gpeifer

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 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.

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.

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

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

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.

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.

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.

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.

At the end of the day it comes down to this.... how long does it take to get adequate resources onscene to do the job people of your community expect. I being somewhat of a buff, listen to the scanner all the time. I hear a career department get dispatched, they go enroute within a minute (with apparatus, not a chiefs car) and are onscene performing their duty within 4-5 minutes.
The volunteer department gets toned out..... 3 minutes later, gets toned out again, 6 minutes later gets toned out again, a chief finally decides he/she will respond. 9 minutes later more tones......and so on.
I will not debate that some of the VF's are trained to very high standards. SOME is the key word. I will not debate that VF's give up a lot of time to volunteer. I know that weekly meetings and drills..followed by cups of tasty beverages, take up a lot of time.
I will not debate that VF's have been injured or killed while performing FF related tasks. I will though ask WHY?
There is always the career vs volunteer argument. Let me ask all of you that volunteer as firefighters....if someone volunteered to the your day job, meaning work for free..would that upset you? You would be unemployed.
Where are all of the volunteer Police Officers? Sanitation workers? DPW workers? Why do communities feel that their fire departments can continue to be volunteer. Can volunteer firefighters still provide essential services? How about at 11am on a Tuesday? And please do not throw the mutual aid song in there...what is the mutual aid department doing at 11am on a Tuesday?
I really have no problem with volunteer fire or EMS agencies. Staff your quarters 24 hours a day with sufficient personnel to meet NFPA standards, both in numbers and training. I don't care whether you compensate them or not.
Guy

At the end of the day it comes down to this.... how long does it take to get adequate resources onscene to do the job people of your community expect. I being somewhat of a buff, listen to the scanner all the time. I hear a career department get dispatched, they go enroute within a minute (with apparatus, not a chiefs car) and are onscene performing their duty within 4-5 minutes.
The volunteer department gets toned out..... 3 minutes later, gets toned out again, 6 minutes later gets toned out again, a chief finally decides he/she will respond. 9 minutes later more tones......and so on.
I will not debate that some of the VF's are trained to very high standards. SOME is the key word. I will not debate that VF's give up a lot of time to volunteer. I know that weekly meetings and drills..followed by cups of tasty beverages, take up a lot of time.
I will not debate that VF's have been injured or killed while performing FF related tasks. I will though ask WHY?
There is always the career vs volunteer argument. Let me ask all of you that volunteer as firefighters....if someone volunteered to the your day job, meaning work for free..would that upset you? You would be unemployed.
Where are all of the volunteer Police Officers? Sanitation workers? DPW workers? Why do communities feel that their fire departments can continue to be volunteer. Can volunteer firefighters still provide essential services? How about at 11am on a Tuesday? And please do not throw the mutual aid song in there...what is the mutual aid department doing at 11am on a Tuesday?
I really have no problem with volunteer fire or EMS agencies. Staff your quarters 24 hours a day with sufficient personnel to meet NFPA standards, both in numbers and training. I don't care whether you compensate them or not.
Guy

At the end of the day it comes down to this.... how long does it take to get adequate resources onscene to do the job people of your community expect. I being somewhat of a buff, listen to the scanner all the time. I hear a career department get dispatched, they go enroute within a minute (with apparatus, not a chiefs car) and are onscene performing their duty within 4-5 minutes.
The volunteer department gets toned out..... 3 minutes later, gets toned out again, 6 minutes later gets toned out again, a chief finally decides he/she will respond. 9 minutes later more tones......and so on.
I will not debate that some of the VF's are trained to very high standards. SOME is the key word. I will not debate that VF's give up a lot of time to volunteer. I know that weekly meetings and drills..followed by cups of tasty beverages, take up a lot of time.
I will not debate that VF's have been injured or killed while performing FF related tasks. I will though ask WHY?
There is always the career vs volunteer argument. Let me ask all of you that volunteer as firefighters....if someone volunteered to the your day job, meaning work for free..would that upset you? You would be unemployed.
Where are all of the volunteer Police Officers? Sanitation workers? DPW workers? Why do communities feel that their fire departments can continue to be volunteer. Can volunteer firefighters still provide essential services? How about at 11am on a Tuesday? And please do not throw the mutual aid song in there...what is the mutual aid department doing at 11am on a Tuesday?
I really have no problem with volunteer fire or EMS agencies. Staff your quarters 24 hours a day with sufficient personnel to meet NFPA standards, both in numbers and training. I don't care whether you compensate them or not.
Guy

If only everyone had the harmony that exists in the city of Yonkers between the public service representatives (notice I left out the words cop and fireman) providing emergency services the world would be a better place. LOL

I don't know if staging a public assault on an establishment that serves alcohol is the best representation of police and firefighters right now. Was what he said in very poor taste, absolutely, but it is his constitutional right, the same constitution that we refer to to protect our rights.
The Journal News and News12 will twist this story to make us look bad.. I can see the headline now "Police and Firefighters Boycotting Local Water Hole, Where Will They Get Drunk Now".
Go elsewhere....there are dozens of other great places to hang out.

How about Texas? Shorter drive for Seth.

Operate at all times with "Due regard", low speed non-aggressive driving will get you there as fast or faster than out of control aggressive driving.

Operate at all times with "Due regard", low speed non-aggressive driving will get you there as fast or faster than out of control aggressive driving.

2009...... As per the "Mander"
Yonkers Rescue 1 1300 runs
Yonkers Squad 11 1800 runs. Like FDNY Rescue 3 we are also the citywide collapse rescue unit.
Do the math..........

Hey.... Rescue guys,
Does not matter whether you ride Rescue 1 in Yonkers or Rescue 3 in NYC. It is the SQUAD companies that do the real work.
Keep that Buffbox on the west side.