FormerEMSLT297

You mean something like this ???? http://www.lasd.org/divisions/homeland_sec...vrview.html#esd I understand it is FIERCE competition,, you might want to look into the reserve unit if you are already a medic... They also use reserve medics in their Air Rescue Unit

I knew Collier Co encompassed Naples, ... Does that count ?

I thnik what i saw was that they do not always send a transport unit.. I understand the the fire truck may be closer, and therefor go first,, what i do not understnad is the delay in sending transport for 3,4,5 minutes to wait till the engine gets to the scene...... The whole Sheriffs thing is born out of the Broward .... www.sheriff.org having taken over all Emergency service units in that county... Fire, EMS, LE, Jail, and helo ops... It was a power play by Ken Jenne, , a few years ago.... Youd have to ask someone for South FLA if it is working out or not....

I'm wondering if they get a lot of refusals or unfounded calls down there,, why else would you wait to send the transport unit unit the FD arrives .... My small dept. in NY did that in the 60's to 90's because they had a lot of fake unfounded calls. The only run/ran 3,000-4,000 medicals a year, but in 1994 they stopped this process for the exact reason that they were simply delaying the transport of a ptient to definitive care..... I DO NOT UNDERSTAND that line of thinking either. Seems like they are burning a lot of fuel to do that ...

I work in the DC area, and from everything I've read and heard about the incident including stuff from friends who work in DC Fire/EMS, the patient was convinced he wasfine, and told take pepto, you're having an acid reflux attack..... epigastric pain= AMI= Transport, it really does not get more simple than that.... This is DC's protocols on refusals...... and no where does it say suggest pepto... http://fems.dc.gov/fems/frames.asp?doc=/fems/lib/fems/N7.pdf Once agin this was a BLS unit with 2 FF/EMT's and a Paramedic Engine with 1 FF/Paramedic, while I was not there I can only assume that the other FF's wanted to get back to the house and get some rack time... and thought a 39 y/o male in good health could not have been having an MI.... DC will face another SERIOUS lawsuit, and the sadest thing is that a person is DEAD who may not otherwise have been.... Fire and EMS, kind of like Oil and Water, Gasoline and flames, does not mix, and when they do they create an explosive situation. Once again my posts are my own and do not represent my agency, unit or dept. My hearts go out to the family of the deceased.... RIP As for denial the patient was reportedly rolling on the ground in pain asking to go and since the FF's are not talking all we hear fro mthe family is that "FD convinced him he was fine" Sadest thing is ,,, they did not even do a 12 lead... only a 3-4 lead was done......

This falls under the DEEPEST POCKETS THEORY>>>IF Paramedic is Guilty, then the Company is liable for his actions .... Mo money mo money mo money.

Standby pay is another touchy issue... 20+ yrs ago ?I worked for a transport service in NY as an EMT.... They used to pay $5.50-7.50 per hour for EMT's... and on Sat Sun they had a "pager crew" You stayed home, had a pager and when the pager went off, you went and got the ambo. and did the call...... at a rate of $10.00 per call..... if it went 1 1/2 hours you got 15. so basically 10 per hour... Now the Screwed up thing was this was way before cell phones, etc, so when paged you had to call in, and then get the ambo on the road within like 10 minutes...... they had the call forwarded to a guys home and he had a base radio..... Now during the on call time... you could not do much else, you could not Drink, go out to lunch except for fast food, go shopping,,, go on a date, so you were in fact a slave to the pager...... but if you sat around all day and did nothing,,, your pay was $00.

