gpeifer

There s no such thing as EMS Command. There is an EMS Branch with a branch manager and maybe trage group, treatment groups, morgue group..etc. an EMS official might be in the command post to offer advice but rarely is in EMS in charge of a scene. PD, FD, or bth will be in "command" of an incident. The highest trained EMS person has decision making capabilities when it comes to patient care, movement, and transport. Every EMS person needs to become intimately familiar with NIMS and ICS..at least to the 200 level.

All three agencies work together to provide the best possible care to the citizens and visitors of Yonkers. (A politically correct response?)

Captain Arledge retired

No. Engines are the primary EMS response to EMS runs. This vehicle is assigned to the EMS Officer. It replaces an 11 year old Ford Expedition. The EMS Officer responds to major and unusual incidents or if special called by a Batallion Chief. Not even on the radar. Our mission is provide first response EMS and support the transporting agency (Empress) any way we can. We have an MCI trailer, a rehab trailer, a shelter trailer, and others. This vehicle, along with other Field support units, is available to tow these.

You have rope on a reel? I hope it is used for utility?. And it is stored in a compartment with gasoline powered tools....you might want to invest in rope bags and dedicate a better compartment.

Volunteer FF's take note of V&t law...... "affix ONE blue light to vehicle". I guess YPD didn't read the V&T law.

Many of you voted for this clown and made him president. Hopefully your eyes are opening and won't make a similar mistake (Hilary) when the time comes. Maybe he should get another Noble Peace Prize for creating the healthcare system that will cripple the country.

Curious....how many Empress SOD members are TEMS Medics? Any attend CONTOMS? Any certified in Advanced Hazmat Life support? How many are trained to operate in tech rescue situations such as trench or collapse? Any hazmat technicians? Have any gone to the federal bio or chemical courses?

You can enroll in a Paramedic Original class. The CIC can give you advance standing based on the results of written and practical challenge exam. You will need to complete field and clinical rotations depending on your specialty. NYS DOH EMS phone number is 518-402-0996.

The antique ladder is not an old Yonkers ladder.

The METU bus is a UASI project involving Yonkers, Westchester County, Long Island, NYC, Newark, and others. Any and all buses are available for use locally and are available for a Regional response when required.

Seth, This operation is expected to go through the night and most likely into tomorrow.

YFD's 5000 gallon Water Tender is "active" and ready to roll from 460 Nepperhan in case of a fire. There are at least 6 other 2000+ gallon tankers from Con-Edison and other private sources in the city, one of which is at St. Josephs. Our boat is manned and ready to pump from the river (2000 gallons a minute). Metro North has moved a 10,000 gallon rail car into the city. YFD has also put additional LDH rigs in service, a couple of extra trucks, and multiple support staff units.

Date:04/05/2012 Time: 0107 Location: McLean/Park Hill Units Operating: 304, 306, 307, 312, 74, 71, rescue, safety, B2, FIU, MSU additional units: 303, 313, 310, 314, 73, 72, 75, B1 Description Of Incident: Confirmed Major Structure Fire http://nycfire.net/forums/index.php/topic,15371.0.html Reporter: gpeifer

Take a look at how Pennsylvania does things.

Seth, A-1 Ambulance had the original WMC contract. Believe it or not there was EMS before you young guys were around...LOL. Congratulations to Empress, They will surely do a good job, I only hope it does not affect their current response areas. I don't want to have to wait for an ambulance to come from WMC to Yonkers. Guy

CCCrraaccckkkkkkk!!! That was the sound of the can opening....here come the worms. Back in the 80's (most of you younger guys don't even recall EMS in the 80's) Ted Tully proposed a county wide EMS system. What a great idea!!!! Except the vollies all cried that it would be taking away their beloved ambulance calls. Now these same agencies cannot respond in a timely manner, many are hiring (isnt that the same as paid), bill for service, and most contract out the ALS service. The time has come for change...hasn't that been the catch phrase lately. I commend all volunteers..but patient care NEEDS to be the priority, not the green and or blue light you get to use when the tones go off. Wackers rejoice...if you want to be an EMT or paramedic, than be a career EMT or paramedic. Volunteer EMS dilutes the system, lowering wages for those that depend on it for their livelihood. Where are the volunteer doctors and nurses? Doing EMS as a career makes for better EMT's and paramedics as you gain more experience. The county should look into a Public Utility Model for areas outside of the large cities. Other areas are doing well with this approach. Guy

Because they want to say "we have a paid fire department". Their approach is why pay when we can everyone else respond. Mutual aid is for extreme circumstances..not first due assignments.

