WAS967

It was actually pending SEMAC approval (which it got). Now I believe it just needs to be rolled out. From http://www.saratogaems.org/SEMSCO%20News/2010_SEMSCO1_Feb.doc Note that it's considered a study (for now). IF the results are positive, expect it to be adopted for the long term.

I have made changes in my destination based on the results of a 12-lead. I had a patient with acute MI with HUGE ST elevations and reciprocal changes. Based on the 12-lead we decided to transport to a PCI center over a local non-PCI ER (with M/C consultation of course). The Hudson Valley region recently passed a protocol update that gave field providers the ability to transport to a PCI capable center if they found indications for such on exam. That directive was unfortunately rescinded as it needs to go through SEMAC approval first. Look for said approval to be coming (hopefully) shortly. One can only hope that the state gets on the ball and makes it protocol to divert to a "heart care" center just like we are able to divert to trauma or stroke centers. (Tho who ISN'T a stroke center anymore?).

Hypothermia treatment in cardiac arrest is the way of the future. Knowing Westchester, we'll see it sometime after 2020 because they will have to do "studies". :angry:

ny10570: Thats the advisory I saw. What confuses me about it however is in one spot it says that epi/defib is required, but in another place it says the advisory is "strongly encouraged". Why "strongly encouraged" I wonder. Make the damned things required and be done with it. Any ambulance that doesn't have at LEAST an AED on it is just playing with fire. Not having one IMHO is a liability. I'd love to see 12-leads required on all ALS units but because of the expense, I don't see agencies up state being able to bear it in the immediate future. EDIT: Now I get it....had to read it a few times for it to click. During the time in which the amendment is being pushed out, they are strongly suggesting you have AEDs and EpiPens. But come May 1st, 2010, it will be required. And yes, there are ambulances out there that don't go out on the road with a defib on it. Kinda hard to believe in this day and age.

Past member of the Nocturnal Operations Division (NOD) here. Specialized in treatment of pressure ulcers as a result of sleeping in odd places and not rolling over often enough.

We talking about the old TV series puppet or American LaFrance?

I prefer to go the challenge refresher class. I find the CME route annoying for two reasons: 1) Most lectures are only 1-2 hours and they always seem to be on days that I work. I work 60+ hours a week just to make ends meet so I really can't take a lot of days off to attend CMEs. If they had a self study option that met the core requirements then I might be more interested in going the CME route and 2) You have to attend CMEs on certain topics to meet the different requirements of the CME recerts. I can attend a challenge CME and meet all these requirements in a single structured class than have to sit down with a schedule to figure out what classes I still need and when. I can go in, take the tests, do some take home work, sit in on a few lectures and labs, and have all my core requirements on the same piece of paper. For me the challenge recert is a matter of convenience, not laziness. I do a lot of studying and research to keep my knowledge up, and then some. In the end it comes down to what works best for the individual. Everyone will have different needs.

I still remember the day he died. I was working Abbey at the time as an EMT. His memory won't soon fade.

Do we really have nothing better to do than complain about $%& like this? The poor kid was upset, his grandma was in extremis, and maybe the medic had his hands full. Gimme a break. I had a bad call once where my hands were full so I put a brand spanking new member of an ambulance crew on the radio to the hospital to let them know we were coming. She was very upset during the message but got the point across to receiving. Is that any different? <sigh> IF they get anything more than a slap on the wrist it's an insult. <end rant> http://www.action3news.com/Global/story.asp?S=12153184

I'm not sure about 12-leads, but a recent SEMAC advisory "strongly encourages" that any ambulance in service have the ability to defibrillate and administer epi via auto injector if they don't already have that ability via ALS equipment. http://www.health.state.ny.us/nysdoh/ems/policy/10-01.htm 12-Lead units are admittedly expensive, despite their huge benefit, and some ambulance agencies upstate can barely afford defibrillators, much less 12-lead capability. So I sincerely doubt such a statewide mandate exists. Interesting tidbit about the above advisory that I've been thinking about: They want the ability to defib patients of "any age group". Last I checked most AEDs were only approved for use on kids 1 year of age and older. What do they do for infants? (Or has that changed without me knowing?) Update: Yup. They changed it. AAP has approved of AED use on infants (kinds under 1 year of age).

