ndpemt519

St. Lukes Roosevelt uses Frazer ambulances I believe. Haven't seen too many of them in the area, and not really sure why... http://www.frazerbilt.com/

Yes, it is the EMStar in PA that bought out Care1. Some of the local staff (and the Care1 name, for now) will remain the same, but all departments (marketing, HR, QA/QI, etc) will be supplemented with management staff from EMStar. On Monday there were 5 EMStar managers at Care1's Fishkill location, and Mr. Zupnik himself has spent a considerable amount of time there this week as well. Google his name and the company. When he and his partner acquired what is now EMStar in PA, the company was on the verge of bankruptcy, yet now has grown to do over 100,000 calls a year and is making a profit. This is what these guys do.

That is correct. Care1 now shares with EMStar a management team that staffs 150 trucks daily and runs well over 100,000 calls a year.

So for the past 24+ hours that Care1 has been ALS this thread has been silent! All of these people seemed to "know" so much when this issue started, why is everyone so quiet now?!

So all of you saying "EMS shouldn't be there if the scene is not safe", does that mean that in all these recent incidents of death of FD/EMS responders, that the responders knew the scene wasn't safe prior to entering? NO. We never know for sure when the scene is safe. We can THINK it is safe, but ultimately, people can and will do crazy/stupid things at any time. A police officer standing in a room is not going to stop a nut from pulling a gun on us if that is what said person is determined to do. Look at the triple homicide in the city of Newburgh not even two days ago. EMS was on scene after PD declared it "secure" for them to come in and assess the patients. However, the shooter STILL isn't in custody. Nobody knows where he/she is, and nobody knew where he/she was when EMS was on that scene. Not sure how that scene was "secure". Nothing against any agency involved, this is just one example of how a "secure" scene is not in fact "secure". If this dept has one life saved because of their purchase of vests, it is more than worth the cost. But if they didn't buy it and someone gets shot, we'd all be sitting here saying "Well they should've had vests!". Seems like people always need something to complain about in this business....

Correct. What would you suggest they do differently? They're trying. I would expect my full time job to be loyal to me in a situation like this, just as they are doing to their full time employees. They can't possibly keep payroll the same as it was before this when the company is bringing in significantly less money. Financially this seems like a logical and fair decision.

Ok, and what have they done wrong? For the last 13 days they've ensured their employees still had jobs and paychecks. I fail to see how this is wrong.

While I agree with the majority of your post, without doing what's right for business we can't treat patients. At the end of the day, if an agency has to choose between buying an epi pen or paying the insurance on their ambulance, we all know what the choice is going to be. It is sad that it comes down to this, but due to the current economy and crap insurance reimbursement rates, EMS (and more specifically our patients) are having to pay the price. Some agencies have more money than others, but I highly doubt many EMS bosses would say that they're 100% comfortable with the current financial state of their company. I also need to say that there always seems to be gossip in the EMS community about Care1. I'm not going to pretend I know all the details of the current situation. I have yet to see any memo from the company, region, or state regarding the circumstances, so anything said about it on here is purely speculation. What we do know though, is the suspension of ALS services took place almost two weeks ago, and the company is still running and doing calls. That in itself is something to be said for them. I also saw several posts on here about how the company is allegedly only paying paramedics at the EMT rate. If anyone has a memo or a pay stub from the company proving this, please feel free to post it. I have spoken to several employees regarding this and found out it is in fact not true at all. The company has cut a few trucks day to day, however they ONLY cut shifts from part timers. All the full time employees are still bringing home their regular pay check and benefits, which I'm sure they are very grateful of. I fail to see how the company has done wrong by their employees in this current situation.

Date: 11/16/11 Time: 0720 Location: Stone Ledge Apartments - 21 Farm Ln Frequency: Dc911 Dispatch, Response, Command, FG 5/6 Units Operating: Hyde Park 46-1, 2, 11, 12, 45, 61, Fairview 41-9, 11, Staatsburg 64-1, 11, NDP Medic 80, Medic 76, Roosevelt relocate to HP fire station Weather Conditions: Overcast Description Of Incident: Units dispatched for AFA, upgraded to structure fire. Upon arrival found fire in third floor apt. Fire contained to single apartment. Possibly started by cigarette Link to PoJo Article

On Monday night the Newburgh City Council unanimously (by a 5-0 vote) approved a multiple-year deal continuing Mobile Life as the designated EMS provider.

