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Richard B the EMT

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Everything posted by Richard B the EMT

  1. I had to look back, so no idea why it's under Funny Stuff. While the question of 3 Strike Rules might be hypothetical, I feel that, hypothetically, the aforementioned Malpractice by failure to act could be applied, at someone, or an agency's expense, in the millions of $$$.
  2. I have heard of many U S jurisdictions considering 3 strike rule implementation. Unfortunately, 3 strikers, and the full run of frequent flyers, are a part of the job. I didn't like those calls when I was still working, either, but some of that is actually our bread and butter. Everyone would be a PTSD case, if all we handled were multiple alarm fires, 20 car pileups, and planes into apartment buildings, in the course of a workweek. Just administer the Narcan to effect, get them breathing again. Restrain them as nessesary as per your regional accepted policies, and transport. NEVER slam the entire amount of Narcan, as that's when they're going to really become agitated, and they'll attack anyone and everyone who, in their muddled AMS state, they associate with the ruining of their high!
  3. Watch how quickly you as an individual, as well as your EMS agency, get sued by the family of the 3 strikes patient, when said patient dies. You and agency will be charged with "Failure to act", under malpractice. It could mean your certification or license revocation, as well as the state Department of Health closing down the agency. This would be the potential results, were this to follow what I believe are New York State DoH rules and regulations. I'm going on memory, as I'm now retired 10 years. Addendum: Would you refuse a frequent flyer who calls for help due to more than 3 times, due to their Angina condition? An uncontrolled diabetic? An asthma patient?
  4. Hello, everyone, Richard B the EMT here on an overdue visit. Hope you and your families have been safe from the CoViD 19, and you have not lost anyone from your teams. As I'm now almost 9 years being medically retired from the FDNY EMS, I'm relatively safe. None of my family, around the country, have been affected, but in the last month, I've lost at least 10 colleagues in the New York City "Tri-state" region, 3 of whom I used to work with, or under their supervision. You know the drill. If dispatch, or you and your partner(s) are the least suspicious of a call, not just the gloves, but the full PPE. Wash your hands, wash your gloves while you're in them, wipe down anything you can think of, including the ambulance door handles, and the keypad that lets you into and out of the Emergency Room. Try NOT to bring the Pandemic home with you to your family. If you're having issues, talk with your Employee Assistance Unit people, by whatever name they go by in your agency. If unavailable, there are several Emergency Psychiatric services available around the country, available 24/7/365. All religions train their men and women "of the cloth" in counciling, which is an available service to be considered. Here in NYC, we just lost an ER doctor and a 3 months on the job rookie EMT to suicide. None of us want that of our coworkers, or they of you. Although it's slow in coming, there will be an end to this Pandemic. Come that time, even with me not being a drinker, I will go to a bar for a beer in salute to my comrades around the world, active and past, and to those no longer with us. Until then, I'm going to continue sounding my car alarm, and ringing my cowbell (been in my family so long, don't remember a time it wasn't in the house) every evening at 7 PM.
  5. I'm mostly on Facebook, on the aforementioned Dinosaurs of EMS, as well as Veterans of EMS, several FB sites specific to the FDNY EMS and it's predecessor, the NYC HHC EMS, plus several FB sites in no way related to EMS, like CB, GMRS/FRS, and Uniden Scanner radios. Other than that, I'm primary family caregiver for my almost 95 year old mother (birthday 2 weeks away as of this posing), running the household as her Power of Attorney/Medical Proxy/youngest adult age child, keeping the aides in line. I'm suffering from arthritic knees due to OTJ injuries, over a 40+ year career, now 8 years retired, (not by my choice) quasi active with the New York York State Volunteer Ambulance and Rescue Association (District 4 Metro NYC region), volunteering with a local elected official, and keeping company with my girlfriend of 30 years (Not living together, but she lives 2 blocks away) whom I met at my Volunteer Ambulance Corps. I'll occasionally pop in offering my "sage advice" (Really, Richard? Lol) to others, here.
  6. Me being "Captain Obvious" here, take the situation to human resources, or at least to the immediate supervisors. Document all complaints, times, dates, the usual deal. If possible, address the issues to a female supervisor, so she might be more comfortable, even as the men working with her are uncomfortable. Running around in her underwear sounds like...well...inviting trouble. Not knowing the indivividual, could she be trying to trap some or all male colleagues into a sexual harassment lawsuit? Or even a lesbian coworker, in a similar lawsuit? When she's on the road, is she at least a competent EMT or Paramedic, or driver? If not, perhaps she's trying to keep those who could fire her off balance, with threat of a lawsuit. Again, as the Captain, her actions are behavior of an unacceptable nature. Keep the City informed as to outcome of this investigation/situation.
  7. ParamedicMike, he probably did well, given his experiences. Give him a couple of days to settle in, let the noobs he's with get to know him, and he, them.
  8. 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.
  9. 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 ".
  10. Some didn't even make it to the sand. The landing craft might have been hit by mortar fire with no regard if you got off it or not. The Allies lost a lot of good men that Longest Day. James Doohan, who would go on to portray Lt. Commander Montgomery Scott in Star Trek (The Original Series), was one of the Canadian troops to be wounded during that day. Reportedly, actor Charles Durning was having nightmares from that battle for decades, actually waking up screaming. There were probably other actors who fought that battle, not as actors, but as Soldiers, Airmen, Sailors, "Coasties", and Marines, but these 2 come quickly to mind. We thank them for their sacrifices.
  11. 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".
  12. No matter if celebrating Easter or Passover, hope that it's been a happy one (or both!).
  13. 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".
  14. Perhaps correct, but at least was posted in one of the non EMS areas.
  15. It could escalate. One country attacks another, treaty nation(s) respond assisting attacked nation, other treaty nation's respond, backing the attacking nation. Each treaty nation's pulls in the other nations THEY have treaty's with, until we have an actual fully involved World War! Its's only been 50 something years, have we forgotten the "Domino Theory"? With all the atomic and thermonuclear arms in multiple nation's, and threat from other nations with "The Bomb," or missile systems to carry them, we are once again approaching "MAD", Mutually Assured Distruction,! Does everyone have a bomb shelter, and 50 years of food, water, and oxygen stocking it? Welcome back to the 1950s!
  16. Just noted the typo, should read as "I don't know".
  17. I'll try as best I can. Question away, as the worst I can give ya is "I don't".
  18. 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.
  19. http://www1.nyc.gov/site/fdny/news/article.page?id=fa1817&permalinkName=fdny-the-line-duty-death-emt-yadira-arroyo#/0
  20. Unfortunately, this seems to be an accurate observation. I, myself am guilty of it, as I always seem to have at least 75-100 FB communications from friends and groups, daily, and I try to look at all of them. The problem with EMT City moving to FB is that you can't find old postings after a certain amount of time, so the same questions will be asked again and again.
  21. 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!
  22. 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"!
  23. 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
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