robert gift

I was just watching a news show about these types of landings and more and more of them are actually staged. They are saying this is becoming common place for pilots who want a thrill or two to do this type of emergency landing and saying that the engine stalled.

I personally think some are fake some are real.

Sometime I wonder that.

But if caught, huge fine and loss of license.

And any little mishap; pothole in the pavement, wind eddies off a building or billboard, touch a vehicle or object,

could lead to ten$ of thou$and$ in damages.

Plus, if prohibited from taking off, the loading and hauling charges are very high.

Have your thrill going dead-stick onto a runway.

Better yet, don't have a thrill where you can kill yourself, or worse, destroy a nice aircraft.

I was just watching a news show about these types of landings and more and more of them are actually staged. They are saying this is becoming common place for pilots who want a thrill or two to do this type of emergency landing and saying that the engine stalled.

I personally think some are fake some are real.

I cannot remember the network I was watching that said this but it may have either been fox or one of my local stations.

Very fortunate that no vehicles were on the road in their direction. That seemed very unusual.

When I was learning to fly, I pointed out a road on which to land, and said I'd steer into the K-Mart parking lot and park in a parking space.

Doubtful they ran out of fuel. That is an easily avoidable deadly mistake.

Partial blockage allowing only so much fuel to enter the carburetor float chamber, then being used up? Not ifuel injected.

Love to know more.

Runway? We don' need no stinkin' runway.

Fantastic!

But I ain't seen no right turn signal.

Any cause listed?

Much better than landing in a field.

(I also faulted Capt. Chesley "Sully" Sullenberger for not skiing his Airbus A320 up to Pier 88 on the Hudson River.

I mean, really, make all those people wait in the cold? )

In our company we use them to a call no matter what, we don't know if it is an emergency until we get there. A lot of times the info can be skewed by the callers or the dispatch. We use lights with a pt in the back but the siren we keep silent unless needed. It usually causes more confusion and chaos. I have turned the lights off though in the city (with a non emergent pt in the back) so that people aren't dumb and try to pull into others lanes to let us go through.

We ASK if lights and siren are needed.

Simple and straightforward.

If unsure, or emergent response may be needed, we send emergent to the scene. Siren as little as possible.

Crew then determines urgency of transport to ED.

If not emergent, NO lights. (Before daytime running lights, headlights on when a patient was on board.)

If emergent, lights and siren PRN - as little as possible, both to minimize pt anxiety and public annoyance and to aid in communication.

The detective conducting the interview for DPD looked at the three applicants.

"To be a detective, you have to be able to detect.

You must be able to notice things such as distinguishing features and oddities like scars and so forth."

Showing an 8x10" photo of a suspect to the first guy and taking it away, he asked, "Did you notice any distinguishing features about this man?"

The applicant replied, "Yes. He has only one eye!"

The detective shook his head and said, "Of course he has only one eye in this picture! It's a profile of his face! Sorry, but you're dismissed!"

To the next applicant, "Notice anything unusual or outstanding about this man?"

"Yes! He only has one ear!"

The detective exclaimed, "Didn't you hear that I just told the first guy it's a profile! You're excused too!"

The detective showed the photo to Robert Gift.

"Did you notice anything distinguishing or unusual?"

Robert proudly exclaimed, "I sure did. This man wears contact lenses!"

The detective frowned, took another look at the picture and began looking at some of the additional papers in the folder.

"You're absolutely right! His bio says he wears contacts!

How in the world could you tell that by looking at his picture?"

"Well," said Robert, "with only one eye and one ear, he certainly can't wear glasses."

given your leftpondian location and proven lack of knowledge and understanding of rightpondian practices we'll give you that one

St John Ambulance - perhaps the largest operator of emergency ambulances in the UK - only becasue of the national reach of the organisation... on a county by county basis the NHS has more vehicles but that's 11 seperate regional services ...

to paraphrase mr. T you a foo and pity you ... how can you expect to be taken seriously on a EMS site if you don't know what an ITU /ICU/ level3 critical care unit is ... and understand that these patients may on occasion have to be transferred between facilities.