Why don't you just bring your gear inside at night anyway? This way you know the electronics will work. And warm gear (O2, saline, etc) will be more comfortable and better for the patient, and after all isn't the patient why we're here?????? Instead of worrying about if "cold oxygen is bad", lets go back to basics and make the patient comfortable!

Mobile Life Support Services 71,000 NDP EMS 27,000

Date: 5/13/09 Time: 0945 Location: 805 West Saugerties-Woodstock Rd Frequency: Units Operating: Weather Conditions: Sunny, cool Description Of Incident: Woodstock initially dispatched for chimney fire, upgraded to 2nd alarm with 2 tankers & ladder from Saugerties & manpower Reporters: Writer:

lol the Polaris got stuck cause the crew decided they didn't like where they crossed the first time, so they tried somewhere new, except they pretty much drove into the side of the stream and buried the front end. i do give them credit though, they ended up pulling it up/out by hand with about 8 people

Date:4/12/09 Time:15:20 Location:800 Violet Ave IAO Haviland Rd Frequency: DC911 Dispatch, Response, Command, FG 5/6 Units Operating: Roosevelt 63-55, 71, 12(?), Alamo Medic 20, NDP Medic 76 & Medic 81 Description Of Incident: Initial dispatch for Roosevelt & Alamo ALS for a P1 head-on MVA w/entrapment Alamo Medic 20 responding from Fairview Roosevelt 63-3 on scene confirming head on, however negative entrapment. Requests 2nd ALS unit Alamo has no units avail, NDP Medic 81 responding from Hyde Park as 2nd ALS unit 63-3 advises 2 children involved w/injuries, requests 3rd ALS unit MLSS dispatched for 3rd unit, then cancelled by DC911 & NDP dispatched NDP Medic 76 responding as 3rd ALS unit from Hyde Park Alamo Medic 20 enroute to SFH w/1 ALS Roosevelt 63-71 enroute to SFH w/1 BLS & 1 ALS w/NDP Medic 76 on board NDP Medic 81 enroute to SFH w/1 ALS

84-73 & 84-76 -- 2008 Ford/Wheeled Coach Crusaders

interesting...didn't know that! but that would explain why i've never seen them in the new style fords lol

And just cause I like to have proof to back up what I say: From NYS DOH BEMS 3 Year Pilot Recert manual "A maximum of 12 hours for "core content" and 24 hours for additional CME hours may be credited for self-study activities through documented continuing education via publications, video and/or Internet training." see http://www.health.state.ny.us/nysdoh/ems/c...ilotguide04.htm for further info

Out of the 48 "additional" hours, 24 of them can be self study, the remaining 24 must be classroom based. I know that for a fact as I'm in the middle of all of it right now, and was told that by a CIC.

NDP EMS 24 Hour Core CME Marathon: Friday May 1st 6pm-10pm Saturday May 2nd 8am-5pm Sunday May 3rd 8am-5pm Tuesday May 5th 6pm-10pm at NDP HQ 3 Hook Rd, Rhinebeck Call 876-0338 x22 to register

I know for a fact that in the past TransCare has hired non-driving EMTs, obviously the downside to that is you'll be stuck on a BLS shuck truck for a while. Mobile Life has no set requirement, your driving experience/record is reviewed on a case by case basis when they review your application. NDP may be hiring within the next few months. We're trying a few new things now and if they end up working well, I'd imagine we're gonna need more staff.

What do you mean "that would not work in the prehospital setting"? Are you saying intubating a patient and bringing them to the hospital wouldn't work? Hospitals in this area expect at minimum an IV and ET tube in place on a code. And intubation isn't a skill only limited to ACLS, it's an airway control procedure in any ALS protocol.

Huh? ACLS is already done pre-hospital........

toooooo generic lol and they don't move traffic as well as we'd like. i wish they'd gotten all LEDs and wig wags