JJB531

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Everything posted by JJB531

  1. The Ossining ambulances are all staffed with medics... an EMT-I could possibly practice skills with Ossining if the medic is comfortable enough to allow them to.
  2. I personally don't think that raising the standard will do anything in terms of filtering out individuals who don't belong on the street. Although it sounds like a reasonable concept, there are EMT and medic programs out there that just push people through these courses and graduate individuals who have absolutely no business whatsoever practicing prehospital medicine. Programs want high graduation rates.... and the more students these programs get, the more money they make. It's like anything else, certain programs are more interested in making the almighty dollar then they are graduating quality EMT's and Paramedics. I personally am not impressed with many of the programs that are out there. Not knocking the instructors, because there are many talented EMS instructors, but I don't feel that the training is realistic enough to give new EMS providers, especially new EMT's who have no street experience, a feeling for what it's really like on the streets. When firefighters train in auto extrication, they're out there ripping apart cars. When they train in fire suppression, they're putting out real fires in a simulator. So why is it that when we teach EMT students on the use of a KED and removal from a vehicle, do certain programs put two chairs next to eachother in a classroom to simulate the front/passenger seats of a motor vehicle? Sometimes I think that certain programs are all about the state practical exam and not preparing students for reality, and I think that's one reason why so many programs graduate weak EMT's. Obviously nothing beats real life experience and working alongside a seasoned, experience, and competant EMT or paramedic. But with the state of EMS, alot of times that is a luxury that an agency can not afford, and many are thrown right into the mix to learn on their own which carries a lot of inherent danger. Personally, unless I know you well enough, and trust you, there is no way I'm going to let someone start an IV for me. The ultimate responsibility for and EMT-I's actions falls on my shoulders and I'm not willing to jeopardize my medic card because of a mistake made by someone else.
  3. I'm pretty sure it was Abbey Richmond in the City of White Plains...
  4. Great, selling emergency apparatus on EBay... perfect for some terrorist to buy and then pack with explosives....
  5. What happens when JCESU is dedicated to a job within their own jurisdiction or they are out of their jurisdiction in Hoboken and something kicks off in JC?
  6. It is a felony in NYS to assault a FF/EMT while performing official duties. Legally, you would be justitified if you used reasonable force to defend yourself from an attacking patient. It's called self-defense. What's reasonable, well that depends on how much force is being directed towards you and how you respond, so that term reasonable does not have a solid definition. From a company/agency standpoint, I don't know how a private/commercial agency would respond to a force complaint if you cracked someone over the head with a traction splint if they charged you. It's one of those things that is not really addressed and should be. Violence directed towards EMS is nothing new. If you ever do a google search on assaults against EMS workers you will find a ton of articles come out of Europe... it is really an epidemic over there and this is not the first time an article has appeared about the conditions EMS workers face in Europe, specifically the UK.
  7. What a tool.... who cares, I mean really... it's so ridiculously childish that the public has to see professional emergency service personnel, including an individual who is at a management level, crying about who got there first and who gets to perform the extrication... get a life...
  8. Personally I think if there is only 1 instance each year of a patient requiring the skills of a rescue medic, it is well worth it... in other words even if 1 life is saved as a result of the actions of one of these paramedics, then the program as a whole is a success.... I know if I was the poor schmoe stuck in a hole and needed a medic, I'd sure appreciate it...
  9. A superficial explanation indeed.... gangs are just as prevalent in NY as they are in LA... besides your big ones (Crips, Bloods, Latin Kings, and now MS-13), there are several other smaller but still prevalent gangs that are not as "commercialized"... DDP (Dominicans Don't Play), BONES, Cholos, Vatos Locos, to name a few. One of the reasons for the pursuits is that LA has a rather "laxed" pursuit policy whereas NYC has very strict pursuit policies. You won't see a pursuit for a stolen vehicle go on for a half hour like you do in LA... a boss will call of the pursuit in the first two minutes. There was an audio file floating around on the internet of a vehicle pursuit in Brooklyn where the cops were being shot at and all you hear is the 72 (I believe) CO calling off the pursuit while the cops are basically engaged in a gun battle with the perp. You hear one of the cops go over the air with, "Central, this friggin' (replace friggin with an expletive) guy is shooting at us, don't call it off man!"
  10. They do a lot of joint operations with one of the units where I work... seem like nice guys. I can remember when I was new they came in with a ton of literature on counterfeit DVD's and CD's... a lof of their investigators are retired police officers...
