NYCEMS9115

Make sure you sign the application & get it notarized... Do not contact them; certified mail w/ delivery confirmation... Welcome to NYS.... Good luck.....

http://mobile.nytimes.com/2011/08/03/us/03faa.xml

FAA is asking workers to work w/o pay. Have you been in this situation? If so, what did you do?

I was in a similar situation several years ago. I worked and stuck it through. My Employees needed someone there to get them through the tough times...

Protocols interpretation vary from Providers. It can be Dynamic or an obstacle. However, NYC has re-vamped the Protocols and look like it's moving in the right direction. That being said; lazy Providers will still be lazy...

My guys don't have to bring anything; everything is provided. Except for a pen, map, and gps. Uniforms are provided except for under-garment and shoes/boots... Find out from the Employer; everyone us different... Good luck....

Too much variables out there to teach in "school"... Patients are dynamic and ever-changing every second. Our "Protocols" are not, they change every several of years. If you want everything to be taught in school; most will not enter Prehospital Care. Most Programs and Instructors will demand more money... For some, EMS is a way out or a way in...

I feel ER and Critical Care Health Provider Staff (MD, DO, PA, NP, and RN) should do some rotations on the Ambulance. Just to get a feel of how challenging it can be to do some of the "Advance Skills" in the Prehospital setting... In my previous job; we had new ER employees (MD, DO, PA, NP, and RN) do 2 ride-alongs. Most enjoyed the experience... We as Paramedics did rotations in the ER, ICU, OR, Psych, Lab, OB, & Med-Surg floors; as part of our Clinical. I do not see the problem....

Keep your doors open. The money on a Basic and even on the Advance Levels in Prehospital Care can be dismal. However, shoot for the stars. Do what makes you happy. Money doesn't always bring happiness... Continue the studies after the EMT; it is barely the surface in Medicine or in this case Prehospital Care... Best of luck...

Paramedic Ashley...... Congratulations!!!!!! Have fun; it's going to be a great ride.....

It's some sort of Supraventricular Brady-Escape Rhythm. Without a clearer strip; we can't fully interpret the Rhythm... The iso-electric line is full of artifact...

It's some sort of Supraventricular Brady-Escape Rhythm. Without a clearer strip; we can't fully interpret the Rhythm... You have to look at all variables which may have caused the Artifact. Was there fine muscle movement? Were you in the Ambulance with the engine running? Was someone in the house operating an electric powered appliance? Was there ointment or gel on the skin? Was the skin dry? Did you press on the electrodes due to diaphoresis or dry/flaky skin? Have you notice the Monitor to have Artifactky isoelectric lines on other patients? Maybe it needs service...

Remember she's approaching 100y/o... If her complaint was just feeling tired and the only finding was this bradtcardia; Pharmaco-Intervention could wait until you get to the ER.... How was the rest of her presentation? Mental Status? What was her RR and BP (You said stable but stable is subjective)? SpO2? PMH and Medications (Prescribed, OTC, Herbal, Recreational)? Who let you into the house? Bystanders/family/friends; any story? So many factors to take into consideration before the bolus of 650cc NaCl... BLS intervention: when in doubt, do. ALS intervention: when in doubt, don't do, for the most part (Unless it's ECG, SpO2, ETCO2, & IV)...

I'm just saying... I wasn't there; I'm sure your Interventions were appropriate... Thank you for sharing...

DNR orders received.... I am not sure what you mean by that... He was 20y/o; driving a car and was ejected. He had a DNR?

But he was a jerk.....

Didn't the ER have staff who could takeover compressor roles? Bystanders were needed?

Link is dead because camp is almost over.... It was first week July-Aug..... So sorry.... Thought some of the new NYS EMT would have jumped on it... Hope they did...

Yes, NYS is very political... Many of the BLS VAS run or at least have major influence in their EMS Region...

Check out NYC; our Protocols have improved. It was the hard work of the Region Committee and the constant proposal for change by my peers and myself....

http://www.nycremsco.org/als.asp?intCategoryID=4&intArticleID=81

Go to Aug 2011

Just like a typical EMS guy; bringing an AED to a gun fight... Is bunker gear made out of kevlar?

