nycemt728

65.071....third try (pure luck I'm sure)

Not even a firefighter and I saw several things wrong with that!!! Thats crazy, obviously no planning and shame on the leadership there b/c those guys obviously had a lot of trust that what they were doing was ok. I don't think it helped those poor screaming kids views of ffs either.

Fordham vs Xavier, hands down!

The Home Depot is going up on the lots formerly occupied by Atlantic Express, across the street from what appears to be a Snapple/soft drink distributor. This should create a nightmare of traffic on Brush and the surrounding intersections.

Found this on MSN.com this morning. What does everyone think about it just being posted on a popular site w/ minimal explanations, no enorsements...is this a good idea? Can it save lives or do we as providers and instructors advocate for laymen taking the organization (ARC, AHA, ASHI) sponsored corses and waiting until the protocols change again. Will Good Samaratan Laws cover this, I mean given CPR's history, will a reasonable person just do compressions? The New Science of Cardiac Arrest -------------------------------------------------------------------------------- Everything you've been taught about CPR is wrong. Here's how to save a life — maybe your own. Heather Hurlock, Best Life Find More 8 Foods You Should Eat Everyday Aspirin Pros and Cons Fight Age With Muscle A Seattle 911 dispatcher receives a call from a woman whose husband has just collapsed and has no pulse. Believing correctly that the man has gone into cardiac arrest, the operator coaches the woman to perform CPR, a rotating series of quick chest compressions followed by two quick breaths into his mouth to provide oxygen. "Why is it that every time I press on his chest, he opens his eyes, and every time I stop and breathe for him, he goes back to sleep?" the woman asks. "When I heard the tape of this conversation, I was astounded,"says Gordan Ewy, MD, chief of cardiology at the University of Arizona College of Medicine. "This woman had learned in 10 minutes what it took us 10 years of research to find out." That is to say, giving mouth-to-mouth to someone in cardiac arrest is not only wrong — it could also be deadly. Every year, about half a million Americans go into sudden cardiac arrest. It's the leading cause of death in America, and 95 percent of its victims die within minutes. Cardiac arrest happens when the heart stops pumping blood because the rhythm becomes disordered and unsynchronized (called ventricular fibrillation). This happens most often as the result of underlying heart disease. Experts have taught for more than 40 years to give someone in cardiac arrest mouth-to-mouth between chest compressions, but in a recent study published in The Lancet, scientists found that survival rates of cardiac victims were higher when compressions were not accompanied by mouth-to-mouth (echoing studies that have been coming out for more than a decade). That's because a person's blood remains fully oxygenated when the heart stops. The only time mouth-to-mouth is necessary, some heart specialists now believe, is in the case of a drowning or a drug overdose. In those cases, the heart is still pumping blood, so the body's oxygen levels are quickly depleted. "If you see someone drop to the ground suddenly with abnormal breathing and no pulse, that's cardiac arrest," says Dr. Ewy, who has been recognized by the American Heart Association for his contributions to the science of CPR. "What you need to do is immediately call 911. If there's a defibrillator around, send someone to get it while you start continuous chest compressions (CCC) at a pace of 100 per minute." A defibrillator is the only thing that can depolarize the muscle fibers that are spasming out of sequence (i.e., jumpstart the heart). Chest compressions simply buy the person time by moving blood into his heart and brain, keeping the blood pressure from falling to zero and the person from slipping into a coma while medical services race to the scene. It takes only six minutes for someone to go from ventricular fibrillation to flat line if nothing is done, but — as we now know — there is a twofold increase in survival when chest compressions are applied. Learn how to perform CCC's. Provided by Best Life

Let me clarify: I am not asking if the new CPR is effective, nor am I disputing the value of chest compressions! I am asking if an artice directing people to begin compressions (w/o the history and extra info and training a CPR course will provide) is wise and will it save lives or is it better to advocate people take a full class in CPR. Does this particular article help or hinder our job as responders? If someone has no experience and has simply read this article (and is not on the line w/ an EMD), and therefore attempts to perform CCC's,(no word on effectiveness) is that better or worse than having someone trained in CPR? I'm trying to get at whether this article would have served better advocating for CPR courses in their current format.

I did get the country wrong, it was Japan. NY Times Article Point was, the research was not endemic to this country!

