ckroll

Probably because so many agencies consider the 'youth corps' anyone under 50 and the combined age of a crew is regularly over 200.

Agreed. Well said PEMO3. Falls where a person can't get up happen for a reason. As a really lazy medic, I would much rather have that talk with a patient and family when the patient can still go in BLS than wait for it to be a true emergency. As ALS we 'assisted' someone today where it got bumped up to a transport. Please keep in mind our patient populations. There are those who see smail things as a crisis, and then there are those who 'don't want to be a burden' and struggle to keep going long past the point when help is needed. As EMS providers we have the opportunity to help families make good decisions for loved ones, and some days it is a lift assist, and some days it is getting the family member evaluated in the ED. Look at lift assists as an opportunity to make a difference in people's lives. Send ALS to all of them and then redirect ALS if something moe urgent comes up. And I speak only fo rmyself, but I'd rather go out 50 times for nothing for the opportunity to catch one person with a treatable cardiac condition .

The article referenced comes from the journal Circulation which is THE publication of the AHA. That is a peer reviewed pubication of outstanding quality, so anything published there needs to be considered seriously. Per the abstract, the issue involves electronic capture at the time of tasing resulting in immediate ventricullar tachycardia/fibrillation. If an individual arrests at the time of tasing, I'm pretty sure I'd ride that in ALS.

As much as I love it, the photography is way too smooth. A car following that knew it would happen? That continues in watching it happen..... Then without so much as a door opening it fades to an over the rim shot? Sorry, unless Martihn Scorsese was on vacation in Norway, that video had some serious 'help'. And posted April 2nd which means it happened April 1st?

The ambulance enters the intersection at 2 seconds and 'gets a green' in its direction of travel at 6 seconds. There is a green flash before that, but I think it's on the prior block, direction the ambulance is coming from. If so, the car was lemon squeezing at best. Perhaps they both had a red light. Interesting how one calls it if neither of them should have been in the intersection. Looks like enough blame for everyone to have a little.

Does anyone have contingency plans/clever ideas on the table for getting to WMC with AMVETS closed? For those of us on the Taconic corridor, these are going to be interesting times.

I will not pre-judge the driver as anyone who has been in EMS long enough has run a red light at some time in their lives. IF we run red lights it is only a matter of time until we get hit That said, if he had a 'do over' on this, I wager he'd have exercised more caution. It brings up several good points. First, actions have consequences and we now live in a world where it is increasingly likely that those actions will be recorded. Second, if one does the math, we 'outrun' our sirens at about 15 mph in an urban environment, taking into account sight lines, echoing, car soundproofing and reaction times. Approaching any intersection faster than that is pushing the envelope. Third, any agency that is using electronic data collection to track and push its members about response times might want to think about what can happen when you make numbers a priority. Fourth, the stretcher broke loose. I thought it would have held. Fifth, there is a new DOH policy statement about being belted in at all times. Before we all jump up and down and point out how stupid that is, watch the video one more time.

Truly amazing. Watch it and pause early. There is a motorcycle stopped at the light. The flipping ambulance misses him by several feet. You can see him cringe on his bike as it slides past his leg. It's got to be the fellow in the red/black/white jacket with the backpack who is helping then out of the ambulance as he still has his gloves on.

These things are huge, think 20 story building. They are considered hazards to navigation. Definite 'rule of thumb' safety zone.

A Loafpack 12?

Stunning photos. Also of note is the 1956 mid air collision of a United DC7 and a TWA Super constellation over the Grand Canyon. 128 were killed making it the largest tragedy of its day, until 1960. The Grand Canyon incident is also recognized as contributing to modern flight safety regulations.

Good point. One might also ask why a glass won't hold water once it's been dropped. Democracy is a fragile construct and there was a moment there where it could have happened. Once a totalitarian theocracy has the reins, it's pretty much over democracy-wise for centuries. Religious extremists, here or there, have little tolerance for free choice. My concern is that America has had limited success managing countries in the Middle East. It is a different mindset over there and they have a tolerance for bloodshed that most of us cannot even imagine. I can only claim to have read part of the history because invariably there comes a point where it is so brutal that I can't make my eyes keep reading it. Dropping bombs on civilizations capable of that kind of hatred isn't going to make them any more interested in considering our way of life, or trading with us. It's going to prove we are the great satan they have been told we are and it will fuel generations of young people to even greater hatred and acts of violence towards us. Someone needs to step up and find ways to solve problems without bloodshed. It's not likely to be them, so it needs to be us. Iran is not Germany. It's neighbors are Afghanistan, Pakistan, Iraq, Turkmenistan, Turkey. There are mountains between here and there that make 'Sound of Music' look like a walk in the park. The greater threat is that they will export their fear and hatred, displacing reason and informed discourse. A violent regime wants more violence, because that is confrontation they understand. Sanctions and computer viruses don't light up the night sky or make for great moments on TV. It takes time. There is a difference between patience and appeasement.

Ah, one of my favorite quotes and we can agree it applies here. The situation in Iran is of our own making. If we forget that, we will end up buying ourselves a world of trouble and hurt that will cost us countless American lives. What happened in Iran was perhaps one of the saddest moments in American history. We were a brand new super power, the choice was to side with a fledgling democracy who wanted control over their natural resources... which is exactly what we were when we rose up against Great Britain... or we could be a super power and step on their throats and take the oil because we could. We chose to be a bully and take the oil and beat down what would have been a democracy. I'm not saying it was a bad choice. The cheap oil that flowed made American greatness possible. It was a deal with the devil we made. We sacrificed principle. That said, Iran is Persian, not Arab, something so many people do not appreciate. We have been picking fights with Arabs up until now. Before you decide it would be great fun to get into a spitting match with Persians, you really need to read that history you do not want to repeat.

Do you know why Iran has such a poor opinion of the US? Maybe it's because when Iran wanted freedom from tyranny and the right to control their own oil that the US moved against Iran and overthrew a democratically elected prime minister and installed the Shah which led to the uprising that allowed religious fundementalists to take over the country. What we have in Iran right now is a disaster that we the United States was instrumental in creating. I think there has already been enough bloodshed in Iran thanks to the US interventions and that we owe the Iranian people a non violent solution to a problem we created.

The patient is viable, yes? So I assume he's breathing. If he's not breathing, it's not a rescue. If the air is good enough to breathe by the floor, then the victim will breathe if you leave him in recovery position, [and doing this 'filter breathing' the younger members are so fond of]. If the air is toxic, you're all dead when your air runs out. So where in this scenario do we change the outcome [in a good way] by not alerting the IC to the emergency and running out of air?