tskstorm

Richard will have more accurate information than I do, but I have a few things to say, FDNY dispatchers rotate what I believe is 80 minutes on he dispatch board 40 minutes off due to the "highly stressful" nature that is dispatching 3500 plus cals a day. We (field providers) also have whats known as a 10-100 or personal break we get 20 minutes to eat, however our 20 min is not duty free, but a time where dispatchers will make reasonable accommodations if 2 units are available and one is on a 10-100 and the other does not have an obscene eta, they will assign the second unit, however we can still be assigned a job. We also have a facility break also 20 minutes long where we may use the bathroom, if we come up for a job dispatch will ask if we are able to take the assignment or if someone is still using the restroom. If someone is in the restroom we are allowed to refuse the assignment as long as we were given our facility by the dispatcher. I do not know what the communications personnel uniform is, so I don't know what was displayed or not. A few interesting points/food for thought. How many times do you go to a store to get lunch or pick something up and someone jokingly states that they're sick. This however is no excuse and not an attempt to defend them but we do get these things no? As a field provider, if I was on a 10-100 getting food and someone told me someone was having a seizure in the back 2 things come to my mind immediately 1 This guy needs to switch to Decaf and stop playing with me this early in the morning (I'm not a morning person) and secondly I think of how unsafe it is to walk into a back room in any establishment without someone knowing where I am, and why I am there. I would not be walking into a backroom without notifying a dispatcher and having a radio at minimum. Trust no one and no thing protect yourself. Things need to get handled differently in the future and in situations like this, however I can see why they didn't rush to the back to see whats going on. It needs to be noted they didn't step over a patient and just ignore them, they never saw a patient, should their actions have been different ? Absolutely, as a field provider I would ask for PD to my location or even a supervisor just because I'm a skeptic. To add to my skepticism, I would be thinking to myself if something was seriously wrong with someone in the back why is the Manager running out here tell me and not on the phone with 9-1-1... I would be very cautious about it. Had they made the decision to go to the back and help and this woman died, there would have also been bad press as stated. Had they gone to the back and the woman went into arrest would they be expected to give mouth to mouth? A student and a friend both have worked at Au bon Pair, and have stated it was not usual to have a cpr kit present in these establishments even though they were supposed to. Where does duty to act and personal safety meet? Do we and should we expect dispatchers who don't on a regular basis work with patients to have gloves on them ? Further as dispatchers we can't expect them to have the same intuition or knowledge as long time field providers. As far as treatment of seizures in NYC prevent patient from harming themselves is part of the protocol. I just got called for an assignment, to be continued.

Better question would be, does someone who has expired have HIPAA rights? http://www.hcpro.com/HIM-23324-866/Does-HIPAA-cover-deceased-individuals.html It would seem so!

I was a lucky giftee last year ... hmm wonder how much longer I got left... I might need to post whore a bit so I can get in for free lol I got another 6 months anyone know the posts needed anyways? 2k was it ?

The basic idea behind this is you can get 6 views in the same time it took you to get 3! It will barely change treatment modality, just a rough estimate of what you can expect upon full examination, kind of like palping a bp its an estimate of what we will get upon taking a proper bp! I mean if you already put the limb leads on for a quick rhythm analysis, how many seconds does it take to hit "12 lead" twice?

google Shoulder abduction splints plenty that are less complicated !

http://www.apos.net/images/services/airplane.jpg Its a Shoulder Abduction Splint ... (I googled it myself!)

TranScare allows you to choose your schedule based on whats available, when you first get hired/ and or upgrade to full time they will say I have units 17J2 on Tuesday 12g2 on Friday etc... and you can choose from them. Further during the first week of the month they post a list of open shifts at every hospital for anyone who might want to change their schedule these changes are honored based on seniority. In a way it is always based upon what the company needs, But they are pretty flexible about your schedule. When I upgraded to being a full time medic the schedule I wanted was of course what everyone wants, weekends off, good partners, same unit(a lot of people work multiple units at multiple places, I can't stand having to think about my unit designation or where I need to show up to work today) etc... I was lucky enough that I got just that. No weekends, great partners, all the same units. I guess your statement is pretty fair however at TC if you are offered a shift/schedule you don't want you can always say no, I'll work per-diem until I can get a schedule I want. Per-diem personnel at TC can still work full time hours, as we always have holes to be filled. They just wont have PTO or benefits until they go full time.

