Goose

I don't get what all the craziness - on both sides - is all about. All this affirms is that we all apparently need to maintain health insurance or face a fine/tax. Either way, this is unoquivically ruined daytime TV on my day off.

I'm so confused right now...

The infrastructure is there, the problem is there is no money to be made in these medications....so the companies end up devoting more production capacity and other resources for drugs they can charge more for. I guess the theory is why make 20 cent vials of morphine when you can make produce antivirals and cancer medications that are billed at 300 dollars a bottle...

Maybe so - but all of this malarky has really put a horrible taste in my mouth for the city - I've cut my losses.....i think my calling is elsewhere anyhow. Besides, there are a lot of young guys out there that want the job more than i ever did - those are the guys who should be on the job.

Forget reverse, it's plain jane racism. Without question. This is exactly why i didn't bother to sit for the FDNY exam. When the city called me and asked why i told them it was because i would never be hired. They asked why and i told them because of my skin color, i simply don't fit their hiring profile. The nice lady assured me that NYC was an equal opportunity employer, i respectfully disagreed and that was that.
Being a productive member of society is simply not rewarded these days. The only advice i have for those younger than i is - if you're willing - look south and out west. There are some great jobs - PD / FD and even EMS out there.

Forget reverse, it's plain jane racism. Without question. This is exactly why i didn't bother to sit for the FDNY exam. When the city called me and asked why i told them it was because i would never be hired. They asked why and i told them because of my skin color, i simply don't fit their hiring profile. The nice lady assured me that NYC was an equal opportunity employer, i respectfully disagreed and that was that.
Being a productive member of society is simply not rewarded these days. The only advice i have for those younger than i is - if you're willing - look south and out west. There are some great jobs - PD / FD and even EMS out there.

Forget reverse, it's plain jane racism. Without question. This is exactly why i didn't bother to sit for the FDNY exam. When the city called me and asked why i told them it was because i would never be hired. They asked why and i told them because of my skin color, i simply don't fit their hiring profile. The nice lady assured me that NYC was an equal opportunity employer, i respectfully disagreed and that was that.
Being a productive member of society is simply not rewarded these days. The only advice i have for those younger than i is - if you're willing - look south and out west. There are some great jobs - PD / FD and even EMS out there.

The abstract doesn't leave much to look at. How many traumatic arrests were included in this study (which would automatically exclude the patient from air transport) that happened to be transported to a level I or II center (the survival rate is fractional, at best, for these patients)? Is 1.4 v 1.5 statistically significant in terms of changing protocol/operating guidelines?
They mention two high profile cases in the link the OP provided, but i'm not sure if either apply. If Rep. Giffords was 12 minutes from a regional trauma facility the day she was shot, why would air transport even be considered? As far as Ms. Richardson, my understanding is that if she went by ambulance initially she may have survived, by the time she became unresponsive (later that day) she likely already had a midline shift or already began herniating - i'm not sure there would have been a more positive outcome given the most optimal conditions.
I suppose my concern is that people will see this and use it to justify the "when in doubt, fly em' out" mentality. Thats just not what the helicopter is for. I would argue that for the vast majority of trauma patients, in Westchester, can be received by a level 1 or 2 facility within a clinically appropriate time frame by ground ambulance.

Its not all that difficult to make some small changes that will have big impacts on you're health and life in general. Smoking aside, stay away from sugary drinks....for many cutting out soda alone will equate to pounds lost, control you're portion sizes, try and eat a balanced diet w/ fiber, whole grains (i.e. stay away from wonder bread), fruits, veggies and lean protein sources (fish is great, chicken w/o the skin is good too). Space you're meals throughout the day w/ a healthy low-fat snap in between and start reading labels. Also, doing light physical activity like walking is great. You don't need to run 10 miles a day to be fit. Walk a local school track or a favorite trail or road.
I think the biggest thing is that you need to start small and gradually progress. I find as humans many of us tend to want to jump right in and go all or nothing and then we end up giving up a week later. Start w/ adjusting you're diet then maybe add in some light walking and go from there. I'm sure you will be pleased w/ the results. best of luck.

Its not all that difficult to make some small changes that will have big impacts on you're health and life in general. Smoking aside, stay away from sugary drinks....for many cutting out soda alone will equate to pounds lost, control you're portion sizes, try and eat a balanced diet w/ fiber, whole grains (i.e. stay away from wonder bread), fruits, veggies and lean protein sources (fish is great, chicken w/o the skin is good too). Space you're meals throughout the day w/ a healthy low-fat snap in between and start reading labels. Also, doing light physical activity like walking is great. You don't need to run 10 miles a day to be fit. Walk a local school track or a favorite trail or road.
I think the biggest thing is that you need to start small and gradually progress. I find as humans many of us tend to want to jump right in and go all or nothing and then we end up giving up a week later. Start w/ adjusting you're diet then maybe add in some light walking and go from there. I'm sure you will be pleased w/ the results. best of luck.

Its not all that difficult to make some small changes that will have big impacts on you're health and life in general. Smoking aside, stay away from sugary drinks....for many cutting out soda alone will equate to pounds lost, control you're portion sizes, try and eat a balanced diet w/ fiber, whole grains (i.e. stay away from wonder bread), fruits, veggies and lean protein sources (fish is great, chicken w/o the skin is good too). Space you're meals throughout the day w/ a healthy low-fat snap in between and start reading labels. Also, doing light physical activity like walking is great. You don't need to run 10 miles a day to be fit. Walk a local school track or a favorite trail or road.
I think the biggest thing is that you need to start small and gradually progress. I find as humans many of us tend to want to jump right in and go all or nothing and then we end up giving up a week later. Start w/ adjusting you're diet then maybe add in some light walking and go from there. I'm sure you will be pleased w/ the results. best of luck.