Never saw St. John's Ambulance when I accompanied at pt in London and Brighton.

"mr T"?

It don't matter if no.nelse don'take me seriously.

"ITU"?

Not sure what you need interpreted. Zippy's in the UK. Things are done a good bit different there than here in the US....especially here in CO.

In the UK, they have dispatchers and Drs prioritize ambulance dispatch for non-999 (non-911 for us). They don't use lights and "noise" or sirens unless it's absolutely neccessary.

Not much more to interpret from that.

"SJA"?

"ITU"?

China's 9-1-1 is 1-1-9

you referring to mr Gift there scott ? - without replaying the original thread, his lack of understanding and appreciation of the different working practices and legal precedents was stunning, and also seemed to fail to appreciate the safety record of Uk emergency services drivers vs those elsewhere i nthe world.

to the thread in hand...

when doiing Ambulance support work with SJA in the locality i do most of it in - we don't run on lights and noise to calls becasue they are calls which have been priortised and/or health Professional triaged to be suitable for a response time somewhere between send the next suitable resource but cold response and 4 hours from the call ... there's a handful of calls in the 8 years i've been doing this kind of work that were definitely wrongly categorised, and the majority of those were ones where primary care physicians had seen the patient but failed to assess them properly.

even on 999 work the number of patients transported to hospital on lights and noise is a small fraction of responses.

in terms of interfacility transfers unless the patient is an ITU transfer or has a definite clinical need to be transferred as an emergency they are transferred under normal road conditions ...

... "it was the law that anytime you had a patient on board, emergency or not, you had to have at least flashing lights on." We'd be sitting in traffic at a stop light with flashing lights on waiting for the traffic light to turn green. All it did was cause confusion. People with the green light wouldn't go waiting for the ambulance with "emergency lights" on to go, others trying to get out of the way of the ambulance to give them room to get through traffic. It was a true mess. ...

Amazed no one challenged such a stupid policy and had the guts to refuse to follow it.

Maybe he meant, 'keep headlights on' while patient is on board. That is reasonable and was practiced for many years.

Is the moronic tradition of police leading an ambulance to the hospital in OB cases, still done?

Bravo to them!

I would have done the same, even if I got fired and/or in legal trouble.

Justice was worth it.

I would have called the DVM, not to protect myself, but to learn the best drug and dosage

and where best to administer it.

So.rry that Justice had to be euthanized.

But he was near the end of his life, maybe his mentation was diminished because of that and

that is also why he got hit.

Thank you, paramedics.

Never said you were schizo just the fixation on the fake calls with lights and sirens in England borders on the schizo or obsessive.

Which is why, when asked if I were paranoid schizophrenic, I answered, "No we're not."

I'm just ranting about England doing needless live fake emergent runs, when the goal should be to minimize them.

Its the call volume vs amount of ambulances available ... 3500 calls a day maybe 70/80 ambulances?

NYPD Policy/protocol prevents such action. I've taken officers to the hospital for everything from minor abrasions, to horses falling on top of them.

So you drove red lights and siren to an officer and then took the officer with a boo-boo to the ED to be checked?

It is this wasteful nonsense which is driving us bankrupt.

Horse falling on top can be very severe.

But minor problems they should be able to take themselves.

Robert, your fixation on english fake calls is bordering on schizophrenia - give it a rest why don't ya!

Who said that?

"(many just use sirens in traffic)"

Why would anyone do that?

Using siren will cause drivers to seek the source and they would know it is not you since your lights are not on.

I would use lights and NOT the obnoxious siren.

I am not a dispatcher, I will not ask anyone anything, further more, Civilian call takers take the call and ask questions by a book of series of questions.

