Jybehofd
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Everything posted by Jybehofd
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also New York Presbyterian Sloan Kettering and white plains hospital... I am sure more will be jumping on the band wagon soon... i wonder why though
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question... why was he on the ice? was it going to be open for ice skating?
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I think CFFD is responding to GBFD for other reason then consolidation..... can anyone but some light on the subject?
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the UK version is uncensored they drop the F bomb alot is it just he US that has strict censorship?
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hey i didn't write it but its their. EMTs can do it I just wonder if any will get "trained" to do it. I personally like doing vent jobs its more control for a critical patient typically when the patient is on a vent long term and used to a specific vent its a little more of a pain sometimes to match exactly. Well the real question is what are the transfer protocols going to look like. there is no mention of using a vent for inter facility transport or being allowed to.
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the exit ramp of at exit 2 is in north castle the lines are all weird right there. north castle covers up to i think the first or second hanger at the airport
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yes but deep suctioning is never mention in the protocols unless I over looked it. and majority of the BLS units have PSO2 now with rainbow probs to they can get the CO leves. check the new collaborative protocols that are coming to Westchester February 15th http://www.remo-ems.com/images/uploads/pdfs/2011-10-08_Comprehensive_Protocols2.pdf Page 76 EMT • Oxygen therapy via non-rebreather mask (NRB) 10-15 lpm, or nasal cannula (NC) 2-6 lpm, to maintain oxygen saturation > 95% • Oxygen therapy using bag valve mask (BVM) 15-25 lpm • Nasopharyngeal airways (NPA) • Oropharyngeal airways (OPA) • BVM assisted ventilation • Portable automated transport ventilators, if trained (ATV)
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consolidation would be nice but i don't think it will every happen up hear.. I have heard rumours over the past two years or so of the departments of South Salem Vista Golden's Bridge and at time Croton Falls all consolidating under one tax district but this has all been rumours and in many different combinations of these departments. I know of some places that have mutal-aid members, I know Bedford Village has a few and some other departments. It seems like a good idea to increase manpower of people that work in the town/village during the day. A long time ago I'm not actually sure when maybe 5 years ago or more i heard rumours of all the towns in Bedford coming together as one but it didn't last long at all. It would be interesting to see and to see the actual set up of how it would work. But other things still baffle my mind like how neighbouring towns in another state can be all AHA heart saving towns and yet the survival in this area is well far below.
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yes and now if your a trained EMT you can take a patient on a vent. WTF
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Armonk FD/EMS handle fire and ems in that area with Westchester ems for the medic. when there is construction in that area that is schedule a CT trooper is posted with the crew. NYSP responds for emergencies in that area only. I believe if there is a fatal CT Troopers will either be called in or notified. I do not recall any recent fatal accidents in that area. Armonk FD/EMS cover just south of exit 2 usually just before the pump house on the south bound side, then Harrison EMS and Purchase fire take it. Then they cover to just short of Exit 4, believe it stops just at the southern end of Byram Lake, i'm not too sure the exact mile marker.
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I don't think its these guys they have new shiny toys http://firstresponseteam.org/
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thats all nice now go to your agency and change it stand up and review your rules. you might even break them to change them but don't just resign fix the problem and work with the command and the chain of command there to change things if needed. who are we to say what their rules should be, and how to change them. In the past I was suspended for refusing to detstroy a pcr that was an rma because it wasn't toned out. I took the punishment and moved and also enlighten the legal aspects of properly destroying patient care reports. It happens.
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rules are rules if he took the punishment because he knew he broke the rule. that is in black and white for them. would we have actually heard about this and start to hit the national new circuit? Real question is how many other people in the country have broken a rule like this and have taken the punishment because they knew they broke a rule and took the punishment that goes along with it?
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they changed the fire district billing rules a couple of years ago i wish i still had the website but i am pretty sure they can bill
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so December 16th is the roll out for 60 control dispatching somers?
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this is nothing new in Westchester numerous towns have told there DPW and highway workers they can't respond any more.. unless they go back to the office and punch out. Typical they didn't and were still on the town clock while on the fire engine or ambulance.
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its not a first nor a last for the firefighter.. don't feel bad
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How often do you not get a report from the sending nurse or md because they are too busy and just say take the patient? we all do it jobs are backing up and the patient needs to be at the other hospital or facility. and how do you document this on your PCR or run form?
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WOW I wonder how many people worked out the specs for the patient a medic plus 60lbs of als gear and a patient plus two or three ambulance crew... now thinking about it that adds up pretty fast. And now the new stretchers and auto lifts that weren't original on the ambulance is some additional weight on the chassis. has anyone thought about that? i am sure the accident investigation team would??
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I heard not until June 2014. But it's all rumors and needs salt or sugar on top... Whatever your prefer
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lately the nurses have been "too busy" so after 30 mins or so i might get a report the patient is going to xyz cath lab why are you waiting still... from the rn and nothing on the hist of the patient... I try but there is only so much you can get out of someone, and then they complain that i ask too many questions???
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i just find it interesting that some of the new tactics are the same that are used on ship... a closed box is a closed box. with alot of stuff that burns on the inside. no fire is ever the same nor would i ever suggest using a cookie cutter to attack every fire the same way. you need to adopt and over come and adjust things accordingly to get a rapid extunigshment to save lives, equipment, and the structure.
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yes but just like ships... homes are become more and more air tight.
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its how we fight fires on ships... close the compartment hit it on the outside then crack the fire proof door or water tight door give a ten to 20 second shot of water close the door. hit the door with a little more water then go in.. it works really well and even better when you can hit all six sides of the fire too. As long as we know the space has no one in it. then its different, two guys will go in on a steel wire to do a search and then a team would be sent in to fight the fire. ABSOLUTE Zero visibility once they start hitting the fire though. and very few ships have cameras unless they are military or government ships.
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so would the roll out be for the north or the south first? I know alot of departments in the south use there own frequencies and in some cases have there own dispatchers too. Then utilize the trunk for mutal aid runs. where north of 287 there is only one department with its own frequency and dispatchers... well for now that is, who knows what the future holds.