Richard B the EMT

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Richard B the EMT last won the day on April 9 2017

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About Richard B the EMT

  • Birthday 05/01/1954

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  • AIM
    RCBtheEMT

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  • Gender
    Male
  • Location
    Belle Harbor, NY, USA

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  • Occupation
    Retired EMT-B from the FDNY EMS Command on October 5, 2010, active, overall, as an EMT from 1973 to...

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  1. Richard B the EMT

    Paramedic vs. Firefighter/Paramedic

    I'm retired from the FDNY EMS Command. There, I was mission specific EMS, as were my brother and sister EMTs and Paramedics. We didn't fight fires. The Fire Fighters had to be CFR-D (Certified First Responder-Defibrillator) trained, as per the dispatch matrix, some calls also automatically had an Engine company sent along. The Truck (Ladder) companies.would be sent for motor vehicle collisions. Now, numerous Fire Fighters, outside the paid FDNY, are members of Volunteer Fire Departments, both inside and in nearby counties to NYC, that also run Ambulance/Rescue, and are crosstrained FF-EMT or FF-PMs. In the FDNY, however, they are only utilized as FF/CFR-Ds. In the FDNY EMS, again, even if the personnel came from one of those VFD-EMS/Rescue agencies, they're only utilized as EMTs and Paramedics. We do, however, have a small group of "Rescue Medics", trained in several rescue techniques, such as high angle rope rescue. All FDNY EMTs and Paramedics are trained ("Haz-Mat Awareness") to operate in Haz-Mat "Warm" zones, with specially trained members ("Haz-Mat Technicians and Instructors"), including the "Rescue Medics", as operators within Haz-Mat "Hot" zones. Within the FDNY, it is considered a "Promotion" to go from any level of the EMS, to being a Fire Fighter. Pay is actually higher than Paramedic Lieutenant, as a rookie Fire Fighter. To the original poster, this probably won't help your situation, but will explain the world I operated in from 1996 to medical retirement in 2010. Good luck in overcoming your Acrophobia.
  2. Richard B the EMT

    Old folks Still here?

    Due to a bad knee, unfortunately, would not be able to travel too well, even if the event were to be held within NYC, which is my home town, or even within Queens County, one of the 5 counties comprising "The Greater City of New York ".
  3. Richard B the EMT

    Tapatalk?

    Unfortunately, in the 6 months she was not in the house and home she's lived in from when she was 16, the Alzheimer's she was starting to suffer from, prior to Superstorm Sandy, kicked in heavily. She is now almost without speech, and wheelchair bound. Me? Right knee arthritis, aggravated by my obesity.
  4. Richard B the EMT

    Tapatalk?

    I don't recall tapatalk. When was this in service?
  5. Richard B the EMT

    Funniest EMS stories

    I'm sure I'm not the only EMT-Dispatcher who had this situation... Caller says, "I'm at (Location). Me: "What is going on that you need an ambulance?" Caller: "I was shot!" I enter the high priority call into the Computer Assisted Dispatch system, then ask: "Where were you shot?" Caller: "Outside DaNang, 1969".
  6. Richard B the EMT

    New

    Generally speaking, any EMT, Paramedic, Law Enforcement Officer, or Firefighter who has a year's worth of experience could write a first person report, and would be dismissed by the general public, under the impression that it was all made up. By the way, I have at least 80 pages onto the memory stick, for 42 years worth of experiences. You have competition, as do I, for these type books, but I wish all of us trying, "Good Luck".
  7. Richard B the EMT

    EMT Student looking for help with an assingment

    Just noted the typo, should read as "I don't know".
  8. Richard B the EMT

    EMT Student looking for help with an assingment

    I'll try as best I can. Question away, as the worst I can give ya is "I don't".
  9. Richard B the EMT

    NYC EMS Provider Killed

    With my arthritic knee, wouldn't have been physically able to stand as long as required, so I went to the Friday afternoon viewing. At least I was there. So many wanted to go, but couldn't be there, except in spirit.
  10. Richard B the EMT

    NYC EMS Provider Killed

    http://www1.nyc.gov/site/fdny/news/article.page?id=fa1817&permalinkName=fdny-the-line-duty-death-emt-yadira-arroyo#/0
  11. Last posting here in August? Where is everybody? Hiding out on Facebook _Dinosaurs of EMS? I admit I'm guilty of that. Let's see what number of postings this makes for me overall on THIS site? 6994, my response to myself makes 6995!
  12. Richard B the EMT

    TV show "TRAUMA" still out there!

