sympathomedic

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  1. INIT915 liked a post in a topic by sympathomedic in Presidential Motorcade/Mobile Life Support Services   
    Well, is still it a violation if they don't transport anyone? Can they get paid to just drive around in an area outside their CON? And if the president just happens to be driving in the same direction, on the same road, at the same time... and then he needs an ambulance and flags you down....? Is THAT OK?
  2. INIT915 liked a post in a topic by sympathomedic in Presidential Motorcade/Mobile Life Support Services   
    Well, is still it a violation if they don't transport anyone? Can they get paid to just drive around in an area outside their CON? And if the president just happens to be driving in the same direction, on the same road, at the same time... and then he needs an ambulance and flags you down....? Is THAT OK?
  3. INIT915 liked a post in a topic by sympathomedic in Presidential Motorcade/Mobile Life Support Services   
    Well, is still it a violation if they don't transport anyone? Can they get paid to just drive around in an area outside their CON? And if the president just happens to be driving in the same direction, on the same road, at the same time... and then he needs an ambulance and flags you down....? Is THAT OK?
  4. INIT915 liked a post in a topic by sympathomedic in Presidential Motorcade/Mobile Life Support Services   
    Well, is still it a violation if they don't transport anyone? Can they get paid to just drive around in an area outside their CON? And if the president just happens to be driving in the same direction, on the same road, at the same time... and then he needs an ambulance and flags you down....? Is THAT OK?
  5. sueg liked a post in a topic by sympathomedic in Presidential Motorcade/Mobile Life Support Services   
    If you recall a few months ago the DCFD ambulance unit assigned to the White House ran out of fuel when it was supposed to join a motorcade taking the Obamas to dinner. Gauge had been broken for months and no one filled the tank or got the gauge fixed. I assume MLSS dis better than that?
    http://www.usatoday.com/story/theoval/2013/08/13/obama-white-house-motorcade-ambulance-out-of-gas/2647831/
  6. sueg liked a post in a topic by sympathomedic in Photos - Peekskill Bicyclist Struck 8-22-14   
    As a 30+ year EMT/28+ medic and 4+ CPRP medic, I just can't imagine waking up and seeing a call that I did getting a 13 post thread. You give it your best. You make critical decisions in the span of seconds, decisions based on presentation, training and experience. If it works, you feel great for little while. If it doesn't, you feel like s*** for a long while. We all know that when we show up. I wasn't anywhere near this call, but I sure do feel bad if the person who was is watching it get dissected here.
    That said, the Bird thread is valid.
  7. sueg liked a post in a topic by sympathomedic in Photos - Peekskill Bicyclist Struck 8-22-14   
    As a 30+ year EMT/28+ medic and 4+ CPRP medic, I just can't imagine waking up and seeing a call that I did getting a 13 post thread. You give it your best. You make critical decisions in the span of seconds, decisions based on presentation, training and experience. If it works, you feel great for little while. If it doesn't, you feel like s*** for a long while. We all know that when we show up. I wasn't anywhere near this call, but I sure do feel bad if the person who was is watching it get dissected here.
    That said, the Bird thread is valid.
  8. sueg liked a post in a topic by sympathomedic in Photos - Peekskill Bicyclist Struck 8-22-14   
    As a 30+ year EMT/28+ medic and 4+ CPRP medic, I just can't imagine waking up and seeing a call that I did getting a 13 post thread. You give it your best. You make critical decisions in the span of seconds, decisions based on presentation, training and experience. If it works, you feel great for little while. If it doesn't, you feel like s*** for a long while. We all know that when we show up. I wasn't anywhere near this call, but I sure do feel bad if the person who was is watching it get dissected here.
    That said, the Bird thread is valid.
  9. 10512 liked a post in a topic by sympathomedic in Peekskill Fire Protection Jeopardized By EMS?   
    I will try to add some historical insight here, but I might get it a bit wrong. I have been a Corlandt "35 medic" a few years now.
