WAS967

I was told that there was originally people reported trapped in the structure. Thankfully everyone was reported out and safe upon initial reposnders arrival.

And even in cases where ego does not get in the way, the locals are unwilling to pay for the much needed service. Go figure. ](*,) :roll:

I do not unfortunatly. I only regularly work with HVHC and NWHC and occasionally Putnam (I have no idea if they have the ability). Best way to check is to talk to the ER doctor at your local ER and ask. If they have the capability to the BNP assay, they would know or would be able to tell you when they plan to deploy it. It's a really easy test and results can be had in about 15 minutes. It's not as quick as a Blood Glucose, but for the value of the results, it's worth a litle wait.

I posted the previous article because I thought it was very informative both about CHF and BNP. A few comments first: I too am a big proponent of Tridil (IV NTG) and would love to see it used in the field. As Doctor Rodenburg mentioned, it does require titration and most in hospital workers would scoff at using it without a medication pump. But we shall see. My organization has been contemplating putting IV pumps on the flycars for a while. Perhaps this would be a good reason to do just that. Also, it will be interesting to see how Natrcor (Nesitiride) pans out. Don't be surprised if it ends up in our drug bags in a few years. You may poo-poo the idea now, but contemplate this. I said the same thing about Cardizem 5 years ago. ;-> Anyways, on to the meat and potatoes. BNP (b-type Natriuretic Peptides) are something that most advanced prehospital providers should be at least aware of, if not for your own knowledge, for the sake of your patient. Why you say? Well, many hospitals are working towards using BNP as a marker for CHF patients. Hudson Valley Hospital just recently started using it. Northern Westchester has been using it for about 8 months. Why do you care? Well, if you don't typically draw prehospital labs when you start an IV, then you shouldn't. But if you are like me, and a lot of other advanced providers who DO draw bloods when starting a line, you might want to take heed. BNP levels typically require an extra purple (lavender) top blood tube. Next time you have a CHF patient, keep the second blood tube in mind. It will potentially save the patient from another stick later on. The BNP level from the field can also be used to gauge the effecacy of your tratment for the ADCHF (Acutely Decompensated Congestive Heart Failure) patients. I personally have gotten into the habit of including two purple top tubes in my IV start sets just so it is there as a reminder. If I don't need it, I don't draw it. Your milage my vary.) Comments?

Just when you thought it was safe.....

Happy thoughts? Last three times I responded to Heritage was for Cardiac Arrests. Now I remember why I work 45medic3 so much. :roll:

The problem with certifying someone as a dispatcher is that there is no real "standardization" to dispatch centers. Every single one that I have seen is different. Sure some of the radios are the same, but procedures, frequencies, how you talk on the radio, etcvary greatly. A majority of the training you get as a dispatcher is in sitting down with someone who knows the system and learning it as you go. If you take your training as a dispatcher at 60 control and go to work as a dispatcher in Dutchess, it's not quite plug and play (tho no where is). What could you really teach in a dispatcher certification class aside from EMD that is universal?

I know SSM works a heck of a lot better than the old way of things, but come now. Do you really believe that Yonkers can field an ambulance for 98% of thier calls in under 9 minutes? I'm rather skeptical. Another problem I see occurs to the north. A certain company likes to dispatch thermselves as much as possible, instead of having fire control do it. This allows only them to keep a true track of how long it takes thier vehicles to respond to calls. I'm sure if the county knew the times it took for some of the emergencies they ran, there would be some drastic changes. Now I hear that they are converting to a trunked radio system so that the local people keeping track of them can't track times and complain about it to thier local people of power. ](*,) As for the clock stopper, I don't agree completely with you there seth. I think that if you get care rendered, then the clock should stop. But they should also track seperately what time the patient left the scene enroute to the hospital. I like the idea of first responders since it gets care to the patient and puts bystanders/familys minds at ease that thier loved ones are being cared for by someone with the training to help. But if the FR gets there in 5 minutes, but the patient does not leave the scene until 1 hour later, then we have a problem.

Did they show a double feature?

Yeah. Instead of not keeping times at all, some agencies just doctor them.

Good point. Underhill is a bit faster and easier. I'm just used to getting off the 202/35 exit since I do it often.

Yeah sure. Until the first time you respond to an 87 year old male who took some viagra but can't move and wants you to put the damn thing on for him too.

I missed it this year. Was too busy taking care of people having heat related issues. Myself included. :-< Hope to see the pictures soon.

All I want to know is when do the DVDs come out?

87-Rubber-1

Rotating shifts suck..... :|

You're welcome. According to the website for the FD, they are located on Commerce Street, so maybe when you go straight you are on Commerce not Hannover (to avoid confusion, just look for the Empire Hunan, 7-11, the large old school/now-community center on the left, etc, in which case you are on the right track.

Taconic to Route 202/35 exit. Make right at end of ramp and take 202/35 for about 2 miles into Yorktown Heights. At the light where 35/202 turns left,continue straight onto Hannover street. Fire Headquarters if about 1/4 mile on the left. Huge building, can't miss it.If I recall, parking is in the rear.

A good color photo printer will yield prints from a decent resolution camera. Heck, I've seen good color pictures printed on glossy 8.5x11 paper from a regular (non-photo) ink jet.

The ciniplex up in Fishkill used to always show second run movies. Same with the one near the Galleria in P'Town. There were so many movie theaters along Route 9 that they all couldn't show the same thing, so some went into the business of showing rereleases. We need a place up here that does the Rocky Horror Picture show. I haven't been down to see the one in NYC in ages. :twisted:

Yeah. Turning over a bad call to a helicopter is a sinch, since you don't have to worry about a long transport and you can restock quick and be back in service.

Sure. The good stuff always happens when I'm on the SOUTH end. :roll:

For all you drive in afficionados, there is apparently going to be setup in Rockefeller Center, a "drive in" of sorts for showing free indie movies to the public. No additional details, and I'm too lazy to look it up. :| Heard it on the news last night.

What does it mean when they say taxpayer is on the first floor?

News 12 Video - http://www.news12.com/WC/topstories/article?id=108678# Video reports that WPFD donated the engine, but it appears to have the initials SHVFC on the side door. Anyone have any further information?