ny10570

NY Task Force 1 is on their way south. I believe NJ DMAT 1 is all ready deployed to their staging area. I think Westchester sits this one out.

But in these cases the doctor chooses which insurance they want to accept. If they're unhappy with the payments they can negotiate changes in price or drop that carrier. That option does not exist in EMS. Thats why EMS is the only place that I'm aware of where medicaid payments are the industry standard. Usually they're less than what private insurance pays.

A medic friend in Manhattan went with the big sheers. They do work great, but they are friggin huge. For the number of times I have wished I had them its not worth the $100 or sheer size. The Rescue Hooks are great. The opening is a little small so you can't bunch up material and you have to maintain tension on the fabric while cutting. I would happily pay $15 - 20 for sheers that would last. If you're going with regular sheers, American made tend to be a bit better.

The biggest reason for not using glucometers was "why do you need them?" You can effectively treat your patients without causing harm and never know your patients blood glucose levels. If you don't issue glucometers you don't have to worry about people treating the device and letting a hypoglycemic pt get worse because the machine hasn't been calibrated in 3 months. That mindset is slowly changing and glucometers are coming to the field after the next round of core training. They are purchased along with the strips and sitting in warehouse awaiting distribution. At the same time Thiamine may disappear from the drug bag as its price continues to climb. We can't get IO needles or 100 cc syringes but we're getting glucometers.

but bil14ga, thats the point. The IAFF is a union first and foremost. They lobby politicians, support legislation and get behind politicians that best represent their needs. They are not there for teh betterment of the country. They are there for the betterment of the IAFF and their members through their gains. You as a citizen are suppose to vote based upon who you feel will do the best for the country in respect to your needs. Thats why the IAFF says this is who we suggest rather than you have to vote for him to maintain your membership. The IAFF will always go for a Democrat. The NRA will always back Republicans. The same applies to any group who's agenda happens to side with a specific party. This is not the IAFF abandoning its members. This is the IAFF doing its job and supporting the party that will most likely do the most for its causes.

Bush dodged the draft and jumped to National Guard where he barely did the minimum of service much like many of the rich kids of his generation. Can we stop acting like sheep and buying into these inflammatory websites and stories that do nothing but distract people from the issues. Vote on the plans to affect the policies the candidates are putting forward. If you're really basing your decision on how often someone does or doesn't wear a pin I don't want you voting.

Danger we NEED those 95' TLs for three reasons. Now listen closely as I'm only going to say this once. Are you ready... 1. We don't always have the best access and need to get around the first due engine without using those pain the heiney ground ladders (no hydraulics at all). 2. FDNY drew up their mutual aid agreement with Westchester for a reason and we must be ready. 3. The look f*g amazing in parades. Now before any of you get upset about this. These are are all actual reasons why I have heard people justify TLs in Westchester or LI. Ohh yeah, and my personal favorite...if there's ever a fire (insert location) we need to be able to reach over the railroad tracks to get water onto the rear of the structure. This ladder placement would be about 200' away and due to trees and power lines unable to actually cross the tracks.

Date: 8-19-08 Time: Approx 2200 hrs Location: Mott Haven section Frequency: NYPD SOD Units Operating: NYPD TNT (didn't know they were still around), ESU, Level 1 mobilization, FDNY*EMS Description Of Incident: times unknown White Crown Vic livery carjacked with 7 y/o child sleeping in back seat. Possible gun involved. Possibly witnessed by FDNY*EMS. Witness EMS unit located, en route to scene with supervisor. Child found unharmed on street corner. Writer: ny10570

Don't forget Coggs Bush and Clinton both has zero experience when they were elected. Bush was regularly mocked for how little he knew and Clinton was seen as rube from Arkansas. Bush won on religious and family values and Clinton won on his charm an public persona. We never elect the best candidate but it it somehow works out.

Why should members be riding around in vehicles that are falling apart? The reserve fleet should be full capable of stepping in to replace out of service apparatus without sacrificing safety of affecting operations. Half of FDNY's problems come from manufacturer and maintenance issues that keep many front line vehicles out of service. With the FDNY replacement cycle by the time a rig makes it to the spare pool its usually toast. So now you have well worn vehicles working even harder than they should be. Thats not a level of performance depts should be striving to attain. Thats about as close to the bottom of the barrel you would want to go. Ideally you take a rig off of front line service before it has reached the end of its service life so that it can still be useful. By the way, whats worn out about the Rescues? They're all '06/'07 if I'm not mistaken and still look to be a pretty good shape.

If D50 or glucagon were anywhere near as dangerous as anti-dysrythmics then yeah that would be negligent. If your glucometer were to fail you'd still be fully capable of treating hyoglycemia, however without a cardiac monitor there is no way to tell which rhythm you are trying to treat. Whats the down side to miss treating with 25g of D50 or 1 mg of Glucagon? Maybe a 200 mg/dL spike in blood sugar. Even in an acute CVA, a population shown to be extremely sensitive to hyperglycemia pre-hospital dextrose administration showed no affect.