If you had bothered to read my questions, you wouldn't have had to waste your breath berating me. I am well aware of the reasoning behind the 2005 changes, and I know that the next step will be the elimination of breaths with the compressions. Yet another wasted discussion b/c no-one bothers to read and respond appropriately, only preach like a know-it-all. How about some moderation??? EMTBRAVO, if you want suggestions for the site, this is it: have moderators who actually foster a discussion instead of allowing these nonsensical free-for-alls where everyone preaches to eachother instead of discussing the topic orgionally posted!!!!

Check every day to keep up to date. I enter through EMTBRAVO.com... I would love to see more picture updates. Perhaps a themed month where everyone submits any pics they have, i.e. Crown vics or strange apparatus etc...

He's got some excellent points, and yes the the truth does hurt sometimes and more importantly, alot of timse it takes a set of outside eyes to get a good view. While I agree he didn't mention the firefighting "brotherhood", I think his more important point was that you can't have brotherhoof if your all dying for doing stupid things!!!

Officer in Bush's motorcade dies in crash ALBUQUERQUE, N.M. - A police officer died Monday after crashing his motorcycle while riding in a motorcade as President Bush prepared to leave the city following a fundraiser for Sen. Pete Domenici. Rio Rancho Officer Germaine Casey, 40, was rushed to an Albuquerque hospital, where he was pronounced dead. The motorcycle was near the front of the motorcade, and the president saw the wreck as he drove past on the way to the airport, said Rio Rancho Police Department spokesman Officer John Francis. Bush issued a statement saying he was saddened by Casey's death and extraordinarily grateful for his protection. "It is a high calling to choose to serve and protect your fellow citizens, and I will always be indebted to Officer Casey's service," the president said, adding that the officer's wife and two teenage children were in his thoughts and prayers. Francis said Casey's motorcycle hit a curb and then a tree, but investigators were reconstructing the accident to determine exactly what happened. "Any time there is a presidential motorcade, the officers, that's part of their job, they drive at a high rate of speed," said Trish Hoffman, a spokeswoman for the Albuquerque Police Department, the agency that is investigating the crash. Officer received special training Francis said Casey had received special training in riding in motorcades and had previously escorted Bush and Vice President Dick Cheney on separate occasions. Casey had been with the Rio Rancho Police Department since 2005 and worked with campus police at the University of New Mexico before that. Francis said Casey, who he described as easygoing, fun-loving and always smiling, will be missed by many officers. The department has made counselors available. "They're handling it the best they can," Francis said of his fellow officers. Domenici, R-N.M., said in a statement that he was deeply saddened to learn about Casey's death. "The thoughts and prayers of my wife Nancy and I are with his family during this dark time and we offer them our most sincere condolences," the senator said. The crash occurred where the road at the airport goes into an underground parking garage. Traffic was shut down after the crash, resulting in a bottleneck at the airport. Photographers and reporters in the presidential motorcade said the officer's motorcycle appeared to be nearly destroyed, and the officer was on the ground, being helped by an emergency medical technician. Other motorcade crashes A Honolulu police officer, Steve Favela, died when his motorcycle crashed while he was part of a presidential motorcade traveling across Hickam Air Force Base last November. In February 2006, a Bernalillo police officer was injured when his motorcycle went down while he was helping escort Bush's motorcade on Interstate 25. Sgt. Jerry Nixon suffered a broken nose, cuts and bruises. ---------------------------------------------------- This is another terrible loss, what can we do to prevent this? Anything?? I mean I guess I can see the safety reasons for not having the preident stopped in traffic, but at the same time, I would hate to be on the receiving end of that phone call, no matter how important, in the grander scheme of things it seems like such an unnecessary and preventable death!

I love it when the upstate divisions come downstate....how medically responsible is that if your going lights an sirens...NOTHING in the city can be the closest facility. That being said, there should be no reason for the emergency ops, shut it down and do it as a normal transport. There can be no medical justification for what normally is a 40-60 min drive....pt preference is NOT good enough. Sorry, it happens too many times to be a true emergency ie a replant or special surgery etc...you know what, everyone cuts corner here and there, but its time someone held them accountable for their actions.

