WAS967

When I taught the refresher class over at WPFD station 5? (the one on lex) for the WPPD ESU guys there was a lot of stuff in house in the meeting room for the WFPD Volunteer division. It appeared they had somewhat regular meetings and whatnot. Last call I ever heard of them going on was the tanker explosion on I-287 back in the 90s. Here is the proper link: http://x635photos.com/displayimage.php?album=49&pos=13

LOVE the first aid one.

If they need a hand with anything, please let me know.

Now THAT makes more sense. Thanks. (Can you tell I don't get over to that side of the east river often? )

Okay. I gotta ask. WHY did they ship it all the way up to Red Hook?

Okay. I'm working my usual Monday night shift and as usual relieve Mr. Buffy who has every radio going on scan and listening to half the world. I hear a foreign dispatch (later discovered to be Ulster) for Kerhonkson with Empire State Ambulance ALS to respond to an ATV accident at Route-209 and Airport Rd (or wherever). Of course I'm like "Where the %$*( is Kerhonkson?" and "ESA does ALS?" (I thought they always called 39M1 for that [poor tommy]). So my inquiry is this: What 911 contracts with municipalities does ESA have? Does ESA have an ALS contract all the way up there in Ulster County? Or was this call some kind of fluke?

How many WPEMS people still call Shnurmacher NH, "Tibbets". Speaking of WPEMS, gratz to my fellow medic classmate Joe Salhab on being awarded ALS Provider of the Year at last night's EMS awards dinner.

Wow. I thought RPS already was using the full RSI protocol. Good to know. Etomidate SHOULD be making it's way into the regular ALS protocols in WC in the next revision (as opposed to special procedures). Stay tuned.

Vista FD also runs Chevy ambulances.

set: to make the domains easier to remember, you should consider making them all subdomains of emtbravo.com. Like newengland.emtbravo.com and california.emtbravo.com. Etc Just a thought.

What areas does Alamo still cover in Ulster? Do they still respond across the bridge from CoP?

Rumor had it that the reason they remained labeled as Abbey Richmond instead of being labeled as Transcare (up until recently) was a requirement of the contract with the city. Please correct if this is inaccurate.

Kingston would certainly explain why they were responding to Kerhonkson. When did they start doing Kingston? Didn't MLSS have that contract up until recently?

RPS has provided coverage for the Ren Fair in Tuxedo for years. Not sure if they have a BUS on site (maybe TVAC does) but they do have a QRU to get to places on site quickly. That must be a nice detail. Wonder if they get free Mead?

Allow me to play devil's advocate for a second. What about areas where the 911 bus may be coming from 30 minutes away, such as is the case many a time with Alamo? Or if you are in a town with a volly squad that you know takes forever to get out? If I worked for a private that I knew could get there quicker, I'd call them. I understand the goal of this law is to prevent the exact converse of the situation, but still, a person should have the right to call whomever they want for ambulance service. Perfect example is the case of a sick patient that wants to go to X hospital but knows that the local ambulance will only take them to Y.

They also did several recent episodes in Bergen County, NJ with Bergen County Sheriff (?) I believe.

I believe the standby idea came from the original STATFlight and how they were situated. STATFlight, when it was only Air1 located at the medical center, used their crew in the hospital (as hospital employees) for various things (I believe patient care related). When a call came in they would be paged and have to make their way to the bird before they could even fire it up. This generally took a few minutes, so we would put them on standby so they could rally before being given the order to launch.

I believe WCFTC does periodic EVOC classes. Check with your department training officer who would need to register you for the class, or check the DES website if there is a listing.

Date: 05-17-07 Time: 0610hrs Location: Luna Cafe, East Main Street, Across from the Cortlandt Town Center Frequency: 46.26, Fireground 1 Units Operating: Mohegan Fire, Peekskill FAST, Mohegan Fire Police Description Of Incident: Working Fire in the Cockloft of a single story 100' structure. Writer: WAS967 Initial dispatch reporting smoke coming from the structure. 2261 on scene confirming working structure fire. Calling for Peekskill FAST to the scene and fire police for traffic control. Also requesting Con Edison to the scene. ~0620 - Attempting to make entry ATT. Reporting fire in the cockloft. 0621 - Con Edison responding. 0626 - C&O Zone 4 requested to scene. 2 Lines stretched. Holding all units. Fire appears to be knocked down ATT. 0627- Main body of fire knocked down, checking for extension.

I called NWH and talked to one of the Pharmacists about the Crofab. They only keep 2 vials handy for first line use (initial dose can actually range upwards of 6-9 vials soooo). They cost a mere $2000 a vial so cost is Definatly an issue. I can imagine the same issue exists at the medical center. As for the advantages of Lifenet with RSI, yeah they have that and it can be beneficial if an ALS agency does not. I know I have had patients where I wished I had RSI but didn't. Se la vie. As for the IO-Guns, there really is no reason that an agency can't carry them. They fall within the current ALS protocols in both Westchester and the Hudson Valley. They only need to be approved by the agency medical director and the agency needs to hold the appropriate in-service to get the providers up to speed. I think you will be seeing more agencies carrying them in the next few years. And before people go "woa woa woa....you're gonna be drilling needles into bones as a matter of routine?" - here's some videos for them to watch: Real Call - BIG Use - http://www.waismed.com/upload/Media/Movies...%202007-700.wmv EZ-IO Use on Live Person - http://www.vidacare.com/reports/Insertion%201.mpg On the actual call, insertion takes about 2 minutes, but you can tell there is a little trepidation on the part of the person using. With comfort and experience the time can be cut easily in half.

Could it have been Mike McEvoy? I just happened to be reading his updates from the SEMSCO the other day. It included the following:

Indeed. Still dangerous enclosed, but a heck of a lot better than having to worry about someone getting clumsy, tripping and knocking the pilot backwards into the thing. Is the patient still loaded in the rear? Or is it side loading like the NYSP chopper?

I saw this and had to comment before reading on so I apologize if this was already covered. I assume since you were the one intercepting with the BLS agency that you were the medic or your partner was the medic. Either way, the medic who was caring for the patient in the back of that rig, if they knew of the lights but no siren status should have said something to the driver. While the driver is in control of the vehicle, the highest trained medical person in the back is ultimately responsible for the way in which the pateitn is transported to the hospital. I've told drivers (who routinely drive L&S to the ER with stable patients) to shut the lights down. If they ask why I politely tell them it's not needed. I have only once had a problem with a driver objecting to this, and it was dealt with appropriately after the call. I tell people, if they are in this just to play with the L&S, they need to find another hobby. I am glad I wasn't drinking milk when I read that.

Interesting call. How long ago was this? I've worked up here for 7 years and hadn't heard about that one. I'm actually rather shocked that WMC doesn't/didn't stock Crofab (the antivenin used for Crotalid bites, of which the timber rattler is one.) I'll have to make a few phone calls and see which hospitals in the area DO carry it. I'd imagine the two biggest hurdles to using it are 1) cost and 2) doctors being comfortable with actually using it.

REALLY? I never would have known. /sarcasm off