SRS131EMTFF

Anyone got anything (Other than the FDNY Dodge and St Lukes-Roosevelt) with a 4 door pickup? The Terrastar is too big and the Furion is too expensive. Speaking of St Lukes-Roosevelt, does anyone know who makes the box on their 4 door ambulances?

Does anyone have the CAD spec of the new Dodge/Wheeled Coach FDNY ambulances?

Email sent. IMHO there should be a code of conduct that is ENFORCED at the 9/11 memorial. I went down there is January and left after being shoved out of the way while reflecting at the west pool so some tourists could take a peace sign photo.

rip

Yes, it took two poorly prepared LEOs to remove an individual one properly prepared FF could have removed himself (and it would not have sent him to the hospital). The reason why it took two of them is because they were starving their brain for O2, effectively dying, as they were removing the victim. No, not "'nuff" said. PD nearly got themselves killed because balls took over for brains. I wonder if we would be calling this a great job if one of these officers had succumb to their exposure? The last incident I can remember in Westchester where poorly equipped individuals went into an IDLH environment we finished the day with two LODDs. After this incident, we nearly had two more.

The individual accused is developmentally disabled. Fire house closed for all activities not related to emergency fire fighting.

Osage is based out of MN (http://www.osageambulances.com). Their dealer for our region is Cromwell Emergency Vehicles (http://cromwellemergency.com). Capital District Ambulance, Maimonides Medical Ctr Nunda, Morrisonville, Monroe, Middletown, Oneonta, Fillmore, Warwick and Ballston Lake, NY have all received an Osage Unit recently.

Agreed 100% with everything you have said except about PL custom. Every PL custom I have served in has been worse than the one before it. It is not a spec issue, its a shoddy workmanship and wiring issue. Maybe that is why their customer service is so good, they spend so much time running around repairing the ones that break. Road Rescue, Braun and Osage, Osage especially, are some of the best ambulances I have ever served on. The Osage we have at work is a bulletproof tank that despite being over 4 years old is essentially like new (minus a few scrapes) and its out of service time we have been able to count in tens of hours, not days. I will note that we rotate our ambulances so no ambulance receives too many hours, miles or calls.

In watching that video it is my opinion that this ambulance is poorly designed on a good day. From the top: -Too many hard and sharp corners. In looking at the back of the rig the metal corrections officer cage has a massive metal corner that does not appear to be padded or covered at all. -Too many objects that can be turned into weapons in the back of the ambulance. The drop down hangers (despite looking like they could support the weight of a small child at best, not a 250lb grown man) look like they can be easily pulled down by an inmate and used to assault other inmates or COs. -No restraint hooks or attachments. I literally saw no location where an inmate could be attached and secured to the ambulance using hand cuffs or other restraints. -No seat for the EMT providing aid. I do not think any one here can argue that the CO in the metal cage can provide effective care to a pt while in the box. If this is medical transport, the EMT needs to be in the box able to assist the pt. -Windowless Box. As stated in the video, the ambulance does not have rear facing windows making many inmates sick during transport. Transport is supposed to make the pt better or keep them the same, not make them worse. It is an ethical violation to knowing do harm to the pt and forcing a pt to be transported in a ambulance that will make them worse is certainly doing harm. I am not sure it would be considered cruel and unusual punishment however it probably feels that way. -Too many pts. No one here can argue that one EMT can provide effective aid to 7 pts on stretchers while heading down the road. All in all it looks like a huge waste of money that was poorly designed and may actually be doing harm to pts.

Given that the MDFR personnel in question is an appointed "officer" of his department, a municipal organization directly answerable to the tax payers and citizens for his actions, it is my opinion that this "captain" should have been disciplined and demoted. It is quite obvious based on the video (regardless of what was not recorded), this "officer" is unable to maintain his professional demeanor under even calm conditions. How is this "officer" able to lead his crew, men whose life he is responsible for, into IDLH environments when the environment is not so calm given he can not maintain his own composure? Additionally, his lying to dispatch about the "combative" photographer is reprehensible given that it could have endangered any LEO responding unnecessarily. Futhermore the MDFR member who stated filming is illegal should have been disciplined as well. It was unacceptable for that member to attempt to limit the photographers right to record what was in plain sight.

