RU 911

I heard on Tuesday that Empire State and the county were going to do a 30 day trial. Medic 4 is to be removed from the Amb and put him in a fly car. The Amb was them going to be staffed with 2 EMT's. When a job drops in the Medic 4 response area Medic 4 and the BLS amb will be dispatched and the Primary Agency will be toned as First responders. The Primary Agency will no longer be transporting the Pt to the hospital during the day. Wondering if anyone else has heard this.

I agree with most is there a right answer to this question. The hospital is definitive care. If you had to explain to an attorney why you delayed transport to the hospital. What would you say. 'Medic dependent' Try this. Do the math the hospital is 15 min away. If you wait 5 minutes for ALS the hospital is now 20 min away. In many cases good BLS can accomplish lots.

Another component to this problem that no one has addressed is the location of some of these calls that are going unanswered for 20 minutes. They are facilities such as nursing homes and assisted living senior housing, that are calling 911 for BLS transports. ex Elevated temps, G-tube reinserts, we all know them. They don't want to wait the 30 minutes for the contracted Ambulance to get there so they call 911 and it takes 20 minutes of paging and another 10min for the crew to assemble and respond and they still waited 30 minutes. But they called 911 and feel better about it. So now these 2 ALS ambulances will be tied up taking these BLS pt's to the hospital and the person having the MI on the east side of putnam will have to wait for medic 1 or 2 from the west to cross over to the east side. We all know what an easy task that is in Putnam County. We will have to watch this one and see. There is my 2 cents.

Date: 2-21-06 Time: 21:36 Location: 25 Roslyn Road Frequency: 46.38 Units Operating: 17-1-1, 17-2-1, 17-13, 17-2-1, 17-2-2, 17-4-1, 17-4-2, 17-6-1, 17-7-1, 17-8-1, 17-9-6, 17-9-5, 17-9-4, 11-6-1, 11-5-1, 11-2-1, 12-4-1, 12-2-1, County Car 6&8, PC Fire Investigation Team. Kent PD Description Of Incident: 1 Sty wood frame Fully Involved Structure Fire. Writer: RU911 21:36 Putnam 911 initial dispatch 21.39 17-1-3 o/s reports confirmed structure fire in rear of residnece 21:40 Request Brewsters Fast Team and Carmels Tanker

I worked in NYC during the early 90's (while it was still Health & Hospitals) and we called Medical Control for 10-95's Refuse to transport. But like so many things it was abused by some. Those who wanted to take no one to the hospital so they stopped it.

Date: August 16, 2005 Time: 18:23 Location: E Main St & 6N Frequency: 462.200 Units Operating: 34M1, 34M2, 34M3, 2261, 2262, 2264, 69B1 & B2 & B3, 19-7-1, 19-1-1, 19-9-4, Put Med 3, Air 1 & 2, NYSP LifeGuard 18, U40, E253, E258, YPD Description Of Incident: Serious MVA (2 car head-on collision) 4 pts Writer: RU911

I know NYFD keeps a tiller for ladder 39 because the streets of Woodlawn are too narrow. Aregular tower ladder would take out parked cars.

Not sure if you sound better digital or on 484.7125 I will get back to you.

Oswego define a crackle for me. Usally something I hear in my fireplace. Was your console on fire.

Just so you know Empress has a strict 21 policy now. The insurance company says nobody under 21. Anyone under 21 they hire to thier sister company Emergacare. Then on your 21st birthday hire you into Empress. So think on that.

Stat you seem to have created some friction in here, or as you put it "I am trying to start dialogue here, controversial as it may be". I have been a Paramedic for 15 years and EMT for 3 years before that. It has been my experience that those who invest some time at the basic level and then go to Paramedic class enter the realm of Paramedicine as better Medics. Those who take an EMT class and jump right into a paramedic class are for the most part "BOOK SMART" and cannot apply that knowledge to a patient. Something gets lost between the brain and the hands "Experience". We all know them and have seen them on calls. I do think you touched on something though. We need to address the education so that the EMT-B, EMT-CC and EMT-P (even here NYS calls us EMT-Paramedic) can learn more in class instead an understanding of some basics and then on the job training. We really learn from our partners and other EMS people how to be good EMT's and Paramedics. The class just prepares us for that lesson. Although every Nurse in the region would love the patients to come into the ED IV plugged in and bloods drawn, for most patients that is unnecessary. Good BLS is always the best. just my 2 cents

Very tactfully said Oswegowind. Just don't be upset when they start calling you ambulance driver or in your case ambulance passenger.