WAS967

Definatly. The more info I have, the better. WE basically have a bunch of multicolored sweatshirts that we need logos put onto. If you want, just PM me the info, or post it here to spread the word. TIA

I'll still never forget the time I had a PO come out of a house U/A @ a cardiac call and tell me that the patient is conscious, but he's in V-Fib. My only words were "no he's not". And after all that, the defib pads were on backwards (not a big deal bit still - if you're gonna try to interpret rhythms, please at least know how your gear works. KTHX. Anyhoo. I'd be interested to hear from the MD who did the study and see what his feeling are and what benefits he sees in this. I wonder if I can find his email around anywhere.

Envenomation center would be a hospital the specializes in the treatment of patients who have been injected with a toxic biological substance, usually from an animal such as a scorpion, spider or most especially snakes. Compos mentis literally means "of sound mind".

I see where STAT is coming from and he brings up a good point. I shall have to look into this further and ask our medical director since it is he that has the ultimate say in the matter and has implied that going to WMC when NWHC is closer with a potential cardiac case is inappropriate. As far as getting people back home quicker, I say, screw that. I whats right for the patient, not what I think is going to be convenient for the vollys or anyone else. If they don't want to go the extra distance in the interest of patient care, then they can stay home. Case in point. Did an old lady with dementia who called 911 with a panic attack. She was basically worried that nobody was going to "be there" for her. Well, the crew bascially would have been fine with doing the RMA and going back to sleep, and leaving her be. Not me. She was non-compus-mentus and basically IMHO unable to care for herself and a danger potentially. She needed to be evaluated. Company policy in fact won't allow me to RMA her. The crew wasn't to thrilled, especially when we basically had to take the patient against her will. She eventualy went willingly with some convincing, but was none too happy.

Yeah. One of the crews was nice enough to give me a jump start the other day. :roll:

Talk to Andy. He should have no problem getting pictures for you.

CBS 2 News Video Report on FDNY Paramedic arrested on Child Pornography charges. http://www.cbsnewyork.com/ Located in video section, about halfway down. Text reports to follow. I'm sure the video will only be there for the next day or so. (I wish they could just give us a static link to this stuff but oh well).

Doesn't it seem a little redundant with the fire training center being available in Valhalla?

One thing I wish we had is a better way to apply the chest leads. I personally find the chest leads on the LP12 cumbersome, getting tangled often. Does anyone use a third party system like the V-Quick patch system or similar?

Bottoms up! But my sentiments are the same. Treat the patient. If I come into a scene and people are playing with a glucometer yet the patient is sitting there U/U with no oxygen and no vitals taken, I shall have to destroy said glucometer.

If I were to post sound bites myself I'd probably offset the freq or find someone to make it so that some dummy can't just key up the radio and play the tones to set off pagers maliciously. Or am I being too paranoid? Comments?

DOH....sorry. Have some time now so here we go. Hopefully by now you've been successful in getting the sound from the scanner to come through the speakers on your computer. If not, we need to do some debugging. Now that you have sound, we can work on recording. We'll start with the basic, built into Windows sound recording program. Here in Windows 2000 it's located under Programs->Accessories->Entertainment->Sound Recorder. Once it's open all you have to do is hit the record button (the red circle) when you hear what you want to grab. Obviously, unless you are psychic or catch a test, you need to record and wait. Once you hear the HZ tones go out that you want, just hit stop. You should then be able to play back what you have just recorded. You may also need to fiddle with your sound levels in the aforementioned Volume controls and via your scanner volume (if applicable). Once you find the spot where the desired sound bit is, you can then edit out the rest. Sound Recorder has an options under "edit" in the menu to delete before/after current position. Just position the slider just before the sound clip starts, then hit "delete before current position". Then play to the end of the clip, pause and the hit "delete after current position". Viola. You should now have a sound clip that can then be saved as a WAV file. Any questions? I don't do much in the way of sound editing but if you want something better than sound recorder I can consult with afriend who is a sound engineer and see if she can recommend and other programs. She also is a Mac person so if you use Mac I can find some programs for your platform as well. If you use Linux, PM me. We shall have to talk. ;->

-This thread.

Scotty had more personality than the rest of that crew combined. I actually had the opportunity to see him live at one of the local SciFi conventions. He was a pretty cool guy. RIP Scotty. Say hi to Bones for us! Little Trivia for you guys: Never did Kirk ever say "Beam me up, Scotty" in any of the Star Trek episodes (and I believe this applies to the movies as well).

I've actually had some surprisingly good results in a moving ambulance. First time I ever did a 12-Lead with the LP12s, I was in the back of a CCVAC rig heading to Phelps. We had enough time to do it, and were bouncing all over the place. Much to my amazement it spit out a nice clear tracing and showed me an Acute Anteriolateral MI. What kind of unit are you using for the 12-Leads at your agency? I've had issues with cables being either loose or just plain in need or replacement. Sometimes a little juggling and crossed fingers/praying get a good read. Other times it just plain doesn't want to work (like the other day where I literally took the chest leads and tossed em over my shoulder in frustration. I'm definatly in support of going to a facility that can better treat MIs, thus eliminating the so called "middle man". But until our protocols support this, our hands are literally tied.

