Richard B the EMT

Timmy (and everyone else!), any patient, who is going for a psych evaluation, either as a true psych or high on some to-be-determined Recreational Pharmaceutical, should be restrained before loading them into the ambulance. If it involves the LEOs cuffing the patient, so be it. If cuffed prior to EMS arrival, the LEO is going to accompany the patient in the ambulance. I was minor injured by a patient who was already cuffed.

Regrettably, Timmy, some always will be in an "Us versus Them" mentality.

You caught me!

Just remember that a boat is just a hole in the water, into which you constantly throw money! That is why BOAT stands for "Break out another Thou$and".

It doesn't matter how many ambulances with crews, or first responder trained Fire Fighters on an apparatus that can respond. There will be days when the number of calls in a geographic area will exceed the number of available teams and response vehicles. As for locations where people live, I've been berated, as I live on the Atlantic Ocean coast in New York, and have had street flooding due to major storms or hurricanes. Why do I live there? I am 55 years old, and have never lived anywhere else (same house I was born into). I don't expect to move any time soon. So... Post a LEO on every corner to fight crime. Unrealistic. Post an ambulance in front of every house. Also unrealistic. Have Star Fleet post a satellite with transporter capabilities above each continent, to beam up patients, and then beam them down to medical facilities. Under existing science, perhaps the most unrealistic scenario I have put here. No matter how the services can be improved, there will always be bad days, long miles to travel, and other unavoidable flaws. People will die because of them. All we can do is continue trying to improve the services, preferably in a proactive way.

While my brother, who is living in North Dakota, has not given me any update on it, I was told they have a similar law there.

All those bad jokes, and they went for it, hook, line, and sinker! Anyone ever notice the longer the fisherman tells the tale, the wider apart their hands are to indicate the size of the fish?

Sounds fishy to me. Must have been an educated fish: after all, they travel in schools. I said that for the Halibut. I said that on Porpose. Don't mind me, as I'm just fishing for a compliment. Just compare a radio and a fish: You can tune a radio and tuna fish. Am I flounder-ing?

I now have to find out how much the now former FDNY Chief of Department Cassano made, before his promotion this week to FDNY Commissioner. Failing that, I'll get a ball park figure from either a battalion or higher level chief's salary, for comparison. You know I'm going to monitor this string!

Just remember, in regards to bestiality, some animals carry tales (tails)!

...on multiple levels!

1) When getting into a wrestling match with a patient, there may be more than one idiot, as it takes 2 to tango. 2) Correct. The equipment and even the vehicle can be easily replaced. Body parts of the crew, not quite so.

I just remembered something. Call number one, as in 0001, for January 1, 2000, in New York City, went to a unit on my radio frequency, Queens East, for an unconcious. Unfortunately, the responding unit "gave it back" as a "DOA, left with PD onscene".

If the "patient" was a sheep, did "Dave" describe it as "Not Ba-a-a-a-a-a-ad"?

Safe return, Citizen/Soldiers Noke, Olmstead, and Applebee.

$1,000 a call? Wow. It's only about $900 for an FDNY EMS Paramedic Ambulance response.

Seems that most of us that are sent a supervisor after a period of time, usually get one more for "clearing a path" for us, when the problems are not on the part of the team from the ambulance. Also, as long as the supervisor is there, whether the hospital requests it or not, can verify the need to divert to either specific categories or all at that ER, even if it is only for 2 hours or so. (Again, the next ER is usually 20 or so minutes away, which I have mentioned many times, is NOT a luxury enjoyed by some services. This is not taking specialty categories, like Trauma or Burn into consideration, and any patient in "Extremis" goes to the nearest ER anyway)

Looks smaller than a roll of 1965 NYC Subway tokens.

FDNY EMS Command, and other ambulances in the NYC 9-1-1 system are allowed 20 minutes from arrival at an ER to clear, otherwise, they have to contact EMD with a signal update, like extended: 1) cleaning up the ambulance, 2) awaiting an ER bed, 3) awaiting the patient being triaged, 4) paperwork, or 5) waiting on the triage Nurse signing the PCR. If we go another 20, we contact again, and if we feel it necessary, request the supervisor to help get things moving. If we end up with yet another 20, the supervisor is supposed to self dispatch to find out the conditions causing the delay. Policy calls for the part of the PCR that goes to the ER admissions clerk be completed, and signed by the Triage Nurse before being turned in.

5 crashes in the same year? OMG! In 35+ years, I've only been to 4 plane crashes over all. So, as to predicting plane crashes, are we now employing Allison Dubois, or others with similar abilities of ESP-Premonition? If anyone asks, Eastern Airlines Flight 66, JFK, 1975; US Airways Flight 1010, LaGuardia, sometime in the 1980s; American Airlines Flight 587, Belle Harbor, Queens County, New York City, November 12, 2001, a half mile from my residence; and a single engine plane in forced landing on the beach, Atlantic Beach, Nassau County in, I think 2004. Actually, per members of my old VAC, a crew member taking a mid afternoon nap woke up with a start, and declared "We're going to have a plane crash this afternoon." 2 hours later, he was a part of one of our 3 crews working the Eastern crash.

Thanks. EMD is what I was referring to, but as I wrote that after coming home from the New Years Celebration, at 1:30 AM, I was not firing on all cylinders.

Nice thing about a Computer Assisted Dispatch system. When the dispatcher sends the unit and it's crew the assignment via the MDT (Mobile Data Terminal, basically, a computer monitor screen), the crew can read the job on the ambulance's screen. Not only that, but if a crew has to call their station, nobody else has to know (at the time), when their supervisor sends them a message. Also, any station offering overtime, with a quick code for the CAD, can send the O/T offer to every ambulance in the system, and screens of the call takers and dispatchers.

I will just make a bitter comment here: If the system sees 20 minutes into the future, if it starts sending a bunch of units into an area near an airport, or towards a tornado shelter that can house vehicles...

Isn't there something called cardiac electrical disassociation? Scope reads normal heart picture, but the heart ain't moving blood. I might have an incorrect name for the condition.

Off topic a bit, but if it is reported that someone didn't yield the Right of Way, it is implied, even if not written in the news, that a ticket was issued.