If I'm not mistaken the last contract Wheeled Coach had with NYC almost put them into bankruptcy.

Bee Line should take lessons from LANTA Bus in Allentown, PA. They had 6 buses at the scene of a building explosion within 30 minutes, and it was after midnight. There needs to be communication between EMS/Fire and BeeLine. This is a valuable resource.

I want an ASAP Mini Ambulance.

NYS DOH Paramedic Curriculum: Management considerations a. Treat existing medical problems b. Maintain safety c. Control violent situations d. Medical legal considerations (1) Standard of care (2) Consent (3) Limitations of legal authority (4) Restraints e. Remain with patient at all times f. Avoid challenging personal space g. Avoid judgements h. Transport against patient's will when (1) Patient presents threat to self or others (2) Ordered by medical direction (3) Implemented by law enforcement authorities, if at all possible i. Types of restraints (1) Wrist/ waist/ ankle leather or velcro straps (2) Full jacket restraint (3) Other Lesson Outline: Physical restraint of the violent patient a. Improvised restraint devices (materials from the ambulance) b. Commercially made restraints (leather or nylon, padded for comfort) that prevent movement of the arms and legs c. Make sure you have sufficient personnel (police assistance is required); minimum of five people. d. Move quickly to restrain the patient. e. Leader should maintain verbal contact with the patient (even if the patient is not paying attention). f. Check the patient’s peripheral circulation to make sure the restraints aren’t too tight. g. Document everything in the patient’s chart. 4. Skill Drill: Restraining a Patient a. Assemble four or five rescuers and have the stretcher or carrying device and soft restraints (wide cloth or commercial leather restraints) nearby (Step 1). b. Designate a leader who will communicate with both the team and the patient. c. Assign positions to each member: four extremities and the head (Step 2). d. If possible, corner the patient in a safe area with the least obstruction and no glass (Step 3). e. On the direction of the team leader, who will be talking to the patient calmly, move together toward the patient (Step 4). f. Each team member should grasp the assigned body part and carefully, with the least amount of force needed, bring the patient to the ground (Step 5). g. Carefully place the patient on the stretcher or carrying device in a face-up position (Step 6). h. Tie the patient with soft restraints at each wrist and ankle as well as over the chest and pelvis with sheets (Step 7). If the patient is spitting, place an oxygen mask or surgical mask on his or her face. Other articles: http://www.emsworld.com/print/Firehouse-Magazine---EMS-Features/Restraining-The-Combative-Patient/3$7696 http://wearcam.org/decon/full_body_restraint.htm http://www.acep.org/content.aspx?id=29836 This is a copy of a local agencies policy: Restraint When necessary for the patient and/or crew’s safety, in addition to the straps on the stretcher, a patient may be restrained using the least amount of force and restraint necessary. Remember that the most effective restraint device is a calm, firm, professional demeanor. The first step is to request the police to place the patient in temporary police custody. In the absence of the police, the EMT should attempt to gain permission from the patient’s parent (if a minor) or guardian, or contact medical direction for advice. In the event that neither the police nor a parent or guardian (for a minor) is present, the EMT may restrain the patient if it is safe (for both the crew and patient) and you determine that the patient may be a danger to himself or others. It is preferred that there be at least three crew members present. If the crew is in danger, the appropriate thing to do is retreat! Patients should be transported with a crew member of the same gender, if possible. Patients not in police custody should not be handcuffed. Patients should never be transported face down or with their respiratory capacity restricted in any way. All restrained patients must be continually monitored.

Date:02/09/2011 Time:2300 Location:City of Allentown, PA Frequency: Trunked 855.2125, Lehigh County 154.175 Units Operating: Allentown Fire, Allentown EMS, Mutual EMS units for a Level 1 MCI, Mutual Aid fire units to cover the city. Weather Conditions: Cold Description Of Incident:Reported explosion of a house. Report "debris every where". 3rd alarm fire. Level 1 MCI response for multiple patients with blast injuries. 2326hrs: upgraded to a level 3 MCI. Evacuating two large high rise residences. 2339 hrs: Red Cross notified that 750 people are in need of shelter. Reporters: Writer:gpeifer

I would like to see an analysis on that by a community. If the community (ie:town, village) is paying for the firehouses, the equipment and supplies, the apparatus, insurance, workmans compensation, and now retirement benefits in many areas...the only thing left is salaries. I read a while ago, but with my half-timers cant recall where, but it was figured that it would cost the average taxpayer of ABC community about $350 annually for career fire protection. That is not a lot considering the service that would be provided. Guy