Jybehofd

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Posts posted by Jybehofd


  1. hey i didn't write it but its their. EMTs can do it I just wonder if any will get "trained" to do it. I personally like doing vent jobs its more control for a critical patient typically when the patient is on a vent long term and used to a specific vent its a little more of a pain sometimes to match exactly. Well the real question is what are the transfer protocols going to look like. there is no mention of using a vent for inter facility transport or being allowed to.


  2. yes but deep suctioning is never mention in the protocols unless I over looked it. and majority of the BLS units have PSO2 now with rainbow probs to they can get the CO leves. check the new collaborative protocols that are coming to Westchester February 15th

    http://www.remo-ems.com/images/uploads/pdfs/2011-10-08_Comprehensive_Protocols2.pdf

    Page 76

    EMT
    • Oxygen therapy via non-rebreather mask (NRB) 10-15 lpm, or nasal cannula (NC) 2-6 lpm,
    to maintain oxygen saturation > 95%
    • Oxygen therapy using bag valve mask (BVM) 15-25 lpm
    • Nasopharyngeal airways (NPA)
    • Oropharyngeal airways (OPA)
    • BVM assisted ventilation
    • Portable automated transport ventilators, if trained (ATV)

  3. consolidation would be nice but i don't think it will every happen up hear.. I have heard rumours over the past two years or so of the departments of South Salem Vista Golden's Bridge and at time Croton Falls all consolidating under one tax district but this has all been rumours and in many different combinations of these departments. I know of some places that have mutal-aid members, I know Bedford Village has a few and some other departments. It seems like a good idea to increase manpower of people that work in the town/village during the day. A long time ago I'm not actually sure when maybe 5 years ago or more i heard rumours of all the towns in Bedford coming together as one but it didn't last long at all. It would be interesting to see and to see the actual set up of how it would work. But other things still baffle my mind like how neighbouring towns in another state can be all AHA heart saving towns and yet the survival in this area is well far below.


  4. Armonk FD/EMS handle fire and ems in that area with Westchester ems for the medic. when there is construction in that area that is schedule a CT trooper is posted with the crew. NYSP responds for emergencies in that area only. I believe if there is a fatal CT Troopers will either be called in or notified. I do not recall any recent fatal accidents in that area. Armonk FD/EMS cover just south of exit 2 usually just before the pump house on the south bound side, then Harrison EMS and Purchase fire take it. Then they cover to just short of Exit 4, believe it stops just at the southern end of Byram Lake, i'm not too sure the exact mile marker.


  5. thats all nice now go to your agency and change it stand up and review your rules. you might even break them to change them but don't just resign fix the problem and work with the command and the chain of command there to change things if needed. who are we to say what their rules should be, and how to change them. In the past I was suspended for refusing to detstroy a pcr that was an rma because it wasn't toned out. I took the punishment and moved and also enlighten the legal aspects of properly destroying patient care reports. It happens.


  6. rules are rules if he took the punishment because he knew he broke the rule. that is in black and white for them. would we have actually heard about this and start to hit the national new circuit? Real question is how many other people in the country have broken a rule like this and have taken the punishment because they knew they broke a rule and took the punishment that goes along with it?

    SRS131EMTFF likes this

  7. We found that with the E450 chassis, gear and two crew members, we rapidly approached max GVW. This is one reason we moved to the C4500 and now the Terra Star chassis.

    Get in a bad wreck, your vehicle will likely get weighed. Don't end up on the wrong side of the scale.

    WOW I wonder how many people worked out the specs for the patient a medic plus 60lbs of als gear and a patient plus two or three ambulance crew... now thinking about it that adds up pretty fast. And now the new stretchers and auto lifts that weren't original on the ambulance is some additional weight on the chassis.

    has anyone thought about that? i am sure the accident investigation team would??

    Bnechis and PEMO3 like this

  8. i just find it interesting that some of the new tactics are the same that are used on ship... a closed box is a closed box. with alot of stuff that burns on the inside. no fire is ever the same nor would i ever suggest using a cookie cutter to attack every fire the same way. you need to adopt and over come and adjust things accordingly to get a rapid extunigshment to save lives, equipment, and the structure.


  9. its how we fight fires on ships... close the compartment hit it on the outside then crack the fire proof door or water tight door give a ten to 20 second shot of water close the door. hit the door with a little more water then go in.. it works really well and even better when you can hit all six sides of the fire too. As long as we know the space has no one in it. then its different, two guys will go in on a steel wire to do a search and then a team would be sent in to fight the fire. ABSOLUTE Zero visibility once they start hitting the fire though. and very few ships have cameras unless they are military or government ships.