Would I be correct in assuming that once the firearm was discovered, either through voluntary admission or by search that the weapon would be secured by the LEO for the LEOs protection? Furthermore would I be correct in assuming that during the process of securing the weapon, the amount and location of rounds could be easily observed under normal circumstances by the LEO and that the number of rounds observed could be used against the individual if found in violation of any laws or regulations? Additionally, is it legal to have a loaded firearm in a vehicle in NYS?

Lets not forget that the Texas legislators failed to pass a bill authorizing $60 million in training dollars earmarked for volunteer firefighters only days after the incident at West, Texas. I don't think one needs a party affiliation to see that Texas is more inclined to kill their citizens in their homes and places of business and firefighters doing their job then it is to enact legislation protecting them. http://www.nytimes.com/2013/05/10/us/after-plant-explosion-texas-remains-wary-of-regulation.html?pagewanted=all&_r=0

What a NREMT state means is that the standards of certification that the state follows and that its teaches to as well as the test that the state administers is the NREMT exam for whatever level is being tested (ECA, EMT, AEMT, P) The state, district, hospital and squad can other regulations/standards/protocols as long as they do not exceed the NREMT standard for the certification level you posses. I.E. NREMT won't allow basics to do IVs. An additional way this plays out is NREMT may say that finger sticks are allowed at the B level however the state or the district may not allow it (as is the case in VT).

NO. NYS will allow you to take the refresher course with your NREMT. VT is a NREMT state however to be a VTEMT you must be affiliated with a VT EMS agency. I got my NYEMT card after affiliating with a squad in VT when I had my NREMT card and then I applied for reciprocity in NY. All I do is recert in VT and I have my NY recert taken care of. It is a long and complex process unfortunately but this was free except for the reciprocity from NY ($25). Because I took the NREMT computer exam a few years ago, I received my NREMT-B card. When I recert'ed last summer, I recert'ed as an NREMT.

You sir hit the nail on the head.

Better down then up!

Do not like. Go back to green and white.

Do not let the title confuse you, I am inquiring about how to make EMS aware of the operations involved in counter-terrorism response. Let me start by saying that we (my squad) are a small suburban EMS squad with ~40 members and 1 full time employee in Northern Vermont. We do not see much in the way of requiring counter-terrorism knowledge so our trainings tend to focus more on things regarding the 5 nursing homes in our district and the large bodies of water (read we do a lot of geriatric EMS and still-water and ice rescue training). Thus we have not had a specific training on HazMat, Counter-terror or MCIs in the three years I have been a member. The events of yesterday are going to change that. I was asked by my training officer to prepare a squad wide 2 hour training on HazMat, MCI and counter-terror. I am no expert on these topics by any means. However, after having been a member of the EMS community in Westchester from 2005 to 2010 and obtaining my federal HAZWOPER certification, I have more experience in these matters than anyone else in my squad (scary, I know). With that in mind I am trying to design a series of training activities that will be practical to field in EMS in Northern VT 99.99% of the time but can also be used during the remaining 0.01% when we might not be so lucky. What I had in mind was taking some of the lessons and successes from Boston and using them as a sort of EMS field operations guide. The first lesson from Boston that has implications on terror response but certainly has every day applications is the successful use of tourniquets. Dr. Mooney, the trauma director at Boston Children’s Hospital has been quoted in numerous publications as saying as the reason why there were not more fatalities was the immediate use of tourniquets either improvised or manufactured. I would like to incorporate the application of commercial tourniquets and cravats to the upper and lower extremities as well as the application of improvised tourniquets and what can be used as an improvised tourniquet. I would also like to incorporate the initial/primary (30 second) MCI trauma assessment such that the people in my squad have practical hands on experience going to multiple wounded parties and performing rapid assessments and making decisions. Finally I would like to incorporate the use of the ERG into the training to cover some HazMat. Obviously the ERG is for transportation however knowing how to use the ERG and apply its contents would be the first step in building us up for decon and hazmat operations trainings. I honestly envision each of these as stand alone stations united by the common theme of building up to Counter-terrorism operations awareness using the bombings in Boston as a case study/practical lesson. Additionally, I chose these skills because they had immediate applications outside of just counter-terrorism. If anyone has any ideas on how to improve or unify these separate ideas I am all ears, I want to develop this training such that it can be used as the base of other more detailed and specific counter-terrorism and HazMat trainings.

