BM234

I'm all for it, especially having a clinical trial in a busier urban system.

New Windsor is able to operate at an Intermediate (AEMT) level easier because they have their own paramedics and ALS supplies etc. There was a great interest about 3 years ago between New Windsor and many EMTs at Mobile Life so Mobile Life held a course. In my opinion, just go straight to paramedic and work while you're in school, you'll know if you're cut out for it or not.

I see this being more useful in extreme rural areas, not in a city environment. In a rural system this could influence transport times or even medevac use for stroke victims. But again, people that really need us often don't call us, and vice versa.

I carry a pen, everything else should be in your gear if you check it properly.

I serve as a Tactical Paramedic for a commercial service in the Hudson Valley that is contracted with several local, state, and federal SWAT teams. We wear body armor but are not armed. We train with these teams for officer down and civilian down situations and removals. For an active shooter situation we would go within the stack of officers on an entry team. While our primary responsibility is to the officers, we can certainly render quick aid under cover and we do carry throw packs and bags that can be left with a wounded civilian that is able to help themselves. Inter agency operability and training is key in a situation like LAX. Having our tactical medics there lets the SWAT team focus solely on the law enforcement operation of the incident, and we make recommendations as to the EMS end of things.

To my knowledge, Mercedes (more expensive Sprinter) is the only one that has done extensive testing on their van to ambulance modified vehicles.

Both Healthquest and WMC have bid on the assets to SFH. They vote Monday night.

Box 1075 Customs

More specifically, one day a department on the west side of the county had a house fire. About a dozen departments were involved in mutual aid and coverage, only 3 or 4 were actually on scene. I was mainly adressing manpower issues. If one department sends a rig to cover with 5-6 guys on it, how much manpower is left in their own district? Why not just standby in their own quarters to stop the chain reaction of mutual aid?

Scenario: Dept A has a small house fire, they call a fast team and Dept B and C to the scene. Dept B has adequate staffing in quarters but Dept C doesn't. Dept C requests Dept D for coverage. Now Dept D has no manpower and requests Dept E, and so on and so on. I hear this happening all to often lately, not just during the day. But when does it end? The only solution I can think of would be to have departments stand by in their own quarters. How busy is that first or second department and what are the chances of them A) getting a serious second call in the district or getting a second call that actually requires FD response (battery rescue at an mva, ems run with ambulance responding)? Just some thoughts. And maybe spark some ideas as to how to curtail stuff like this in the future.

Never heard of nebulized narcan and not sure my medical director would be happy with that, but don't doubt it works well. Very simply, narcan is there to treat respiratory drive. If there is respiratory drive and the patient is unconscious, they're probably better off that way. NYC has started BLS, PD, and substance abuse counselor IN narcan already with good results.

Just a side note, our department goes by the OSHA regulation of 50ppm for 8 hours, and we use that a discretionary tool as to what action is taken.

Figured this was the right time of year to bring up this topic. In my volunteer department, any CO detector activation with no reported illness gets a chief or line officer with a meter, non emergency response. Any reported symptoms gets a full department response, often non emergency. I hear countless departments going full department code 3 response to CO detector activations with no reported illness. I don't view this as an emergency call, just wondering how they justify their actions should an accident occur with an apparatus or a member in a POV.