Laurie ,, good luck with your storty,,, but be careful of your use of abbreviations POV= Personally Owned Vehicle .......... as well as Point of View,, and some others as well LOL

READ THE FINE PRINT... ALWAYS Funny ,, the web site www.centralems.com says "EMT's $35,000 Paramedice $47,000....." now they may have a signing bonus or relocation allowance or 47K may be the bottom rung for new medics and your buddy may be getting more ,,, BUT. 47K or 54K That sounds like a pretty good starting salary, but you need to read the fine print... and figure out the hourly wage... If they work you 24/24 or even 24/48 and you end up working a 56 hour week, or more, than thats not exactly 47 or 54K per year.... so to do that caluculation you should look at HOW many hours a month you are working.. if you wortk a 5/2 5/3 or even a 5/2 5/2,, thats not bad, but if you more your actual hourtly rate is inthe toilet. For Example ..... Take an average Month or 31 days..... if you are working a 24 on 48 off sched. Starting with the first of the month, and skipping 2 days (days off).. at the end of the month you will have worked: 11 shifts x 24 hours = 264 Hours do the same thing for 4 X 10 hour days with 3 days off (my schedule, sometimes) 19 shifts x 10 = 190 hours worked. But on of the BEST shifts is 12 on 12 off or 12,14,14,,, which .. in a 31 day period you end up working also about 168 hours or so per month now take the FDNY Paramedic sched. 5 on 2 off, 5 on 3 off. you would only work 168 Hours in the same 31 day period... Now there are benefits to all these shifts, but .... the more time you actually work,, the less your hourly wages. Not to mention the less you work, the more time you get to moonlight (if so inclined), or chase dates, spend time with family, decompress, whatever..... All rookie Paramedics shoult think about this and understand it, before you hire on with some company that is going to pay you 50K per year, but work you 60 + hours per week... Good luck any quesions about my calculations PM me, I'll break it down even more... Former

Hears a new suggestion,,,, live in NJ,and work as a Medic at one of the Pvt. 9-1-1 hosptials in NYC... they pay pretty well, and get some good calls, depending on where you work,, and you wiont have to deal with the NJ B.S.... +++ you already have a NYS Medic card... all you need to do is get you REMAC NYC cert.. (basically a protocol test)... Good luck

So, in Canada, what are "designated helispots" ??? Are they lighted pads at the rear of Police and Fire Stations ???... Are they big wide open pads adjacent to highways, every so many miles,,, are they Hospital helipads ???.... I'm curious what the "official" helipad designation means... Also ,, so you have a really bad wreck shooting, whatever at night,,,, and the ER is like 1 hour by ground,, do you: A) go to to local ER and stabilize, ???? and then transport by ground, or air? or Go direct to the Trauma center from the scene ????

Regardless of whether or not you are ALS equipped, the mere fact that you have a whole hell of a lot more training means that you, the ALS provider would be responsible.... thats just the way it is....

In an article dated Nov. 6, 2008 http://www.jems.com/news_and_articles/colu...l_industry.html Dr. Bryan Bledsoe, claims, among other things that "many other countries including Canada forbid (or strongly discourage) nighttime scene flights". I am not questioning the veracity of these statements, but I am curious to know, from the actual EMS Providers what the rules are for scene flights, both day and night, and how they handle transporting critcical trauma patients from accident scenes at night.. Does it just not happen, do they go to a local ER with a helipad,,, WHAT ?????

IS IN that much faster, than IM... thats the route I have always used when we cant get a line..... I know its slower than IV, but it has worked well for me in the past. Former MAC Certified Medic, now just a trauma junkie

O>k. dust,, lets just say that if i were confronted with the same set of facts, I may have made the same decision to arrest her. Refusal to give back the football, admission of having the ball, refusal to sign a summons....... maybe an eye witness to the "theft".... cant fault the cops on this one...... gotta fault the ???

And now some reportd, including the Captain are saying that she asked to be handcuffed, but was not,, as for the prosecutor not proceeding with the case, I'm no attorney, but it sounds like a more PC than legal decision..... She admitted to the cops she took the ball, I dunno the specific statute for Ohio, but sounds like "depriving someone of property to me....

OHH , and I jsut googled the story and according to one report,, Ms. Jester was given the opportunity by police to receive a criminal summons to appear in court for petty theft, but she REFUSED TO SIGN or acknoledge it. In my book the police did everything they could to not arrest he for this,,,, we'll see what happens she is due in court Nov. 12..... and by the way this occured in Blue Ash, Ohio .......