My link Networks Play the Cancellation Card By Lizbeth Scordo | Wednesday, November 11, 2009, 4:44 PM Rebecca Romijn, Kelsey Grammer, and Eliza Dushku ABC, FOX Another three shows bit the dust this week, and I'm betting you saw one or two of them coming. "Eastwick" Trouble brewed over for ABC's freshman drama "Eastwick," based on the John Updike novel "The Witches of Eastwick," which also inspired the hit film of the '80s. The series, starring Rebecca Romijn, Lindsay Price, and Jaime Ray Newman as New England women who discover they have magical abilities, had gotten mixed reviews. But the problem with a television adaption is, when you've got to live up to a film starring Cher, Susan Sarandon, Michelle Pfeiffer, and Jack Nicholson, the deck is pretty much stacked against you from the start. Loose Ends: Word is that execs kicked the show off the schedule so abruptly, there won't be time to wrap things up with a proper ending. Oh well. Fans can always rent the movie. "Hank" "Hank" is the new Kelsey Grammer sitcom about a big-shot executive who's forced to move his family back to the Midwestern small town where he grew up. The hokey "Hank" got bad reviews and even worse ratings right out of the gate and it quickly became clear it was only a matter of time before "Hank" would have to hit the road. As fans eat up sharp and sarcastic single-camera comedies like NBC's mockumentary-style "The Office" and ABC's "Modern Family," will more traditional sitcoms like "Hank" get squeezed out, eventually sending the laugh track the way of the VCR? Loose Ends: Rumor has it the remaining five episodes that have been shot will never see the light of day. "Dollhouse" Sci-fi (and Eliza Dushku) fans were dealt a big blow when Fox announced it's canceling its sexy show "Dollhouse" after two seasons. The series, focused on a group of hotties working for a sketchy organization that repeatedly wipes their memories clean, had its share of cult followers, but the ratings never followed. Viewers were happy to hear Fox's recent announcement that it would air all 13 episodes ordered for the second season, but the fun will end there. Don't worry fans -- no matter what, Fox can never erase your memories of Dushku in a tank top. Loose Ends: The remaining nine episodes will begin airing December 4. Here's a list of more shows to say goodbye to: "The Beautiful Life" (The CW): That Ashton Kutcher gets everything he wants, so it's no surprise viewers aren't shedding any tears for Mr. Demi Moore now that his latest TV projcect -- a show about models, no less -- failed. The series was the first casualty of the '09 fall schedule and left the catwalk after just two episodes in September. "The Cleaner" (A&E): This gritty Benjamin Bratt drama was canceled during its second season and aired its last episode in September. "Monk" (USA): This quirky comedy focused on a private detective (played brilliantly by Tony Shalhoub), had a good, solid run, and has given fans plenty of warning that this season, its eighth, is also its last. The series finale airs December 4. "Southland" (NBC): Though NBC canceled this cop drama early in its second season last month, fans will get their happy ending now that cable network TNT announced plans to pick up the show and will begin airing the series from the beginning in January. "Trauma" (NBC): This new NBC medical drama about jumpsuit-wearing paramedics flying around in helicopters needed a little life support of its own, but never got it. It's unclear whether the network will air the first season's remaining six episodes.

We as in EMS can not fix this, it is not an EMS issue, all I can only do is what I would hope everyone does. I help take care of my elderly neighbors, by going to the store for them, occasionally cooking dinner for them, and in general the little things. They know they can call me for the little things and I will be there to help out. Some have HHA's and other sorts of help, but we all know not all HHA's do everything they are supposed to do it and even fewer do it well. As Far as that FD crack, I'll let it slide!

I beleive the 6 lead would consist of 1,2,3 avf, avr, and avl you wouldn't get readings from v1-v6 ...

I hate to quote a number but I must say about or even at minimum 9 out of 10 of my patients get 12 leads, they make me lug that damn monitor to calls might as well use it ... Please don't think I'm looking for a way to get out of doing 12 leads, just came across this and was curious about it.

From my understanding you attach the limb leads then hit the 12 lead button twice, no moving of leads ... The chest leads, v1-v6 wouldn't be visible but your augmented leads would ... Whether or not there is a benefit is another question. ST elevation on a 3 lead is non-diagnostic from what I've been told, when you do a 12 lead it is diagnostic. So would this 6 lead be diagnostic? Would ST elevation in this 6 lead be diagnostic, would save you a few seconds and I do literally mean a few seconds before the chest leads for the 12 was put on ...

I read this on another forum Anyone ever heard of this? or done it ? I will be attempting it at work tonight just to see it ... (almost all of my patients get 12's anyway)

1. Yes I always disliked their tones. However their tone's and Vent's doesn't seem to be the same to me. 2. Here's the ultimate problem, these persons who use 9-1-1 for this nonsense fall into a category called "social removal" They need a social workers help, I can not leave them home, I must transport them to the hospital against their will. If they are not safe, and can not take care of themselves they must have a medical evaluation and social work 'stuff' done. NO one here wants these patients forced against there wills, however if you can not get your own milk and fill your own refrigerator without calling 9-1-1 how can I expect them to cook for themselves and clean after themselves, and in general take care of themselves. These people do get help, and they do need help, they should not need to call 9-1-1, for these basic services. We should not be picking up societies/social workers slack. Who picks up our slack ?