Here in NYC we are dispatched to a call with a priority 1-6, and unless it is for a stand by, a potty break, or an EDP we use lights and sirens. It isn't up to the crew to determine if it was dispatched properly and all calls should be responded to appropriately,

How many collisions have occurred because ambulance crews were driving to get food... how can you determine a call is "BS" before you arrive at the scene ?

Please remember when people call 9-1-1 for them it is an emergency whether it is for a hang nail or an amputation its an emergency for them, naturally if they feel its an emergency enough to call 9-1-1 they want/expect lights and sirens, If we asked every caller if they needed lights and siren response who would say no?.... and If they said no would we inform them since they are a low priority in the middle of a weekday during the spring or summer the wait time for an ambulance can exceed 3 hours? There was a 3 hour hold for an injured Police Officer last week but it was only for a hand laceration. If it takes us 3 hours to get to an injured officer, how long would it take us to get to your regular methadone patients, or your regular alcoholics?

Correct, crews do not determine response urgency.

Having dispatched myself, YOU ASK...

Not everyone calling 9-1-1 is expecting lights and siren.

If it is a hang-nail, you ask and discern if it is a true emergency.

The mentality that every incident is a life-threatening emergency is what makes people so tired of responding EVs and perhaps makes some reluctant to yield to EVs.

There is a world of difference in a traffic mishap involving an ambulance driving routine compared to

a responding ambulance disrupting traffic, taking right-of-way from others, causing others to unexpectedly stop and get rear-ended, etc.

Why did that police officer not drive himself, or have another officer drive him, to a local ED?

Is it all the BS calls that are causing such delays?

... I cant tell you how many times we get dispatched to the 90 year old that's 19 ... or 7 year old that's 70 years old or the cat scratch that was an officer cut up by a bobcat, or the leg pain that was a cardiac arrest.

Truth is people(dispatchers/call takers) make mistakes and we don't know what we have until we get there, after we have seen the patient we can make our own decisions about light's and siren usage.

If you, the dispatcher, are unsure the nature of the call, like it IS a cat scratch, the the caller will tell you "No".

How many vehicle collisions have occured responding to BS calls?

As a fire department safety instructor, I heard complaints from so many people sick and tired of hearing sirens.

What percent of responses really justified emergent travel?

An ambulance sevice for which I once worked simply asked callers if lights and siren were needed.

I never got a good answer from fire dispatch why they could not just ask the same question.

So, too often, fire and EMS is dispatched emergent to a cut toe or something just as ridiculous.

At least EMS can decide at the scene if the pt needs transport and the urgency.

When we did transport emergent, we used the siren as litttle as possible to lessen stress on the patient and needless annoyance and noise pollution.

In China, my wife say they ask.

Only ambulance go to medical call.

No fire tluck.

In England, they do live, fake, emergency runs, just for practice.

How stupid.

Also, if they knew, I cannot imagine that they would not treat and transport.

Too little information.

Do any ambulances there have GPS which reports the vehicle's location?

I don't blame them - if they did not know their ambulance injured the guy.

Did they know and get out and check the guy?

Poor guy set himself up for such a mishap.

Years ago I was driving a friend's car through an alley.

What appeared to be litter and debris was a sleeping intoxicated man.

It would have been so easy to have run over the guy, thinking he was loose paper.

We got the Darwin Award contender to move next to the fence.

Everyone says I'm a perfect asshole.

Therefore I don't need one.

Actually thought of getting one as a bithday gift to myself.

But it is too expensive.

Am saving UP money.

Hope he is improving and has the best outcome.

Didn't know to start another topic or not, or to add to the one that was already in use, but.... The day after I thanked everyone for their support I wound back up in the hosp. This time worse off, so they say. I know the night before was very rough. I swore I was having an EI. Finally by morning I got up moved around until about noon, then BAM. I know I had a near syncopal episode, but according to my wife I did go completely out. Of course she wouldn't let me up off the floor and called 911. The entire time I knew everything they were doing was over-kill. But I did hear my BP was 80-something over 60-something, and I believe my O2 sat was at 83 or something, I don't know. I just kept thinking just let me up, use my inhaler a couple of times and let me rest. But nooooo.