    The Town of Cortlandt got an ALS flycar license, set up a program and started running its system. We are NOT Town empolyees. We technically work for Hudson Valley Hospital. The Town pays HVH to pay us. That way we don't have to be at all concerned about getting any of the generous benefits that other governement employees are burdened with, like LOD injury pay, pension or insurance. It makes for pretty low budgets. The TOC library gets a bigger budget than the CRP does.
    After the system began, the City of Peeksill asked if they could join. PFD had for some reason a large number of FF's who were medics. So a deal was struck that CRP would become CPRP. More gear and trucks would be bought and the two flycasrs would be deployed and staffed by the FF's from PFD, as noted peviously- engine goes OOS when it's FF needs to be a medic, AND the flycar is OOS when it's medic needs to be a fireman. I think COP pays some $$$ to TOC for cost of gear, trucks etc. $50,000/year sounds familiar. When the PFD staff are doing medical calls, they are NOT under the FD's control, and I think I recall that was their demand. They operate under the CPRP director. They are called "39 medic" since they are on a different tone-out channel, but when being a medic they opeate under the CPRP director.
    Whoever is closest to the call gets it. 35 medics get called into Peekskill and 39 medics get call out Cortlandt. There can be one or two 35 and 39 medics on, so numbers can be 2-4 flycars, based on scheduleing factors. These numbers are VERY carefully monitored by COP admin, and they are always looking to avoid paying TOC using numbers as ammo, saying they do more, so should pay less. As far as medics on BLS... I have no issue with it. I was an EMT before I became a medic. My patch says EMT on it. If you need medical help, I am there for you. If you want to pay me medic pay to do BLS, that is fine. If I am not available due to that, well there are bosses to deal with that. I take care of the sick and injured. The CRP policy is that the medic on the call is to be asked if they will ride in a BLS. We can say "No". Of course that leaves the medic stranded with the pt awaiting an ambulance from somewhere.
    If there is low engine availability on the PFD end due to the deal they wanted and got, then it seems the cheapest thing to do is to have COP hire civilian medics to staff those "39" trucks, or pay TOC to do it. THAT is a COP decision, and not up to the minions of EMT bravo. I doubt my brother 39 guys would be happy about it either.
    They cannot run ALS ambulances as they don't have a license to do that. Empress puts ONE EMT at PVAC. PVAC is VERY busy and often has multiple calls.
  10. velcroMedic1987 liked a post in a topic by sympathomedic in Peekskill Fire Protection Jeopardized By EMS?   
    Pretty soon they will need to update that with "2014, got rid of the worst PCR software system EVER". (EMSCharts).
    But as usual I digress. The origianal post was 'Peekskill Fire Protection Jeopardized by EMS".
    I think jeapordized is a strong word. Maybe "compromised', 'weakened'. But I bet others would say, "Peekskill citizens get enhanced service for their FD dollar with the only FD in Westchester to perform ALS." I bet a look at the number of fires versus the number of lives saved by the fire medics would support the second one.
    If COP fire protection is negatively affected by EMS, why then is not ALL fire protection done by FD's that commit ANY resources to EMS also negatively affected?
    The answer is that it is part of the job of serving the public. It is like saying that responses to car fires endanger the protection of structures. When was the last time anyone "saved" a burning car?
  11. velcroMedic1987 liked a post in a topic by sympathomedic in Peekskill Fire Protection Jeopardized By EMS?   
    Pretty soon they will need to update that with "2014, got rid of the worst PCR software system EVER". (EMSCharts).
    But as usual I digress. The origianal post was 'Peekskill Fire Protection Jeopardized by EMS".
    I think jeapordized is a strong word. Maybe "compromised', 'weakened'. But I bet others would say, "Peekskill citizens get enhanced service for their FD dollar with the only FD in Westchester to perform ALS." I bet a look at the number of fires versus the number of lives saved by the fire medics would support the second one.
    If COP fire protection is negatively affected by EMS, why then is not ALL fire protection done by FD's that commit ANY resources to EMS also negatively affected?
    The answer is that it is part of the job of serving the public. It is like saying that responses to car fires endanger the protection of structures. When was the last time anyone "saved" a burning car?
  12. velcroMedic1987 liked a post in a topic by sympathomedic in Peekskill Fire Protection Jeopardized By EMS?   
