Richard B the EMT

Can we all come watch at your next train wreck? LOL

I had a partner who was told his state EMT number, but never realized he'd been duped by the EMT school, when an audit caught his nonexistant EMT number. The school never registered him, or others in his class. He eventually took another class, got a real EMT number, and resumed work as an EMT. The company that then employed us realized he had been duped by the training agency and let him stay on as an ambulette driver while taking the retraining. The NY State DoH did go after the training agency, but I never heard the disposition.

What is Roy's on line name again? Welcome Back, Kountess, long time no hear from, and hope everything is OK, if hectic.

Hey, Ruff, is this how you expected to have this string go?

Problem with this. How are you gonna know, until the detonation flash, where the next one is going to fall? Unintentionally, you may have just moved everyone into the blast zone of the next incoming. Where is the nearest military base to the station/house? Depending on what they do there, might increase the potential as being a target. We remember: http://www.emtcity.com/index.php/topic/14388-the-ultimate-wacker-kit-no-joke-5k-spent-on-it/page__st__180__p__215937__hl__Whacker%20EMS%20bag%20__fromsearch__1&#entry215937

This is true, however, before Julie London was married to Bobby Troup (Dr Early), she was married to Jack Webb, who created "EMERGENCY!", "Dragnet", and "Adam 12", and owned the production company that created them (Mark 7 Limited). By the way, seeing that clip from Dragnet, here's as usual deadpan Jack Webb with Johnny Carson on the Tonight Show, in an interesting exchange. http://www.youtube.com/watch?v=F4RIBhQIkII&feature=player_embedded

After much thought, I decided we've CONNECTED. WIRE you disputing this? At least it has SPARKED conversation

Where is this, Lawrence, Kansas? That was the main area depicted in "The Day After", a few years ago.

The way this scenario is unfolding, you're up Shyte's Creek without a paddle, and all Hell is out for Noon! Prayer might be a good idea at this point.

Wait one! Have you forgotten the show "Police Woman", starring Angie Dickinson as Sgt. Suzanne "Pepper" Anderson? While not commenting on her acting, she was definitely more sexy than Julie London's Dixie McCall. This in no way says Dixie was a slouch in the "sexy" department, she held her own![url=http://www.imdb.com/character/ch0038620/] http://www.imdb.com/media/rm3127744512/tt0071034

If possibly 5 miles away, it probably would have also shattered the windows in the station/house. You have power for the room lights? A smoke cloud was mentioned. Does it look anything like a mushroom, the supposed classic indicator of an atomic or thermonuclear explosion? Did anyone report a blindingly bright flash, lasting for anywhere from a split second to 10 seconds, before the explosion concussion reached the emergency building? Despite the weather report, especially if this happens in midsummer in Florida, has it suddenly started to snow? It probably was an atomic or Nuke detonation, with the EMP as already described. I suspect any beeper sized radiation detectors, and possibly the 1950s yellow box radiation detectors from the movies (some still available in the catalogs I am getting <no, not the Galls catalog!>), will also have shorted out from the EMP. Wasn't there a TV show 2 years ago, using this as the premere episode, and the series taking the idea of "after the bomb goes off in our backyard, what're we gonna do?"

I blew up the video as best I could, looking for the collar tacks on the shirt. EMS has silver Star of Life with an overlay of FDNY on it, and most FDNY members, but not all, have the number of their apparatus, example, L171 or E267, on one side of the collar. Some of us FDNY EMS Command wear, as kind of a reminder of who we were prior to St. Patrick's Day 1996, the old tie bar, with a miniature of the old EMS patch, flanked by the letters, NYC EMS. If the woman had shown the man's right shoulder, it might have shown a Station Patch, an EMT, Paramedic, or Certified First Responder patch. If this individual was wearing anything, the quality was not enough to identify it on my Dell PC. I have to mention that the CFR patch is strictly worn by firefighters, but depending on what fire house, or EMS station, the FDNY member is from, an ID by that "house/station" would identify them. The man's shirt if light blue. All that signifies is that he is either an EMS or Fire fighter "Grunt", and not a lieutenant or higher rank, as they'd be wearing a white shirt. FYI, EMS officers have large circular Star of Life pin devices on the class "A" jackets like the device on our hats, fire guys have speaking horn or "scramble" pins indicating rank. In a way, I an happy that, with no regard if he's an EMSer or Fire Fighter, I don't recognize him at all. I like my plausible deniability.

