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P_Instructor

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Posts posted by P_Instructor

  1. We currently have that feature. All 911 calls are sent via text to rig cellulars. It gives address, cross street, and reponding units. It is useful, however, if the EMDs are busy, we may not get the text until we are already on scene, but this does not happen all to often. Just another decent tool to make sure you know where you are going to hopefully reduce response times.

  2. ......said that all FDNY members "take an oath to assist others whenever they're in need of emergency medical care. It's their sworn duty."

    A union spokesman said Monday that EMTs generally consider their jobs to be a 24-hour kind of thing.

    "Our people tend to spring into action whether they're on duty, off duty, whatever they're doing," said Robert Ungar, spokesman for the Uniformed EMTS and Paramedics, FDNY.

    The city's EMTs have a "very strong bond with the people of New York City that they serve," he said. "They view themselves as always being on duty."

    He said the union was waiting to see what the results of the Fire Department's investigation would be.

    "If there was unprofessional conduct by these EMTs, the union does not condone any type of conduct which in any way can harm members of the public," he said.

    On Monday, Bloomberg repeated comments he made over the weekend criticizing the EMTs, saying refusing to help goes against human decency.

    "There's no excuse whatsoever," he said.

    The process is moving faster that I expected........see posted NEWS ROBOT entry of entire article.

    • Like 1
  3. Again, i agree 100% that their attitude and behavior were inappropiate, but before you call them to the carpet and demand that their certs be pulled, ask yourself if there was anything they could have done with the situation they were in that would have changed the outcome of this woman and her child.

    You've got to be kidding....look at the threads.....minimum open the airway, keep her from harming herself any further, positioned appropriately, and do what you have been trained for, even if have no equipment available. They went through training, they are better suited to assist this patient than the lay person. Be the first responder, stave the bagel until after assistance.

    Would, could, maybe, who knows......they need to have some PRIDE in the profession.

  4. ......... but I have a few things to say,

    FDNY dispatchers rotate what I believe is 80 minutes on he dispatch board 40 minutes off due to the "highly stressful" nature that is dispatching 3500 plus cals a day.

    I do not know what the communications personnel uniform is, so I don't know what was displayed or not.

    As far as treatment of seizures in NYC prevent patient from harming themselves is part of the protocol.

    TK, I believe the original version, these were field EMT's and not dispatchers waiting for the food.

  5. I will be the first to argue that when off duty you should never put yourself or your family in harms way. You should not be forced to pull over on a busy highway to stop at every accident scene. You should not be forced to run into a burning building or dive into the ocean to rescue someone while off duty. However, you can still call 911. I only stop if there is something I can reasonably do and in a manner that I will not become another rescue or patient. For a situation like the one in the article, you can at least appear to be concerned. Since they were on duty, there is no excuse. But then, I'm sure the union will post a statement soon defending these two and their break time.

    You are correct. My opinion does not really represent what was intended. What you stated is the opinion I did want to mention.

  6. Published thru AAOS Emergency Care in the Streets, 9th edition:

    "A variety of laws and ordinances, many of which differ considerably from state to state, regulate the actions of the paramedic. However, the most important premise affecting paramedics is one that doesn't appear in any of the statute books; it is the rule of doing what is best for the patient."

    "Paramedics always have the responsiblility to act in a reasonable and prudent manner and to provide appropriate care and transportation consistent with their education and training, their medical director's protocols, and the tranport protocols in their EMS system.'

    I add that this should be done at all times, whether on duty or not, whether ordering a bagel or not.

  7. Interesting quote:

    The two EMTs were placed on modified duty and are barred from providing patient care, FDNY officials said. Reports of their inaction infuriated Mayor Bloomberg.

    "It was unconscionable," said Bloomberg. "But even if they weren't part of the Fire Department sworn to protect all of us, just normal human beings, drop your coffee and go help somebody if they're dying. Come on."

    I don't know much about Bloomberg, but that is the most sensible thing that I've ever heard of........at least he is willing to speak out. Thank Vent.

  8. If these bozos were also fire guys, I bet they would have been to the patient's side within milliseconds if the patient would have been ablaze. No excuses. If they are in the medical business, it is the duty to at least 'want' to assist in whatever capacity possible. Total failure. Should be fired and potentially held accountable.

  9. Better be thinking of LZ.....If you can't hoist, then hoofing is next. If you land on the beach, do you have sand filters for the bird? Who else is there.

    A few off based questions, but still important.

  10. Tell me again why we do what we do.

    Thank you for listening.

    Sounds like you did have a sh** shift. All I can say is one can only adapt to their own 'reasoning' in what we can, should, maybe, hopefully do. Everyone has their own reasons, but as pre-hospital providers, do the job you have been trained to do. Be realistic that not all patients may survive (and it is usually the ones who shouldn't that do, and the ones that should don't).