    Pretty soon they will need to update that with "2014, got rid of the worst PCR software system EVER". (EMSCharts).
    But as usual I digress. The origianal post was 'Peekskill Fire Protection Jeopardized by EMS".
    I think jeapordized is a strong word. Maybe "compromised', 'weakened'. But I bet others would say, "Peekskill citizens get enhanced service for their FD dollar with the only FD in Westchester to perform ALS." I bet a look at the number of fires versus the number of lives saved by the fire medics would support the second one.
    If COP fire protection is negatively affected by EMS, why then is not ALL fire protection done by FD's that commit ANY resources to EMS also negatively affected?
    The answer is that it is part of the job of serving the public. It is like saying that responses to car fires endanger the protection of structures. When was the last time anyone "saved" a burning car?
  13. 10512 liked a post in a topic by sympathomedic in Peekskill Fire Protection Jeopardized By EMS?   
    I will try to add some historical insight here, but I might get it a bit wrong. I have been a Corlandt "35 medic" a few years now.
    The Town of Cortlandt got an ALS flycar license, set up a program and started running its system. We are NOT Town empolyees. We technically work for Hudson Valley Hospital. The Town pays HVH to pay us. That way we don't have to be at all concerned about getting any of the generous benefits that other governement employees are burdened with, like LOD injury pay, pension or insurance. It makes for pretty low budgets. The TOC library gets a bigger budget than the CRP does.
    After the system began, the City of Peeksill asked if they could join. PFD had for some reason a large number of FF's who were medics. So a deal was struck that CRP would become CPRP. More gear and trucks would be bought and the two flycasrs would be deployed and staffed by the FF's from PFD, as noted peviously- engine goes OOS when it's FF needs to be a medic, AND the flycar is OOS when it's medic needs to be a fireman. I think COP pays some $$$ to TOC for cost of gear, trucks etc. $50,000/year sounds familiar. When the PFD staff are doing medical calls, they are NOT under the FD's control, and I think I recall that was their demand. They operate under the CPRP director. They are called "39 medic" since they are on a different tone-out channel, but when being a medic they opeate under the CPRP director.
    Whoever is closest to the call gets it. 35 medics get called into Peekskill and 39 medics get call out Cortlandt. There can be one or two 35 and 39 medics on, so numbers can be 2-4 flycars, based on scheduleing factors. These numbers are VERY carefully monitored by COP admin, and they are always looking to avoid paying TOC using numbers as ammo, saying they do more, so should pay less. As far as medics on BLS... I have no issue with it. I was an EMT before I became a medic. My patch says EMT on it. If you need medical help, I am there for you. If you want to pay me medic pay to do BLS, that is fine. If I am not available due to that, well there are bosses to deal with that. I take care of the sick and injured. The CRP policy is that the medic on the call is to be asked if they will ride in a BLS. We can say "No". Of course that leaves the medic stranded with the pt awaiting an ambulance from somewhere.
    If there is low engine availability on the PFD end due to the deal they wanted and got, then it seems the cheapest thing to do is to have COP hire civilian medics to staff those "39" trucks, or pay TOC to do it. THAT is a COP decision, and not up to the minions of EMT bravo. I doubt my brother 39 guys would be happy about it either.
    They cannot run ALS ambulances as they don't have a license to do that. Empress puts ONE EMT at PVAC. PVAC is VERY busy and often has multiple calls.
  14. 10512 liked a post in a topic by sympathomedic in Peekskill Fire Protection Jeopardized By EMS?   
    I will try to add some historical insight here, but I might get it a bit wrong. I have been a Corlandt "35 medic" a few years now.
    The Town of Cortlandt got an ALS flycar license, set up a program and started running its system. We are NOT Town empolyees. We technically work for Hudson Valley Hospital. The Town pays HVH to pay us. That way we don't have to be at all concerned about getting any of the generous benefits that other governement employees are burdened with, like LOD injury pay, pension or insurance. It makes for pretty low budgets. The TOC library gets a bigger budget than the CRP does.