    I'm a subscriber to Amazon Firestick. I just discovered they carry the show so many members of EMT City disliked so intensely, "TRAUMA". No, I am NOT going to spend my money to relive that series, or if available, "Rescue 77", "Trauma Center", or, no matter how I like Mark Harmon, "240 Robert"!
  13. Richard B the EMT

    Update in NY State Protocols

    NY State EMS Council Delegate’s Report May 24-25, 2016 By: Thomas Lateulere SEMAC is reviewing literature documenting promising news about nebulized magnesium sulfate for the treatment of adult patients with asthma. Note that there is more literature review necessary before considering protocol revisions. The “Alternate Formulary TAG” will issue its revised recommendations at the September 13-14, 2016 meetings. SEMAC Advisory 02-02 regarding AEDs for pediatric patients is now outdated and can be rescinded. Pediatric defibrillation with an AED is covered in the appropriate clinical protocol. SEMAC Advisory 97-03 regarding hyperventilation in severe brain trauma is under review and STAC has been asked to provide guidance. BLS Protocols T-5 and SC2 will be modified to remove references to MAST. MAST has been removed from the NY State BLS Protocols. A protocol revision is forthcoming that will state that for unstable pelvic fractures, a pelvic immobilization device should be used. SEMAC Advisory 97-04 regarding MAST is rescinded. An update to the Syringe Epinephrine Kit (SEK) Program was provided. All 18 regions have endorsed this program; 382 agencies statewide have registered thus far; 4,000 BLS providers have been trained; and 1,974 SEK have been distributed. To date, there have been 11 uses so far with 0 protocol violations. SEMAC, the Bureau of EMS and the pilot demonstration project administrator and medical director will be meeting with the NY State Health Commissioner to discuss changes in scope of practice. Ms. Burns revised the State DOH position released after the March meetings, now stating the DOH’s position that there is no need for participating agencies to purchase/replace epinephrine auto-injectors, however, un-expired kits should remain on ambulances as a safeguard against technical failure of drawing up medicine, or in cases where there may be multiple patients. The Bureau of EMS reported that they have begun printing EMT cards in house, significantly reducing the time frame between the NY State written exam and receiving the certification card. It is expected that EMT cards will be received within 12-14 days after taking the exam. The Test Item Committee, including Suffolk County’s Matt Zukosky, has completed their work, culminating in the adoption of 250 new questions that will be added to the test bank over the next 6 months. The Bureau of EMS reported the following written exam results for newly certified providers from this past year: 1419 people taking the CFR exam; 92.8 % pass rate; 3569 people taking the EMT-B exam; 89.41% pass rate; 37 people taking the AEMT exam; 79.1% pass rate; 54 people taking the EMT-CC exam; 95.1% pass rate; and 558 people taking the EMT-P exam; 88.6% pass rate. Continued. NY State EMS Council Delegate’s Report – Page 2. May 24-25, 2016 By: Thomas Lateulere Congratulations go out to Tom Lateulere for his appointment as Chair of the SEMSCO’s Education & Training Committee. New National Registry psychomotor skills testing process is under review for adoption in NY State. CIC Renewal Requirement that candidates are actively providing patient care has been amended as follows: For CIC whose CIC certification is expired for more than 2 years seeks recertification; he/she must document active participation providing patient care on an ambulance. This effectively removes the actively riding requirement for CICs that continue teaching but are no longer riding members of an ambulance service. A TAG has been established to review the NY State EMT-CC curriculum as compared to the National AEMT curriculum. The recently revised instructor renewal process is underway, with a small contingent of instructors statewide completing the process. Several issues have been identified and additional guidance forthcoming. Ms. Burns reported that the Bureau has filled 3 supervisor positions across the state. Congratulations to long time EMS Representative Rich Robinson, who takes over leadership of the MARO Office, which includes Suffolk County. It was also reported that Ms. Linda Tripoli, the Trauma Program Manager, has accepted another position within the DOH, and a replacement is expected soon. Regarding modifications to NY State Regulation Parts 800 and 80, progress has been made, modified language currently under review by the Bureau of Legal Affairs. Ms. Burns reflected on this year’s EMS Memorial Ceremony (May 17th) thanking all those that participated, stating that there was a record number of ambulances on the plaza, EMS providers present, and elected state officials present. The MOLST form and process is undergoing a transformation into the electronic world. EMS providers need to be prepared for the release of eMOLST, with further information released as it becomes available. The Bureau is working with other key stakeholders and putting together a focus group from fire service, ambulance service, hazmat, public health and law enforcement to enhance NY State Department of Homeland Security and Emergency Services Training Center in Oriskiny, NY. An EMS Systems Safety TAG has completed its work on recommendations for ambulance construction, which will lead ultimately to revisions to Part 800 and the CON/TOA TAG completed its work on revising Policy Statement 06-06. The TAG is now working on revising the policy statement on use of red lights/sirens when patients are on board. Continued. NY State EMS Council Delegate’s Report – Page 3. May 24-25, 2016 By: Thomas Lateulere NY State EMS Award Winners have been chosen from regional submissions. Congratulations to the following nominees from the Suffolk Region that received the NY State Award: Dr. Scott Coyne (Physician of Excellence); Connie Kraft, RN (Registered Professional Nurse of Excellence); Bay Shore-Brightwaters Rescue Ambulance (EMS Agency of the Year); Joshua Lebenns (ALS Provider of the Year); and Tom Lateulere (EMS Educator of the Year). The Legislative Committee recommended, and SEMSCO approved a motion to oppose A 3241, which if passed eliminates the requirement that motorcycle riders and passengers wear helmets. The next SEMAC/SEMSCO meeting dates are September 13-14, 2016 at the Hilton Garden Inn. END OF REPORT
  14. Richard B the EMT

    Old folks Still here?

    As for the national election, I'm now running for president. Before I do, however, I'm changing my name to "None of the Above"!
  15. Richard B the EMT

    EMTB

    Beware THIS dog, if provoked, he DOES bite! Welcome aboard.