WAS967

The problem is, the issue isn't that simple. The policy from the state is very straight forward but unfortunatly many of the situations that we encounter that are related are not. ALS said it well. Some of these calls may require a lot of calm explaination to people who otherwise just don't know what is going on or why we do what we do.

We should start an EMTBravo RSS feed!

At issue is the availability of such a feed. LAFD makes major incidents like those in the feed available as a service to the public. I don't know the innerworking but a lot of "newsfeeds" use RSS. If there isn't an RSS feed for what you desire then it probably won't get done. If you are willing to do the legwork and find a newsfeed that does national fire/ems incidents, then by all means submit the link to EMTBravo for consideration.

I'll be sure to remember that next time I go to M/A to Brewster. :->

Date: 5/26/05 Time: Ongoing Location: Focus: 308 Main St, Ridgefield, CT Frequency: 46.26 Units Operating: Fairfield, Ct; Westchester, NY; Putnam, NY Description Of Incident: General Alarm Fire Writer: WAS967 SSFD to Ridgefield Scene GBFD to cover SSFD but redirected to scene. Vista Fire to Ridgefield Scene CFFD to Ridgefield Scene PRFD, CFFD, VFD tankers to Ridgefield Scene. New Cannan to cover Vista. Somers to cover CFFD. Battalions 13 and 16 operating. Field Comm 1 to Ridgefield Scene. Bedford Hills FAST to Ridgefield Scene and being put to work. Brewster Tanker Ridgefield Scene. Mahopac Tanker to cover CFFD. Large multiple structure fire reportedly engulfing entire block and making Peekskill's December fire look like a BBQ. One FF reported down at scene with Chest Pains.

What a great parade to be marshal of! They couldn't have picked a better person!

I think the pizza guy nailed it.

I think x635 needs to get a little captain in him! God I can't imagine you drunk.

No problem. Glad you got one that meets your needs.

Date: 5/26/2005 Time: 0235 Location: 380 Main Street City/County: Ridgefield (Fairfield County), CT Agencies: Ridgefield FD, Wilton, Mills Plain, South Salem, Golden's Bridge, Vista, Pound Ridge, Croton Falls, Brewster, Bedford Hills. Frequency: 46.26, FG7, SSFD Channel 4 Writer: WAS967 w/ Contributions from LTBubsE9, MKVAC101, and EJS1810 Description: 60 Control dispatching South Salem for one engine, one rescue and manpower to the scene of working structure fire in Ridgefield, CT. [Operating from CT - Danbury Truck 1, Engines 5, 12, 13. Tankers 10, 11, 12, and squad 6 West Redding 1 Engine Georgtown 1 Engine, Tower Ladder Wilton Engine 4] 0240 - 2452 10-17 0242 - 2451 10-19 w/ Unreadable message to responding units. Possibly a request to stage at Ridgefield Bank? 0244 - E167 10-17 0246 - 2452 Request all SSFD units switch operations to Channel 4. 0248 - Rescue 21 10-17 0251 - E167 10-19 0252 - 2451 Requesting Engine from GBFD to standy in SSFD HQ 0253 - GBFD dispatched for standby. 0259 - GBFD responding as requested. 0300 - Vista FD requested for 1 Engine and Manpower to standby at Ridgefield FD HQ. 0310 - Vista FD on location at Ridgefield FD HQ 0312 - GBFD responding as requested. 0325 - Vista FD Engine now requested to the scene to be put to work. 0326 - Bedford Hills TL-57 FAST to requested to scene. 0332 - TL57 FAST responding. 0335 - Battalion 13 and 16 already on scene, assisting TL57 with directions. TL57 to meet Bat16 on FG7 on arrival at scene. 0337 - Croton Falls E149 to relocate to Ridgefield FD HQ 0339 - 2031 10-17 Ridgefield. 0342 - E149 relocating to Ridgefield. 0347 - 60 Control notifying 2031 and TL-57 that they will be going to work on arrival. Ridgefield needs the Ladder setup and operational. 0350 - 2031 10-19 Ridgefield. 0353 - TL57 10-19. 0357 - Tanker 2 requested to scene. 0401 - Tanker 3, Tanker 8 dispatched to scene. Tanker 2 redispatched. 0407 - Somers dispatching 1 engine to relocate to cover CFFD. 0407 - FC1 assembling for a response to scene. 0410 - 2441 relocating to CFFD Station on Front St. 0430ish - E180 crew assembling to relocate to CFFD Front St. 0453 - Mahopac to relocate 1 Tanker to CFFD. At the same time Brewster was sent with a Tanker to the scene in Ridgefield. Directions given to 11-1-2 was 684 South to Route 35 East and "you can't miss it". 0458 - FC1 on location. Anyone with additional: post in workshop and we will edit.

Date: 5/26/2005 Time: 0231 Location: I/A/O 1766 Crompond Road X Villa at the Woods Frequency: 46.26, Peekskill FD UHF Units Operating: Peekskill VAC, 39M1, E134 Description Of Incident: Reported MVA with Possible Extrication Writer: WAS967 Extrication confirmed by first arriving units. Fire Police requested to shut down the road.

