mikeinet

Dispatching's good and all, but sitting behind a desk gets crappy... in terms of entertainment, health, etc. doin road work and dispatching... get a nice mix of both

um... you need the President to come and "survey" the site as well, let's be serious!

The main principle of Emergency Medical Dispatching (as per the national course) is to "err on the side of the patient" - so in this case, send out the calverly. It's a LOT easier to cancel a unit in route, than call out for a unit when a life is on the line.

With the amount of money a paid ambulance service charges... its crazy. There are some people that have huge pockets because of all of this.

I was taught that if you come across a pt that's so cold as in the above case, they need to be brought back to a std body temperature before they can be declared dead... as you know body functions can cease in order to allow the heart and necessary bodily functions to continue. does seem kind of weird, but hey... you never know. always side on the side of the patient.

that's QUITE the "unlimited budget" 8-[ talk about budget deficit...

It's hard to be "properly trained" for ANYTHING in the EMS industry... especially for things like this - - I feel like the only way you'd know how to deal with these type of things is if you spend say 10 years+ getting PHD's in multiple areas. That's why we get paid to do certain things, and doctors get paid a lot more to diagnosis other things It sucks, but what can be done.

That would be a really good idea - but I think hard to impliment on a county level at say 60ctl. Somewhere that self-dispatches such as Somers, that would work no doubt. I absolutly agree that being on the "other side of the table" gives life SUCh a different view - you'll be thinking when you're at a fire scene "that #(%*# dispatcher!!!" or when behind the phones "that #%(* chief!" but when you've done both, or experienced both... you'll be like "oh i know it really pisses them off when this happens... let me be nice for once"

Very good tips / information! =D>

pbvpm - I agree about there being no "real" room for kinks... but we all know that is not reality, in ANY live-environment. I am not sure I agree with you though about self-dispatching. I personally am a dispatcher for a small ambulance org. in upstate, NY... and I can tell you how big a pain in the butt it is to have to be on the phone with a caller, be on another phone calling for ALS, dispatching the crew, and also on another phone getting police to come. Just an example. Having a central dispatching agency brings everything under one hat, allows for messages to move a lot more smoothly, and allows for things to happen faster. Think of the time it takes for 1 person to dispatch a BLS Ambulance, an ALS fly car, and a police car... VS dispatching a BLS ambulance, calling for an ALS fly car, then another dispatcher dispatching that fly car after typing it into a separate CAD... then calling a police agency to have them dispatch a unit, after entering all the info into another cad... big difference in time. I agree that nobody but your own district knows your district... but the way society is today, it's just something that cannot work. My $.02

Did they mean delay as a first due response, or in general? I think either way stories like this can be easily misunderstood. Someone can say there was a "delay" in a response and sure, there was... say when Yonkers called Greenville/New Rochelle... that's not exactly a 2 minute drive away. Even from a vol. standpoint: there's a "delay" when say Bedford calls say Millwood for a tanker... that's not a 5 minute drive.

http://www.thejournalnews.com/newsroom/013...04p30radio.html

In onondaga county, we dont use the alpha/bravo system, but pretty close to it (all based off the alpha bravo's charlies delta's echo's from EMD cards) are the priority system. Priority 1 = ALS / Code 3 Response Priority 2 = BLS / Code 3 Response Priority 3 = Non-Emergency Response/Non-life threating Priority 4 = Inter-facility transfer (between hospitals/etc.) that's a county standard for ALL ems calls, vol/paid ambulance cores alike use it. Works great up here.

very interesting report. It even relates to cell phones: Services such as verizon still offer analog service where you can get a bar or two of crappy signal and still call, but with say cingular its all digital so when you lose service, you lose service. a half-spoken mayday is better than a no mayday.

I think the big key here is that they're having these "people" clock out when the pager goes off... showing that they are not getting paid to fight fires. big difference.

I like how it says "they did not push hard enough to restart the heart" -- because CPR doesn't do that anyway... so of course they "arnt doing the right thing" #-o [-(

I heard that there's doubts if it can actually fly/has never actually been flown to test it.... that's quite the big bird!

I guess technically firedawg is right... but I always consider paid to be "payroll" style (as in $xx an hour...) I feel fort lee is just "an incentive" - i'm aware of many fire (and ems) agencies in that area that do this. quite an idea.

oh forget the even issue of the potholes... just the fact that i think any car can drive perfectly straight and not be able to be within the white lines

I personally hate driving route 9 from the shopping center through archville FD through phelps hospital... that road is WAY to narrow!

you know what kills me more than anything... not that these happen on the emergency services point of view... but that people driving are sooooo preoccupied that they cant notice a stopped vehicle, let alone, likely one with emergency lights and are unable to act and correctly adapt to road conditions. its sickening.

http://www.millwoodfire.org Just finished redoing it.

The diversion thing may be a "courtsey" but its up for a REASON!! It means they are overflowing with patients and cannot give adequate and full care to a new patient brought in... If you have a pt with an injury and the hospital they're going to is on diversion... that means they're too busy to deal with what they already have, and bringing more is just going to lower the level of care, even if it's a request. don't get me wrong, always follow a pt's requests, but a statment like Oswegowind is out of line a bit. The hospitals are doing YOU a favor by warning you they are too busy.

NY you don't get a choice. :roll: Just try something like FD name / ID # like CF123 or something

I read somewhere that nextel was talking about switching over to the technology that sprint uses anyway.... which will be a pain for all nextel users. (new phones for all!)