    After the system began, the City of Peeksill asked if they could join. PFD had for some reason a large number of FF's who were medics. So a deal was struck that CRP would become CPRP. More gear and trucks would be bought and the two flycasrs would be deployed and staffed by the FF's from PFD, as noted peviously- engine goes OOS when it's FF needs to be a medic, AND the flycar is OOS when it's medic needs to be a fireman. I think COP pays some $$$ to TOC for cost of gear, trucks etc. $50,000/year sounds familiar. When the PFD staff are doing medical calls, they are NOT under the FD's control, and I think I recall that was their demand. They operate under the CPRP director. They are called "39 medic" since they are on a different tone-out channel, but when being a medic they opeate under the CPRP director.
    Whoever is closest to the call gets it. 35 medics get called into Peekskill and 39 medics get call out Cortlandt. There can be one or two 35 and 39 medics on, so numbers can be 2-4 flycars, based on scheduleing factors. These numbers are VERY carefully monitored by COP admin, and they are always looking to avoid paying TOC using numbers as ammo, saying they do more, so should pay less. As far as medics on BLS... I have no issue with it. I was an EMT before I became a medic. My patch says EMT on it. If you need medical help, I am there for you. If you want to pay me medic pay to do BLS, that is fine. If I am not available due to that, well there are bosses to deal with that. I take care of the sick and injured. The CRP policy is that the medic on the call is to be asked if they will ride in a BLS. We can say "No". Of course that leaves the medic stranded with the pt awaiting an ambulance from somewhere.
    If there is low engine availability on the PFD end due to the deal they wanted and got, then it seems the cheapest thing to do is to have COP hire civilian medics to staff those "39" trucks, or pay TOC to do it. THAT is a COP decision, and not up to the minions of EMT bravo. I doubt my brother 39 guys would be happy about it either.
    They cannot run ALS ambulances as they don't have a license to do that. Empress puts ONE EMT at PVAC. PVAC is VERY busy and often has multiple calls.
  15. 10512 liked a post in a topic by sympathomedic in Peekskill Fire Protection Jeopardized By EMS?   
    I will try to add some historical insight here, but I might get it a bit wrong. I have been a Corlandt "35 medic" a few years now.
    The Town of Cortlandt got an ALS flycar license, set up a program and started running its system. We are NOT Town empolyees. We technically work for Hudson Valley Hospital. The Town pays HVH to pay us. That way we don't have to be at all concerned about getting any of the generous benefits that other governement employees are burdened with, like LOD injury pay, pension or insurance. It makes for pretty low budgets. The TOC library gets a bigger budget than the CRP does.
    After the system began, the City of Peeksill asked if they could join. PFD had for some reason a large number of FF's who were medics. So a deal was struck that CRP would become CPRP. More gear and trucks would be bought and the two flycasrs would be deployed and staffed by the FF's from PFD, as noted peviously- engine goes OOS when it's FF needs to be a medic, AND the flycar is OOS when it's medic needs to be a fireman. I think COP pays some $$$ to TOC for cost of gear, trucks etc. $50,000/year sounds familiar. When the PFD staff are doing medical calls, they are NOT under the FD's control, and I think I recall that was their demand. They operate under the CPRP director. They are called "39 medic" since they are on a different tone-out channel, but when being a medic they opeate under the CPRP director.
    Whoever is closest to the call gets it. 35 medics get called into Peekskill and 39 medics get call out Cortlandt. There can be one or two 35 and 39 medics on, so numbers can be 2-4 flycars, based on scheduleing factors. These numbers are VERY carefully monitored by COP admin, and they are always looking to avoid paying TOC using numbers as ammo, saying they do more, so should pay less. As far as medics on BLS... I have no issue with it. I was an EMT before I became a medic. My patch says EMT on it. If you need medical help, I am there for you. If you want to pay me medic pay to do BLS, that is fine. If I am not available due to that, well there are bosses to deal with that. I take care of the sick and injured. The CRP policy is that the medic on the call is to be asked if they will ride in a BLS. We can say "No". Of course that leaves the medic stranded with the pt awaiting an ambulance from somewhere.
