FormerEMSLT297

As someone who works in MD and has read and followed the investigation thru news and other channels allow me to clarify a few things: 1. The visibilty when the flight was accepted met MSP's nighttime rules for VFR flight. The SYSCOM dispatcher, who takes all State requests for medevacs would not have even taken the information from the requesting FD if it did not, they then pass the mission to the pilot who again checks the weather, and agrees to fly. Keep in mind that they were able to land at an off site LZ with no problems and load 2 patients. It had rained a lot in the 24 hours or so before the crash and after they took off from the scene they found weather had rolled in and they could not make PG Hosp. According to the NTSB, the pilot did everything ride, he executed IFR proceudres climbed out to 2,000 feet and attempted to shoot an instrument approach to Andrews, he was having problems with his instruments and could not capture the glideslope, he requested a PAR but AAFB only had one controller on duty and the they could not do a PAR approach, before any further radio calls were made the aircraft impacted into Walker Mill Park. Was it instrument failure, equipment failure, did the engine fail, Controller error, or pilot error that contributed or caused this crash?.... the NTSB report will be out in about a year, until then speculation is pointless, we will just have to wait and see. I mean right now we dont even know but he coiuld have been on final and struck a bird, and lost control from that, until the report comes out even just needs to wait and see.

NYS-DOH will not allow you to take an EMT course if you have any FELONY conviction, except for a few very rare exceptions,, i think for like white collar stuff, and NO NYC civil service job will hire you with a felony, not even a Garbage man, sorry to say but you are basically restricted to flipping burgers at McDonalds, or some other menial job.

Did i read correctly that you need a "patch" to autorize you to go directly to a trauma center???????? That sounds very much like 1970's medicine.. I cant believe that there are system like that still .... Why do you not have a trauma protocols that address that... ??? ... With trauma, where time is of the essence WHY should you need to "patch" Consult, or whatever, Penetrating injury to the Head, Neck, or trunk, should be automatic Trauma center candidate ........... WTF over. ????

Yup did it for years, I like a type I or III better, but it can be done and has been done, numerous units in l;ower manhattan used to use type 2 because of the narrower streetas, mostly in lower ES and China town areas,

Heah Richard, Years ago, .... Paramedic in NY was AEMT-IV-Parameidc, and what is now known as EMT-CC was AEMT-3-Critical Care,, thats where that AEMT came from NCPD Emergency Ambulance Bureau, shortened the title to AMT... hope this clarifies your quesion,.

Yeah I hear you, I too am begining to feel OLD...My first call is coming up on 25 years in a few months..... Jezz where does the time go ?

we do full first name full last name,,, no spaces, no capitals .. then i think the initial log on is your DOB and you can change it .... good luck... you supervisor should tell you your password and log on

Thats probably a typo, I think he meant "EXPENSIVE"...... which is what a lot of theses classes are .... pricey wastes of time ,, that get you no closer to achieving your "dream" of becoming a tactical paramedic. Good luck

And this suprises you WHY ?????????????????

When I found out that I had to stay until I was 62 to get a pension and that while I was a Paramedic and Lieutenant and Haz-Mat Technician, New York City Garbage men(Sanitation Dept) were: A) Getting paid more than I was, and had a 25 yr retirement at 50% of their salary, (which my NYC*EMS agency did not have at the time) Ohh yeah and the BIG one ,,,, When the FDNY took over and "merged " the depts., and I saw my career come to a screeching HALT.......

Punisher,, you say you know soooo much about flight ops and aero medical safety record, etc... And you attribute this crash to engine malfunction, because "witnesses saw the engine burst into flames...." I'll give you another scenario, On take off, a bird or 2, or some other debris was sucked into the engine intake and caused the fire...... NOTHING TO do with the mechanical record of the company ?? Ops, didnt think about that ...... Lets ALL Stop slinging the B.S. until the NTSB and others come out with an official report.... I heard from a friend who heard from someone else, who knows yet another person ....... Is is all just very counterproductive conjecture, rumor, speculation and gossip... IMHO PS does anyone know what type of a/c it was ? was it a 206 model or some other type???????????.

My dept. just put us on 96 hour standby notirce, we may be leaving Aug 30-Sept 2... we will see what happens.

