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FormerEMSLT297

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Everything posted by FormerEMSLT297

  1. A few things: 1. In the NYC Area, there is really no such thing asa Good Private Ambulance Service, there are jsut degrees of bad. They usually, treat their employees like crap, make you work long hours usually with little notice, pay close to minimum wage, and have barely enought equipment to be Part 800 compliant.. As for volunteering, if you do, there is usually no move up to paid level. You volunteer, and put that on your resume and eventually someone will TAKE A CHANCE ON YOU, if you know what i mean... As for driving,, whomever recommended that you just go private and learn to drive,,,, many private companies and even some volunteer companies want drivers to either: 1. Be at least 21 years old, or 2. Be licensed for a set period of time, usually 1-3 years before they let you drive..... this is an INSURANCE company REQUIREMENT. Whatever you decide good luck, apply for FDNY*EMS right away because that is the best paying EMT job in the NYC area right now. good luck
  2. I just got a mailing for a jb opening, they describe "World-class Comepnsation Package!" I was wondering what that meant, since even the web site does not specify the salary..... If anyone has any experience on this matter please post up. here is the link: http://www.onsiteohs.com/
  3. All officers are O.K. it went down in the bay right near the Avation Base. all on boards suffered minor injuries.... Investigation ongoing.... http://www.nypost.com/p/news/local/prez_patrol_chopper_down_T6fFzApJkVZcVnDANYUzEO
  4. As a cop, and Medic i think the MOST important thing to do when the lead is flying is to SHOOT BACK. Having said that, if you are unarmed, hopefully your armed escort will send a wall of hot lead the suspects way, ahile you duck... The premise of EMT-T is that not much care with the exception of tourniquet takes place in the hot zone, you extract the patient and treat them in the warm zone.... directed effective return fire is your best friend, second only to Cover and concealment
  5. WELL it is at least 3" long,,, that i am sure of.... i'm not at work and cant tear apart my kit.... BFN... that is all
  6. Maryland State is not the only unit to do RSI, there are even ground providers in the both Maryland and Va. that do RSI... no i am not going to tell you where this occurred, not trying to embarrass anyone, and not this was not a slam on Fire Dept. Medics, it was just a question about why i go to soo many scenes and immediately the ground provider wants me to RSI... There are a ton of good medics in this area, it is just that sometimes they get tunnel vision and I think they even get mad at me when i tell them either this is not a candidate for RSI, or RSI, is not the answer to the problem.... No I have no problem sedating a patient if it is: A. Medicallt necessary and B. within Protocols, Heck I've even called for orders to sedate a combative pt, but I just do not see how you want to RSI someone with a Tension Pneumothorax, WHEN YOU ALREAY FIXED THE PROBLEM, as someone else previously stated and cited the Pediatric patient as an example...
  7. Yup, I'm pretty sure we have the same ones,, 14 g 3.25 or 3 1/4"
  8. Sorry I've been gone for a while, but there is another CONTOMS class beginning in the Wash. DC area, Alexandria, Va specifically, class will run from October 25-29, 2010, and registration must be made by Sept. 15, 2010 go to the CONTOMS thread on this site: www.trueresearch.org
  9. longer needles are usually better,,,, we too use the pre-packages kits, but in a pinch i have some 3" 14 g angios set aside
  10. CBEMT is 100% correct... I know of a cse where an officer confiscated a persons camera, because of "security" reasons,, this was post 9-11 and in the DC metro area, and the Dept. is now facing a multi million dollar law suit, and the chief has been forced to offer a public apploogy. Except in areas like the Pentagon where signs are clearly posted "NO VIDEO OR STILL PHOTOGRAPHY"...... Anyone has the right to take pictures of ANY event occuring in the public.... where there is "NO REASONABLE EXPECTATION OF PRIVACY"... no that certainly does not extend to invasions of privacy like the dirtballs who upskirt young girls in playgrounds and things like that, but a crash or any incident on public property is fair game... Also Richard B,, the HIPPA rules do not apply becaue you are not releasing any PPI to anyone or any insurance company... stay safe...
  11. NREMT-P is the most marketable skills you will have in EMS, EMT's are a dime a dozen, EMT-I's are close, Paramedics a little less in the numbers .... Go for full medic, it will only help you in the end.
