vtach39680

Is it that they do not want to use greenburgh services or do they want the ability to have greater control of zoning laws in their area?  

4 hours ago, velcroMedic1987 said:

Prosecuted for what if they respond to calls?

 

Trespassing?  Unauthorized use of the emergency equipment / vehicles. Just guessing of course.  

For the money being spent by Rye Brook they should just hire the 8 and staff 24 / 7 

9 hours ago, FFEMT84 said:

How can an agency just say we are     suspending service with no back up in place ? It sounds illegal to me 

Sadly there is nothing in the NYS general municipal law that requires Emergency Medical Services.  to persons in NYS  for EMS to come out from behind the shroud of being the bastard 3rd service this is one of the first items that needs to be changed.    

With the size of the building this would be housing more then just am-surg and administrative offices. I would bet they would be moving dr offices from 19 bradhurst to this new building 

III) Vehicle Inspections:

Inspections of emergency medical services vehicles may be conducted by representatives of the Department of Health anytime the vehicles are in service. For a vehicle to be considered Out of Service it should be in compliance with Department of Health Bureau of Emergency Medical Services Policy.

a) Spot/Quick Check;

Vehicle inspections may, at the discretion of the Department representative, consist of a Quick Check or a full vehicle inspection.

The "Quick Check" attempts to verify twenty-four (24) items of the required equipment and supplies found in Part 800 of the State Health Code. These items are generally used to treat patients suffering from life threatening illness or injury. Any ambulance found missing these minimum standards may be removed from service, and a full vehicle inspection conducted.

Complete Vehicle Inspection;

Any vehicle operated by an ambulance service as an ambulance shall be required to be in complete compliance with the applicable sections of 10 NYCRR Part 800, unless otherwise authorized by the Commissioner pursuant to Part 800.25 or 800.27.

Is anyone actually positive that an inspection was being done? Is it possible that the DOH inspector stopped to offer assistance?

To be correct. Hatzohla, New Square, and Kiryas Joel all employee paid non Jewish staff for shabbos and the observed holidays

It would be very hard to write that policy. To many variables.

Just some thoughts

If you walk into a hospital are you automatically a patient?

If the FD responds to an alarm is there automatically a fire?

If the police respond to an accident is there automatically a summons?

All documentation should clear and accurate but as with my first reply to this thread. Not every call we respond on yields a "Patient" rather just an individual or individuals

a individual is a patient when

1. the person requests medial assistance (direct request)

2. a 3rd party requests medical assistance for an individual at their request (informed request)

3. a 3rd party requests medical assistance for an individual who can not request on their own (unresponsive, altered,) (implied request)

Never heard of nebulized narcan and not sure my medical director would be happy with that, but don't doubt it works well.

Very simply, narcan is there to treat respiratory drive. If there is respiratory drive and the patient

is unconscious, they're probably better off that way.

NYC has started BLS, PD, and substance abuse counselor IN narcan already with good results.

Very good article on the subject

http://m.jems.com/article/patient-care/nebulized-naloxone-safe-effective-treatm

This is in reference to the scenario listed above

If a patient has spontaneous respirations narcan should be administered in Neb as it is a safe proven titrated dose that is easy to manage. In cases of the patient with no spontaneous respiration a a "rescue" dose of narcan should be delivered intranasal and ambu-bag

As always good judgment should be used to decide if any medication should be given and what the effects any medications has both therapeutic and side effect

And that is why if anything neb the narcan instead of intranasal it's proven to work, it's a titrated dose and easy to manage.

But it is not protocol

No but the family of the person who is cardiac arrest might. And given that survival rates for cardiac arrest are not great (getting better). Looking and acting like a professional regardless of compensation goes along way in the overall delivery of care to both the patient and family

I feel it should be measured by the arrival of a certified crew and a transporting vechicle ambulance, speciality use ems vechicle

Right leg pocket 2 pair exam gloves, sm trauma shears in small of my back, note pad and pen in shirt pocket. Personal iphone front pant pocket work phone or radio on left hip

Or even if you didn't know the level of certification of the crew member driving. "Driver of ambulance" injured. And by his standards. It would be police car driver? How about Fire truck driver.

"I'm In" Thanks for buying the ticket

As a past officer in a VAC. BLS does need a medical director. And how could they still operate a BLS service and not be able to give or vary the part 800 mandatory drugs which also includes oxygen.

My guess is. They have a medical director for BLS as any Dr fits that requirement. They must be lacking a Medical Control Dr for the ALS portion of medical Direction

State plowed RT9

Yes very upsetting. No traffic everything moving fine till I just hit the Rt 6 exit and it is shut down

Just one point that should be considered. The "duties" will need to be taken care of but it should be remembered that you can delegate the task or duties but you can not delegate the responsibility for the task or duty. That being said if Moose were to remain as a Captain performing the "tasks or duties" of a chief the ultimate responsibility for those "delegated "duties" would fall to the Chief not the Captain

Thank you for correctly articulating the point I was trying to make. I am on the small screen of a phone.

Yes responsibility will have have to be divvied up and the next officer down would be doing some or all of the duties of the next in line after the chief. But in my history when the actual position is still left vacant it allows you to find a qualified person. Unfortunately when positions are just filled for the sake of filling them ( I am in No Way saying your an "empty Shirt"). That organizations tend follow the same concept and before you know it or want it will become chief. Now is the time for your organization to take a good hard look at itself and think of the next 3-5 years short term and 10-15 years longer term not tomorrow

I am not a member if the fire service but sit on the B.O.D of state and national organizations. That being said. I have always felt IMHO that if even if it is a non-paid position. If you would not be willing to "Hire" the person for a position don't give them the position because they are running unopposed. If you do not feel comfortable and would not "hire" yourself for the position then don't take it. Remain as your current officer position and leave the other vacant.

If the homeowner didn't have insurance thur suit would never have been filed.

It's the I am not suing you but your insurance company.

This is a great case of Post hoc ergo propter hoc. How can you fault the homeowner. In this case I am sure they provided a reasonable means of maintaining their property in a safe way. The cause of the fall due to ice could equally be placed on the FD for not maintaing a "safe" working environment for their workers

This is all just total crap and for the court to let this proceed. OMG