Most of the medical directors I have talked to would disagree currently and state that closest facility (cath lab not being a factor) is the most appropriate. Our protocols also do not presently support passing one hospital without a cath lab in favor of one with a cath lab. Such as Oxygen, IV, ASA, NTG, Morphine. 12-Lead is diagnostic, not therapudic. If I have a person with with 9/10 substernal chest pains radiating to thier left arm and jaw (insert other classic signs/symptoms here) then I don't need a 12-Lead to tell me whats going on. I'm only one person usually working with people who really don't know much about the ALS side of things. If I've gotten the above done and I have time to get a 12-Lead done, or I can talk an EMT through how to do it, then so be it. If not, then it can wait to the ER where they have more hands that can take care of it. Good question. Show me a system around here that carries Tridil. I don't know any. It requires very specific dising which can't be accomplished unless you carry IV Pumps. I dont know many 911 systems that have IV Pumps unless they also do transports. I also know of very few that carry Lopressor (none in this region).

Ewww. TMI!

Who do you think cover a LOT of the firehouses in NYC while FDNY was searching ground zero?

These kind of bandages have been on the market for a while and the companies that make them have been pushing to get them more mainstream than they have been. They have been used extensively in the Gulf during the war (I think just the current one as they seem too new to have been around for Desert Shield/Storm). There are many issues involved with them and they aren't exactly without thier drawbacks. The Head of CT State EMS who was a Trauma Surgeon for the Armed Forces in the Gulf has sworn they will never be used by any EMS unit in CT because of problems that have occured. I don't have specifics but will try to find more. Obviously the one big question comes to mind: Shellfish are a major instigator of anaphalaxis. If you have a person down from major trauma and are unable to get a history and proceed to dump this shellfish deriviative into the wounds of a person with an unknown shellfish allergy, the consequences could be dire.

Date: 7/14/05 Time: 1845 Location: I/A/O 59 Lake Road, Peach Lake Frequency: 46.26mhz Units Operating: NSVAC, WEMS 45Medic3, CFFD, STATFlight Description Of Incident: Call initially reported a jet ski accident. First unit from CFFD on scene calls for STATFlight on standby. CFFD dispatching additional engine to NSHS for LZ. CFFD updating that STATFlight can stand down, patient to be transported by ground to Danbury hospital. CFFD chief updating medic saying patient has extensive injuries to leg from motor boat propeller. Writer: WAS967

Time differentials have been a problem for a while. It's a problem on the ISP end of things and isn't a problem with EMTBravo unless the time zone flag in phpBB is set wrong.

Dedication of what? Fire apparatus?

Yeah. Sure. In the words of Monty Python: "Pull the other one!"

Yeah, he's legit. You can usually find him running around like a little guy on crack (kinda like a mini x635) with 3 or 4 cameras around his neck and a reflective vest on. His pictures are actually pretty decent and he shows a lot of promise for a possible future career in photojournalism or photography (at least from my POV). .biz.tc is just another free provider of web space on the web. www.bix.tc for more information. Of course your suspecions are warranted. A lot of bad sites are hosted on free web hosts like this. Just make sure you have a good virus scanning program and that the definitions are up to date. Avast (http://www.avast.com/) is an excellent package that is FREE for personal use (registration using a valid email required) and even blocks a lot of ad/spyware. It's also great for those with a pirate fetish. ARRRR!

Cable will depend on your scanner. Most scanners I know have a mono 1/8" plug (is there such a thing as a stereo scanner anyone?). Some higher end scanners/recievers have a stereo plug so that you can hear in both ears when you plug in the headphones. Volume is usually controlled by the volume knob. Some scanners have it so that when you plug in a headphone, it kills the external speaker. Not a big deal but would be nice to be able to hear your scanner from the scanner, but later on you can hear it through your computer speakers. To keep this to the KISS method (keep it simple stupid) we'll avoid any electonic tinkering and soldering by just going to Radio Shack and getting a generic 1/8" stereo male to male cable of appropriate length (3 to 6' should do fine). Tune the scanner to the dispatch channel. TURN THE VOLUME TO LOW. Plug one end of the 1/8" plug cord into the scanner's earphone port. Now take it to your computer. Obviously your computer must have a sound card. Most computers (aside from newer ones with fancy sound systems) have THREE 1/8" sockets on the back for sound: LINE IN, LINE OUT, and HEADPHONES. The one you want here is the LINE IN port. (Refer to your computer manual if you don't know which on it is.) Reason you want the volume on your scanner low is because line in is not meant to take amplified signals, so the lower the volume to start the less chance of blowing something up (not literally). (If you have a high end scanner with a line out connector, then hook into that as you have the best of both worlds.) In whatever verison of windows you are running, open up the audio control panel (right click on your speaker icon near the clock and open volume controls). Make sure the line in section is not muted. If you have the speakers on you should be able to hear what is being fed into your line port. Turn off the squelch on the scanner so it's all static. Slowly bring up the volume on the scanner - you should hear static now coming from your computer. If not we need to trouble shoot. Now for recording. For this we will use the built in sound recorder in windows. Basic but functional. [to be continued]