  12. What concerns me the most abou their "resolution" is these words below: RESOLVED, That the IAFF pursue two seats on 40 the CoAEMSP Board for EMS Education program 41 accreditation to assure that fire departments seeking 42 accreditation have the necessary votes to be 43 successful; and be it further 44 RESOLVED, That the IAFF contact the National 45 Registry of EMTs and... To me this means that even if an agecny does not have their stuff together, and even if they have some "issues" the IAFF was "ASSURE THEY HAVE THE NECESSARY VOTES TO BE SUCESSFUL"... to me this just sound like STANDARDS BE DAMNED, we will get our IAFF buddies acredited... WTF ??????
  13. Havent been on in a while so i appologize for that... Is it me, or have the level of training and professionalism in this business degraded over the past 15-20 years ???? So, I go on this call the other day. Female stabbed in the chest, with absent lung sounds on the injured side.. Fire based ground unit does a good job and decompresses the chest, even sedated the patient first... sooo cudos for that.. Now the weird part, they advise this is a critical airway and they want us to RSI the Pt. Only problem, the patient is like a class 4 airway, and she is about 250 lbs. Also she is concsious, breathing, talking, and ohh yeah good BP good pulses, and her O2 Sat is 98%. I just do not know how paramedics get such tunnel vision.. OK RANT OVER
  14. First of all, whether they were EMT's Medics, or Dispatchers ( all of whom are at least EMT's) It does not matter. You are standing there in uniform, and therefor, you are probably bound by a "duty to act". Having said that there probably is/was not a lot they could do, seeing as how they had or it sounds like they had NO EQUIPMENT. This does not excuse the fact that they LEFT THE SCENE. Should've stayed, done CPR, or at LEAST Compressions, called 9-1-1 upgraded the call to a Cardiac Arrest, whatever. But ,, Whats up with the union throwing them under the bus like that ?????.... As a dues paying member of a union, I expect more from them than that comment.. Something like "We are awiting the outcome of the investigation",,, whatever... WTF, I'm so GLAD I AM NOT in that union anymore. One thing for the Mayor and Fire Chief to slam my, but my own UNION. Kinda like your own LAWYER submarining you.
  15. A lot of Paramedic agencies do not do that type of academy becasuse, IMHO, who wants to go thru that, for the meager salary they are paying. When FDNY is starting people at 31Kper year, and medics at 43K, and that is some of the higher salaries i've seen, whowants to go thru tha for that end. Plus if FDNY woul pay you to PT on duty, they woul;d be in major back log.
  16. REGISTER your car in NYS if you move. In almost all states, unlessyou are active Duty Military, It is Illegal to live in that state, and keep a car registered in another. Unless you keep and own a home in FLA, ditch the car and take mass trasit, or keep it and register it in NY, it is just safer that way.
  17. OK thanks, My Daughter DEFINETELY had an INFLUENZA, just tno sure whether 100% was H1N1, or seasonal FLU, but with a 104.5 and a continued fever even with meds of 102, i'm sure that it was H1N1 Thanks
  18. O.K. So my daughter had the H1N1, or so we think. 104.5 temp, all the other signs, went to Dr. tested postive for Influenza, but because the H1N1 test cost $300. they only thested for Influenza. And their Dx was Becasue to the signs/symptoms, time she had it, early Oct. it was most likely H1N1. So our Pediatican says, she has already been exposed, she does not need he shot/spray, while the Local Health Dept, sas she should still be vacinated. PHYSICIANS on this site , please give me your opinion, pros cons, etc. Also can she get the live nasal, or only the shot ???..... she is 9 with not underlying health issues. Thanks
  19. Scott33,,,,,,, Having worked and lived in Nassau County for 14 years, I will tell you IMHO Massau County Police, I one of the most backwards ways of doing EMS in the Country. He is why: A single, non-police officer Paramedic or EMT-CC, rides around ALONE, in an Ambulance. (Which bascially means you have to drive all the time, even when you do not feel like driving today, and conversly you need to always be to one t provide patient care, and you do not even have a medic partner t bunce ideas off of.) When a call comes in, s/he drives to the scen, and then provides patient care, AT LEAST 2 other POLICE Officers,, whom the cunty pays an average of 90-100K per year then drives to the scene. 