Richard B the EMT

There are some amongst us who adhere to the "ABCs": Ambulate Before Carrying. There are others who would put into the carry chair, a patient with a hangnail of the pinkey. Having said that, I'd personally kick the butt of any EMT working with me, or Paramedic, tries walking any patient exhibiting S/S of breathing difficulties or chest pain.

I have many friends who excercize early in the morning... before their bodies figure out what it is that they are doing. With me, every day, it is the same thing: "Up! Down! Up! Down! Up! Down! OK! Now the OTHER eyelid!"

Chbare said While I forget which medicine I keep seeing advertised on TV, I do note, they don't say "Doctor" or "Physician" to write the prescription. They only say "Health Care Provider". I concur that some titles are, most definitely, getting blurred.

Someone mentioned the time I've been at this (being an EMT, not a member of EMT City, although that in itself has been a long time), from the fall of 1973, and municipal EMS from 1985. In that time, I can say, with a good deal of conviction, that the calls require ALL levels of care. There will be calls that would not need the skills of a Paramedic, such as the panicking mom calling in for the "road rash" of her 4 year old falling off his bicycle and severely scraping his knee, and calls where EMTs need backing by paramedics, as in recognizing a dehydration patient that could use fluid replenishment via IV, which, in my geopolitical area, is above and outside of scope of EMTs. Come on, people (and the aliens hidden amongst us, lol), respect yourself by respecting everyone else.

Wish Central grants the wish, now the planet is in trouble due to the drought from worldwide lack of rain, also causing the oceans to dry up, killing off the fish we'd otherwise use instead of crops, cattle, and other farm animals, for food. I wish that all employed can work hard enough to know they earned their paychecks, but not hard enough to tire themselves out.

On the aligned subject to the CPAP, that of Sleep Apnea, I feel ok in mentioning the American Sleep Apnea Association. http://www.sleepapnea.org/

I wonder if it is some kind of statement as to what kind of marriage he is in, when you remember he was looking for a wedding anniversary gift in a store selling firearms. Oh, as I didn't know what ANZAC Day was, per the Wikipedia...

As of this time, my experiences with CPAP is restricted to the treatment of Sleep Apnea, with humidified room air, at home. I am the patient.

A tractor-trailer delivery of Viagra was hijacked, as the vehicle was proceeding to an airfreight delivery center at John F Kennedy International Airport. A spokesman from the taskforce of the NYPD and the Port Authority of New York and New Jersey, at the press confrence, announced that they are looking for 6 hardened criminals.

After watching that, and comparing it to a "Flash Mob" scene in a "Law and Order Special Victims Unit", guest starring Robin Williams, that took place in Grand Central Station, I have to agree that there must have been cooperation from the station's operating authority. However, the "disco-ing" up of that song? Egad!

With notation that I am not a member, here is a link to the Shriner's organization, on the "F Y I". http://www.shrinershq.org/shrine/

Is this from the same folks that discovered the information that you couldn't possibly live without:

FDNY EMS policies are, if an incident either has generated 5 or more patients, or potentially can generate 5 or more patients, it's an MCI. Figure it this way: If it is one more patient than can be handled by one tech or medic per patient, and the capabilities of the 2 personnel on 2 ambulances, it's an MCI. I need refresher on some aspects of an MCI, but if what I do remember is still current policy, any and all sectors of an MCI are both expandable, and collapsible regarding the incident size.

I am in a quandary. I recall, sometime this week, and somewhere in the UK, reading of a woman shot in the head, not only drinking tea when the LEO showed up, but offered to make some tea for the LEO. Seems the bullet did enter the cranium, but somehow went through voids and didn't hit any dura matter. The woman is expected to survive with negative imparement. Was that covered here in EMT City?

NYCEMS said: Some folks have all the luck I started out in a VAC, stayed there when I started working non 9-1-1 ambulance service providers, and was still in the VAC when I started Municipal 9-1-1 employment. I know some EMTs who stopped counting after their 40th OB-Labor. Me? In 36 years of ambulance time, I've only delivered 2. I have a buddy, who, as his very first call in the FDNY EMS, delivered twins. He also earned his first overtime as the department insisted he be available for photoshoots and soundbites. Can we agree that there is no rhyme or reason as to who, or how, gets the heavy duty work, and who cruises in easy (or easier) calls. The guy who does 10 patients in 8 hours every day might want to switch with the guy who seems to get one call per 8 hours, and vise versa, but where is anything written on anything that is strictly luck? My next call might be a feverish baby, or another plane crash (had 4, please, no more!). I'll only start to worry when my soothsayer sees me, and starts running away screaming. Explain to me how I work the New York Marathon for 10 hours, and nobody even asks for a band-aid from me, yet on the way home, due to it happening right in front of me, I end up being first in for an overturned car while in my POV (with some equipment aboard)? NJobody can.

The FDNY, not just the FDNY EMS Command, has written policy that no member of the department, except on-duty Fire Marshals, are to have firearms in possession while in department buildings, or department vehicles. Our Fire Marshals are, per state law (specific item number unavailable as I write this), Police Officers, with full authority to carry the weapon, and make arrests.

