SRS131EMTFF

Right back pocket: Wallet
Left back pocket: Car keys
Left front pocket: A couple of crinkled up dollar bills
Right front pocket: iPhone
Radio strap and radio over right shoulder
My point here is that the equipment was kept in our bags.

Nope, AAA.

Nope, AAA.

- Honestly, in my opinion we like to have a heads up of whats coming in and if we need to move people in order to open up a bed it's a lot easier to do it before you get there. Calling in a report doesn't necessarily change the treatment, but it can allow us to be a little bit more prepared for what is coming in, regardless of whether the patient is critical or not.

I think what is evident based on all our posts is that EMS to Hospital communications/reports largely are regional in nature. The basics are left to the handout and supplemented by the clinical rotations in hospitals. Perhaps the DOH would benefit for having a set list of expectations while undergoing the 10 hours or so of clinical rotation time for EMTs. EMTs then could be aware what the hospitals that they likely work in or near expect in a hospital report, including the bare minimum basics taught through a handout given in an EMT class.
Insofar as "initals", the benefit for many commercial and even municipal providers seems to be that if hospital registration has that information up front, the EMS provider can obtain a facesheet and get paid for their services easier than relying on patient given information, which we should know may or may not be entirely accurate. It has its benefits and drawbacks, serves very little clinical purpose (outside of perhaps age and sex of patient), but may provide a friendlier atmosphere between EMS and hospital (if the hospital wants the information in a radio report).

Ahh, I get it!
Run lights and sirens and make everyone move, just so we can get a good video!
All those people in the car's behind the rig must be thrilled... Not to mention scaring the piss out of Grandma and her dog at the end.

Delivered:
http://www.gowansknight.com/bedford%20ny%20custom%20rescue%20page%20113012.htm
http://bedford.patch.com/groups/police-and-fire/p/bedford-fire-department-gets-its-newest-truck

Do we really need both sides of the story? If the ff is operating in this fasion, it does not matter why, it is just wrong.
The real question is 1) have his officers attempted to send it up the chian (since even if they tried to handle it in house and that did not work). 2) did higher ups just ignor it?

After all the rash of police impersonators in Westchester, how does a civilian balance the fear of being pulled over by a police impersonator while also complying with an attempted traffic stop by a PO?

That's entirely incorrect.

It's really not difficult at all to spot an unmarked car these days. Buying all new $40,000 vehicles or however much they are at taxpayer expense just so they can sit a couple inches higher is a complete waste of money and one of the dumbest things I've heard of since being apart of this site.

Quick thought experiment:
I randomly walk up to on the street and start following and start a fight (note: I make sure I tuck my gun in my waistband before I approach you).
You, being randomly attack on the street, start to fight back and you know what you are bigger and stronger than I am thus you are able to pin me on the ground.
I, seeing that I am losing the fight, the fight I started, pull my gun and shoot you in the chest.
Did I shoot you in self defense (you were kicking my ass), or did I commit murder (I started the fight)?
Granted my thought experiment is most likely not what happened (only GM knows) but it is certainly highlights the idea that provoking the fight does not necessarily mean that you get to shoot someone in the chest after they attack you.

Quick thought experiment:
I randomly walk up to on the street and start following and start a fight (note: I make sure I tuck my gun in my waistband before I approach you).
You, being randomly attack on the street, start to fight back and you know what you are bigger and stronger than I am thus you are able to pin me on the ground.
I, seeing that I am losing the fight, the fight I started, pull my gun and shoot you in the chest.
Did I shoot you in self defense (you were kicking my ass), or did I commit murder (I started the fight)?
Granted my thought experiment is most likely not what happened (only GM knows) but it is certainly highlights the idea that provoking the fight does not necessarily mean that you get to shoot someone in the chest after they attack you.

Quick thought experiment:
I randomly walk up to on the street and start following and start a fight (note: I make sure I tuck my gun in my waistband before I approach you).
You, being randomly attack on the street, start to fight back and you know what you are bigger and stronger than I am thus you are able to pin me on the ground.
I, seeing that I am losing the fight, the fight I started, pull my gun and shoot you in the chest.
Did I shoot you in self defense (you were kicking my ass), or did I commit murder (I started the fight)?
Granted my thought experiment is most likely not what happened (only GM knows) but it is certainly highlights the idea that provoking the fight does not necessarily mean that you get to shoot someone in the chest after they attack you.

Izzy, I think Waterbury, Ct DID declare bankrupcy, and today, somehow, the city is surviving.
Twenty years from now, I can see Detroit as a model city. No place in the world was worse than huge ghetto areas of New York City during the 70s and 80s. Blocks and blocks, actually miles and miles of large burned out buildings. Garbage and burned out cars on every block. The change started with one area approximately three square blocks. It was right off of I-95 and an industrial park was built that had once been a large area of burned out buildings, piles of bricks and trash.
Shortly after that came a few blocks in the area of Charlotte St and 170 St in the South Bronx. The area had been visited by both Presidents Reegan and later President Carter. It resembled parts of Germany after WWII. Today, that neighborhood is home to raised ranch houses with yards and white picket fences. A few miles away is a Days Inn Motel. It is advertised as a short distance from Yankee Stadium. That Days Inn Motel was once an abdonded burned out factory similiar to what the City of Detroit has today.
Private investors made the first move with that Industrial Park. Private home ownership on Charlotte St in the South Bronx made the second move. Today it is hard to find a vacant building or an abdonded car on any street in NYC. Back in the 80s I just thought the place would have to be written off. I was wrong. It didn't happen. In fact many of those once burned out ghetto neighborhoods have gone from cheap low income housing to expensive condo units and apartments. Sections like Harlem in Manhattan and Williamsburg in Brooklyn, once ghetto areas are now big SSSS.
I'm not the guy that will invest in Detroit. But somebody will. And my guess is that things will change for the better when the right people see what this major US city has to offer. I believe if it worked in NYC when a place like the Bronx couldn't afford to pay for its own services, my guess it could work in a place like Detroit too.

