SRS131EMTFF

In VT, at the EMT level, Narcan is administered 2mg IN for adults (1mg in each nostril) and 1 mg IN for pediatrics (0.5 mg in each nostril). The IN Narcan drug kit comes with 1 IN applicator with 2mg of Narcan in the sole vial. The IN dose of Narcan can be titrated for pediatrics by simply not administering 1mg in each nostril and instead only administering 0.5mg per nostril. While it is not "official" protocol, most ED docs have no problem with you giving a pediatric dose of Narcan to adult pts provided the adult pt is breathing adequately without additional ventilation after a pediatric dose of Narcan is administered. In that way can it be titrated to avoid combative patients or unwanted situations.

Most eastern states where heroin is popular have allowed BLS narcan.

The bid you posted asked for a 2014 Dodge 5500.

I too have seen the rumor that Chapp. was getting a tanker. I saw it on either massfiretrucks.com or 10-75.net. Either way, CFD retired and sold E145 in 2013 without a replacement as far as I can tell.

Anyone got audio?

Explain how that would work. Yes.

this looks promising: http://www.jems.com/article/patient-care/how-lee-county-fla-ems-implemented-new-p

Anachronism, similar to riding on the back-step, open cabs and the fire house dog.

You'd be wrong. If one dime of tax money was used to put the mural on the rig, then the mural should be removed.

Lucky SOB. We just got permission back to "clear" the spine using our advanced spinal assessment over here across the CT river.

Inside your current rig if the previous low bids are any indication

If you do any First Response or carry AEDs on your rig, Zoll AED Plus w/ CPR Feedback will allow you determine if you are doing adequate compressions and perfusion given the emphasis on quality CPR. Zoll might even do a trade-in for your current AEDs.

Wing plows do not allow for the entire 2nd lane, only 1 lane plus the shoulder. The plow trailer allows one plow truck to plow both lanes and the shoulder of a 2 lane highway. VTrans bought 2 for I-89. 1 northbound, 1 southbound. With one headed northbound and one headed south bound, the entire strip of I-89 from Burlington to White River Junction (~90 miles) can plowed in under 2 hours with only two trucks.

So essentially: if the call is ALS, the P writes the report; if BLS, then the B writes it? Or does the EMStar not even go hands on if it is a BLS call?

We replaced heroin with pills which are now being replaced with, you guessed it, heroin. In VT, the state: -Allowed lay people to obtain and admin Narcan without a prescription -EMT BLS Intranasal Narcan -VT State Police pilot program, hopefully during the summer, that will put Narcan into every VSP patrol car for use by officers during overdose emergencies We will never remove the human desire to "get high", what we can do is make the possibility of death as minimal as possible.

Your Tax Dollars at Work: Training firefighters burns up buildings -and money http://www.lohud.com/article/20140131/NEWS02/301310066/Your-Tax-Dollars-Work-Training-firefighters-burns-up-buildings-money

rip

I would rather pay the $24 and see the museum in peace as opposed to having to venture in the zoo the memorial has become.

http://www.firehouse.com/blog/11297342/fire-truck-maker-american-lafrance-closes-in-2014

When on I-684, only 1.33 miles are within CT. Of those 1.33 miles, neither exit 2 nor exit 3 are within CT. From NY-CT border, it is 0.33 miles to exit 2 and 1.05 miles to exit 3. How is he uneducated? He stated the fact that neither exit 2 nor exit 3 is within CT, thus any incident occurring on the exits would be squarely within NY.

Any particular reason you are being hostile to a senior member of the Westchester County first response community? Its not like he insulted or belittled you, only offered corrections to your incorrect statement...

100% going back 50+ years.

Who wants to take bets on the BAC of the parties involved at the time of the incident?

Sit on Rte 22, you will see MTA coming to MTK from NWP or Valhalla.

VT EMS Standing Orders as of 1/1/14. 6.5 Taser (Conducted Electric Weapon) Probe Removal and Assessment State and local law enforcement may use a conducted electrical weapon (CEW), also called a Taser. This device is a tool that can be deployedin either a drive stun (sensory nervous system) or dart (sensory & motor nervous systems that causes neuro-muscular incapacitation) mode. In the dart mode, two probes with attached wires are discharged from the CEW. The probes are #8 straightened fish hooks that penetrate the suspect’s skin a maximum of ¼ inch. Each trigger pull discharges an electric charge for a 5-second cycle. The electric charge is high voltage (generally 12,000 volts) and low amperes (generally 0.0036 amp). Current medical literature does not support routine medical evaluation for an individual after a CEW application. In most circumstances probes can be removed by law enforcement without further EMS or other medical intervention.EMT/ADVANCED EMT/PARAMEDIC STANDING ORDERS EMS should be activated and transport the patient following CEW (conducted electrical weapon) application (i.e., Taser™) in the following circumstances: The probe is embedded in the eye, genitals, or bone.Seizure is witnessed after CEW application.There is excessive bleeding from probe site after probe removal.Cardiac arrest, complaints of chest pain, palpitations.Respiratory distress.Altered mental status.Pregnancy.Developmental or physical disability and unable to assess the above. INDICATIONS FOR REMOVALPatient with uncomplicated conducted electrical weapon probes embedded subcutaneously in non-vulnerable areas of skin. CONTRAINDICATIONS TO REMOVALPatients with probe penetration in vulnerable areas of the body as mentioned below should be transported for further evaluation and probe removal. Genitalia, female breast, or skin above level of clavicles.Suspicion that probe might be embedded in bone, blood vessel, or other sensitive structure.Any condition listed above that requires transport to the emergency department. PROCEDURE 1. Ensure wires are disconnected from weapon.2. Stabilize skin around probe using non-dominant hand.3. Grasp probe by metal body using dominant hand.4. Remove probe by pulling straight out in a single quick motion.5. Insure that the probes and barbs are intact.6. Removed probes should be handled and disposed of like contaminated sharps in a designated sharps container, unless requested as evidence bypolice.7. Cleanse wound and apply dressing.8. If last tetanus immunization was greater than 5 years, advise the patient that they may need one.9. Obtain a refusal of care for patients refusing transport. http://healthvermont.gov/hc/ems/documents/FinalProtocolsfor2013Oct81600LOCKED_000.pdf