    If there is low engine availability on the PFD end due to the deal they wanted and got, then it seems the cheapest thing to do is to have COP hire civilian medics to staff those "39" trucks, or pay TOC to do it. THAT is a COP decision, and not up to the minions of EMT bravo. I doubt my brother 39 guys would be happy about it either.
    They cannot run ALS ambulances as they don't have a license to do that. Empress puts ONE EMT at PVAC. PVAC is VERY busy and often has multiple calls.
  16. x635 liked a post in a topic by sympathomedic in Happy Birthday Seth Granville!   
    Seth Who?
    Happy birthday, Bud. Proud to have you as a friend and have had you as a partner.
  17. x635 liked a post in a topic by sympathomedic in Eastchester FD Issues   
    Hey! Don't forget a single EMS/ALS providor for the three municipalities! If some credit on gonna be given for one agency covering more than one municipality, give some to EVAC. (And Cortlandt medics, and Mamaroneck ALS district, and WEMS' 45 medics {that one is like, 8 towns and villages!}
  18. x635 liked a post in a topic by sympathomedic in NEW Yonkers ESU HazMat Truck   
    The heading of the post says hazmat truck, but I don't see that wording on the unit. Is this a special hazmat unit, or a generic major unit response unit? Either way, nice looking truck. It appears to have a Federal Q, which is, after all, critical. Unless it is a fake federal. Either way, I look forward to working alongside the YPD ESU with this new gear.
  19. x635 liked a post in a topic by sympathomedic in NEW Yonkers ESU HazMat Truck   
    The heading of the post says hazmat truck, but I don't see that wording on the unit. Is this a special hazmat unit, or a generic major unit response unit? Either way, nice looking truck. It appears to have a Federal Q, which is, after all, critical. Unless it is a fake federal. Either way, I look forward to working alongside the YPD ESU with this new gear.
  20. Bnechis liked a post in a topic by sympathomedic in Yonkers Fire Dept Fire Commissioner Job Posting   
    It is Yonkers we are talking about, so nothing can be ruled out.
  21. Bnechis liked a post in a topic by sympathomedic in Yonkers Fire Dept Fire Commissioner Job Posting   
    It is Yonkers we are talking about, so nothing can be ruled out.
  22. Bnechis liked a post in a topic by sympathomedic in Yonkers Fire Dept Fire Commissioner Job Posting   
    It is Yonkers we are talking about, so nothing can be ruled out.
  23. sueg liked a post in a topic by sympathomedic in New Albany fire truck too heavy for old station   
    Barry I remember many a night in bed at night in station 1 overnight when the rigs were backing in upstairs. The sounds the ceiling made as the trucks entered the bay had me in fear I would be crushed. No idea what the weight rating was and how close it was to the weight it had to bear, but the cracking noise was impressive.
  24. x635 liked a post in a topic by sympathomedic in Cardiac Monitor/Defibrillators- what are you using or wish you were using?   
    I mean no harm, but I would rather not know a BP than have the machine give me a wrong one. I would rather not know, and know that I don't know, than think I know and have it be that what I know turns out to be wrong. The respiratory rate counter is so innacurate as to be useless. The 5 second BP works about 1/5 of the time (it only works if the machne catches the BP during inflation, rather than having to fully inflate then slowly deflate.) Most of the time it needs to fully cycle.
    I love the device, but it just isn't gonna happen that I base a treatment decision on a BP taken by any machine. JEMS did a study showing how innacurate ALL machine vitals are, and it showed that the shockier the patient, the more innacurate the vitals. When the Zoll is right, it is pretty accurate, but it can be WAAAY off. It is very easy to not be bothered taking real vitals and just roboticly documenting machine vitals, but it is at best = quality care compared to REAL vitals, and at worst it can lead you to perform an improper intervention- fluid challenge, lasix, nitro, trendelenburg etc.
    The CPR feedback seems a real advance. Like all things medical, a study will need to be done to see if it makes us do better CPR and if that = better outcomes.
  25. x635 liked a post in a topic by sympathomedic in New Fire Hydrants Won’t Rust, Freeze, Or Get Opened By Wrong People   
    Doesn't the ASPCA have to sign off that it is dog friendly?