Unless Mr. Miyagi has made carrying up hoses up several flights or CPR into a Karate Lesson; the Fire and EMS Personnel should wait for Police... Our role is not to roll with perps; maybe Fire 101 could be incorporated: Stop, drop, and roll... Somehow, OPQRST will work against a gun or a dozen of wild people? DCAPBTLS will be assessed after they're done with the Provider.

Armored Guards carry guns and wear vests but they're trained not to draw their weapon unless they really have to. Outnumbered, outgunned, or outsmarted? Let them take the $$$... Security 101 is to observe and report; intervene is a last option... So why is DC so stupid? It's one of the most unsafe Cities in America...

Welcome aboard.... Do not stop; you both have goals where most do not. Good luck on the Medic and then the RN...

Welcome to the City... I can tell you a career in EMS/PHC has changed my life. It can change many lives. Especially, indecisive lads like my self. In 1996, was the start of career. I can't complain... I became a better person as a result... Good luck...

Make sure you get the Insurance Information... If the Service doesn't get paid, you don't get paid...

Duty to Act...

People do call for the Ambulance for the dumbest reasons. Yes, she could have went by car but so can many other "patients"... Would it have made you feel less stress if the lady was c/o of neck pain and you'd miss the DOA MVA?

Cost effectiveness will be the biggest problem...

No biggie... In NYS, HS diplomas are required but not checked. No Criminal Record for EMS students but it is not checked. You have to be a Legal Resident of the US to be a NYS EMT but like the other requirements; it will not be checked... Good luck on the EMT...

I have to call BS. If you are really a medic, this would have been covered in your EMT course, your paramedic course and is even covered in every basic first aid course. Misrepresentation of yourself as a medic is not highly respected on these forums.

I concur!!! Respectfully agree!!! Yup!!!

In Court of Public Opinion: Guilty... In the Court of Law: Not Guilty... Just like Lt. Caffey said in A Few Good Men, "It doesn't matter what I believe, it only matters what I can prove." The OC DA should have watched that movie or Law and Order... If the ME can't determine the cause of death; how can you (DA) charge someone with murder? She was found Guilty to 4 Counts of Misleading Law Enforcement Officials. I think some of us are Guilty of that: LEO, "I pulled you over for going 70 in a 50." You, "I was only going 55." or "I wasn't aware of the speed limit, I thought it was 65." or "I didn't know I was traveling that fast, I'm sorry."

Now she'll make money from this... Thank you HLN, CNN, TruTV, FOX, ABC, etc for covering this from the beginning to end. Another person who can rake in $$$ for their wrongs...

On my person:

Pocket knife.

Wallet

Wedding ring.

In my vehicle:

Spare water

Extra windshield washer fluid

Spare tire

Dwayne

This was a great post... I have agree with Dwayne and others... Currently my spare is on the axle and the water was ingested as a result of trying to get the rusted nut off in 90 degree humid weather...

Funny thing... none of the critical patients call me a wanker when I'm SAVING THEIR LIVES!

I'm on a local outreach's group first aid team, so I have my own AED (they helped chip in for it).

And no, I'm not a police officer... but where I live, the nearest police officer may be twenty minutes away (if he responds code 3), so the OC and handcuffs are a must. Scene safety is something we don't like to take lightly.

Even if I agree that buff belts are an overkill, I can't insult a person who is very serious about their task at hand (many are not). The more or less you have on your belt, doesn't reflect the abilities you possess as a Provider...

On my duty belt/person:

Gloves - Latex and Nitrile

Shears - by Mabis

Flashlights - penlight and Pelican tactical light

Littman III Stethoscope

Handcuffs - S&W Model 100

CPR/BVM Hybrid Mask

Pepper spray - Fox Labs 5.3 million SHU

Radio - dept issued (with my own ear piece and shoulder mic)

Business Cards/Certifications (on a strap around my neck)

Cell phone

EPI Pen

Flip Knife (in a boot holster)

Off Duty (in my Nissan):

AED - by Phillips

Assorted First Aid Kit (gauze, bandages, antiseptic, basic stuff)

TASER - X2 with spare cartridge

Pepper Spray - another bottle of Fox Labs 5.3 million SHU, also a can of Streetwise 2 million SHU (but 17% for a longer sting)

CPR Mask

Littmann I Stethoscope

I'm curious to see what other people carry. post your lists.

In NYC, pepper spray and tazer guns are illegal to carry or possess in the car... What are laws for that in your Village/Town/City/County?