tskstorm

Welcome to the city, good luck in medic school

Welcome to the city.

Every time I look up, theres more bad publicity for EMS ... It's growing quite tiresome... why people do this or think its okay is beyond me.

I wonder if we could go a week without bad PR

http://www.jems.com/article/news/patient-accuses-indiana-medic

Oops, I forgot about that Ops order.

Yea, they slipped that one in there when no one was looking!

My experiences in the old communications center at (HHC) EMS Headquarters was, we got two 20 minute breaks, and a 40 minute meal break. The breaks were, per published orders, never in the first or last hour of the 8 hour tour.

The only time we canceled breaks or meals, was when the CAD (Computer Assisted Dispatch) system crashed. We'd go to a system of handwritten cards on a belt delivery system, one per borough (county), and one for returning calls to the screening nurses. When the belt was removed during a renovation, we'd have personnel assigned to act as runners between the call takers and the dispatchers in the next room.

If you were already outside the building, you were envied, but if not, you'd work until relieved, or after a short period when we'd match up the cards with the CAD, to try to insure nobody who called had been missed, on the CAD.

Thank you for the insight.

One thing that I'm curious about and totally nothing to do with this thread, was how many times these 2 dispatchers asked crews on facilities if they were available for an assignment? They fully knew that there's no guaranteed break. Well here nor there. RIP sir.

Ok Im I guess I have to back off a bit. Your right, the other difference is that I am from a very small town and this is a city atmoshpere and there is a very big difference that also needs to be regognised. The comment "and they were on break" just chokes me as that is not an excuse to not help someone in need if you have the ability to do so, even if it is just holding someones hand.

Although they may have been on a coffee run, I am not familiar with anyone officially being allowed a break. When working on the ambulance we are allowed a facilities a 20 min allowance in which to use the bathroom. However they will still ask you if you can take a call if you come up recommended for it. It is at that units disposal whether or not to take the call, it is on that crews ethics, most it seems deny the call even when they are no longer using the restroom. (If caught disciplinary measures would follow) But as you said in a city environment can't have a supervisor everywhere every moment.

Summer months like we have now, we run 4300+ calls in 24 hours. The number of ambulances may increase slightly, but rarely are their extra supervisors.

Seriously?????? Do you think it was appropriate that he didnt stay and help in any manner possible even if its holding her hand. I do recall this insident when it first happened but when you read news articals you dont get the emotion out of it. Did he leave because the situation made him uncompfortable, or did he leave because he was a dick who knows right.

Your comment about not haveing an ambulance, not a field employee, and was on break really to me is very disturbing because as far I am concerned its like being a cop, your a paramedic 24 hrs a day on or off shift.

My husband (fire fighter) and I(paramedic) many years ago (both off duty) were the first on scene for a shed fire that a 12yr old boy burned to death in. I didn't have my ambulance and he didnt have his firetruck but we did everything possible to help the burned people that had tried to rescue the boy and to make sure the fire didnt spread to other homes. It's about your morals in the end and I couldn't imagin not staying and helping that is just WRONG.

A cop is a cop 24 hours a day when ARMED here in NYC, if they don't have their gun they are not expected to do anything.

Having an ambulance as a Paramedic is very much like a gun to a cop.

I don't agree with the reaction of himself or his girlfriend. I'm not defending it. Just illustrating the difference and similarities of the situation.

RIP to the Deceased

Lets let this thread die, and take this conversation somewhere more appropriate.

RIP Jason Green.

There is a background investigation and a psychological examination during the hiring process for the FDNY.

*Note*

ELEVATOR Keys are issued to all 911 Ambulances in NYC at this time. FDNY and otherwise, If they do not have them, they are supposed to. There was an "ops" order issued saying such with the directions on how to use them properly.

FYI Like Richard, I've had that key for a long time very common for people "on the job" to have it. It comes in handy on many an occasion.

All we know for sure is, she had a severe asthma attack, to which she succumbed.

From CNN (http://www.jems.com/article/news/no-link-found-waitress-and-fdn?utm_source=Go+Forward+Media+eMail%2C+Powered+by+Bronto&utm_medium=email&utm_term=No+Link+Found+in+Waitress+and+FDNY+EMT+Deaths&utm_content=RCBTHEEMT%40AOL.COM&utm_campaign=JEMS+eNews+07-20-10)

Please, don't take my comment negatively, was an answer to a question. I wouldn't want to assume anything about anyone.

Interesting.

So what did the woman who died do to deserve the death *she* suffered?

