vtach39680

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Posts posted by vtach39680


  1. Those facilities are owned by the county. And are either operated by a private company or the county. Not Westchester Medical Center. That from the word on the street is one of the reasons the medical center decided not to fund the 87A1 truck on the overnight. The vast majority of thr overnight calls although on the "campus". Had nothing to do with the medical center other then patients being transported there


  2. I would like to first say that i agree that you need to provide good clinical care for patients. I think if you look at the history of the part 800 equipment list in o2 therapy over the last 15 years the push to go to 100% high flow O2 has to do with lack of training / understanding of what is going on with the patient. ( to much I see this I do this).

    I have only been involved in EMS since the early 90's so i will not make comment on training earlier then that. In the 90's we had simple (rebreathing) mask, venturi masks (colored plugs able to deliver different concentrations of O2) non-rebreathing face masks, and nasal cannulas. and the great demand valve mask.

    O2 administration for non-rebreathing face mask used to be litter flow should be adjusted to keep bag inflated during patient respirations. too often then not people did not pay close enough attention to the patients respiratory status and the bag would not be filled thus not providing any O2 to the patient. Protocol change made to make it 10LPM same above problem occurred protocol change made to 12 and so her we are with cookie cutter mindset to protect the most amount of patients that are out there with minimal harm to the small percentage of patients that would be adverse.

    nothing will change till we will only accept good clinical judgment and retrain or purge those who can not provide it


  3. i was truly assamed to be a member of emergency services today. I was on a bike ride today and was shocked and a tad pissed at what I saw. a fire chief flycar parked in not only a firezone, but also blocking the roadway and a curb cut for handicap access. the truck was there for 20 min while he was eating his breakfast. the truly sad part is there were plenty of open spots.

    photo.jpg


  4. Well I will just ask questions and here and not state or site any legal code or law.

    I first have to ask are we talking about criminal liability or civil liability in this discussion? if it is civil, well anyone can sue anyone at any time, the question becomes do you spend the money to fight it or let the insurance companies just settle?


  5. Well considering the only 2 reasons for someone to call for an ambulance is 1 physical transportation and the other being requesting help cause the situation has gotten out of what they deem they can handle the lack of The ambulance hitting the road seems like a pretty big issue

    The question that has still yet to be answered is if they were experiencing a staffing issue do they notify adjacent agencies so they can perhaps increase their staffing


  6. It was a question as to is this a mechanical vechicle issue or more if a staffing issue. And since all this talk of mutual aid in a different thread. I am curious to know if it is indeed either a mechanical issue were surrounding mutual aid agencies notified to perhaps allow them to prepare for an increase in call volume


  7. Yeah, that's the monster. Sexy looking truck, but I personally can't stand rescue body ambulances. But yeah, that's the ground truck. Usually has an EMT, Medic and one or two nurses. WMC might toss in some specialty care personnel from time to time if it's an unusual case.

    Worth noting also is the medical center is on the grounds of the Grasslands Reservation (which includes NYMC, WCDES, Police Academy, Armory, the jails, the new consolidated homeless shelter, Ruth Taylor NH, etc) which has it's own ambulance as well (contracted out to Transcare).

    The rescue body freightliner is gone and has been replaced with 2 new Ford E450 superduty van fronts with larger "Volly" size patient area


  8. Good post.

    Question for all: Do you know what hospitals in the Westchester/Hudson Valley areas have Hyperbaric capability?

    I know WMC and PHELPS do. Phelps chamber good for minor cases and wound care WMC for dive wound care and CO as not so much for the chamber itself but for the great amount of services available should the need arise. not sure anyother hospital in west.