Jybehofd

Honestly I never liked carring two patients that were board and collar and it ses like those days are gone. The bench seat is nice to have for multiple ambulatory patients or family occompanying the patient. Never a true fan of that especially with critical patients unless it's a child. But with the new design I can imagine more ambulances being used at the scene of MVAs It's not bad looking. Id give it a try

honestly doesn't look anything like a load test... looks more like a slow parade. now thats a load test http://www.iowadot.gov/research/pdf/newsmarch2010.pdf

http://www.emt-resources.com/New-EMT-Training.html

i know the praticals are the same or should be because nys went to the national standard of the practical years ago. NJ standards are higher then NY check it out http://www.topemttraining.com/emt-training/new-jersey/

would be fun on a car fire

did i see that right it can use dry chem thought the front monitor?

wow just to show that if you don't obey commands of a police officer things escelate for the protection of the officers involved and the suspicion goes up. i think they need to start teaching the basics in school. we can call it chavilry class. how to hold the door open for someone behind you, for older people, how to respect and talk to someone older and more senority then you. how to talk with and deal with officals, those of the law enfoucement community, fire and ems. along with other simple things people have seemed to loss touch in. Changing a tire, balancing a check book or simple budgeting.

in the long run yes. the true question is when? I hate to say it but it happens. I started as a volunteer and enjoyed it. But the nature of it is to destory itself from the inside out. Becoming a giant political atmosphere with clicks and groups of people that single out and yes bully others at times. And in the end those groups fall apart and go away and few are actually left. The foundation of the volunteer agency is pure, help your neighbor in a time of need, if you are able to respond.

Recently this has come up at my job. When is someone a patient? If 6 cars bounce off each other minor damage too all vehicles and no one is complaining of anything, note everyone is up of the vehicles and walking around. Are they all patients? Is a PCR writtien as no patient found with the name of all the individuals that were asked if they were patients? What is the proper way?

Yeah that is the question but it seems like it should be answered at the supervisor level or even higher I was original trained that a flycar medic does a fast triage takes a report on one patient and let's the BLS unit do the rest or do what there department has in SOP/GOPs for the situation But coming on scene and finding no patients can simple put it as a police matter no patients The answer I got from my job is to write paper on all persons involved no matter wha as a fly car medic because the BLS departments can't be trusted to do it... But this was a verbal change. No policy memo or email on it

Out of sheer CYA, if I roll up on an MVC that involves 6 parties and all of them state they are okay, I grab names and DOBs so that if later on down the road someone turns around and claims I never offered them assistance I have it documented that I made contact with all involved and they denied injury at that time. So for sheer cya why not just RMA them. Now you have a half ass PCR with a list of names and DOBs n them... No exam on them or any other detailed information about the event... And for some odd ball reason it goes to court and the ambulance chafing lawyer asks why you didn't d a full assessment on there client(s). The RMA would only help in this situation to fully cover you from the fear of something happening. Does having a dialog now make them a patient? Where in the other hand writing no patient found states that you went to the MVA and found no patients and that the matter was being handled by the police. Simple done. The police report shows who was there thus to link who was involved in the accident. If something hurt or they felt the need for being treated it now rests on them to call again or seek other medical treatment.

I like it that there are emd protocalls to fallow and all i don't mean to bash dispatcher but we need more of them especially in westchester. because on a daily basis it seems like calls don't get emd. so what if the ebola patient doesn't get emd? should we wear full ppe for the sick call? i know that its not as wide spread as it is in africa and it is tightly under control here. Just a food for thought. But I am not too worried about it just yet. On a different note, why can't we just have an automatic diversion to an approved ebola hospital ? why risk local hospitals and risk the staff there? if the patient doesn't have it and only has a bad case of the flu whats the harm? if they do have it and pass while transporting won't you want that ambulance crew at that hospital anyway? bets getting another crew possibly exposed and another ambulance exposed too? just some thoughts nothing more. but we could use some training in decon, I personaly have some and talking to others its kinda scary. I would prefer going through a decon wash line then just taking things off. and always with a buddy.

this is the new building by the hutch right? yeah its in a primary flood zone

they have expanded alot too... i have it on my laptop its an older laptop but was very high end when i got it http://www.lojack.com/

I am guessing they were minors and at the scene complained of something or said yes when asked. Cya they go unless a guardian come to sign

getting gased.... maybe but if that happens there are bigger problems... how about if they order food from a place and they under cook it for some reason or another they get food poisoning. Something simple can bring a system down easier then something more complex.

Your thinking pro-active. Westchester is mostly re-active unless it's a federal mandate cough like the airport. Who would man the mass medical unit if it was called out to the northern part of the county ?

It could but there are more fail safes now. New York VTS (vessel traffic system/control) keeps a very close eye on the traffic and now with the help of AIS (automated Identification system) maritime traffic is closely watch by ALL. Then on board are other safeties in place. Such as watch alarms, watch standards ( who and how manny officers are on the bridge). Usually in heavy traffic everyone is in the bridge. Besides the chief mate/first officer. Typically he/she is standing by the anchor at the ready for emergency release on the anchor brake The second officer is usually navigating or over looking the helmsman and working the throttles. Depending in the vessel and captain the two can switch do vice versa. And of course the captain will be up on the bridge with the pilot The Exxon Valdez. Well that's not practiced anymore but tankers used to have permission by VTS to cut the corner to save time and fuel.

EMDing is good. You just need the staff to do it. When you can't EMD here I know they send it all. Aka ambulance and medic. Is that a national standard ? I do know of the county protocol about being an ALS agency and not being able to EMD a call goes ALS (sorry I know it's vague but it's a long protocol). And also not talking to the caller is also ALS and some other weird situations that happen daily.

Very nice poi tires

Mmmm. Yeah that's about an average response time and you might bet the medic there depending on the call volume and location. And to tell the truth it's a good chance you might if your at the 9 minute mark. Things are backwards here

or better yet in an area where a paid agency is the volunteers could all agree that after the third tones they go mutal aid to the paid agency. and to make sure they can support at least one bls unit in the area all calls from MD offices, Nursing homes and other frequent callers can go to the paid ambulance first to support it. So the truck could run 7am-7pm 7am-5pm monday thru friday. but i think such an agreement would have to have a pro-active group of people that would be willing to say there is a problem and this might help that problem. it would unfortunately take months to negotiated all the details out but in the long wrong it should almost cover itself. There would be a lose though with some days being slower then others. So from the paid agency side an upfront compensation may have to be established evenly or a more complex formula can be used to calculate that if a volunteer agency "X" had more mutal aid responses there over all percentage of total cost would be less at the end of the year or moneys could be returned from those said transports preformed by a paid crew. Thus the paid agency would have to bill the patients they transport, so since the ambulance was already covered for, the money the ambulance would bill for could thus eventually go back into the volunteer "X" operating budget or town. depending on who pays the cost. Im roughly guessing a BLS ambulance could run 300k a year give or take a few factors such as OT and all insurances. If that was split 10 ways for example it would cost about 30k a year per participant. on the high end it could be 50k-60k It would take some time to iron out how all the financials would properly work. But its just a thought and nothing more then that I have had for a few years.

You don't want to see some of the times up here

Yup trying to save the buck not a life