Putting my protocols up against everyone else's, there is usually consent, 1) Informed Consent, where the patient understands everything, including worst case scenarios if they were to decline treatment and/or transportation, up to and including them dying, 2) Implied Consent, where the patient is unable to communicate their wishes to be treated and transported, but the crew believes and acts as though the patient did understand, as per item #1 in this posting. For a minor aged patient, it is implied the youth's parent, guardian, or caretaker would want the child be treated and transported. If a patient seems to not want treatment or transportation, as a person deemed to be "Alert and Oriented times 3" (times 4 in some jurisdictions) would be, and it is suspected the person is in some altered mental status (drugs, dementia, psychosis), as I already stated, the LEOs, acting on behalf of the suspected AMS person, will step in and "grant permission" to the crew to treat and/or transport.

A possible reason "Emergency!" was, and by some, is, held in such high esteem, is that what they showed the then new concept of emergency prehospital Para-Medicine care and transport, had one basic story line per episode (example: Fire Fighter Chet trying to get a good action shot of the Station 51 personnel working a rescue, only to have the photo showing the action including him in the shot, showing that he couldn't have taken the picture, or due to a bunch of calls arriving without allowing them time to remove a picture of a chief from the house watch room clock, only to find a note from the chief on their return saying the clock was fast), with a bunch of sometimes dramatic, sometimes comedic, interaction between the characters, and had only one major medical, fire, or rescue element per episode, admittedly with a overabundance of saves as opposed to real life unsuccessful saves. Also, the show was well written.

Hasn't everyone here thought about writing a TV show, complete to who would play yourself, if not portrayed by yourself? I have. When I do the life history of "Folkie" singers Peter, Paul and Mary, I already have Patricia Arquette, now seen as Allison Dubuose on "Medium", as Mary Travers. (Keep dreamin', Richard). As for my filmed biography, I'm thinking John Goodman as me. Face it, we all might have an idea as to how TV characters act, and how we'd have them act. As the majority of us never are going to get the chance, this is going to be available as a next best thing, as we criticize (and sometimes compliment) TV shows like Trauma.

OK, I got my first response on Facebook, via a page for my EMS station.

Could it be said that a suicidal person, who would be called an Emotionally Disturbed Person (EDP), could be declared to be in altered mental status, therefore making them incapable of proper decisions? In that instance, the LEOs, "acting on the patient's behalf", could "order" the EMS crew to transport the patient, who would be in LEO "Protective Custody" which is NOT under arrest, to the local Psychiatric ER for an evaluation. If the patient decides to sue, as the LEOs had our patient in the Protective Custody status, the onus would fall on the LEOs, not the EMS providers, for transporting against the patient's will (at least as far as I recall the FDNY EMS Command protocols. I'll get an advisement on how this works by asking an instructor of mine on facebook, and post here).