    Be realistic in your own goals and beliefs, to provide the care that everyone should get. Do your job well and be satisfied with that.

    I wish I could have been of more assistance to you.

    Take care.

  11. WWII is something that I've studied in great detail. The Civil War (US) and WWII were costly to my blood line, so I'm a very strong supporter of any memorial efforts for US Veterans.

    thomas.maugh@latimes.com

    I agree. Thank you very much for the info. I've got an uncle who was on the USS Raleigh (CL-7) light cruiser when the attack occured. They were docked on the other side of Ford Island.

    There is a great web site you can go to for many naval vessels (pictures, etc), and in the special section, are photos of the attack from the US and Japanese sides. www.navsource.org

    To all, please remember this date, December 7th.

  12. JACKSONVILLE, Fla. Emanuel Porter II was supposed to treat gunshot wounds, not die from them.

    But Porter, a 21-year-old Jacksonville firefighter/paramedic, was fatally shot early Tuesday when a gun went off in the hand of a woman who picked it up from the seat of a car in the parking lot of an Arlington gas station, police said.

    Fisthnise Saint Breux, 18, has been charged with manslaughter in the death of Porter, who was following a family path into the fire department. Saint Breux, who also was charged with evidence tampering, was being held without bail Tuesday at the Duval County jail.

    Two other people in the car also were questioned by police.

    The death sent tremors through the department, where Porter's father is a lieutenant at a Westside station.

    Porter was at the department's Fire Station 1 on Liberty Street downtown.

    "Some people it just doesn't click, it takes a little more effort," said his lieutenant, Kelly Dobson. "But with him, never had a problem."

    The young Porter began at the station in May.

    "We were just proud to have him," said Dobson, who had to pause rather than let his composure crack. "One thing I always told him here is that we enjoy coming to work here, we have a good crew, we have to live together. And he just got it. You tell him one time is all it took."

    Porter was off-duty when police were called to the BP station parking lot on University Boulevard North near Fort Caroline Road at 12:45 a.m. He was found lying beside a car in the lot and pronounced dead by rescue personnel.

    Porter, Saint Breux and two other acquaintances, Mariah Mungo, 16, and Michael Harrell, 21, had driven to the station for gas. They did not know it was closed, said Lt. Larry Schmitt of the Jacksonville Sheriff's Office homicide unit.

    Schmitt said that when Porter got out of the car, he had a gun and took the magazine out. He then put the gun and the magazine on the front seat. Apparently unknown to Saint Breux, there was a round still in the chamber of the .40-caliber gun.

    Schmitt said Porter saw Saint Breux pick up the gun while sitting in the back seat and told her to put it down. Saint Breux pointed the gun at Porter's head, said "I ain't gonna shoot you," then pulled the trigger, according to Schmitt and an arrest report.

    She said the gun went off, but didn't remember pulling the trigger. She told officers she then threw the gun in nearby bushes after the shooting.

    Porter was focused on lifesaving and the future, Dobson said. He said Porter was taking online classes on his way to getting a nursing degree and was planning to buy a house. One of the youngest firefighters in the department, Porter had his paramedic license and Dobson was urging him just the other day to go to the University of North Florida for nursing studies.

    "He wanted to get his degree in nursing so he could do that on the side," Dobson said.

    Porter also was a 2006 graduate of Paxon School for Advanced Studies. One of his teachers, Carlan Shreve, said Porter was excited about what he was doing.

    "This was going to be the driving force in his life," Shreve said. "A good one has been taken from us way too soon."

    Joshua Gartenbush, another young firefighter, was with Porter in recruit training and said the work ethic showed there, too.

    "He was always trying to do better and do his best," he said.

    Gartenbush is stationed at the Lenox Avenue firehouse with Porter's father, Emanuel Porter. Both the Porters went by the nickname Manny.

    "He looked up to his dad and he wanted to be as good as his dad," Gartenbush said.

    Porter represented a "true legacy" within the agency, according to a release from the department. An uncle, Lt. George Bartley, also is a member of the department.

    Because firefighters live together during 24-hour shifts, they become like family, said department Chaplain Percy Golden, who was making the rounds of stations Tuesday.

    "It's just tragic," he said. "You don't expect these things to happen but they do. We deal with it. We rescue people, but it's a little bit different when it's one of your own."

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  13. Any good search engine can yield many good photos of these type of injuries. Another resource could be your programs Medical Director. If yours is like ours, he may have a plethra of photos of cases that he was involved in. If not, he may know of other ER docs that may have photo availability. Just a thought. Good luck.

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