1) I am an admitted "Scannist", which is someone who is likely to have a scanner in possession. I am known for monitoring EMS, FD, LEO, Air Force One, US Coast Guard, and other city, county, state, and federal agencies, in both New York and New Jersey, and . However, I have worked for agencies that had written policy that on duty personnel were not to have a scanner with them. When I worked for them, I didn't carry the scanner with me. 2) Most of the Radio Hobby magazines I subscribe to, give suggestions on how to scan without drawing attention to one's self. One way is an earpiece. Just on general principals, NEVER blast the volume, as it annoys the neighbors (co-workers, patients, LEOs, Fire Fighters, and civilians) in close proximity. 3) Even if hand carried, a scanner is illegal in a vehicle in New York State. I am attempting to get the vehicle and traffic laws changed on that topic, but have no knowledge of any similar rules, regulations or laws in Australia. 4) I started out in the EMS field as a volunteer, and ran as such from 1973 to 1996, overlapping with paid employment, to the present. During that time, I attempted, and am still attempting, to complete any and all training either offered, or mandated. I continue that to this day. Most instructors I know wouldn't allow anybody to come in, and just hang out; they would have to participate, or be asked to leave the classroom. I got a bit rambunctious once, and I was asked to leave, so you know this goes across the board. 5) Nobody I know, who is a volunteer EMSer, Vollie Fire Fighter, or Auxiliary Police Officer, ever got any sort of "free ride" due to being a volunteer in regards to necessary training. If anything, due to the pride of being a volunteer, both the members, and the agencies themselves, held themselves to try to be as good, if not better, than their full time paid compatriots. 6) Might I suggest that if the agency does special events, all members who would work it earn the "right" to work it, by attendance and good performance at training sessions? 7) The OP stated that this individual was "Grandfathered in" despite the overweight condition. I suggest that all members be mandated to get a departmental form signed by their doctor, indicating what the crew person is expected to do, and if the person is physically capable of doing the required activities. This way, the doctor "fires" the individual, and not the agency.

Probably. And so you know, FDNY EMS is "Full Time", no part time. Many FDNY EMS personnel, and some FDNY Fire Fighters with the training, work part time with these private companies.

In the days before the FDNY/EMS merger, even if you had NYS DoH certification as a Paramedic, policy was, you had to work as an EMT for a year, so you'd be used to department policies, before they'd "retrain" you, to their "standards", as a Paramedic. Even when you came on as an EMT, as per the lieutenant in charge of my class, we came in with training from many counties, or even from neighboring counties in New Jersey, but we had to be trained to the way the NYC Health and Hospitals Corporation EMS wanted us to do things. I even joked about it at the time, Nowadays, in addition to "in-house" classroom "book", hospital "clinical" and tightly monitored field time, the FDNY has accepted Paramedics trained from outside the agency.

Wish Central grants the wish, but predicts cloudy skies for next 2 months. Resubmitted: Terri's wish for a nice male Flight Paramedic, unattached, no baggage, for consideration as husband material. (Note I said "For Consideration", nothing etched in stone here!)

When You Wish Upon A Star Music by Leigh Harline / Lyrics by Ned Washington Performed by Jiminy Cricket (Cliff Edwards) <h2 align="center">When you wish upon a star Makes no difference who you are Anything your heart desires Will come to you</h2> <h2 align=center"> If your heart is in your dream No request is too extreme When you wish upon a star As dreamers do</h2> <h2 align=center"> Fate is kind She brings to those who love The sweet fulfillment of Their secret longing</h2> <h2 align=center"> Like a bolt out of the blue Fate steps in and sees you through When you wish upon a star Your dreams come true</h2>

FDNY is supposed to be cutting back some 16 fire apparatus, and eliminating 30 EMS tours, unless Gov. Patterson and the state legislature come up with some major money. However, if you want to try for employment with us, the link is at http://www.nyc.gov/html/fdny/html/home2.shtml

I just found this as a mention from the Vice chair's report of District 4, of the New York State Volunteer Ambulance and Rescue Association's newsletter, "The Pulse", March 2009 edition. The article was concerning ongoing difficulties between the independent VAS units operating in NYC, and the FDNY EMS Command. This should be an idea of costs of the MTD units and portable radios in use. In a separate article on EMS providers in the NYC area, it is also mentioned as follows: A side note: The 9-1-1 system in NYC is under the control of the FDNY EMS EMD, where we have control over our own FDNY EMS Command BLS and ALS ambulances, BLS and ALS ambulances run by hospitals that they "volunteer" for 9-1-1 service, which the system refers to as "Voluntaries", and community based VAS/VAC departments, under a MARS, or Mutual Aid Radio System, which is under scrutiny and discussion within the NYSVARA's districts 4 and 18, which both operate within New York City.

This is from the District 4, New York State Volunteer Ambuance and Rescue Association's newsletter, "The Pulse". This edition came out in March, 2009. If there are any questions, please contact me, not the people mentioned herein.

Courtesy of a Google search, concerning "Reverse 9-1-1 systems, I found the following... http://www.co.augusta.va.us/Index.aspx?page=289 <h1 id="Title1_title"></h1>