NYmedic is on point, in NYC, its sort of like a revolving door, you bring a board in, you take one out, doesn't necessarily have to be yours. I've never had a problem w/ this system, however, you should be respectful of where you are: its obvious that Westchester and NJ don't have the same system, so the respectful and most logical thing to do is wait for the piece of equipment!! I have NEVER heard of hospitals mailing stuff back to anybody, its more of throw it out into the bay. I would agree, not really their responsiblity, but a nice courtesy. Bottom line, if you want to hold onto the stuff you paid for, you gotta put in the effort to get it back and ensure it stays w/ you.

When are we going to learn to work together???? Instead of hiding behind inflated egos, badges, guns and turnourts, everyone at the scene of any incident should ask one simple question to eachother: OK bro, what can we do to make this work; what do we need to do to make sure everyone is safe and taken care of? If we can do this, everyone goes home happy: the public, the responders and the patients. I don't care if it's wishful thinking, it's what needs to be done!! I'm so sick of all these fights, tickets and arguments...can anyone honestly say it has produced anything other than bad press and a hate for those we need to work next to? I would hate to have a loved oness life hanging in balance while responders have a pissing contest!

Rest in Peace!

Rest in Peace!

Rest in Peace!

Totally agree! It's sad the same people who day after day pull people out of wrecks, bring them to the hospital or pull them over refuse to wear their own seatbelts. There's NO good reason not to wear a belt. This needs to be everyone's priority, not just the officer...for everyone's safety. While I agree selling them is a little tacky, I would rather see that than the result of not heeding their advice....perhaps they should come standard.

As many have said, 911 cannot refuse once called, but I do see the origional point: 911 should not be called in these situations. There are plenty of private companies who are available and willing to do interfacility transfers, emergency or non. If it is truly an emergency, they by all means call 911 but then, it should not be a direct admit, but brought directly to the ER, then transfered once examined, admitted and stabilized if necessary. We, the EMS community as a whole, I think need to help get these facilities out of the mindset of calling 911 in these instances. What needs to be made clear, is if its an emergency it gets called in ASAP and brought to the ER. Every private bus has trained staff on board, its not like calling a taxi or an ambulette, the pt is still in capable hands either way. If ALS is needed, well the privates have ALS as well...

You still havn't fully explained what "cadets" will do! Until you do, JBE said it best, your best option is to contact the BSA and get info on starting an Explorer post in your own dept. However, if your meeting up w/ such resistance now, I don't know how receptive they would be to establishing and running a Explorer post w/ the level of involvement your looking for. Keep in mind the insurance and liability issues in working w/ minors; many activities will simply not be allowed, by the dept, the explorers or the insurance co. Many depts or vacs or other organizations don't have a jr corps, cadet corps, posts or youth corps....

What was the point of that? Obviously, since the "right" answer took so long to come out, it was a valid question. I thought that was the function of the board: to learn. Since handles with company names were banned, its become pretty hard to figure out who's a member where, so the the PM option is *. Bottom line, seems to me this falls under if you don't have somthing constructive to say....

Agreed, I see no point to switching the NRBs unless there is a malfunction. It does waste resources and time and is just plain unnecessary.

I too have seen the coverage of every intersection. Chris192, can you explain why this is acceptable and the leapfrogging mentioned above is not? If the traffic is stopped, would this not provide a somwhat safe route? (I acknowledge all escorts and operations of this nature are inherantly dangerous)

I don't pretend to know what this woman's life is like, but just because life is hard doesn't mean she's entitled to money. I by no means support Con Ed (I think they do a really poor job on a lot of things), but this doesn't seem right. This entire problem would be solved however, if lawyers would stop encouraging this sort of ridiculous law suit and stop trying to earn millions by agreeing to bring these cases to court. No venue provided, no money payed out!

You know what, shame on the chief for choosing to enforce the little rules at this time. I don't fault him for enforcing the rules, someone has to and technically he is correct. He is also abselutely wrong in choosing this time to enforce the rules. A simple reminder/warning upon return to the firehouse should and would have sufficed. After September 11th, everyone knows that shirts w/ written messages are a simple yet eloquent and accepted tribute.....what bothers me is that knowing this and seeing how the dept already sent reps, why didn't the higher ups think of this and solict the members for approval or provide the shirt for signatures/messages of condolences. Kudos to the shirt company for stepping up and providing 2 shirts, just wish the dept would have stepped up to fill that need before someone else had to!!!