As evident by the post above, tourniquets saved lives yesterday, no question about it. Please use this time to review your MCI/MCE, Counter-terrorism, trauma, tourniquet and CBRNE protocols. We have started this process already.

Does anyone on this board use Fusion ePCR software? If so what are your likes and dislikes? How did you get the software to work for you? Do you believe that you are getting the most out of the software? Was it worth the price? What computers do you run the software on? Did you switch from another ePCR software provider? Were there any growing pains? If so, how did you address them? Do you feel that this software is the best ePCR software out there? What are you paying for the Fusion ePCR software? A little background, my commercial non-emergent transport company recently switched from Siren ePCRs to Fusion ePCRs. The transition has not been as smooth as we would have liked it. Hopefully I can receive some input from actual users that I can forward to management to ease the transition and use of this software. Fusion ePCR:http://www.tritechems.com/Products/ePCR.asp

http://bedford.patch.com/articles/mt-kisco-mulls-expanding-firehouses Mt. Kisco Mulls Expanding Firehouses

Definition of ASSAULT WEAPON : any of various automatic or semiautomatic firearms; especially : assault rifleDefinition of ASSAULT RIFLE: any of various automatic or semiautomatic rifles with large capacity magazines designed for military useDefinition of MILITARY : of or relating to soldiers, arms, or war (all from www.merriam-webster.com) Further more it can be defined as a semi-automatic rifle or shotgun with 1 or more military style attachments. Pretty clear to me. 2. Magazines that do hold 5 rounds to exist AR-15: http://www.cheaperthandirt.com/product/MAG-052 Colt 45: http://www.ableammo.com/catalog/kahr-automatic-colt-pistol-round-stainless-magazine-k525-p-101633.html If you think the death toll at Sandy Hook would have been the same had Lanza had a 10 round magazine as opposed to a 30 round magazine then you are delusional. From USA TODAY: http://www.usatoday.com/story/news/nation/2013/01/15/new-york-assault-weapons-guns/1835785/

I am not sure if it is a Vermont thing or a medicare/medicaid thing but I was told that nursing homes, skilled nursing facilities and rehab centers had to report each time they called 911 as an emergency for a pt. We met with many facility directors and medical staff and advised them that our commercial agency would provide contracted ambulance trips to local ERs for non-emergency pt transfers to the ED. We sold this "product" as a way for these facilities to reduce the need to call 911 for a pt, thus decreasing their call numbers, thus increasing their score with the government agency and making them look more attractive to clients/pts. This had the added benefit of decreasing the 911 call outs to these locations. Now all a RN has to do once they discover a pt is in need of admission or a trip to the ED is get Dr approval and fill out 1 piece of paperwork called a physicians certification statement and then call the paging/answering service and we will have an ambulance to you anywhere in the county within the hours. Business for my company and decreases the stress on 911, win-win in my book.

Hospitals crack down on staff refusing flu shots http://www.cbsnews.com/8301-201_162-57563651/hospitals-crack-down-on-staff-refusing-flu-shots/ I would like it if EMS would do this too, and not just for the flu shot.