Sorry I'm late to the party, but I was still in recovery from the Noreaster that hit the NYC metropolitan area Saturday. We had a blackout. Lady J's house was blacked out for roughly 3 days, and there are areas still off the power grid within a few miles from me. But I digress... Episode 12: 1) Looks like Rabbit has moved in with Nancy 2) Nancy makes comment that Rabbit really should see the psychiatrist. 3) Marisa did CPR, and still lost the patient. Someone double check me, but is this the first time Marisa has actually done CPR on the show? 4) I posit the statement made in the show to be true, that "Live with crazy long enough, it becomes normal". 5) It figures that Tyler would want to switch partners with Marisa, for her new Paramedic partner. He's having lust at first sight. 6) I agree with the new flight medic, that if not affected by a death, something is wrong. 7) Thinking back, has Rabbit shown any signs of being affected by a death of a patient under his care? In the show, he has had a few deaths. 8) Good for Rabbit, he finally saw the psychiatrist. 9) I am known as a Star Trek fan, so did anyone else notice the psychiatrist was portrayed by the same actress who portrayed Keiko O'Brien on Star Trek:The Next Generation, and Star Trek: Deep Space 9? It is Rosalind Chao! Long time TV watchers might also remember her as Corporal Maxwell Klinger's Wife in the final season of M.A.S.H. 10) Doctor Dianne is leaving Emergency Medicine? She must like Greg, as she invited him to the party for the end of her ER rotation. 11) Bee sting patient faints after Epi injection? Can anyone enlighten this BLS provider if there could be an allergic reaction to Epi? 12) Did we ever establish why the bee sting patient's dad fainted? 13) OK, here we go with different local protocols. Does California, or the SFFD allow EMTs to administer Nitro, either pills, or as shown in the episode, by spray? Same for starting IVs, latrer in the show. New York State allows EMTs to ASSIST a patient in taking their own nitro pills, and EMTs are not allowed to even transport an active IV, so it has to be a saline lock instead. 14) Greg killed a patient by following the protocols. Unfortunately, he is still too new as an EMT. Also, even experienced Paramedics can miss nuances that would contraindicate what many here call "cookie-cutter" protocols. 15) Rabbit must be truly nuts. How could he be expecting to be allowed back to work after only one session with the shrink? 16) Did I miss something? Crazy as Tyler is, both he and Boone are experienced enough to secure the patient to the stretcher, yet they are so distracted with their argument on what to have for lunch, neither hears the seat belt being unlatched until the patient is already halfway out the doors of the moving ambulance? 17) NYC and SF share the problems of vehicles following ambulances in Emergency mode too closely, probably in other cities as well. If following distance had been followed by the taxi, the escaping patient might have survived with a possible bad "road rash". I yield it was probably a plot device. 18) Does anyone recall if Rabbit, in the time before his own helicopter crash, assisted anyone with a pre-flight check? Looks to be a good sign that the new flight medic does. 19) Is Tyler showing a defence mechanism to his own bad luck by calling Greg out on this "Probie Curse"? After 37 years in "da biz" I never reall hearing of such curse. 20) Student Doc Dianne gave Glen a much needed pep talk. 21) When Glen gets pushed aside by Tyler when hesitating on starting the IV, Tyler goes on to show that with friends like him, Glen doesn't need any enemies. 22) I think the Trauma Center will do well with Student Doc Dianne staying in the Trauma Service. 23) Has Rabbit started influencing Marisa with craziness? First, the EMT City hot button issue of HEMS for a CVA patient, and second, doing such with too low a fuel supply? Damn right, at least with the fuel level, that the new flight medic yells at her. 24) When Rabbit loses his cool attempting to fix the closet door, I think it has influenced him to return to seeing the shrink. 25) Glen gets a save, causing Tyler and Boone's bad luck streak to break? Refer to my item 19 26) When can we start calling Doc Dianne and Greg "an item"? Stay tuned... 27) While it is good that Rabbit has gone back to the psychiatrist, I think it is another plot device that he does so at her home, and, by her attire, way after office hours.

You can quote me: EEEEEEEEEEEKKKKK!!!

The bad Diva asked an attendee of her performance if he noticed how her voice had filled the hall. He responded, "Yes, and I also saw a bunch of folks leaving to make room for it".

Cross Reference to this other string, especially as to placement under or on top of the breasts. She'll need us soon, and I don't envy that crew for treatment or transport. http://www.emtcity.com/index.php/topic/17937-new-jersey-woman-wants-to-weigh-1000-pounds/page__pid__237982__st__0&#entry237982

While neither were wusses, it would have to be..."Doctor Kelly Brackett", as he pushed the Paramedic concept into existence, assisted by Fire Fighter/Paramedic "Roy DeSoto", from the first class of LACoFD Paramedics. Roy recruited Fire Fighter "Johnny Gage" into the second class. Both of the FF/PMs over the years would work with newjack FF/PMs, and in one instance, forced a know-it-all FF/PM to use the LACoFD protocols, instead of "what I learned as a medic in 'Nam'", which resulted in almost killing a misdiagnosed patient the 'Nam Vet thought was a minor drug OD.

This is some coincidence, that I found this string roughly 4 and a half hours from the start of the 14th anniversary of NYC Health and Hospitals Corporation EMS being moved into FDNY management (March 17, 1996, effective at 0001 Hours NYC Local time). My only complaint was, at that time, Fire Fighting and Emergency Medical Services, were, and are, different "animals" if you'll allow the analogy. I didn't think FDNY management could handle EMS, but we had good top EMS chiefs, even those whom I personally didn't like, who explained to the FDNY Top Brass what we did, and why we did it. We did have some reinventing of the wheel, but each now to their specialty, and everyone does their jobs, and do them (usually) well. Again, we have no personnel (IN HOUSE!) who do both Fire Fighting and (aside from Certified First Responder-Defibrillator engine company personnel) EMS work, even if they do so in volunteer FDs and/or VAS/VAC agencies while not on duty and receiving an NYC paycheck.

CUPE? Translate for the New Yawkah, is that "Canadian Union of Public Employees?"

Wendy, please keep us posted, both as to the finalized diagnosis, and the patient's status.