Jybehofd

As long as we can all talk when the s*** hits the fan. It's still a pain in the ass working on a scene where people don't want to switch or can't because it would mean having multiple radios for just a single unit

i have heard the FDNY EMS tac gear is bright colored tooo?? doesn't seem like a great idea.. you don't need a medic just do a fast trauma and pull them out

why can't they just do buddy aid... ? i think it was ohio or some place recently a man set his house on fire and then shot the first responding officer. But why not on the pulling out or falling back pull the wounded out with them? just keep it simple plug the hole and get them the f@#$ out

Yes it's an ALS call but if first on scene can start treatment till the medic gets there what's the problem. It's like the big hold up go the use of glucometers for the BLS ?? Why it's in the state it's another tool in the bag that doesn't cause arm and why not. EMTs are being held to a hirer standard now anyway???

sounds like the patient may need hospice care. but my treatment would have been, Capanography CO2 with o2 2lpm and see if the pso2 increased. based on the capanography readings and respirory rate from that along with the patient's lung sounds i would consider the option of CPAP. Also obtain a 12 lead, and a least an 18 gauge IV, with labs and blood glucose stick. I would be careful with the saline but would start small 200-300 cc and see how that did and maybe go too 500 cc and then more then likely kvo unless the patients bp improved. but above all i would make sure the patient was given a warm comfortable ride to the hospital.

I wonder if they are trying to take back some of the ems from empress.. and eventually take it all ?

looks like it will be safer in a crash then converting the Ecoline vans and putting that fiberglass roof on them. time will tell

which is better the ambulance getting hit or you in the car holding c-spine and ejected out of the car when it gets hit? the move over law is nice and so is the texting law but people still text and drive... I want to go home and punch out with ten fingers and ten toes and everything in the same way it was before i punched in. just like working on ships in the merchant marine.

DOT is a great resource with alot of cones and barrels and other cool stuff to shut down a lane or road.. the only problem it takes time for a response at 9pm at night. Unless its snowing or something. But something useful are those HELP trucks they can shut down a lane pretty fast and there great they park at least 100 feet or so behind the accident so i can park in between them and the accident just to add that additional layer of protection and also some more cool flashy lights to slow it down... sometimes. lol

nothing has been done so far, it was said that lessons were learned. but that can be the lack of the budget. simple things would be nice like nylon tow straps, but i am sure more resources would be put on the road if one came again. to improve response times to areas that can be extremely difficult to get to. but i have been told were a secondary response agency in the past and things like this aren't our concern.

usually the FD will park behind the fly car once they get on scene so now the car is protected

Usually when i am first on scene I block the scene with the car so i have protection while I am on by the patient's side. I usually don't take alot of time getting gloves and gear from the back of the truck. also depending if there is a guard rail near by i either point the car into traffic or towards the woods. I don't want the car to get hit ride the rail and hit me. I would rather have it get hit and go into traffic. If FD is on scene i try to go forward of the scene. if the ambulance is there i will block the rear doors to protect the crew and patient.

in northern Westchester alot of the volunteers work for the DPW. and carry there pager in the truck and help out where they can. I know some of the DPW trucks in north castle actually have 46.26 on there radios or the VHF repeater to 46.26 I am sure there not the only town that has this. But other wise there is no offical communication unless you call a police desk or the DPW desk directly

yes its one form... and there are many many forms of it in the northern end if you look

6 minutes is a great response time... sounds like they were in quarters almost. i know for some departments in northern westchester they would love to have 6 minutes from tones drop to first engine on scene time.

Use a 60 control ID And then have an airport radio ID/handle/call sign. Alot of agencies have different radio IDs when they are not using any 60 control radio.

i keep it simple. it seems like more but its not right leg pocket- work gloves right leg- trauma sheers right pocket- assisted opening knife right hip- leatherman wave back pockets hand full of gloves left leg pocket- cert card in a wallet left leg pocket- two pens pref black in the sheer hold sleeves left hip pocket- small flashlight with a split ring on it for the handcuff key.

its not its the insurance companies, now not hiring you because your under 21 is another thing.

New Jersey has a PA/trauma resident fly are system. I don't know too much about it but that they work in the filed as a doc and have ALOT more toys and drugs then a medic ever would

-A woman called for an ambulance in the middle of a bad snow storm for the ambulance crew to make her son do his homework.

NYC you don't call in at all unless its a bad trauma job and then you have dispatch give the note to the ER and or cardiac arrest or something else high level priority. If its a routine BLS job why call, cell service isn't the best in northern Westchester and the radios can be hit or miss... the thing is it needs to be turned on at the hospital to actually work. But that's something else all together. But it typical doesn't decrease the time a patient has to stay on the stretcher and get into a room in my experience, where it should.

you can become an EMT CC and EMT I in long island and in upstate NY, In westchester its a little harder but there are a couple of EMT Is around. They are working in a Paramedic agency and typically under and or with a paramedic as far as I know. The I and CC exist to save towns and villages money upstate and in long island. alot of FD/VACs in long Island typically hire only EMT I or CC to staff there ambulance and Nassau County PD has the Medic service mostly secured out there.

working in commercial shipping we try to keep things with the national standard thread

yes but they don't it all goes back to the home rule state bull.. how does the county have the right to tell a town to run the town.... it would be nice to see a county ems like county police or god forbid county fire.. The fitch report kinda leans a little more that way... too many ambulances and too few paramedics. multiple resources a couple of miles away but all having the same problem no staff. what if we pulled all the staff together?

The county has no EMS how would they go to the county?