x635

Great article!! Thanks for the links. They really have a great trauma system down there, too bad lessons down there wont work there way up here.

If you do a google search about this, the protocols that I found that addressed situations like this stated to only remove an impaled object if it intereferes with CPR and/or the airway. If you think about it though, if the object is lodged in a major vessel, and you do CPR , what damage are you doing to that vessel in the process...so it is a double edged sword in a way. I will try and find out from a real trauma team and trauma surgeons next time I am in Worcester.

good scenario!!! Hmm, I liked MikeRabbits way of thinking lol. I'd ask the medic. Oh, wait a second! Darn!! Uh, according to some texts I read, you have to remove the object if it interferes with CPR. That does make sense, since you'd problay be repeatedly stabbing the guy if you did CPR around it. It's a double edged sword (The scenario, not the object,lol) Also to note, if you're not going to do CPR, dont do ACLS meds. They won't get circulated. Even though, chances are, where the location of the injury is, they will get bled out before they do any good. Easy way out, I'd contact Medical Control. I'm curious why FDNY does not allow the AED for traumatic arrest? I have some ideas. Do they allow regular defib for traumatic arrests?

Code 3 announced yesterday at Code 3 day at Westchester Collectibles an limited edition FDNY Rescue set of 1/64th die-cast replicas of each 2002 E-One/Saulsbury Rescues. They will be sold as a set of 5, and come with a special display. Other releases announced for Q3 (as per virtual Code 3 day): FDNY Ladder 26 Chicago Pierce Dash Rear-Mount Ladder Chicago O'Hare Airport E-One Tower Kansas City E-One Tower Cincinnati E-One Rearmount Ladder Los Angeles PD LDV Command Vehicle Jacksonville Freightliner Tanker And the afformentioned FDNY Rescue Set Also announced, next year, they will be releasing a classic Seagrave K-tiller. Pre-ordering begins Monday for club members. More information can be found at C3's website: www.code3.net Overall, I'm very happy personally with this quarter, although my wallet is not, lol.However, I'm still waiting for the Yonkers REP to be released, but I'm sure we will see it sooner or later!!

Jacksonville rolled Tanker 31. Code 3 will be replicating Tanker 28. I believe Jacksonville has approx 10 of these style Freightliner/Pierce tankers in their fleet as well. Tanker 31 was delcared a complete loss, but will be replaced by a similar model. Also, while on the subject of Jacksonville FD, they will soon be starting to accept delivery of several new Pierce Dash engines.

Bump for tommorow night.

The latest EMTBravo Network Membership News Submitted To Me: The last KNOWN official picture of 801 in a blue shirt… Taken by X307. 801 recently obtained his NYS Paramedic and WCREMAC. So, is it going to stay 801 or are we going to be 900 now, lol? In other news, DFFD227 has obtained his learners permit. 'Nuff said about that! Coming soon to a fire scene near you!!!! Congrats To Both! =D> (Got news about other Network Members! PM Me!)

Date: 6/26/04, TOW 6/27/04 (Delayed Posting) Times:Approx Noon Location: Yeshiva Complex, Illington Road, Town Of Yorktown Frequency: 46.26-60 Control F-1 Units Operating: MA-8 w/Dive Team Trailer, Rescue 16, YHFD IC, YVAC, YVAC*ALS (Other Units And Agencies As Well) Description Of Incident: Units were called to assist in the search of the property for a missing child. Writer: x635

I will, lol, and with any luck, he will be seeing it in JEMS at some point as well. :builder: :paper:

Reminder: Another one of my favorite shows, the New England Chiefs Association Expo, is being held this weekend in West Springfield, MA. It's about a 2 to 2 1/2 hour drive from the WC. Rumor has it that the new Stamford Engine 1 (2004 HME/"Ahrens Fox") and Boston Ladder 15 (2004 Pierce Dash RM) will be there. Also huge apparatus-only parade on the AM of the 27th. For more information, visit: http://www.newenglandfirechiefs.org/

Another year, another excellent show. However, IMO, they do have the room to expand a little to allow some more vendors and space. Some highlights for me (See the photos on EMTBravo.com): -Stamford's new Engine 5. Nothing too impressive on the engine, and I was actually horrified by some choices (one is the lighting package :-( ) but since I like the Stamford FD, it was a highlight. -Yarmouth's Pierce Tower Quint -Oxford EMS's new Ambulance. Fully loaded and custom by Medix Ambulances for only $87,000. I'm not sure about the construction quality or materials, or the "Carson" siren, lol. -Pierce Arrow XT Rescue Demo. Similar to what's going to Providence, RI, and the Arrow XT is an awesome rugged chasis with a nice layout. -The Seagrave Attacker Meanstick. Nice rig, and the two new sales reps were awesome as well. -Smeal Altair, Smeals new spartanlike chasis -ALF Eagle Rearmount Tower, Fun Ride in the bucket!!! (The TL rides are probaly the best part of the show! hehe) -Phoenix Engine. What a progressive awesome design! -Firematic B.R.A.T What an awesone brush truck! -The Vacum tanker! Amazing, it pulls in a whole tank of water in less than a minute. There was a ton more, but thats all that comes to mind right now. Also, another highlight was catching the Avon Parade on the way home. Cool town and parade.

