Medic137

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Posts posted by Medic137


  1. Curiousity strikes whenever i hear this address, Hawthorne is toned out to respond here on what seems like a regular basis can anyone help and tell me what this place is.  Once again just curious.

    Thanks

    Also called 100-60 Chateau La. It's a State Facility for the developmentaly disabled.


  2. Part of the problem for those of us working in flycar systems is maintaining good working relationships with the VACs and VFDs that run the ambulances. For the most part the volunteers are leaving their jobs or families to come out and do EMS runs. I try to get them back to what they were doing as quickly as I can. I'm already turning a 45 minute call into a 2 hour call when I insist that a patient with seemingly minor injuries who dumped their motorcycle at 30 mph needs to go to at least a level 2 trauma center. If I do the same with chest pain calls I may find myself alone on scene with an evolving MI waiting for mutual aid from 3 towns away.

    WAS: We were issued LP12s about 18 months ago.


  3. I agree with WAS. If I think a patient is having an MI, I treat it as he described and usually get to the 12 lead as we're backing up to the ER. Just as well since you don't get a good read in a bouncing ambulance.

    I'll do the 12 lead in the house if the symptoms are more vague.

    Either way, until the protocol is changed it would be hard to justify bypassing the local hospital to go to a cath lab.


  4. It was about a 15 minute ride. Maybe a couple of minutes longer than it would have taken to get to Hudson Valley. We thought that if the patient needed plastic surgury, WMC was more likely to be able to provide it on July 4.

    RWC, 8611 was driving the rig!


  5. When YVAC arrived the patient was in a private vehicle in the main driveway of the park. Parks PD was there and it may have been they that were involved with the incident Scooter related. (I didn't see it)

    After we had been enroute to WMC for about 10 minutes we heard YPD send two cars into the park to assist Parks PD at lot munber 5. We also saw a couple of State PD cars blazing northbound on the TSP.


  6. The only time I request standbys is if I think an incident in progress may require more ambulances than we have available. I will remind our dispatch agency if we have a rig out mechanical and the others on calls in case the message didn't get passed from shift to shift. That way they won't tone out a crew to an empty garage if a third call comes in.

    PS: I'd rather have RWC and his expired card on my back than many of the "New Curriculum" EMTs.


  7. Not to step on anyone's toe here, but wouldn't it make more sense to have Peekskill EMS standing by at the Peekskill landing (5 Mins. from HVHC) than to land at Garrison (15 mins. from HVHC)? #-o


  8. Used but clean and working 6 channel 438 - 470 UHF. Comes with used battery, stubby antenna, and charger.

    Currenty programmed with local FD repeater freqs:

    Yorktown

    Peekskill

    Katonah

    West Harrison

    Harrison (33.96)

    Putnam Valley (46.38)

    $100.00

    Medc137@aol.com


  9. Time passes slowly when a loved one is in distress. I had one family member (an RN no less) complain to my bosses that I spent an hour on scene treating her mother's MI. The printout from 60 Control showed 22 minutes.

    I think in this case the patient coded in a BLS rig and they called for an ALS intrcept which arrived while the EMTs were puting in an OPA, setting up an AED, and doing CPR.


  10. I think I said this in another post a while back...but new EMTs are pretty much taught from the start "that if it is anything major, you'll have a medic anyway." #-o

    I know that is NOT taught in my class....quite the opposite!! We teach the students to recognize when ALS is needed on a call, and to call for ALS as early as possible...

    But EMT students in my classs (and hopefully every EMT class) are NOT taught to rely on medics for "anything major!" EMTs are taught to assess and treat/stabilize life-threats using BLS skills-and none of those skills include "hiding behind a clipboard" or depending on a medic!

    Unfortunately, what you can't teach them in class is how to get to a call before the medic and put anything else they've learned to use.


  11. There are good reasons for dispatching medics on BLS calls such as getting patient care in progress while the volunteers are assembling a crew.

    The problem with this is that by the time the ambulance gets on scene the medic has done the assessment, splinted the fractures, and bandaged the lacerations. The EMTs get frustrated because they rarely get to put their training to use and are pretty much limited to lifting, carrying, and driving.

    Most of the EMTs certified in the last 5 years have never been on a call without a medic and many lack the confidence to take charge on anything but the most basic calls.

    It has become a vicious circle: We need to use medics for BLS calls due to the lack of EMTs, and we are driving the EMTs away by having medics do their jobs.