v85

I understand that, my point is that if the level of training is so low they would be killed using a simulator, should they be allowed into live fire conditions on real calls? The answer should be no, but...

I think I meant to say that all of the initial entry-level training was the same for career and volunteer

Because the way it was made to seem to me, the restriction was put on because of liability reasons. That usually means that someone either an insurance company or a lawyer is behind the scenes telling them that

At the brush fire in Florida (Orange County) earlier, I noticed that there were the NYS DEC Forest Rangers, driving their typical green pickups; but there was also a white pick up that was marked NYS DEC Fire Warden, the operator of whom also went up onto the mountain to fight the fire. A quick google search shows that Fire Warden was the old title of Forest Rangers (before 1911), but obviously the title still exists. Does anyone know what they do and how they are different from Forest Rangers? Are they strictly firefighting where as Rangers are also sworn police officers?

Thanks for the information! So I'm guessing the wardens are paid on call then? It seems surprising that a paid on call person would get a state vehicle with state plates

Wasn't Boston or some place in Mass actually giving the IV version to users. I guess they figured the users already knew how to handle a hypodermic.

I like the way we did it down in Maryland: Plain English for the apparatus type, then first digit or two was the station, last digit was the apparatus number (also told the type of the unit) For the apparatus number: 1,2,3,4 = Engines 5,6 = Ambulances 7 = Brush Truck Squads, Trucks, Towers, and Special units just used the station number For officers: Volunteer chiefs used their station number, assistant chiefs used the station number and A, B,C to indicate which one they were Paid Battalion Chiefs just used Battalion 1 or Battalion 2 depending if they were in battalion 1 or 2 Paid EMS officers used EMS 1 or EMS 2 depending if they were in battalion 1 or 2 Examples: Chief 2: Volunteer Chief Station 2 Chief 1C: 3rd Assistant Chief Station 1 Engine 22: Paid engine out of station 2 Engine 13: Volunteer engine from station 1 Ambulance 66: BLS ambulance from station 6 Engine 101: Engine from station 10 Tower 2: Tower ladder from station 2 Truck 7: Straight stick truck from station 7

A lot of teams have, or are starting to have tactical medics assigned, who can stop to render aid (wearing heavy vests and sometimes armed) while the rest of the team is searching out the suspect.

My region in NY also has a spinal rule out protocol (HVREMSCO) how much it is utilized is another question. Also, when I was taking my EMT class, we were still being told that everyone gets high flow 02 via NRB. The agency I ride with however makes use of the SpO2 meter, and will probably be getting ETCO2 meters when it is approved for BLS use; and we do titerate the O2 levels to patient presentation and sat.

I was just wondering, who is considered the primary EMS agency for Yonkers? Empress EMS is the transport agency Yonkers FD is the first response agency and also has some special ops and supervisory responsibility Yonkers PD ESU is also first response to significant incidents and has a Mass Care Transport Unit. So would be considered primary?

Do you need a code 3 response for CO no symptoms probably not, but I would think you would need more than one person right. Isn't a suspected CO leak considered IDLH, meaning you need 2-in 2-out with SCBAs? At least our fire department treats it as such. In the Maryland agency I was dispatching for, a CO NOSYMPTOMS call type got 1 engine. a CO SYMPTOMS call got 1 engine and 1 ambulance

Here is the FEMA link: http://www.training.fema.gov/EMIWeb/IS/IS100HE/SM_PDF/L6_ICS100HigherEd_SM.pdf Yes it's the higher education version of ICS, but the basics are the same

http://nypost.com/2013/11/07/911-operators-forced-to-work-till-they-drop-lawsuit/ Yikes! I hope this is overblown.