Even upstate EMT-I is rare.... they use EMT-CC which is ismilar to NREMT-I99, in NYS EMT-I is like I.V. and intubation and EGTA-EOA, or maybe combi tube.... As others suggeted ,, you might be better off with EMT-P

Many depts on LI that were always volunteer are paying EMS personnel to cover day work..... Plainview, Baldwin, Jericho, just a few off the top of my head.... go to www.nassaufdrant.com and check out the posts about paid medics good luck

Never heard of bevel down,,, one thing you might want to try is this: Take a butterfly needle 22-25g, and attach a saline syringe to it, flush the butterfly needle, and put on a VCB, as distal as you can see the vein, insert the butterfly, and then GENTLY push a few cc's of saline, this will distend the vein, and then you can start a line with a 18-22 g angio.... We used this quite a bit in NYC on nursing home patients and others with frail veins, always worked pretty well.... Good luck, happy sticking.

Being an LEO and EMT-P-T or tactical Medic, when asked I would recommend to anyone who asks to get on a SWAT team first, or find a team that needs a medic, and then after knowing you have a spot, taker the course. As Doczilla said, your education could have been better spent elsewhere,, Almost no team will hire walk ons becasue of several reasons.

I concur...... LAZY, Not to mention they only became EMT-I-99's because that was the only way to get the fire dept. job, now they have it, why bother going any higher ?????????????? They want to get off a medic unit as quickly as possible, most of them anyway.

Drives me NUTS, emt-I/99 you're not a Medic, call yourself an ALS provider, but you aint an EMT-P.. Just out of curiousity, what does Iowa call full NREMT-P's ?????????? Ohh, and in MD, EMT-I/99 can do almost everything a full P can do except nasal tubes, and haldol, and RSI's/Surgical crics.....

I believe the correct term was "the war of Northern Aggression" LOL

snapping photos of patients is a VERY BAD idea. refuse to work with the guy, go to management, pics are a no no

First of all it is FDNY not NYFD,,,,,,,, and you are smart to stay away from it... medics start @ around 37 and go up to around 50 after five years,,, the system is in shambles, the crews are over worked,, the FDNY cares NOTHING about patient care, just staying out of the bad headlines and keeping FF in jobs,,, it is one of the LEAST progressive systems in the NE,,, As far as where to go,,, ??? I think some other psoters gave you some good advice..... a lot of places will not take you unless you are cross trained FF/P.... on that note, both Anne Arundel Co, and Montgomery C Co. in Maryland are hiring, I think Charles Co, is too... Google the names to get web sites, and info Good Luck

HIPPA HIPPA HIPPA, Is one of the most misunderstood laws in the country if not the world. First of all HIPPA was designed to prevent Health Insurance Comapnies from sharing personal identifying information with other sources. It has nothing to do with perspective employers. Most Federal, State, and Local agencies are entitled to past medical histories to determine suitability for employment. Now that being said yopu may be protected under the Americans with Disabilities act, but i really do not think HIPPA will help you..... Having said that, I think there is NO reason to not disclose that, unless, you were discharged for a Psych reason and you feel that you will barred from employement. Remember with certain jobs, failure to disclose now, could be grounds for dismissal later.... I would disclose it, and let the chips fall where they may... Good luck Stay safe .....

I.N.H is the one i remember as a street medic seeing all the time

Perhaps one of the Doc's on this forum could explain it better, but just because you are exposed to TB does not mean you have it or will get it .. In the 1980's in NYC, a large percentage of medics at a certain facility , i think the # was like 75% tested positive to TB exposure, because we went into and out of tons of homeless shelters, correctional facilities, etc. and from my recollection no one ever came down with TB, it just meant we had been exposed..... That is why the TB test is so misleading, you get someone who was given INH as a child, and they test positive,,,, check their X-ray, and they get a clean bill of health.... Docs, please help ,, i'm not doing justice to this topic.

EMT-P students going thru FDNY-EMS Academy are assigned to ride with a FDNY Paramedic unit, most if not all of the teaching hospitals in NYC that run medic programs assign you to ride with the medic unit out of that hospital St. Vincents, Jamaica, etc.... Northestern and Springfield College also ride in NYC on FDNY units.....