All I can say is CANT WE ALL JUST GET ALONG ???..... WTF,,, As a cop, this is the STUPID shit, we are forced to handle all the time...... I have very little sympathy for either party. The kids should not throw the football into her yard, and by law in most states, keeping the ball, is "denying another person of their property"... AKA theft....... And yet once again becasue neighbors are incapable of settling thier differences , they call the police.... and when they ask the woman about the ball,,,, she readily admits to possessing property she knows is not hers....... They did not witness trespassing, and least it looks from the video they didnt, so they can only go on what they know, the old lady has property that clearly does not belong to her..... I have 2 neighbors on either side, and my kids balls, my dog, go into their yard all the time, my neighbors have no problem with my kids going and retrieving the ball, or playing with my dog, and I have no problem sweeping up their leaves, or helping them put out or recover trash cans, they have a riding mower and sometimes cut my grass for me if we are away, or I'm working alot...... That is how you be a good neighbor, not by constant bickering and fighting and taking footballs,,,,,, these to families need to go hire a mediator, not call the police with this trivial BULL$*&T... IMHO...... And as usual the pulbic servant known as the POLICE are stuck in the middle, I hate to side with either family in sucha stupid arguement, but, so Officer X responds and takes no action..... Mom then calls internal affairs, and complains,,,,,, (remember according to old lady she admitted possessing property not hers,,, ).. what would the outcome be ????..... IA would find against the officer,, clearly he failed to take action.... So, instead, he arrests her, processes her, and a JUDGE, gets to decide whether this is tooo stupid for words ......and if i were the judge, and ive seen severl do this,, they would read both famileis the RIOT act..... As for handcuffing grandma,,,,,(which obviously she isnt since she hates kids) an 89 y/o can kill you just as sure as a 29, 19 or 12 yo can, someone is arrested, going behind me in the car, they get cuffed. No Questions asked, they the police were very accomodating to cuff her in front.........next time do not be so petty ....... My thoughts are my own and do not represent my agency, dept, or company, and are based on the limited information that was gleaned from watching that video. I have no personal knowledge of this case, or even what state it occured in.

Dr. Tober is a BRAVE man and he cited evidence based EMS to back up his claims and assertions..... I think that based on the letter he wrote, his decisions are the correct ones, If the FD really wants to do ALS, they will step up and comply with the training directives he laid out... As the Paramedics of CC Co. are operating under his license..... Good for him.... amnd as for the FD,,, their claims of hardship, and training time, simply show one thing,, they are interested in doing EMS for a bigger paycheck and bigger piece of the CC County budget, and are really not interested in the best thing for patients....... I would be curious to know what the ALS response is for CC Co. and how many responses, the ALS engines go to do not get an ALS ambulance...... I just hope that for the sake of political expeidiency, they do not can Drt. Tober, and replace him with a YES man .... FDNY Killed the provision of quality Pre-Hospital care in NYC, Do not let the same thing happen in Coolier Co. FLA.....

I agree you needed the clip attach straps, but you can use the ones you have and quite effectively... Lets see if i can describe it... after the patient is lying on the board, take the end with the female buckle, fold it about 12-18" from buckle so you make a loop in the end a foot of so from the buckle, take the loop end and slip it thru the board just under the armpit. then take the buckle end and slip it thru the loop, like a clove hitch..... take the remaining long end of the buckle and bring it across the patients chest to the other side.... then make another loop, and snug it tightly after the patient inhales, doing the same type of clove hitch... Now for the finishing touch, take the remaining male end of the buckle, have the patient place his hands down, and cross the remaining strap across the humerus and back to the other side of the board to meet the buckle, clip the buckle and tighten appropriately,,,, the do the same thing with the straps across the hips/pelvis and one across the knees, once you understand how to do it, and practice it a few times ,, one provider can do all 3 straps in about a minute or less.... I find since no 2 patients are the same, and they come in all shapes and sizes, this works a lot better than the preattached straps which I find never quite line up correctly and work find for pedestrians struck, but do not prevent lateral movement of the head, neck, spine if you need to log roll the patient or maneuver around in the high angle environment. Ohh and even though i find 3 straps work best, you can try modifying it for 2 straps do chest and pelvis, and use a cravat or triangular bandage or 2-3" tape for the lower extremities...... Good luck,,, Any questions ask..... Former