Whether responding to a pt with burns or a pt with meningitis, had proper BSI been used (gloves, apron, shield, mask) by the responding company this would not have been an issue.
BSI is for our protection as much as it is for our pts.
We need to be protected from the meningitis pt and a burn pt needs to be protect from us, however both calls require the same BSI.

Local news up this way, is now reporting that Burkhardt is now placing the blame squarely on the engineer who left the train and failed to properly set the hand brakes. I'm not sure how the Niantic VFD handles things, but I know that our FD would have no expertise in securing a locomotive and trains post-fire and would expect to hand the incident over to a rail road representative like any other incident. Leaving a scene without properly handing over the property to an RP allows for you to be on the hook, if even only in perception and not legally. In this case the finger was certainly pointing at the FD for a few days, in my opinion erroneously.
http://bangordailynews.com/2013/07/10/news/state/montreal-maine-and-atlantic-railways-chairman-says-brakes-on-train-in-lac-magantic-quebec-may-not-have-been-set-properly/

Spec'ing a new ambulance in the winter. Looking at our options and it looks like pickup cab will be our best bet (we went with a GMC 4500 in 2008 and it is quite frankly too big for our needs). We travel with large crews (3+) and would like a safer way to transport crew from the ED to base and from base to the call other than strapping the 3rd or 4th EMT in the back. This leads us to the 4 door cabs.
The only concern we have is length, we would like to keep the box the same length as it has been for the past 4 generations. Does anyone have a spec for a 4 door ambulance. I would like to see the CAD spec if possible.
Those of you that do operate out of 4 door ambulance (FDNY guys are the only ones I know of), pros, cons? Likes/Dislikes?
Any responses would be greatly appreciated.

Point them out, I know I have bashed a few ff/ems for doing s*** they were not trained to do or that violated there own policies.
LEO have an incredibly difficult job, but in this particular case the officers who got hurt did not need to be in the position they put themselves in.

Yes, it took two poorly prepared LEOs to remove an individual one properly prepared FF could have removed himself (and it would not have sent him to the hospital). The reason why it took two of them is because they were starving their brain for O2, effectively dying, as they were removing the victim.
No, not "'nuff" said. PD nearly got themselves killed because balls took over for brains. I wonder if we would be calling this a great job if one of these officers had succumb to their exposure?
The last incident I can remember in Westchester where poorly equipped individuals went into an IDLH environment we finished the day with two LODDs. After this incident, we nearly had two more.

Yes, it took two poorly prepared LEOs to remove an individual one properly prepared FF could have removed himself (and it would not have sent him to the hospital). The reason why it took two of them is because they were starving their brain for O2, effectively dying, as they were removing the victim.
No, not "'nuff" said. PD nearly got themselves killed because balls took over for brains. I wonder if we would be calling this a great job if one of these officers had succumb to their exposure?
The last incident I can remember in Westchester where poorly equipped individuals went into an IDLH environment we finished the day with two LODDs. After this incident, we nearly had two more.

Police officers are extensivly trained and equipped to make traffic stops. While they may or may not be "more dangerious" they can and do make a size-up that is intended to keep them safe. If they are not trained and equipped to handle a toxic & potentially flammable environment they can not make a size up and while it may occur less often the CO incident is more dangerious. Again apples to oranges?
You are intitled to your opinion, but based on your statements you just failed almost every station of your NYS EMT-P exam:
My scenario for your Patient Assessment station:
Neighbors report a man down in a house.
You and your partner arrive 1st to this medical emergency
The 1st critical fail on the states check list is....................................IS THE SCENE SAFE?
If you asked the question (as required to become/continue as an EMT or Medic) and I answered their is a car running in the attached garage and the neighbors are yelling "HURRY I THINK HE STOPPED BREATHING"
What do you do?
In the real world your answer affects your life, but here in the classroom it affects your ability to become or stay an EMT or paramedic.
Never said they are useless. In fact they are required by code. So along with promoting them, we should be teaching about running cars and grills in the house.

I am not bashing the Police Officers involved. I think what they did just proves how most put service above self. But in the 2-3 minutes from the time PD arrived to the time the FD arrived, I truly don't think it would have a major affect on the victims.
With that said, this incident highlights why we should be considering CO detectors for EMS and PD personnel. Way too often, both of these agencies respond to medical calls or welfare checks, only to find the problem to be a Carbon Monoxide incident. They're fairly inexpensive, small enough to put almost anywhere and are almost idiot-proof.
We have to look out for ourselves, who else is going to?

What about the 4 firefighters that are on duty that would have been first due to this call?

Personally I can tell you I have never gone in when arriving first ahead of FD on a FD job. especially CO call. Not my job to go in. Yes people could be in danger or down but it's not my job. I leave it to FD and standby outside. If they need me for something they can let me know. My thinking is why go in if someone is ready down they are already in a bad situation and overcome. Ill just be another person down and creating more problems. FD is around for a reason. Just my 2 cents