Date: 3/16/2010 Time: 00:20 Location: 360 Old State Rt-22, Dover Map Frequency: Dutchess County 911 Dispatch Units Operating: Dover Station 1 & 2, Pawling 54-14 & 54-31, Wassaic 69-31, Dover 54-71 to standby in quarters. Weather Conditions: Clear & Cool, Scattered Rain Description Of Incident: Fully involved structure fire. (Came in as kitchen fire) Reporters: WAS967, EFFD3918 Writer: WAS967 ???? - Fire chief on scene reporting fully involved. Unionvale 67-12 to relocate to Dover station 2.

Reposted from a public group on facebook:

From Somers FD:

IS the stabbing confirmed? The one article I saw from JEMS said there was no weapon involved and that it was probably a head injury.

ABC just scrolled a notice across the bottom of the Oscars saying that it would be returning to the air on Cablevision as they have made progress in negotiations and are putting ABC7 back on the air in good faith while negotiations continue. So for all those with Cablevision who want to watch the Academy Awards, check your channel 7 feed and see if it's back up.

Date: 3/6/2010 Time: 12:09 Location: 7 Otha Drive, Somers Map Frequency: Somers FD Dispatch, Fire 16 (Trunking) Units Operating: Somers; Tankers from Golden's Bridge, Katonah, Croton Falls, Yorktown, Brewster; Bedford Hills FAST, Mohegan Lake, Mahopac Falls; Ambulance and medic to scene to standby. Weather Conditions: Clear and Warm Description Of Incident: 2443 on scene reports a fully involved 2 story 75x50 foot wood frame construction. Reporters: WAS967, MFVFD179 Writer: WAS967 12:13 - 2441 requesting tankers from GBFD, KFD, and CFFD as well as FAST team from BHFD. 12:13 - Con Edison requested to the scene. 12:15 - 2443 on scene. Reports fully involved 2 story 50x75. 12:17 - Medic dispatched to the scene to standby. 12:18 - Battalion 13 responding. Command requesting engine from GBFD. 12:20 - Water source at Somers Manor Nursing Home via Engine 181. 12:27 - Eight tankers requested. 12:28 - 2141 in command at water source. All tankers on Ops1. 12:32 - Mahopac Falls Engine to Somers Fire HQ for standby (I heard our 19-4-2 respond but not sure what time). 2031 acting as safety officer. 12:34 - C&O requested. Zone 4 dispatched. 12:41 - Update from Bat13 - Still heavy fire. Ladder setup and multiple handlines in use. 13:32 - All units still operating. Anyone with additional information, please PM me and I will add it.

Are there things that resemble gunshot that trigger the system? Things like backfires from vehicles, or fireworks?

Yup. MLSS has the city of Poughkeepsie starting 12:01 on 3/22/2010. I believe it is a 3 year contract for two dedicated ALS ambulances around the clock.

Sounds like they've been taking lessons from Jersey. <sigh>

Are there any online scanner sites that cover FDMV dispatch?

MY favorite: "“Never, ever lie to your ER nurse. Their BS detectors are excellent, and you lose all credibility when you lie.” —Allen Roberts, MD "

I would just go to the horses' mouth and call the City Hall on Tuesday morning and ask for the results of the bid process. It's public information and should be available from the clerk.

This sounds a LOT like a kid that used to run around northern Westchester and got kicked out of half the EMS/FD agencies in Northern Westchester and Putnam. I'm sure several people on here know who I'm talking about.

My understanding is that NYS is no longer approving "diagnostic" cath labs. Makes sense when you consider it's like finding a clog but then not being able to do anything about it - kinda silly IMHO. NWH is currently going through the application process for a PCI lab as well. Probably won't see that for a few years tho since it has taken this long for WPHC to get cleared.

Correct me if I'm wrong, but as a county agency, isn't 60 control's data accessible via FOIL requests? Couldn't anyone go to the county office building and file a request for say "all response time information regarding EMS in year XXXX" or whatever?