I used to think so too until Cheek spurred my interest in the subject and I looked it up. The FAQ actually makes it rather clear. Did you perhaps mean that it doesn't mean "do not treat"? Any and all care that you would provide if the patient did not have a DNR. Care stops when breathing/circulation stops. If resps are failing....ie....agonal with pulse, then you assist and intubate. If they are absent you stop. If resps are agonal with no pulse, you stop. REMSCO won't need to since the policy is dicated by the state. I'm a little bewildered more so on the side of ethics more than policy. The policy seems clear cut. Does it seem right? Not if you ask me. I'd be inclined to agree with mark that if a patient has a DNR and family states the patient does not want to be intubated, then we should follow the patient's wishes. Unfortunatly the state policy does not afford us that latitude directly. I'd defer to medical control since it ultimatly falls on them. I know too that the first time we bring in a DNR patient intubated the ER staff will probably blow a gasket. I look back on a call that was done at WAS in Elmsford back in the day. Perhaps a Slepy job. One of our medics intubated a DNR patient and made it clear that it was for airway control more than to keep the patient breathing (patient was breathing on thier own). Back then I thought he was wrong. In retrospect, i think he acted approriately. As the issue of DNRs, DNIs, etc, become more and more complex, with cases like Terri Schiavo in the news, I think New York State needs to reevaluate it's DNR policy and perhaps expand the Out of Hospital DNR form to include limitations of care (no intubation, allow defibrillation, no cardiac medications. etc).

Thanks for that uninformative post. Unfortunatly it does nothing to contribute to the thread. I was going to delete it but since future posts alude to it I'll let it stand. In the mean time: This topic is what I was getting at with the Scenario of the month. Cheeky peaked my interest when we discussed just this while at work the other day. Here is what I found: http://www.health.state.ny.us/nysdoh/ems/p...olicy/99-10.htm To quote: "If the patient is NOT in cardiac or respiratory arrest, full treatment for all injuries, pain, difficult or insufficient breathing, hemorrhage and/or other medical conditions must be provided." This implies that intubation IS included in the treatment that should be provided. If you are in a situation where a patient needs to be intubated and they have a DNR I understand it becomes a huge moral obligation. If a patient is breathing inadequately and they need to be intubated/bagged then so be it. Periodically stop and see if they are still breathing spontaneously. If they are not, then you stop bagging as the DNR now stands. Another quote also comes in handy here: "For unusual situations or questions on individual patient circumstances, contact medical control." I have no doubt that eventually we'll run across an irate family member that would fight you if you were to try and intubate thier family member with a DNR. Obviously scene safety comes into play. But for the moral judgement/best interest of the patient I'd talk to the doctor and see if they are willing to grant you the ability to "let them go".

Bah. I restate my earlier sentiments. Morning breakast "food" at D&D sucks. One place that I find that makes a pretty good breakfast sandwich (and I think this has been said before by someone else) is The Wooden Nickel in Katonah (previously the Katonah Deli). Manny usually mans the grill and his experience makes for good food. =D>

He knows where you park!!! #-o

Ugh. Why do american italians insist on calling it "gravy"???? Good looking tho. I'll have to give it a try.

At home. My problem is I make food better than delis so I usually can't stand getting food from there or diners. I made the mistake of getting "breakfast" from D&D the other morning. To call that food is a compliment undeserved.

I know I've said it before Todd, but I'll say it again. You definatly deserved the leadership award last year. The complete 180 that the VAC has done during your tenure as captain is impressive and I'm sure other VACs in the area would love to know your secret. If I had to guess you guys are probably #2 on the list of "least frequent calls for mutual aide". I know of only one other corps that can probably top you guys but I won't mention it so as not to inflate any egos. Congrats again on a job well done. (I really do miss working with you guys in Sleepy Hollow...who knows what the future holds tho).

This kinda falls under the topic of apparatus. I was driving home from shift today across Route 202 in Cortlandt just near the Farmer's Market. I spotting this old time vehicle (I'm guessing from the 1950 possibly) with Military Police markings. It had the old single gum drop red light on top and was complete with two MPs in MP uniforms at the helm. I'm guessing they are either out of Camp Smith or is there some movie shooting in the area??? Anyone else spot this little piece of history or was I just seeing things? Traffic was unfortunatly to heavy to get a closer look on make/model or to pull a U-Turn to try and get pictures. Oh well.

I usually keep an eye on it. I'm a moderator after all. :wink:

Why not just post it as a straight post and let people voice opinions. I can't find polling anywhere anymore.

I used to know but the option seems to have disappeared. Perhaps EMTBravo removed the ability to create polls. I haven't seen one in a while. I'm sure Seth can provide more information.

I often wonder how said outfit in Bedford Hills is still in business.

If you know of any picture links or can post a picture here I'd know it if I saw it/one like it.

Perhaps we can suggest to the organization committee for the EMS Awards Dinner that they notify local media (Journal News, News12, etc) about the event. I was told it was well advertised but I didn't find out about it until the day after. If the media isn't alerted to the event, they won't know any better than to cover it. There was more talk about it being PD something or other week than of it being EMS week. Perhaps next year we can have a letter writing campain. Write a letter to the editor of local newspapers state what EMS week and why people should know about it.