Engine 13 is to be replaced. Engine 11 will remain (Another Beautiful Mack CF preserved for a little while longer!! And in a couple weeks, it, in both forms, will be sitting on my shelf)

From DG795:

From Code3.net

I've also heard LMFD VFA will be restoring their 1932 Mack?

When you say ARD's, are those the EMS Dispatchers in Maspeth? Does FDNY do a full EMD program?

Some cool classic photos on this site! http://www.weegee.org/

From the WCDES Training Division:

Croton looked great last night, however I was dissapointed that Engine 119 did not make an appearance :sad:

There's a GREAT book out on the Super Pumper System, written by John Calderone of FAJ and published by FAJ: http://www.fire-police-ems.com/books/bf1917.shtml From FSP Books And Videos: As far as the video goes, I'd contact FSP, if it's out there, they could get it.

A Truck should be the first to roll, after all, how is the Engine company supposed to get in, lol?

Interesting article published today in the NY Times about the problems going on in Suffolk County,Long Island with their EMS system. Some of their issues sound similar to ours. Also, they say Westchester has an average response time of nine minutes :roll: Yeah, maybe for clockstoppers, but I don't think ambulances? I think it is a good idea to mandate response times as far as dispatch protocol....how many times should an agency have to retone to get a crew....or looking at the other side....how long should we make a sick or injured person wait before care is delivered and transportation to definitive care is initiatied? It seems in this county people care more about their park or library then how fast their ambulance gets there. Why is ambulance staffing and response times still such a low priority, and why do the officers and boards of agencies put politics over people? I just dont understand, and I never will. It just seems to me that the majority feels the same way as I do, and it's only a couple of people in that "wall" thats preventing EMS from being where it needs to be.....maybe when those people leave EMS can be brought to where it needs to be. In the old days, some of the career fire departments were created to give their members jobs.....why can't we do the same with EMS, lol? It also has a "side" benefit.............faster and more consistent care.

I posted this in another thread, but it applies here as well. Let's not forget that the patients in nursing homes are human beings and deserve the same quality of care as anybody else. It's disgusting to see some crews take out the frustration of a nursing home call out on the patient and subsequently treat the patient like a fed ex package. As had been said here, the abuse of EMS by long term care facilities needs to be dealt with on a agency administrative and regional MAC level.......no matter what the call, as minor or BS as it may be, or as repetitive as it may be, your job is to CARE for human beings first and foremost.

Let's not forget that the patients in nursing homes are human beings and deserve the same quality of care as anybody else. It's disgusting to see some crews take out the frustration of a nursing home call out on the patient and subsequently treat the patient like a fed ex package. As had been said here, the abuse of EMS by long term care facilities needs to be dealt with on a agency administrative and regional MAC level.......no matter what the call, as minor or BS as it may be, or as repetitive as it may be, your job is to CARE for human beings first and foremost.

Keep in mind, these hospitals that are applying to do caths (I've only heard Sound Shore in NY, and Greenwich,Stamford and Danbury in CT personally) are only going to be able to do diagnostic caths, not interventional caths. Diagnostic caths are for patients with low index of suspicion, and can be treated with pharmaceuticals, such as Plavix. If the patient needs a stent, then they will need an interventional cath, which needs to be done at a facility that has the capability of open heart surgery, such as the Medical Center. There will be some benefits to these hospitals being able to do caths, but it does have some risks. These hospitals applying will probaly be leading to more "stat-cath" jobs. As far as ALSFirefighters comment, in MA, we transported to the hospital that had the MOST appropriate care available for the patient, IMO, the way it should be here too. (I.E. trauma patient to trauma center, MI patient to cardiac center....peds to peds....stroke to stroke, etc..except in arrest and closest facility cases) Hypothetically, if you have an suspected MI patient in Yonkers, on CPA by Best Buy.........you could take the patient to Lawrence or WMC.......chances are the pt would go to Lawrence, but why would you take the pt to Lawrence when he would probaly end up at the MC anyways? Why not save time and just go there first?