SRS131EMTFF

This whole discussion should probably be split off this topic because it hasn't really got anything to do with the train accident but it is still interesting (at least to me). So did Westchester evacuate nursing homes pre/post Irene? Or Sandy?

Which ones? How many ambulances did it take? Not all NH/SNF patients need ambulances. Many of them can probably be transported in wheelchairs or even just regular buses so it may not require that many ambulances.

Many patients were not able to be evacuated by wheelchair as wheelchair van drivers evacuated and/or sheltered in place. Wheelchair van drivers are not emergency medical personnel remember, they have no duty to serve.

Most bed confined patients were transported 2 to a truck so 2:1 (2 patients for every 1 patient care provider), anyone requiring more advanced monitoring was transported 1:1 (1 patients for every 1 patient care provider) this included pedi, ventilator and psyciatric pts. I am not sure how critical/ICU patients were transported.

When has a nursing home in Westchester County ever had to be evacuated?

That would have been a valid point prior to Irene.... However, post Irene and MASSIVE EMS deployment activated to address the exact issue of nursing facility evacuation during Irene, it is obvious resources need to be in place to evacuate those who literally cannot do it for themselves. How many ambulances do you think it takes to evacuate your average SNF? 20? 30? My estimates are around 50, provided each ambulance is transporting 2 patients each. Now tell me where you are going to get 50 ambulances per SNF. 50 ambulances or 2.5 buses? Should already know the answer.

I didnt drive 7 hours to fort dix to spend 3 days sleeping in my rig for nothing...

What drove this site in the early years was that buffs (and I say that in a positive way. all of us in emergency service are buffs. Just some little more then others.) was that all fires and big incident were listed. Those of us not near a scanner or too far north or too far south could read updates and get some photos. Now when you have FB and Twitter with up to date fire wires or emergency wire (nyc fire wire, kempter and Westchester fire wire constantly updating from emergency personnel in the field. Especially since smart phones make it easy to check and post on social media, this site died. Majority of people that were here wanted updates on incidents so social media changed that. Then the volly vs career in every topic killed things. Then asking for money and Seth having problems personally and publicly added to it. Many people seem to have a problem with the founder. Many people left and abandoned the site. The list of the usernames is misleading now.

Couldn't agree more.

We out grew ourselves and then the forum changed. Once the membership changed from mostly buffs to mostly professionals and the "flame wars" started, those looking for fun moved to other places.

What happened to the "rugged New Englander?"

If you live in the northeast, it snows from time to time. Deal with it.

This is more than a little snow. This was a once in a hundred year snow covering for Boston.

I was in the north end of Boston today driving a Mercedes Sprinter Ambulance, the sheer amount of snow made it difficult for ME to get around. I am not sure how a Boston FD or EMS would be able to do it. There was still much of Boston, including streets, COMPLETELY buried in snow drifts 3 feet high. I saw a line of 10 international chassis dump trucks trucking snow from downtown to Salem, NH.

899

Did Peekskill Hire?

If they didn't, I only know of 1 person from the 2011 list that was hired.

My record is 3 in one transport. 2 AEMTs in the back of the ambulance with 2 teenaged minors females and one 19 year old female whom had been involved in a 3 car MVA. None were on c-spine precautions and all were seat belted during transport.

Might be a good way to acquire Humvees for storm response/evacuation, brush fires, etc...

Article: https://autos.yahoo.com/blogs/motoramic/army-selling-humvees-to-the-public-for-the-first-time-%E2%80%94-but-there-s-a-catch-214533984.html

1033 program (http://en.wikipedia.org/wiki/1033_program) has been doing this for almost a decade. Where do you think they got the MRAPs in Ferguson, MO from?

Previously, government agencies could get almost any military surplus (generators, rifles, MRAPs, Boats, Copiers etc etc etc) for free but had to pay to remove lethal components (if not a firearm or alike) and ship the surplus to its final destination.

Now any John Q. Public can buy one, at least a HUMVEE that is...

That is horrible planning. Departments have to stop cutting corners like this and prepare properly for just such eventualities.

Or they just didnt have the funding...

They're insured, right? Tragic and unforeseen but they should be able to get back on their feet rather quickly.

Supposedly they are only insured for the original purchase price of the ambulance, not the price of replacement.

Not to throw stones, but how does one determine a particular brand is: Very Safe? Do they offer more safety features? Do more testing? Or have you experienced firsthand the safety?

We have AEV's, specced heavily for provider safety with numerous non-standard features, but in the end we have no proof that they'll be any better or worse. I can conclusively say they cost more. But we're not looking to cut safety to save money, except that it appears the safer patient compartments are not as functional for patient care, which to me is not a place we can sacrifice.

