MGMedic

Members
 View profile  See their activity

  • Content count

    99

  • Joined

  • Last visited

Posts posted by MGMedic

  3. Posted

    Isn't this going to cost more in the long run? Just hire more EMS workers Bloomy!

    The city isn't paying the private companies, or Volunteer Squads, anything. They are free to bill the pt's insurance companies if it's appropriate. More "EMS workers" cost salary, pension, etc. I still fail to see what the citywide emergency is that has necessitated the implementation of mutal aid...

  13. Posted

    From re-reading the post, i see where it wasn't a personal attack on me (as you don't know me), but an attack on another unit nontheless, taking this thread off-topic (something i'm now being scolded for). It is unfair to make broad, and innacurate, generalizations (you said they so i thought you were refering to muliple units) I am certain that if you feel this strongly about this Henry unit, you have been professional (and man) enough to approach them in the ED and discuss your issues with them, right? Since you've shared your displeasure with them, mind sharing what their point of view was when you talked about it?

    This is not about ego. Some of us don't like to be lumped into categories based solely on what letter is in our unit's designation.

    I also did not intend to make this an EMT vs. paramedic thing. According to your avatar you are an EMT , so i refered to you as one.

  17. Posted

    This job turned out to be a textbook example of how we'd like to work prolonged extrications. I remember posting about crush/compartment syndrome and that's exactly what happened to this patient. We were in the hole with him for 2 hrs. 53 min. and 15 sec. Even after all the meds, when we were able to place him on a monitor as soon as we got him topside, he still was showing peaked T-waves. I don't know how much detail i can go into re: his condition, but it was my understanding there was potential for dialysis in the hospital due to the imminent path of kidney failure he was going down. It was a HUGE asset to have our USAR Dr. Gonzalez onscene. He was able to make entry and coordinate appropriate pt. care during the extrication.

    Unfortunately, and much to myself and my partner's discomfort, the news articles have focused on our part of the rescue without fully acknowledging everyone else. All of us on this board know what kind of resources are needed to effect this. Rescue 1 especially did a tremendous job, as they always do, in making this effort a success while putting themselves at risk. At one point operations had to stop in order to extricate a R1 FF who along with my partner and the Dr. were struck with heavy falling debris from above. As rescue medics and somewhat new to this discipline, we feel confident making entry and assessing pt.'s and providing medical care because these guys are there. We fully trust, and are awed by, their ability to do all that needs to be done to make jobs like these a success.

    Without going into specifics, medical management of the crush injury protocols were implemented, including the administration of Sodium Bicarb., D50W, fluid and pain management.

  21. Posted

    Hey JBE,

    not too familiar with the "fire side" of things, especially dispatching. Are officers out there special calling us? My assumption is that for the most part we just get bunched in with all the EMS resources, so was wondering how it goes down on your side of the mike. Any insight would be helpful, if not interesting. If too involved for this thread, i understand. Maybe a PM?

    -Many thanks (we are the old 12Z, still sitting in the same school yard)

  24. Posted · Edited by MGMedic

    I work the Manhattan Rescue Medic bus on tour 3. The morning shift has lately been dispatched to 2-3 jobs per tour that are considered rescue. They actually were on the news last friday for treating a construction worker 40 ft. in a hole. I don't think the news mentioned that the reason they were downtown (our area is 116th/1s ave) is that they hurried out of the ED for another construction worker they had brought in and responded to a woman that fell into a cellar opening on the sidewalk (76th/Lexington) right after that.

    My point is, these jobs are always going down. It's been hard educating EMS patrol bosses and fire chiefs to remember to special call us. It's not something they are used to, but we're getting there.

    We like to think our main reason we are around is to potential assist a fellow rescuer, be they EMS, PD or FD. We operated in the fire building at last year's fatal fire in the bronx for over 90 minutes. Unfortunately it wasn't a successful outcome.

    As far as "isn't it better to just treat after bringing them out?" We've all been well lectured by our USAR Medical Director, Dr. Dario Gonzalez, on the medical management of the crush injury. Should we ever have a prolonged extrication/entrapment, depending on all parameters, taking a pt. out before treatment will ultimately be their demise (the chinese call it the smiling death). we've all been well versed on management of acidosis, hyperkalemia, rhabdomyolosis, etc. before extrication is to occur. A few of us also make up the medical specialist group of NYTF-1. It is nice being able to have all this training on hand and the potential to use it on an "everyday" basis instead of when being deployed or drilling.

    PS-The article that started this thread is old. We've been out on the street for about an year now.

  25. Posted

    I have 4 tickets i desperately need to sell to see THE POLICE @MSG on Halloween night, 8 pm. These are good seats.

    Section 342, row K, seats 6-9. face value is 105/ticket, however that is negotiable (you can talk me down) since it is down to the wire. I wil be checking in here until 1530 in case anyone is interested. I can meet you outside of MSG at your convenience.