All we know about her is what the media has told us... We have no idea, what she may or may not have done in the past.

So I'm interviewing with a big EMS department today for a dispatch position; I am an EMT-I but haven't been able to pass the physical test there to work as an EMT/Firefighter. (I hope to work my way towards passing in the next few months, meanwhile, get my foot in the door now.) I am very confidant; I know a of of the staff from my clinicals and testing.

What's strange is that last night, one of the medics from this company was shot in her home, and she's now in critical/stable condition. I don't know her personally, though I think it's absolutely terrible and I really am empathetic.

At my interview should I mention anything? Would it be tactful for me to ask how everyone is doing, or offer my empathy?

Or would they see this as being nosy or intrusive?

Any advice would be great!

Thanks

I wouldn't mention anything. Don't see it as being helpful to you in anyway.

http://www.933flz.com/common/tpdshirt.html

t shirts for sale to support the officers fund...

http://newyork.craigslist.org/brk/edu/1830587812.html

also posted here.

the Rad57 is used here on all firefighters before they can return to the "house" after a working fire.

The snapping pics of the comp thing is very commonly done, but it is also common practice to blur out address phone number etc.... or at least change it .. Not saying it was a good common practice, I uploaded a picture to my FB not that long ago, and a friend who knew this Lt. Called me immediately and said it was better for me to take it down, and I only took a picture of the time I was sitting at my posting without an assignment.

Further, Nick, it claims he ripped that part of the dunkin donuts order off... But you're right it could have been dangerous.

I also am not satisfied with posting pictures of the computer screen on face book and calling it a prank, we post the times to rib at the other units in the area who are on assignments, but when your posting pictures of calls with details that's just stupid.

My fellow providers, I need some assistance.

Currently I work in Pennsylvania, and our current protocol for medication via nebulizer state we can provide albuterol 2.5 mg mixed with ipratropium 500 mcg. It also states that we can provide nebulizer treatments continuously. This is against what I was taught, and against the protocols in the past two states I have worked in and the state below me. I was taught that because ipratropium is an anticholinergic drug it is only to be given with one time, while the albuterol can be given continuously.

At this point, I'm pretty confused, and honestly I only give it one time to my patients that require that treatment because that is how I was taught, and I don't really want to dry out anyone that might already be getting dehydrated if they've been battling a wicked asthma attack for several hours.

Would one, or more, of my colleagues here please help me understand what is correct with regards to administration of this drug?

Thank you.

Protocol here, is max of 3 doses of Atrovent mixed with the Albuterol, but that's also our max on Albuterol.

I'm not well versed in the long term side affects (read in hospital management of the patient after Atrovent administration) I will say here in the hospitals when I did rotations, and when we bring patients straight to the asthma room, are almost always on continuous nebulizers with Atrovent and Albuterol.

Welcome,

http://www.trainingdivision.com/?gclid=CKP2xa7pvaICFZdL5QodNQ_h4w

Hey welcome to the city, try not to double post/cross post.

You will get better help with more information, where are you coming from, what are your harsh conditions, what do you want to accomplish by becoming an EMT etc...

For those who don't know, I'll be graduating with my B.A in Psychology in 6 months from now. One of the projects I'm undertaking for my final semester is developing an education module on Post Traumatic Stress Disorder. I've had a few very nasty run ins with PTSD myself, and I was amazed at the lack of education about the signs and symptoms of PTSD as well as what can be done early on to help reduce the impact of it. I am planning on developing a powerpoint based course (about half an hour to an hour long) that is aimed at field level practitioners to help identify the symptoms in both yourself and those around you as well as some strategies for coping with stress in the workplace and at home. This isn't going to be an hour of psychobabble that you wish you could get back, rather, something that everybody from a MFR or Firefighter First Responder up to Critical Care Paramedics can find meaning in. I'm wondering how much interest there would be out there for something like this if I were to expand it from beyond my Health Region and made it available to others across Canada (and the US if so desired). The reason I'm asking is that if it is going to be used on a broader scale, I will have to tailor it more generally rather than using just the resources available within my region. Let me know if you think this would be useful for your service/area as well. (By the way, it will be free of charge)

Vin, Sounds good to me bro. I don't see why not probably not a bad idea to be shown during a CISD or during a new hire orientation.

Prenup!!!!!!

Divorce is really expensive cause its worth it.

Maybe I am just bitter, jaded & hateful..........

No this is good advice. Just get one, and then you never need to worry.

Welcome to the city!

I'm going to stick to the traditional, don't do it you idiot you suggested we don't say lol

Welcome to the city.