3 people, including 2 LEO's are now tied up providing EMS. If the patient is critical, the 2 officers, who, while they get trained as EMT's, may or may not have any real skill, or interest in doing EMS now need to drive the amb. to the hospital, and the other assist with patient care. The officers who are driving are now tied up, waiting for the ambulance to pass off the patient and clean up n the ED. Or, worse, they send a second Ambulance, tying up a another medic, and knocking a transport unit off service. This does not even get into the dual response sytem of FD and PD both sending units, to calls, and tieng up multiple resources, etc. The Nassau Protocols, had Pain meds authorized for 10 years or more, but they have yet to put them on the street. If Nassau Wanted to do it correctly, they would put 2 medics, or a EMT and Medic on each unit, and eliminate the cops driving. There are however systems in Minnesota, Michigan, and Utah that using cops, as both LE and Medics. This might make PERFECT sense for areas that are very remote and do not have alot of LE or Medical calls going on, but then the better keep up their medcal skills with a lot of CME, or training so the do not get STALE. below are some examples: http://www.cottage-grove.org/ems.htm http://www.ingham.org/pe/Job%20Descriptions/SHERIFF'S%20DEPT/Field%20Services%20Division/PoliceOfficer.pdf http://www.daviscountyutah.gov/oopm/job_posting/job_posting_public.cfm?job_posting_id=5 Cop shoots then saves suspect: I think this is also Michigan, as Flint is mentioned . http://blog.mlive.com/flintjournal/newsnow/2007/11/paramedic_shoots_then_saves_ro.html Tha is not to say however that the Nassau County Paramedics are some very good providers, and they are dedicated to their jobs. It's just that as a SYSTEM, they are not a really good model. IMHO.
  20. It goes up incrementaly, I d not have the list to post, but every 2-3 years you get a step increase, and you get a C.O.L.A. of between 1-4 %. When I started I was earning 30, but it went up quickly. I've been on for 13 years now, and with VERY minimal OT, I'm EASILY pulling in 110K..... WE usually have about 48 positions a year, and we test about 10,000 people. So yes the spots are kind of competitive. This year they want to try to hire about 100 officers or so, but that all changes with the budget, and last minute issues that always come up.
  21. I'm sorry, I do not understand. It is O.K. for an 18 y/o medic, in O.I.F. to provide medical treatment to some of the most horrific blast injuries, possible, but not ok for some 17-18 y/o to see a car wreck ????? I took my EMT when I was Senior in HS, and I think it gave me great insight into the EMS/pre-hospital field. I went on to Join the Navy, become a Corpsman, Paramedic, 9-1-1 Dispatcher, and then a LT, in the busiest EMS system in the US. I find it a little odd that people would post, "I did it when I was 17, but I think the age needs to be raised". I think @ 1-18 young people are maturing, and finding themsevles, having an EMT card, helps them learn to deal with, STRESS. AKA LIFE.
  22. 46-50, for someone who does not even have a BA/BS, in this economy is pretty good in some places. Keep in mind a few factors: 1. All equipment and uniforms are porvided: Shoes, Boots, Gun/s, Cuffs, Shirts, Coats,etc. All you really buy is underwear and socks... wHILE THE BASE IS 50k, YOU GET: 25% EXTRA FOR SUNDAY, 10% extra, for nights after 1800, there is some OT for special events, court, etc. The job is very self initated, and there are not a lot of calls for service. Not to mention that NYPD, and many other depts, start at 10-15 K lower than wat we pay. A county near us Anne Arundel County, MD, starts at 41K.....
  23. Starting Salary of 46K, goes up to at least 50K after academy. Medics who are hired may have the opportunity to apply for the Aviation Section after 3 years of service. (1st year of training+2 years on the street) http://jobview.usajobs.gov/GetJob.aspx?JobID=83404135&JobTitle=Park+Police+Officer&lid=32352%2c17361%2c17514&fn=4607%2c4606%2c4249&brd=3876&jbf573=15514%2c15515%2c15669%2c15523%2c15512%2c15516%2c45575&FedEmp=N&FedPub=Y&salmin=&salmax=&jbf785=&jbf574=&jt=2&ssname=LE+Agent&ssid=69488545&AVSDM=2009-10-06+14%3a41%3a00 Info. on the Park Police mission can be found here: www.nps.gov/uspp Photos of the Aviation Section can be found here: http://www.alea.org/PhotoGallery/gallery.asp?rid=174&gid=218
  24. www.trueresearch.org they will not take you if you do not have a LE agency sponser you.
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