I can answer that at least for the Osage and their dealer Cromwell Emergency, the "Easy Reach Wall" design allows any provider, regardless or riding position access to equipment without having to remove their seatbelt.

http://www.emsworld.com/article/11263945/ambulance-safety-features

Additionally, in the ambulance we literally just ordered last month, we designed it take we only have curbside outside storage, the monitor useable from the CPR and airway seat as well as angled compartments to prevent head and shoulder injuries during a collision. Other than 5 point harnesses, the Stryker Powerload system and rear facing chevrons, we tried to make this rig as safe for the people riding it is as possible.

I know this is a silly question before I ask it... but here goes:

Have they ever given thought to opening up a second HAZMAT company?

You mean other than the huge NYPD HAZMAT rig?

382k per ambo??? On an order of 300?? Are you kidding me? We just spec'd a custom international terrastar for just over 200k. That is an insane amount of money for ambulances. There is nothing that they do that's so special that they need to spend that kind of coin. NYC taxpayers just got hosed if that information is accurate.

my guess would be an awesome warranty and a butt load of spare parts would account for much of the difference in price.

Yeah that doesnt really make sense.

I think he is getting at why the Animal control van has LPRs on it. Which is a valid question.

A tool.

Would you call an riflemans rifle just a tool? How about your bunkers? To answer my own question it maybe a tool, but it is also a symbol, a symbol of something much larger than just the rig itself.

I highly doubt you would call yourself a firefighter if you weren't riding around in a fire apparatus. While a wet down may be extreme, acknowledging that it is both a tool to use and a symbol of our profession, whether full-time or volunteer, recognizes the tradition and history of the department and the rig you are replacing as well as the history yet to be made by and with your new apparatus. We leave every call just as we came to it, on the rig.

When people see a FDNY fire truck with FDNY firefighters they are not seeing a 30 foot long piece of steel with a diesel motor filled with 5 guys, they see a trained department staffed and ready to respond to any and all emergencies. They see men and women ready and able to put it all on the line with pride in their hearts and skills in their head.

If it is just a tool, ride around in a Econoline with a fairy light, a portable pump, some axes and hoses, same thing right?

At least your not using Tritech Fusion ePCR...

Having just sat on a committee with 10+ members, I am not sure which is worse, 7 people all asking the dealer for something different; or a pound wise, penny foolish chief officer more concerned with aesthetics than function.

I would rather have a large committee of progressive individuals than a small one stuck in 1980.

It's a Rockland County thing, they seem to have a very strange numbering system. All apparatus in the county starts with the department number for Tallman, 20. Then each engine is numbered by the GPM of the pump, in this case 2000. So the rig number should be 20-2000. However, like most departments, Tallman has three engines, each pretty much the same with each having a 2000 GPM pump, so they then start numbering engines as 20-2000, 20-2001, etc. I'm assuming Tallman, like a lot of Rockland County departments, calls this engine 20-tanker to avoid having another 20-2000 series engine and make it clearer on the radio what engine is coming.

If that is plain english, I would have hated to see what the 10-codes were.

13 years and I still remember it like yesterday. Never Forget. God Bless America.

Does an ambulance or fly car, holding NYS*DOH certification, have to have NY registration/plates? Are dealer or temporary plates acceptable? And, can it be registered out of state and hold out of state plates?

No.

Fletcher Allen Coordinated Transport and Lamoille Ambulance Service both use ambulances with VT license plates for their operations in NY.

video laryngoscopy, RSI, surgical cricothyrotomy, pericardiocentisis, intraosseous infusions, and mechanical ventilatory management

From my prospective as a BLS provider in VT, other than pericardiocentisis, which I am not sure about, these are all NR-P level skills. I/O is an AEMT skill and Automatic Transport Ventilation is as low as an EMT level skill.

Anything less than a 50 minutes by ground transport will not even get considered for a helicopter considering the helicopter is coming from Albany (LifeNet), Dartmouth (DHART) or Saranac Lake (NCLF). If the VTANG has a helicopter and crew ready, you might be able to get them, maybe...

Other than the renewed focus on TKs and blood products, the recent military operations have reenforced the fact that getting the pt to definitive care and stabilized is what saves the pt, not fancy toys in the field.

We were taught that other than airways/IO which should be done on scene, if you are waiting, your pt is dying.

I have no problems with certain military hardware in LEO hands, however when that hardware is used to turn the streets of Boston, MA or Furgeson, MO into a scene out of Fallujah with MRAPs and POs pointing assault rifles at unarmed demonstrators, as well as the tear gassing of journalists, I have a problem with that...

Let the local voters determine the level of protection they need

Anyone remember the Surge "parades"? I remember working in the Bronx around Fordham rd from 2005-2008 and almost daily, regardless of day or night, you should see at lease one parade of 8-20 patrol cars going L&S circling Fordham rd for about an hour at a time. How is this any different?

One could argue the "biggest Maritime Incident in NYC history" would be the PS General Slocum with 1000+ deaths.