Jybehofd

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Everything posted by Jybehofd

  1. It is true the current force and "safety checks" on the river and the sound have jump 50 fold from last year. I have been on the river for over 10 years now and the only thing close to a police or maned rescue boat was out of fort Totten and also Sea tow out of Haverstraw at the time. Yes these inspection are getting out of control but they have to do with federal funding and homeland security grants. Thats why your seeing a surge in police boats in westchester county in general. The Coast Guard Aux. offfers a free bow to stern safety inspection that usually can take an hour or two by dockside and also by appointment by the owner of the vessel. Once the vessel has passed inspection they issue a rather large decal (6" in diameter) stating they vessel passed, date, and coast guard logo. Among the things they check for are expiration dates on flares is key. Also depending on the size and area of operation you may need orange smoke, life jackets with lights and whistle (always good no matter what), fire extinguisher, first aid kit, hand pump/bailer, anchor w/chain min two, sea anchor, flashlights, lifering(s), liferaft, EPIRB (Emergency Pistion Indicating Radio Beacon), VHF-Liferaft radio, SART (Search And Rescue Transponder), Cold water survival suit. Now here is the real question are they stopping commerical traffic??? Thats where the true threat lies. Granted they have to meet higher standards. Seems like they are just targeting smaller personal craft, if your going to do safety check why not have a Moran or Buchard tug heave-to for a boarding and safety inspection. Granted this year there also have been more "emergencies" on the river. I quote this because most of the boating incidents this year seem to be related to lack of knowlegde of vessel operations on behalf of the operators. I agree the state should do something about this but I never felt that it should fall on the state's shoulders but the Coast Guard's. There should be a 8 hour safety class and basic navigation/rules of the road for all personal watercraft. Brian -Licensed Third Mate Unlimited Tonnage
  2. They first have to get glucometer's on there ALS buses Why is EMS in the city and the island so far ahead the rest of the state??? CPAP is nothing new for them and never is Etomidate by itself with no paralitics
  3. I don't know about the big 2 1/2 ton truck. Maybe its the sailor in me. But driving a large truck down a flooded road seems to be asking for some pain. Seeing what has happened to some roads in the area and they way they seem to fall apart very quickly moving water. A hovercraft is great but tends to need alot of skill to pilot in close areas. I think a Boston Whaler would work best. They draw a max of 9 inches. They are incrible boats and will take alot to sink one too. My department runs one and I have been using them for years doing work, rescue and standbys on the water. Here is there website if anyone is intrested. The work horse is the Montauk Model that come in a 19 foot boat but that does draw 12 inches. Where the 17 foot needs 9 inches. \Boston Whaler
  4. I was just checking out the Frazer site looking at the other ambulance and some of them are M. I. C. U. s? Mobile ICUs? It doesn't seem like they are doing transports because most of them are attached to a fire department. Are they runing doctors on these to make them Intesive care units or just a Medic? Wouldn't that then make it a Paramedic ambulance not an MICU. I know NYP has the Baby buses but they are Critical Care ambulances. So what makes this a mobile ICU anyone have an idea or hear anything?
  5. Yea thats the new Leonnox Hill trucks for the city. I also think Rosevelt has a new color scheme too. I am sure if the Leonnox Hill is in 911 or transport though
  6. wow this has hit one big nerve. I am in one of the three departments that responds to the airport. I can tell you the personel that main the operations at the airport train train and train some more. And they want us there more too with them. Also they don't mess around when an aircraft calls in an emergency, they call 60 control way before the planes usually land and when its just a minor thing too. Its always good to get things on the road and turn them around. They have 2 ARFF trucks the main truch that does roll 1st is a three man crew truck with a boom on it. To deliver water and fire fighting agent (i belive dry chem not too sure) but its a large amount nothing like a protable can. I know that this truck can cover the airport and them somemore. The second truck is the older one used for back-up. There is also a LARGE amount of foam in the graguage, which is right under the operations center. I know at most airports when an emergency is declared by a plane the airport is shut down. ALL TRAFFIC STOPS. I also know there are several other people trained for fire fighting and rescue on the property. I have taken the ARFF class at the training center. We beg the instructor if we could do an oil pit fire back when the training center had it. But some law makers in westchester decided that we can't do that anymore..... wow they are restricting training. no more live burns. all burns are controled. Yes they are safer but I have done oil pit training for my basic and advance ship board fire fighting. Its always amazing how fast the foam works. even the training foam (reg foam just cut with more water) Its also incredible on how a heat sheild takes a very large chunk of the heat off the foam line team too. I am all for training I love it the more the better.