The Checkpoinusa guy with the camera, why dont we ever see his face,,,,,,, COWARD......... this stupidity is the reason USCBP units are short hundreds if not thousands of officers, who wants to be subjected to his stupidity........ He was just wasting everyones time,,, what an A$$HO%$......... he likes to play his word games, but these checkpoints are instrumental in catching everything from DWI drivers, to Illegals, to dope runners to stolen cars, to homicide suspects........ The reason they set up this way,, for those uninformed is that even witgh 100% check they cant check every vehicle,, also coyotes run people across the border then drop them off in local towns were they steal cars and hed out on the highway.......hence a secondary checkpoint. Before you critcize the officers and agents and praise this RETARD, go do a ride along with the USCBP, US BLM Rangers, NPS Rangers or nay othe runit that works to Southern border,,,, it is a real eye opener... and it will give you insight into what kind of lawlessness goes on down there....... CHECKPOINTUSA = COWARD and anti american JackA$$ in my book...... IMHO.......

NYC-EMS used to 6 months after medic school... then they decided that since medics had been working in BLS units, they decided to document 6 months,,, 960 hours or ALS unit ride time..... I dunno if they still do this or not,,, I think its a good idea.

Funny I thought the same thing ... From what I read and heard in the Helo comm. The Az DPS Trooper Medic was killed doing either a one skid step off load, or a toe him load,,,,, this NOTHING like what you call a hot load for a medevac. The procedure he was doing was the pilot was flying the a/c and he was holding a hover over a pinnicle or peak, because there was no room to land, and he was slowly transfering the hikers, from the peak into the a/c,,, when something happened,, weight shift, sudden gust of wind,, etc. If NYPD is still using their 412's (looks like hueys) for medevacs, the rotor disk is 12+ feet off the ground, and you have very little to worry about from the rotor disc.. the tail rotor is still dangerous, but the crew and LZ officers should keep you well away from that...... As far as "hot vs. Cold" loads, we do them all the time in MD, DC, VA, and they pilots will usually only shut down when there is an extended extrication time.. Every helo is different, but you only get so many sarts, you are allowed to do per month, and the transport times, in NY and my area are so short, shutting down does not make much sense,, when transport is hours. then the time shutting down is always safer..... Different helos have different Rotor disc clearances, For EX. a Bell 206, even a 407, I would ALWAYS duck with those as the disc is like 7-8 feet off the ground and a strong gust could bring it closer if the pilot is not running @ 100% (low idle like.) But no one towe ins and step offs are confined space rescue procedures and they are a lot more dangerous than hot loading at a secure LZ with good ground officer direction.

To really know the answer to this question, one had to be around in the eraly 1980's before KED's became standard on all units..... I originally tested on the short board, and the KED was a "new thing" that we "may see stadnrad some day." But, as usual, Dustdevil is correct.. I learned BOTH ways are O.k. as the straps are just used to keep the device from sliding off during transfer, Remember, when the patient gets onto the L/B you release the straps so the patient can put their legs down and you then secure the legs to the board. But, the other answer Richard and others gave was correct,,, crossing the straps, may "pinch" the male patients, so the same side to same side I feel is best.

You know, when they say, that this is "who I am".... it troubles me,,,, this will lead to a lot of failed relationships, bad marriages, and family problems,,, overindulging in EMS and using it as your "out" so to speak is not a goodf idea. Especially when you at that young..... like that 16 y/o said. This will not solve the EMS problem in NJ, just make a lot more wannabees... IMHO