The union is looking out for its best interest. It is your job as an educated voter to look at both candidates equally and based on their record, rhetoric, history, etc and make a decision based on who best serves you. Whats more important, who the candidate the IAFF chose or why they chose him. The IAFF has zero votes in the election. The members do and its up to them to choose their candidate.

Haldol is a great drug, but is it indicated here? He's not schizophrenic and not experiencing an acute psychotic break.

IAFF is a union. Republicans have enacted legislation that makes it easier for businesses to suppress unions and have tried to curtail some of the protections offered by union membership. They will always go with the pro union party unless their candidate clearly a threat to their cause. The presidet only has so much power. The fact that Democrats will most likely be in charge of both the house and senate has much more to do with the direction our country will take in the coming years. A Republican president could definitely put some breaks on Democrats with his veto power the Dems will control the general direction of policy for the next two years. If its as bad as so many of you think then the backlash will hand the legislature back to the Republicans. Seeing as how many years went into planning both those attacks I'm pretty sure thats a coincidence. After Regan was elected in '80 there were 3 bombing in '83, in '88 the PanAm bombing over lockerbie, and then there were our home grown duo in '95 who attacked Oklahoma City. The person in office does not dictate who is going to attack or when they're going to. They hate us for who we are and what we represent. They will continue to plan ways to try and disrupt our way of life no matter how hard we hit them or how far we try and pull back within our own boarders.

Back in the day the NYRA buses had fridges in the back for medication. It was just the right size for a 6 pack and a hoagie...allegedly.

No more Drive Cam? Always enjoyed the highlight reel of medics chasing lost tires.

ALS, I completely agree that closest isn't always best, however this patient required zero extrication. Flight time of what, 20 minutes each way, plus start-up, packaging and assessment. How long are you going to sit there looking at someone before you send them somewhere closer where they can pump you with some packed cells and maybe stop the bleeding.

Couldn't agree more. As soon as its time for overhaul people go running for the TIC. Personally, find clean walls then bring out the tic to double check.

That video was the result of an improperly secured fuel cap. Check your equipment. You're right Capt, the construction industry's safety record blows. More important is why is it so bad. Is it because the standards suck or is it because no one follows the standards? I completely agree that the ff's training should be wearing their PPE, because that is how you'll have to use it on the fire scene. Its not about following the same SOG's in training as you do on the fire ground. Its about creating an environment that closely mimics the fire ground. So you don't need the SCBA and charged line. But you do need to experience the cumbersome gloves and bulky PPE that you will be using on the fire scene.

What they said. Existing ventilation. The only thing I want to add is do not force anything down until you confirm the crew on the line is aware of what you are doing. On two separate occasions I've treated guys who were very nearly seriously injured when the truck ventilated these structures and forced equipment inside. In one the engine never got the message and the other the engine was in further than they thought. A 50+ lb fan, motor and housing landed on a door that then slammed into a ff. Resulted in a coupe of bad bruises. The second was a ff who was struck on the head by a light and balast. Knocked him out cold, bounced off his head and into the side of the much shorter officer's head. The light struck off center saving him much of the impact force. FF wound up with a concussion and sprain, officer pulled a muscle in his neck. Had either object landed directly on either brother it would have been a completely different story. Much like the units on the roof everything mounted below you is very large and very heavy, just something to keep in mind.

I don't give a crap who he is or where he works. SBVFD524 nailed it. The vast majority of k-12 saws are used in the construction industry along with several other types of abrasive wheel saws. Go to any commercial construction site and guys will be cutting hundreds to thousands of pieces of steel framing studs, channel, etc all while wearing nothing more than leather boots, jeans, t-shirt, and maybe eye protection. Its SAFE. RELAX. Worried about the blade detonating take a look before you start. If there is an obvious (can see daylight) crack then the blade is no good. Those things get bounced around dropped and generally abused and I've never seen a blade catastrophically fail. Heard about it and everything was contained by the guard.

Once in a blue moon afa's turn out to be real also but most depts and many on this board are all for reduced response responses, even going cold on these alarms. The vast majority of electrical emergencies are easily handled with one crew. Unless there is information to indicate otherwise minor alarm response.

It was a medical call. Witnessed by co-worker who reported he was sitting on a spackle bucket and fell over sideways. Collar and head bed were tried just to hold him down, but c-spine was not a concern. He was just tied to the board for ease of transport. No glucometry in NYC yet. IM access isn't really so hard. One person on the legs, one on his chest and one the arm was enough control for the moment but not nearly enough to establish a line and secure it in this particular case. Some times its better to be lucky than good. I expected the call for Versed to be an exercise in futility, but I got lucky and the doc was up for it. Thats a nice response. First came across as BLS for a seizure. They called for ALS for a postictal pt. I got an engine for the carry. Since the pt was now sedated engine boss felt they could handle the carry up the wheelbarrow ramp. They dragged him out using a sked.

can't believe we still can't cross the dam because of water supply security, people are paid to sit there 24/7 yet a car managed to wind up in the water undetected for how long? I guess there is no price that can be put on the illusion of safety.

Any outside help onthis bid or was it all handled in house?