  7. well I have been doing some work down in lower manthanan in some not so fun places to be white and night if you get my drift. But I have never been told to get a vest or do the other guys on the truck have one. Its all about scene safety and I did ask them why they don't have one. Basicly thats what they told me. Granted we do have the cops there some of the times but there have been times when we do wait for them to come espicially with the EDP and some others too. I don't think I will work some where that requires a vest. I am not a tactical medic or tatical emt to be wearing it in the 1st place. Granted this might sounds like some childish thing. Granted we do go into some dangerous places but I am not a cop or do I have a gun.
  8. OOOPPSSS sounds like someone forgot to check the stuffing box before putting her in the water.
  9. I actually think it shows alot. Its his last meal as a free man, he knows he is guilty and is going away. Wouldn't you like to have a nice meal or something before you turn yourself in the morning. Yes it also must have been a slow news day.
  10. I was watching New 12 when it came up. I really couldn't belive it but they have lost there American College of Surgeons accredidation as a cancer center and biatrics center too. But if you read on it seems that they have also lost there Level 1 status too. Westchester Medical Center lets accreditations lapse By MELISSA KLEIN THE JOURNAL NEWS (Original publication: March 18, 2007) VALHALLA - Westchester Medical Center, which used to crow about the accreditation of its trauma center and cancer programs, no longer has those endorsements, which lapsed in the midst of its financial crisis. The lapse makes the hospital the only local one with a cancer center that is not accredited by the American College of Surgeons. Additionally, the hospital's bariatric, or weight loss, surgery program cannot accept Medicare patients because it is not accredited. While the hospital as a whole is accredited by a national organization called The Joint Commission, having the accreditation of its speciality program means the hospital is meeting certain, often tough, standards and also gives it bragging rights. When the trauma program was reaccredited in 2002, the medical center sent out a press release saying that the program was the only one in New York to receive the designation. It similarly boasted about the backing received by the bone marrow transplant program in 2003 calling it a "prestigious accreditation." Michael Israel, the president of the medical center, said he did not believe the lapse in accreditations had an effect on patient care and the hospital was now seeking to have most of the programs accredited again. "Seals of approval are great," Israel said. "Anywhere we can get it, I believe that we should. The question you ask yourself is, 'Does the accreditation have an impact on patient care and secondarily does the accreditation have a direct impact on reimbursement?'" While the accreditation process is not necessarily costly, it does take up staff time during what is often a rigorous evaluation process. Israel said the hospital had to put its resources elsewhere as it battled a financial crisis. "As the administrative and managerial ranks shrunk, there was less time to do these kind of things," he said. The medical center, which lost more than $200 million from 2002 to 2005, is expected to operate with a surplus this year. The hospital did keep the accreditation of its burn center by the American Burn Association. It is now seeking to have its trauma center accredited again by the American College of Surgeons. The hospital remains certified by the state as a Level 1 trauma center. The American College of Surgeons, which describes itself as a scientific and educational association with more than 70,000 members, also accredited the hospital's cancer program. Cory Petty, a spokeswoman for the organization, said the program was no longer approved by the college's Commission on Cancer, adding that a confidentiality agreement with the medical center precluded her from speaking further. Kara Bennorth, a medical center spokesman, said the hospital knew of no such agreement and that it had simply let its accreditation lapse. Bennorth said the hospital was not seeking reverification of the program now, choosing to focus on accrediting its bone marrow transplant program. That accreditation lapsed in 2005, according to the Foundation of the Accreditation of Cellular Therapy. Bennorth said the medical center had been notified this week that its bariatric program had received provisional accreditation from the American College of Surgeons. She said patients with Medicare, the government's health insurance program for senior citizens, were generally a small part of those seeking bariatric surgery so there was not a big impact to the hospital from the lack of accreditation. Petty said she could not confirm the provisional accreditation. Jon Schandler, the president of White Plains Hospital Center, said he was an advocate of having accreditation. He said his hospital worked hard to get its cancer program backed by the American College of Surgeons. The college accredits 68 cancer programs in New York including those at major teaching hospitals in Manhattan and at six community hospitals in Westchester and Rockland counties. "I think the public's better served by having outside agencies take a look at what you're doing," Schandler said. Reach Melissa Klein at mklein@lohud.com or 914-694-5063. Article
  11. wow I like it how they have a NYPD recruitment AD before the main body of the story
  12. well you would need a step down from 120votls to 12volts you can get them at radio shack under 100 bucks usually. Its just a power station adaptor with usually a simple bare wire connector clamp in the back of the unit to supply the 12 volt you want to power
  13. Well the "shacks" look like HAM Operator set ups. You need to start looking at the license requirements for the FCC. If you are going to transmit. Listen on the other hand you just need a good scanner.FCC Good luck with it. I know it was on the test, morse code at I think 6 code groups per minute. They might have taken it off though and it also depends on which license you want
  14. Vomiters: Get a couple of those really really big red bags from the ED. They use them on the 50 gallon trash cans usually. Cut slit down one side about 1/3 or just about and then tie it around the vomiter, just like you plastic bib when your eating a lobster. Works great and beat the vomit deflector (emessis container)
  15. Good point. But I think they both are wrong. Granted the volunteer set off this mess by doing 85 in a 55 with his "flasher on". I know some areas have a speed chace limit or a no chace at all. But to hit the car not too sure if that was warranted but I wasn't there and I am sure there are more sides to this story then meets the eye. It just has that feeling that there is some history here. Has anyone heard what the outcome was. It would be nice to know.
