NYMedic37

I work at Lenox Hill Hospital in Manhattan and the Demers ambulances we have really don't hold up very well. Very small space to work with in the patient compartment and limited leg room in the driver's compartment. Poor exterior lighting, compartment doors break easily. Not the best ambulances i've worked with. Paul Aiello

Does anyone have any experience using hemostatic agents like "QuikClot" powder, dressings/bandages for moderate to severe bleeding in EMS? One of the two EMS agencies that I work for is going to stock our ambulances wih QuikClot dressings soon (after completing training). I know that it has been used in military applications and I would greatly appreciate comments from anyone who has used it. Paul Aiello EMT-Paramedic

I work in New York City and in Westchester and the agency that I work for in Westchester is the one instituting QuikClot (the 3rd version - it is in a dressing/bandage form so it will not be a loose powder and should not present a problem for the area ER's/Trauma center). Our local ER medical director approved it's use for us and all of the area hospitals in Westchester are aware that we will be using QuikClot. I already attended the CME class on the use of hemostatic agents and after the class the instructor showed me a video of its actual use on a severed femoral artery (a typical pumper). Two quikClot's were used. The first was actually inserted into the wound and the second placed over the first. Then a regular pressure bandage was applied. The wound stopped bleeding almost immediately. I was very impressed. Althugh we may have a short transport time to a local ER or trauma center....should you get a call on the top floor of a high rise with moderate to severe bleeding you must take into account the "transport time" also includes getting the patient down to the ambulance. Paul Aiello EMT-Paramedic * I'll keep you upated on our actual experiences (pros / cons) using QuikClot.

What City is this company based out of????

Does anyone know how much the EMT's and Paramedics get paid?

Mark, So how is it working out with the paid EMT and Paramedic staff? Is it better for the community and overall patient care? Also, How many paid EMT's and paid Paramedics do you have? I work as a part time paid EMT in Tarrytown and a paid Paramedic for a large private hospital in Manhattan that does 911 service for the city of New York. Paul Aiello

"10-83, not removed, left with PD.........clear for a 100?"

I'm pretty sure it was "AA" Ambulance from the Bronx. Red and grey ambulances.....not "AAA". Does anyone else remember this? Paul

Yes, Unfortunately NYC*EMS ......fell victim to Rudy G and is now FDNY EMS (A sad state of affairs).

If you happen to see any FDNY or hospital ambulances down there and get an opportunity to take some photos I would like to see them. Thanks.

Hey ALSFirefighter......I also got nothing but a bunch of garbled letters from arrow. Must be a problem on arrow's end. Paul

I must agree that having multiple sirens is overkill. Better to spend the money elsewhere. Paul