The EMS command thing is probably more local terminology than anything. I know several agencies in the Orange County area where the EMS officer at the unified command post is called "EMS Command" both by their agency and the county 911 center. As far as scenes in which EMS would actually be in command, the only thing I can think of is something like what happened at Woodbury Commons a few years ago, with mass food poisioning from another site. (i.e. no on-scene hazmat concerns so fire wouldn't be command) Edit: I just looked at the FEMA ICS website, and according to that the Branch directors are under the operations section chief. In the scenarios I am describing, there is no operations section chief; and what would normally be the branch directors work together to be command. For example. Take a car fire with entrapment. The fire chief (Fire Command) would be in charge of supressing the fire and any immediate life safety hazards. Once the scene was safe, if extrication was needed, an EMT would enter the vehicle to begin treatment and prep the patient for extrication. They would communicate any need for resources/extra manpower to EMS command, who would talk with fire command about getting those resources (i.e. setting up an LZ, extra manpower, etc) This is from the FEMA website and shows a Law Enforcement Incident Commander, and a Fire/Rescue Incident Commander Joint Information Center Unified Command Law Enforcement Incident Commander Executive Policy GroupFire & Rescue Incident Commander Higher Ed Institution Incident Commander Safety Officer (Fire & Rescue) Liaison Officer (Fire & Rescue) Public Information Officer (PIO) (Institution Spokesperson) Assistant PIO (Law Enforcement) Assistant PIO (Fire Service) Agency Representatives (Law Enforcement and Campus Personnel)

www.officer.com/news/11225727/fallen-oregon-police-officer-didnt-reach-ambulance-for-90-minutes Personally I think there were poor protocols, because the tac teams evacuated neighbors 70 minutes before evac'ing the officer, and there were no tactical medics qualified to go into a hot zone?

Maybe that was the case long ago? I definitely remember hearing that from somebody on the fire department. As far as FAST being treated as a special team and therefore only some agencies having it, I definitely understand that. The district I'm in (Warwick) has a FAST team. For any of our structure fires our next three closest FAST teams are: Goshen, Monroe, and Slate Hill. With the last two being 20 minutes away. (Chester FD has a FAST team and are closer than Goshen in some spots, but as of my last time speaking with Chester FD members, it is still out of service). What also frequently happens is our FAST team gets called as FAST, but put to work as a truck company upon arrival

Orange County only uses mutual aid teams, from at least 2 districts away. I believe the justification is that a fast team from the same department or the neighboring department would be "too emotionally attached" to the firefighters and take unneccessary risks.

First of all, I posted to open it up for discussion. Second of all, if at least one other person didn't agree with me, it would have never made it to the officer.com home page Third of all, the article stated that arriving officers began to evacuate the neighbors houses while the downed officer was laying there with reportedly no one attending to him. Although those officers were heroic in doing so, I can state that at least in my county, if anyone left a dying officer alone for 90 minutes, they would be looking for a new job.

Thanks a lot. I always thought that ALS weren't supposed to be command or triage, but instead in the treatment sector? Or maybe that was just triage but not command

For everyone who Is saying that expedite does nothing because everyone is responding as fast as they can already, that might not be the case. For example, EMS gets called alpha response (no lights or siren) to a sick subject. PD gets on scene and finds CPR in progress. EMS gets paged to MVA evaluation only(no lights or siren) or minor injuries(lights and siren might be on, but not truly being responded emergency). First responder gets on scene and finds a rollover with partial ejection

So what would the answer to this question be: In an incident in which ICS was formally established. Would the EMS command or medical section chief be 1. An Empress EMS supervisor 2. A Yonkers FD supervisor 3. A Yonkers PD ESU supervisor

At the BLS level rapid transport, high flow 02 and trendelenberg positioning. I would be interested to know what the patient was doing at the time the symptoms started; his blood glucose level; and lung sounds. At the BLS level, if he becomes unresponsive or the SPO2 or resp. rate starts falling, BVM with oral airway. How about anaphylactic shock as a possible cause (hypotension, resp. distress), or pulmonary embolism

On another EMS website that I read, they were talking about a case where online medical control gave a medic an order to give 5mg Morphine ever 5 minutes until the patient stopped breathing The patient was apparently having 10/10 pain upon breathing, resulting in difficulty in breathing; and the doctor thought it would be best to have the medic take over breathing and then use narcan at the hospital to bring him back. Would anyone on here be comfortable doing that, even with OLMC?

I don't know the full story behind it, or how long ago it was. Maybe this was pre-RSI days? That's what I am kind of thinking

They already have. The only thing they didn't take over was the policing, which is still done by the State Police.