Medic137

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Posts posted by Medic137


  1. 1995 Toyota Tacoma 4X4

    Four cylinder 151 engine running like new. 5 speed stick shift. Six foot bed with fiberglass cap. Not used

    for plowing or towing. Passed NYS inspection in Sept. '08. Passed Toyota frame rust inspection in Aug. '08.

    Extra Cab Model. Has two jump seats or secure storage space. Brush Bar.

    Dark Green

    $4,500 negotiable.

    Bill Oehrlein

    BOehrlein@aol.com

    Pictures


  2. And I it doesnt matter to me what company you work for, but if I had to geuss I would probally go with Hudson Valley Paramedic Service.

    Tough call, Celt. I was thinking Empire, but the attitude is definitely Transcare.


  3. I beg to differ. On the west side of the county there are TWO VAC's paying for coverage when the volume would be adequately covered by a BLS 1.

    I think a BLS bus would have to make 4 or 5 transports a day to cover its operating cost. I don't think Garrison and Phillipstown average that many calls. Even if the volunteers couldn't cover any of the calls, the county would have to contribute to a BLS 1. Yes, the VACs are paying for daytime coverage. But they are also billing for the transports. If all the runs were turned over to BLS 1, they would lose that revenue.


  4. So residents of Putnam County WEST are once again subsidizing a program for Putnam County EAST. Unbelievable!

    BLS 4 is supported by billing the patients it transports. It is the tax payers on the EAST side of Putnam that should be complaining. They are paying for ambulance service once in their fire district taxes and again when they are are transported by BLS 4.


  5. Sometimes low tech is the best. At my condo we ripped up the asphalt on the playground and replaced it with.......Grass. Yes, by the end of the summer it was beaten down to packed dirt. It felt good on bare feet, didn't cause more than a few skinned knees, and didn't cost us anything. Same surface I played on 45 years ago.


  6. Many years ago in Yonkers we would put the radio on the PA so we could hear dispatch calling us if we were out of the ambulance. When the locals complained about the noise, the company disconnected the radios from the PAs. Then we put a rubberband around the PA mic and hung it over the radio speaker. Now that everyone has a portable, the PA feature isn't used very often.

    Do the BLS crews in Yonkers have portables yet?


  7. Why was there only one medic on scene? Was additional ALS requested? At the risk of second guessing the medic at the scene, this may have been a situation where he or she should have assumed medical command. The traumatic arrest would have been a CPR and diesel run to the closest with a request for an ALS intercept. The medic on scene would have coordinated the treatment and transport of the others.


  8. Given the costs involved with caring for this child, who could easily live another 70 years, his parents are trying anything they can think of to ensure his well being after they are gone.

    Whether anyone will be found negligent is questionable.


  9. City residents hoping for a disaster-free summer have even more reason to hope they get their wish - there will be fewer Emergency Medical Technicians to respond if something happens.

    In a city smarting from a shortage of police recruits, Fire Commissioner Nicholas Scoppetta revealed Thursday the city will be down 121 EMTs by the end of June - roughly 7% of the 1,900-member force.

    NY Daily News


  10. As the first medic on the scene I was technically "EMS IC". However, given the limited size of this particular incident, there was no need for me to stand back and coordinate numerous EMS resources. After assessing the patients I told 24-1-1 what I wanted and left it up to him to provided scene safety, set up an LZ, and get an ambulance through traffic to the scene. I was then free to treat the patients without having to worry about getting tire tracks up the back of my neck, or deal with radio communications (always a challenge in Putnam County).

    The type of command structure used should be dictated by the scope of the incident.


  11. It keeps being mentioned about Towns not paying their fair share for EMS. I know of two Towns that are paying 10X and 2x as much for this year's contract and don't think for a minute that the medics or EMTs have seen a dime more.

    Also both Towns keep wondering why they are paying big bucks and other Towns in Dutchess are getting 24/7 coverage for free.

    What these towns don't grasp is that they're not paying for what an ambulance does. They pay for it doesn't do. When an ambulance is on a call, there's a pretty good chance the service will be paid for the run. What the towns have to pay for is the time the crews are sitting in their stations waiting for a call. A town with a call volume of 5000 per year will pay a lot less than a town with a volume of 500.


  12. Another factor causing extended responses is the use of the ALS system to prop up the failing BLS system. It is not at all unusual on a weekday to have Medics 3 and 4 transporting BLS patients and the whole county being covered by Medic 2 sitting at Putnam Plaza and Medic 1 in Garrison. A call on the north end of the Taconic or in Putnam Lake is likely to have a 20 minute response.

    As said above, it is the system and not the provider that needs to be examined.