  11. The media certainly goes out of their way to do an expose on them... they go back and find their 6th grade graduation picture, tell the story of how they were "turning their life around" and was pursuing a career as an "aspiring rap artist".... What a load of garbage this world is....
  12. And yet another pointless article by the liberal media.....
  13. I also heard through work that NYS may pass a law that when you take your car in for inspection, one of the tests is gointg to be the windows. Excessive tint = Failed Inspection
  14. Oneyed pretty much summed it up.... In a sedan, all four door windows have to allow 70% of light transmittance SUV's and Vans, only the front driver and passenger windows have to meet the 70% light transmittance, the rear driver/passenger windows can be as dark as the night. FYI, a police officer can issued a summons for each window that is tinted.... not uncommon for someone to get 2 or 4 window tint summonses... at 60 bucks a pop it adds up....
  15. No Injuries = No Patients = Cancelled on Scene/No Founded Patients
  16. In regards to Taser use and medical intervention... just a couple quick points.... #1 - Calhobs, it doesn't matter how close the taser barb is to the heart. The current delivered by the Taser is 50,000 volts, but at a very low amperage. Studies conducted by cardiologists around the world have indicated that the Taser current DOES NOT penetrate the body's tissue deep enough to have an effect on cardiac muscle tissue. #2 - One of the most important things to look for when dealing with a tased patient is how they were acting before the deployment of the Taser. An individual who is acting erratic, violent, delusional (all indications of drug use) should be transported to a medical facility for evaluation. These individuals are at a higher risk for excited delerium syndrome... they push their bodies beyond it's normal capabilities which leads to rhabdomyolysis (the breakdown of muscle fibers). These broken down fibers get released into the bloodstream. One chemical that is released is potassium. Increased levels of potassium in the bloodstream (hyperkalemia) leads to cardiac electrical dysrhythmias and then death. #3 - Taser Int'l still recommends that individuals with cardiac/respiratory medical histories be transported to a medical facility for evaluation. Basically to CYA.
  17. Part of the taser training involves removing the barbs. It's so ridiculous that we cannot remove them in the field from "non-sensitive" locations (i.e. trunk, back, legs, arms). All you do is flatten out the skin around the barb and give it a little tug and they pop right out. It's not rocket science.
  18. Seth, I don't want to start any problems because that is not my intention, but this thread should be closed. Not for nothing, after Oneeyed's thread about Hatzoloh was closed, you issued a statement saying that "this website was not for people's personal rants....". Now you post a personal rant and have people on here asking, "did you get his badge number", "they should make a complaint", so on and so forth. Why don't they just post the number for CCRB. I'm not trying to be a jerk, but this is definetly a sign of a double standard....
  19. How is this a constructive topic? Just curious.... to me it's a bash the cops and file a complaint topic... If what you posted was true in it's entirety, then I can see your gripe, but as others have already mentioned, a lot of times certain facts do get left out...
  20. I've been to a bunch of the audits at Brodies.... they're a good time... very casual. I for one hate going to call audits because IMO they are a waste of time, and I hate the fact that I have to do this stuff on my own time in order to keep my MAC so I can work so support myself. At least with the call audits at a place like Brodies they are enjoyable to attend. I've never seen anyone get hammered at one of these audits, everyone so far has been pretty responsible.
  21. He's really not much of a threat after he's been tasered and rear handcuffed....
  22. I don't think ego trips are inherent to just police officers... you can't make any conclusions from this article.. it's so vague we don't know any details from the initial incident.
  23. I think some of us are jumping to conclusions on this one... nowhere in the brief article is there even a mention of any patients involved with this incident. We're already talking about patients, and who's scene it is, and who's in charge, blah blah blah. There is not enough evidence in the brief post to determine who's right and who's wrong. If there were patient care activities taking place, then I'd lean to the side of caution and shut down the highway until all patients are packaged and removed from the scene. If this was just a rollover with no patients, no fuel leaks, and no fire... then I'd have to side with the PD on this one. It's an MVA... and without the need for FD, it is a PD scene to conduct an accident investigation and await a tow truck to remove the vehicle from the roadway. As I said, the article is not specific as to the incident that took place other than the fact that it was a vehicle rollover.
  24. Very true ONEEYED... thank god... I should keep a set of ALS gear in my house.. I'd be better off treating myself in the back of a car...
  25. Unbelieveable... talk about taking a step 20 years in the wrong direction... EMS agencies in Putnam County should ban together and utilize the media to inform the public what disastrous consequences this could have on healthcare in Putnam County. As a Putnam County resident myself, I'll voice my opinion very loudly. Looks like I'll have to get the local taxi company on speed dial instead of 911. What a joke.