  16. Well bvfdjc316 welcome to the United States idea of health care. It is a system that is in desire need of fixing. I don't feel its insane to pay for an ambulance, but you will for the most part have the same standard of care though. The real down fall is where insurance companies will not pay for "special surgeries or procedures" or you have to fight tooth and nail to get it done. Its almost better if you didn't have insurance and fell in that part where the hospital gets subsidized for treating you because you have no insurance and can't afford to pay the bill. Granted in the long wrong there is little to no fallow-up care but another run to the local ER. Where you see a doc for free or just about. I am not knocking it. Its a great thing and I support it all the way. I just feel the health care insurance in this country is broken and needs to be fix. But thats a different soap box. On the Fire Department charging or billing its simple its called double dipping. They are getting tax money to run and operate and now you are billing for that service you recieve money to provide. Thats why FDNY EMS on paper is not on paper the fire department and why an "new or seprate" run number is given when an engine/truck or rescue is a assigned. Thus making it a fire department job.f
  17. SUNY Maritime College Rescue Squad was dispanded by the great administration of the school feeling that it was too costly to run. aka it wasn't making money for the administration and provided a FREE service to the cadets run by the cadets and also a liablity issue when it was cover by the state.
  18. SUNY Maritime College Rescue Squad was dispanded by the great administration of the school feeling that it was too costly to run. aka it wasn't making money for the administration and provided a FREE service to the cadets run by the cadets and also a liablity issue when it was cover by the state.
  19. Well I can't say that I have read something but on a few lecuttures down in the city that its better to get the patient to the hospital then spend time on-scene getting 2 large IVs in. I do have some numbers but I am not sure exactly where I put the ditto, but it bascily broke it down that less is more unless the patient has a systolic below 90. I am not too keen on the saline idea, granted whole blood is what they need, fallowed by backed plateles, and some where near the bottom before saline is Lactated Ringers. Anything has to be better then saline especially if it can carry some O2 for gas exchange.
  20. Why not do it similuar to the EMT CME program. Have a set of core classes or skills you must do every 3 years or so.
  21. sounds like CERT I know since 9/11 FEMA and Homeland security has dumped money into it. I know CERT is big stuff and grant money in NYC but I am not too sure about Westchester. But I do know that the Red Cross has also been playing a role in my town. They have a response truck, tons of cots (stored at the FD for some reason???) along with other stuff taking up room.
  22. I can't find the picture now but I saw one of theses busses with a car that is stored underneath it. The bus lifted up on hyrdolic rams similar to a ladder truck or a tower ladder. it was really cool and $$$$$$
  23. I need some help, lately several people have been coming to me in my department with issues they have with an EMT that makes alot of calls. I have had issue with this EMT in the past too. Actually are really long history of mostly butting heads and still do. The reason why we but heads all the time is that there lack of profesionalism on a call and they manner in which they treat other EMTs while they are on the ambulance. I have been told that nothing can really be done because of the amount of calls this EMT makes. I was wondering if anyone has this same issue in there VAC. It has gotten to the point where other EMTs don't want to go on calls because of this specific EMT. It has be handle with delicate hands though.... please any thoughts on this would be great.
  24. I don't think they will be getting rid of the curb sides. I know that NYC sanitation picks up the trash at my school in the bronx with one of these overheads. Not too sure of the make though. But its real noisy at 5am.