Welcome back!

I tell every student I precept about the site as a good place to start exploring EMS outside of their norm. Most have signed up, few if any have participated. Should be pretty easy to whip up a PDF with some basic info, however to me it seems people would not be receptive to flyers because they would still be tasked with having to type things in. Which makes it as valuable as word of mouth. Using email would be optimal, as it would make it only a click away. Brent something to think about, instead of creating an EMTCity facebook group why don't you take the link, and write a little paragraph and post it on already established EMT and paramedic groups ...

Last post edited, and the avoidance began with you talking about herbies tone instead of responding to the content.

His tone in his comments towards you may not be appropriate either, now we are making the thread about something unrelated. To say I don't have information on, or experience with anything is very poor judgment on your part. You have no way of knowing what I know or what I have experience with. As I do not know of you. If you make this assumption based on forum posts, well its just a poor idea. ____________________ Thread is dead to me. There is nothing good to come of anything else said. Let it fade to the depths.

As I said earlier which you obviously didn't bother reading ... 3500 calls a day Average day is 12 calls in 12 hours, with each job lasting 50-60 min, the assorted few minutes in between goes to restocking and other admin. The only place we sit even if there are 0 calls is in the ambulance on the street corner waiting to go. There is no fire house or station, there is no TV or BBQ etc... I don't need a gory trauma or a code to justify the purpose of using 9-1-1. Every call has its own challenges, ie: not being like the idiot's who broke a patients lifeline box regardless of how ridiculous the current call is. It's a challenge not to get upset with the misuse of the system, its a challenge to remember its the system, not the user. To repeat and quote myself,"I still do not, and can not agree there is justification for life line any other system similar to life line, or even the geriatric community calling 9-1-1 because their milk is sour, can't find their glasses, etc..."

I'm sure she knows more about respiratory pathology then I do ... Why is that relevant to this thread? If she lost the tone, I think more would be willing to accept what she says, and have an opportunity to learn from them, as a rule I usually skip over her posts because I don't like the tone. She may very well have spent a lot of time trying to improve her system she is involved in ... No one is taking that from her, I hope she continues helping her system. I still do not, and can not agree there is justification for life line any other system similar to life line, or even the geriatric community calling 9-1-1 because their milk is sour, can't find their glasses, etc...

yea I can see how you didn't interpret her intent.

Important side note there Brent thanks. You interpreting someone's intent is pretty much invaluable. My interpretation of her intent differs, as I'm sure herbie's does and I'm sure that also differs from the other posters. Understanding patients feelings is one thing, I understand the patients need for their glasses to be picked up, I understand their need for the smoke detectors to be checked. I also understand they don't need to and shouldn't need to dial 9-1-1 for these things to get done. The solution for their problems is a 'complex social service issues' which I can not help. Being disgusted with a call is not the same as being disrespectful or unprofessional on a call.

I'll just let part of that slide. Public assist calls are a social work issue, actually, since you're so community oriented, why can't the next door neighbor (even if next door is 2 miles away) go and help that person find their eye glasses? Why must they rely on 9-1-1 and not their community? Why do we not take care of each other, and leave 9-1-1 for true emergencies as it was designed

There is a difference between typing anonymously on a forum, and typing something to be published. If SoMeOnE ChOoSeS To TyPe LiKe DiS, DaTs DeR pRoBlEm. If some1 chooses 2 type like this who cares. You can think they're an idiot for their spelling and grammar, and they may look at your response, and your typing as pompous. I don't think this should be such an issue, and if it is enough to be enforced on the board, it should be enforced in the chat room, private messages, and status updates as well.

I agree its a completely different issue I was just curious ... but on the other hand If I went to my administration and asked them to pay people around 45$'s an hour (average OT for a Medic in my company that I am aware of) to check smoke detectors, check car seats etc ... what do you think they would tell me ? [that's about 165K a year if 1 person does this for 10 hours a day] If they were going to pay me OT, why not put me to use on a truck, there are multiple OT openings on trucks nearly everyday. If we had all these people willing to donate time, we should put extra units in service and decrease response time during peak hours before we go doing public safety crusades. Lets try and "save lives" before we "prevent injury" life over limb no? As it was said earlier, the idea's are great, the practicality is not there.