They took me to another hosp. than the one I usually go to and that was such a good move. I liked it much better. I just got out Monday.

But to make a long story short, they are over-killing things now. Now they want me on O2 24/7 at home, a total of a min. of 10 breathing treatments a day, which I believe may be a typo in there somewhere. And a bunch of other stuff.

I go for a follow up tomorrow where I'll get some of this straightened out. I don't need to be on home O2, don't need all the breathing treatments, etc.

What I do agree with is to stop smoking, albuteral breathing treatment PRN, combivent inhaler PRN or q 4 hrs. I don't know, it's all been pretty overwhelming. I should know more after tomorrow.

I thank you all ahead of time for putting up with me again, and I am open to any suggestions or comments.

What's an EI?

What does 83 O2 sat. feel like? Were you bluing anywhere?

I'd go with the treatment, which does sound like way overkill, and wean yourself off everything you can, AS you can.

Hang in there and keep your chin up.

Best wishes.

Robert

I have difinatly seen fuel tanks, radiators, hydraulic resivoirs, and oil pans "rupture", that is.... a crack or hole forms expelling the fluid resulting in a small stream of firefluid (ya antifreeze does burn).

I as well have never seen a gas tank BLEVE, but I have had tires, bumper shocks, nitrogen struts, hatchback shocks, pencil torchs, and driveshafts explode during vehicle fires.

There are more and more gas tanks being made out of plastic nowadays anyway.

You should be more worried about a propane tank in the trunk if there is an explosion at the rear of the car.

What kind of antifreeze burns?

What in the drive shaft exploded?

What are pencil torches?

Thank you.

Would someone please remind me what factors create the risk of car's engine exploding? I recall it was touched on here. A panic reported in this article - http://www.nydailynews.com/ny_local/2009/0...ext_top_mo.html - was apparently fed by a common belief that overheated or crashed auto engines are unstable. That made me think it would be useful to know the specific conditions for such occurrences, if there are any.

They also make cars magically launch into the air on ramps hidden from camera view.

Unless you have aerosoled droplets, fuel will just burn.

Throw a lighted match into a gas tank - the match will likely extinguish because the fumes have displaced the O2 to where there is not enough O2 to support combustion.

The most dangerous situation is an empty gas tank which may have the right range of gasoline fumes and air mixture.

When people, panicked that it will explode, quickly pull an auto accident victim from his vehicle, it can be tragic

if cervical spine damage is further exacerbated and results in paralysis.

What is this nonsense?

Re: [EMTCity] Dear emtcity@emtcity.com Pharmacy Message 82698

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EMTCITY@emtcity.com

On a run last night, our squad was dispatched to the residence of male heart patient, who was unable to get up. Upon arrival found patient lying on floor. Family advised that they were assisting patient back to bed, and he became weak, and was lowered to the floor. Patient is under Hospice care due to severe 25% cardiac output. Patient is lethargic, with vitals as follows. P 168, BP 104/68, R 20. A-patent, B-spontaneous and non-labored, C-normal, warm and dry. Monitor shows a narrow tachycardia, with no visible "P" waves. Patient's family refuses patient to be transported d/t the fact if the patient is transported they would lose their Hospice care. Family advised that they have been instructed that they must call Hospice to determine if they should call 911, and if they do and have him transported, they will lose Hospice care. What are your thoughts on this?

Put him in bed and have them & him sign a refusal.

Age? Weight? O2?

Did you scribe to the this section of the forums? If you did that is why you are getting the posts for all them and not just the ones you are active in hope that helps you.

What is "scribe"?

In subjects in which I have participated, I expect to get notices of others' subsequent replies.

(I did not receive notice of any of the replys here which follow mine.)

But I am receiving notices about new posts in which I have not participated and have no interest.

"it" reminds me of when my friend got a vascetomy.

When I called and his wife answered, I asked, "Is IT there?"