velcroMedic1987

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Posts posted by velcroMedic1987


  1. 16 hours ago, v85 said:

    I'm guessing it is because of the meds but that must be a NYC protocol thing. EMTs have atropine of organophosphate poisoning and nerve agent response in the Hudson Valley region, and I heard something about (rectal) Valium in the collaborative protocols as an assistive medication in refractory seizures

     

    So  not to much differnce there

     

     

    Sorry but rectal valium should remain an in-hospital treatment.  There's no way I'm doing that, especially on a haz-mat job.

     

    dwcfireman likes this

  2. 17 hours ago, SOUSGT said:

    Please see my earlier comments on bridging radios. In it looks like in the current situation an emergency services boat on the Hudson would need:

    1 Westchester trunk radio

    1 Westchester UHF fire ground radio (or the ability to scan this frequency and the trunked)

    1 Rockland County Trunked radio

    1 NYPD radio

    1 NYFD radio

    1 Marine radio

    And just for giggles and grins a WCPD radio.

    Did I cover all the bases?

    (Does the helicopter out of NJ have any of the above?)

    Putnam Fire

    Orange Fire

    Putnam Sherriff's

    Orange Sherriff's

    As you can see this is a lot of hardware and a lot to pay attention to when involved in an emergency.

     

    You don't need different radios for all of that. 

    You need VHF-high band (which includes the marine band), UHF, and 700 and/or 800.   3, possibly 4 radios. 

     

     


  3. On ‎3‎/‎29‎/‎2016 at 11:30 AM, x635 said:

     

    In this case, it really didn't have anything to do with it. It came down to a complete lack of coordination of resources and interagency communication failures.

     

    Why do you think it came down to a lack of coordination and interagency communications failures?  Because everybody does it on their own and has their own little fiefdom.


  4. 15 hours ago, x635 said:

    It's great that Paramedics are being trained to be on a SWAT team or Active Shooter response, as it brings medical care to those who need it immediately in a very dangerous situation.

     

    My only issue is non-Civil Service Paramedics who work for private companies. If they get shot and injured, or god forbid, killed, they do not get the same benefits as a firefighter or police officer who is injured or killed in the line of duty. If they have a family, that family is not provided for like they would if he/she was in civil service.

     

    If private service Paramedics are going to be part of tactical teams, is there any way to give them some sort of LODI or LODD benefit that is parity with FF's and LEO's?

     

    Am I wrong?

     

     

    Of course they are not going to receive the same benefits as a municipal civil-service employee.  They will get workers compensation and whatever their agency provides insurance wise.  There's never going to be parity between commercial (or volunteer) EMS providers and municipal police/fire.  Police/fire LODI/LODD benefits are the result of legislation and collective bargaining agreements negotiated over years of such contracts.  Given that they're always trying to cut the benefits for the civil service workers, they're NEVER going to extend that level of coverage to the employee of a private corporation. 

    The responsibility should be on the private service putting their personnel in that situation.  If they are not providing their employee with adequate protection, someone should be asking "what are we doing here"?

     

     If they want to put a commercial paramedic on a municipal SWAT team, there must be some sort of indemnification for the town/city/village.  If there isn't such an agreement, the town attorney or city counsel must not have been consulted.  They won't let you borrow a shovel without an agreement and details about liability and indemnification.

     

     

    x635 and sueg like this

  5. If you're looking for a job, CFR isn't going to help much.  EMT is really the minimum standard for EMS training in most professions. 

     

    If you're just looking for additional training to help you in an emergency, CFR isn't bad.

     

    It really does depend on what is motivating you to pursue EMS training in the first place and how you'll apply it. 


  6. Date: 020516
    Time: 0827
    Location: IFO 40 Worth Street, NY
    Units: 4th Alarm Equivalent plus 10-60 SOC response

    NYPD Level 1 Mobilization plus division units, ESU, Crime Scene Unit, Traffic

    Con Edison with Electric, Gas, Steam, Transmission Ops, Emergency response group, emergency management, PublicAffairs,

    Environment Health and Safety

    NYCEM

    NYC Dept of Buildings

    NYC DEP

    US Coast Guard

    Department of Labor

    OSHA

    NYC Medical Examiner

    Description: Approximately 560 foot crawler crane toppled over in windy conditions crushing one car, killing the occupant. FD BC-1 reported all hands shortly after arrival and Division 1 transmitted the 10-60 and 3rd Alarm shortly after arriving. Rescue medics pronounced occupant in crushed vehicle and transported one red tag patient (possibly downgraded to orange). NYPD level 1 mobilization for crowd/traffic control. Multiple street closures in area.

    Concussion caused rupture to gas main, oil filled 345,000 volt electric feeder, and water main. Gas main shut down and Con Ed working to control feeder leak but it is located under the crane. About 5000 gallons of oil released into manholes and other underground structures.

    DEP shut down water main controlling the water leak.

    US Coast Guard has contractors patrolling river to insure oil is not reaching the river.

    NYC interagency meetings scheduled for tomorrow and mayor will hold another press conference at 1330.

    EmsFirePolice and AFS1970 like this

  7. I don't think anyone would doubt that getting out of the station quicker may improve your outcome. Of course there were/are plenty of times that calls have come in and our volunteer station happened to have a complement of personnel and we're on the road within the time it takes to suit up.

    I'm just asking, but are there really that many more burned out hulks in the volunteer districts than in the paid districts? Oh, let me answer, NO.

    So, as usual, it's about the money. $3 Billion in NYS about $140B nationally. That could be a lot of jobs. Provided the public is willing to pay.

    A more timely response with more properly trained personnel is SAFER and will undoubtedly be more effective/efficient.

    Are you seriously going to base success on the number of burned out hulks in an urban environment? That's absurd! There are plenty of success stories but I've seen plenty of inground pools where houses once stood but I'm not casting stones like that.

    Is it really $3B annually in NYS or is that the worst possible scenario where there is no use of existing assets or combination departments? If there's a savings of $2.5B in insurance costs does that make it more palatable? Is the cost of apples really comparable to bananas?

    I agree it is about the money but that's true on both the paid and volunteer side.


  8. Next time a request is made to build a care facility in your town/village, those that approve the plan should require provisions for EMS that do not rely on or otherwise burden their existing EMS structure, rather than accepting a one time donation of money toward a new ambulance, which is often the case. That solution wears off faster than a coat of wax on the shiny new bus.

    But the short term leaders see the shiny new ambulances and don't consider the long term impact of the project.


  9. Completely out of control! It is an epedemic of people making money (Atria) and abusing the 911 system along with it. No less than 4 times a day to them in one town and 4 times a day in the next town coupled with another in the next and the flycar is basically assigned to them. Regardless, of whether they can be billed it is ridiculous! Especially in the evenings and weekends when there is less staff. All of these "assisted living" complexes should be required to have at least one and maybe two persons ON DUTY 24/7 for LIFT ASSISTS. Is it really an insurance issue or rather a lazy issue? People can be trained rather easily in how to lift a patient off the floor.

    It is time for the VOLUNTEERS to be respected rather than abused! Perhaps doubling the fee to the nursing home should be investigated for lift assist calls. That would stop the abuse in its tracks. Something should be done before there are no 911 ambulances availabe for true emergencies.

    How about the EMS PROFESSION to be respected rather than abused? It shouldn't matter whether you're collecting a paycheck or volunteering. The system is broken and there is nobody on a high level doing much of anything about it.

    I HATE when people seek special consideration because they're volunteers. Either be an EMS PROFESSIONAL (paid or not) or rethink your choice of avocation.

    lemonice, Dinosaur and AFS1970 like this