or laws or something?

The concept is very simple, and I don't understand what the argument is about on here. Who cares about ISO ratings and number of volunteers / career guys..if there is a problem fix it. The department recognized that they needed help, recruitment for volunteers was not working out for them and they needed to find a different way to tackle the problem. If they decided that the appropriate outlet was to hire Paid guys, then good for them. I wish departments around here who have problems like they do, recognize it, and follow suit.

Thanks guys...just curious

As great as a safety device this is, the only problem I see with it is the same thing the "Sawstop" ( http://www.sawstop.com/ ) encountered. The device was so safe, that once employees started reporting injuries to OSHA and workers comp after the device came out, the question rose in court that, "Why hasn't your employer upgraded to this newer, safer device?" And almost every time, it was because the employer could not afford to upgrade, and then when it was asked why couldn't they spend the extra 1000 or so for the saw, instead of the extra 10,000-50,000 in medical bills, and they couldn't come up with a reasonable answer, they were sued for gross negligence (i dont have the exact citations for this, but my degree for school is for this exact area, and its factual. Now when someone gets hit by a car in a cross walk because a car did not stop, its possible now that they could turn to the jurisdiction responsible for that intersection / crosswalk and say "Ok, this great warning device, that has been approved by the federal government, was not installed at this intersection. Why not? Because it was too expensive? How much is the cost of someones life?" From the legal standpoint, i just see huge lawsuits coming from this, if its not dealt with appropriately

For those of us who do not know what a HUD window is, could someone please elaborate?

does it seriously matter? RIP brothers

Daytona only does it for large scale events such as bike week, biketoberfest and the 500

http://www.yorktownfire.org/content/videos/ Thanks go out to FF Lauria for compiling all these videos

yorktown - 614 just fire most calls ever for the department

Unfortunatly it is not a county level problem. The problem lies within the two towns fire district tax lines. If change really wants to take place, their would need to be a petition of some kind for the residents of southern Yorktown to change who their fire taxes go to. Currently for municipal coverage at adams and possum rd I believe they are paying Ossining for water /sewage, Yorktown for fire, the department that covers Millwood for police. So basically its a huge Charlie Foxtrot of whos got who's coverage for what. I personally have no problem "losing" that area of my district if is means better protection for the residents who live there.