Its not all that difficult to make some small changes that will have big impacts on you're health and life in general. Smoking aside, stay away from sugary drinks....for many cutting out soda alone will equate to pounds lost, control you're portion sizes, try and eat a balanced diet w/ fiber, whole grains (i.e. stay away from wonder bread), fruits, veggies and lean protein sources (fish is great, chicken w/o the skin is good too). Space you're meals throughout the day w/ a healthy low-fat snap in between and start reading labels. Also, doing light physical activity like walking is great. You don't need to run 10 miles a day to be fit. Walk a local school track or a favorite trail or road.
I think the biggest thing is that you need to start small and gradually progress. I find as humans many of us tend to want to jump right in and go all or nothing and then we end up giving up a week later. Start w/ adjusting you're diet then maybe add in some light walking and go from there. I'm sure you will be pleased w/ the results. best of luck.

Its not all that difficult to make some small changes that will have big impacts on you're health and life in general. Smoking aside, stay away from sugary drinks....for many cutting out soda alone will equate to pounds lost, control you're portion sizes, try and eat a balanced diet w/ fiber, whole grains (i.e. stay away from wonder bread), fruits, veggies and lean protein sources (fish is great, chicken w/o the skin is good too). Space you're meals throughout the day w/ a healthy low-fat snap in between and start reading labels. Also, doing light physical activity like walking is great. You don't need to run 10 miles a day to be fit. Walk a local school track or a favorite trail or road.
I think the biggest thing is that you need to start small and gradually progress. I find as humans many of us tend to want to jump right in and go all or nothing and then we end up giving up a week later. Start w/ adjusting you're diet then maybe add in some light walking and go from there. I'm sure you will be pleased w/ the results. best of luck.

Its not all that difficult to make some small changes that will have big impacts on you're health and life in general. Smoking aside, stay away from sugary drinks....for many cutting out soda alone will equate to pounds lost, control you're portion sizes, try and eat a balanced diet w/ fiber, whole grains (i.e. stay away from wonder bread), fruits, veggies and lean protein sources (fish is great, chicken w/o the skin is good too). Space you're meals throughout the day w/ a healthy low-fat snap in between and start reading labels. Also, doing light physical activity like walking is great. You don't need to run 10 miles a day to be fit. Walk a local school track or a favorite trail or road.
I think the biggest thing is that you need to start small and gradually progress. I find as humans many of us tend to want to jump right in and go all or nothing and then we end up giving up a week later. Start w/ adjusting you're diet then maybe add in some light walking and go from there. I'm sure you will be pleased w/ the results. best of luck.

Its not all that difficult to make some small changes that will have big impacts on you're health and life in general. Smoking aside, stay away from sugary drinks....for many cutting out soda alone will equate to pounds lost, control you're portion sizes, try and eat a balanced diet w/ fiber, whole grains (i.e. stay away from wonder bread), fruits, veggies and lean protein sources (fish is great, chicken w/o the skin is good too). Space you're meals throughout the day w/ a healthy low-fat snap in between and start reading labels. Also, doing light physical activity like walking is great. You don't need to run 10 miles a day to be fit. Walk a local school track or a favorite trail or road.
I think the biggest thing is that you need to start small and gradually progress. I find as humans many of us tend to want to jump right in and go all or nothing and then we end up giving up a week later. Start w/ adjusting you're diet then maybe add in some light walking and go from there. I'm sure you will be pleased w/ the results. best of luck.

I don't think anyone is turning anything one way or the other, its a cold hard fact that there are more toys out there than we need or that can be adequately staffed. Period. The money could have been better spent on a more robust radio / data network for emergency personnel, at least in my mind.

Just trashed my exam ticket. Dealing with ridiculousness is a waste of time. We all know who the city is looking to hire.

Maybe its, me, but all this great discussion seems to be for naught. We have to remember that we are talking about Westchester County here...the majority of transporting agencies are overwhelmed by 1 request for an ambulance which (patient care aside) ties up some of us fly-car medics for inordinate swaths of time. That alone, in my mind, prevents any real ability to establish or properly interface with PD to plan for or effectively respond to these sorts of events.
God forbid this were to happen anywhere here...its going to be a cluster.

Not sure the playing field is that level anymore.

Maybe its, me, but all this great discussion seems to be for naught. We have to remember that we are talking about Westchester County here...the majority of transporting agencies are overwhelmed by 1 request for an ambulance which (patient care aside) ties up some of us fly-car medics for inordinate swaths of time. That alone, in my mind, prevents any real ability to establish or properly interface with PD to plan for or effectively respond to these sorts of events.
God forbid this were to happen anywhere here...its going to be a cluster.

Just trashed my exam ticket. Dealing with ridiculousness is a waste of time. We all know who the city is looking to hire.

Maybe its, me, but all this great discussion seems to be for naught. We have to remember that we are talking about Westchester County here...the majority of transporting agencies are overwhelmed by 1 request for an ambulance which (patient care aside) ties up some of us fly-car medics for inordinate swaths of time. That alone, in my mind, prevents any real ability to establish or properly interface with PD to plan for or effectively respond to these sorts of events.
God forbid this were to happen anywhere here...its going to be a cluster.

Its a high profile event so the manpower will crawl out of the wood work, for sure. Now, competent manpower becomes a different story.

Its a high profile event so the manpower will crawl out of the wood work, for sure. Now, competent manpower becomes a different story.

Its a high profile event so the manpower will crawl out of the wood work, for sure. Now, competent manpower becomes a different story.