Richard B the EMT

Just an observation, but the passengers I see boarding those VanHools seem to either be speaking French or German, and if English is heard, it is a UK accent. What is the VanHool bus' country of manufacture?

Obviously, you know something of the New York traffic pattern. Perhaps you know why the Van Wyck Expressway always jams up from Liberty Avenue to Main Street (both directions) when there is no accident or construction blocking, at any and all hours of the day or night? Been driving from 1971, and never figured that one out.

Why is this not attached to the string on circumcision? LOL

An ex girlfriend of mine is originally from AZ. When she moved back (long story, ask me privately for the file to be sent, including EMT City in subject line so not dumped) with her husband, while that "dry heat" was good, the industrial dust and air pollution, after a year there, sent her husband back to Maine! As for Minnesota, the Red River had frozen over, in 24 hours (?), when I walked across the Highway 6 bridge from Grand Forks (ND) to East Grand Forks (MN) and back.

Did that come over the dispatch as a domestic dispute, or what?

I once again post my position, admittedly without documentation to support, when an FD agency CHOOSES to increase their lifesaving efforts by including EMS, it usually is successful, but when others outside the agency TELL them they are to take on EMS responsibilities, due to resentment of being told what they "have to do", rebel in numerous ways against it. Could this be why so many "failed" this test? Actually, until such time as they get to the bottom of this failure rate, I agree with the OLMC doctor that pulling the meds is, regrettably, the proper course of action.

Best of my knowledge, my MIRVs can handle 5, no kitchen, no bathroom facilities even for the crew. Basically, it is set up as a kind of mobile ER at the scene. Crews attempt stabilization (Treatment Sector of the Multi Casualty Incident), and then the patient(s) are transported (Transportation Sector) by regular BLS or ALS to the designated receiving hospital(s). Originally, the MERVs were on converted school bus chassis, then one on a large single body truck. We are back to specially built vehicles on what I believe to be "Over the Road" type bus frames, like those VanHools mentioned in the linked article. (Thanks for the update, as I thought the VanHools I see sometimes within New York City were the transportation companies that ran them, like "Greyhound Bus Company, not the vehicle itself, like a General Motors Corporation, or Ford, vehicle.)

The I-95 in NYC is the Cross Bronx Expressway, connecting the George Washington Bridge to New Jersey on one end, and the New England Thruway on the other end of the Bronx. Typically, one can play several games of chess with the person in the car next to you, despite being a 3 lane each direction limited access road. Figure the GWB end as feeding into 6 lanes, or the other direction being jammed with 6 into 3.

Unless I am missing something, is not Gavin a name used for males, not females?

I-95 here in New York City is one of the, if not THE, most traffic congested roadways IN the city.

I feel that any time a Brother (or Sister) from the EMS, the LEOs, or the Fire Fighters falls "In The Line Of Duty", everyone from their sister agencies around the world feels the pain, despite political differences between the countries they may come from. They all know what it is like, as they can encounter the same risks at their own agencies.

It was a Nassau County Police Department officer, not an NY©PD officer. However, in my reference, I think almost anyone from the emergency services probably has done it sometime, somewhere. Also as to being an "a-hole" from NYC, being one is not restricted to NYC, Chicago, Los Angeles, Perth Amboy, Quebec, London (Ontario), London (England), Mexico City, Lima (Peru), Dublin or Derry (Ireland), Alice (Australia), Tokyo, Mumbay (formerly Bombay), HoChiMin City, or any points in between. Regrettably, there have been times I have put that shoe on, and loudly announced it fit!

A tip for using suctioning that I use is, when suctioning, hold your breath. If you feel a bit starved for oxygen, imagine how the patient feels. Remember, the suctioning device isn't just pulling out the blocking liquid gunk, but is also pulling out that breathable 21% oxygen from room air.

Building on Wendy's entry, I was always taught to do the measure holding the device against the patient, but with that type measurement as the parameter.

Possibly unrelated, but, does the scenario take place on March 17th, or past midnight into March 18th? Hadda ask!

O M G!

I had a near collision with a guy ran a red light. when I yelled at him, he apologized, saying he was a LEO (Law Enforcement Officer), and forgot he was in his POV (Personally Owned Vehicle), and not the RMP (Radio Motor Patrol, as in the cop car). I've had a couple of near happenings of that myself, so apology accepted.

Different manufacturer, but the FDNY EMS Command has at least 4 (possibly 5?)of those type vehicles. We call them either MERVs or MIRVs, for, respectively, Mobile Emergency Room Vehicles (Pre-Merger), or Major Incident Response Vehicles (Post-Merger).

When you hear of the 343 members of the FDNY who perished in the Trade Center, it breaks down to 340 fire fighters and supervisory personnel, a department chaplain, and 2 Paramedics. There were also 18 EMTs and Paramedics who also died, either as responders, or, as their EMS involvement was in the volunteer sector, while at their "Day Jobs". I was an EMS Academy classmate of Carlos Lillo, who was one of the 2 FDNY Paramedics, and a casual acquaintance of EMT Mark Schwartz, a night manager and riding EMT, of the Hunter Ambulance/Ambulette Service (Inwood, Nassau County, NY). I also had met Father Mike Judge, the FDNY Chaplain, only one time, 3 or 4 months prior to the attack. (This is not including the FDNY EMTs, Paramedics, and Fire Fighters who have since died from the "WTC Cough", the generic name for all of the lung diseases believed to be from the inhalation of assorted particles from the infamous dust cloud of the World Trade Center collapse.) I also lost a few personal friends and acquaintances from outside the Emergency Responder sector. My combined communities of the Rockaway Peninsula lost about 90 souls.

Obviously, I never met your dad in law, but I think I like him already!

Sounds like "Chutzpah", likened to as a teen who kills his parents, and then asks for leniency from the court, because he is an orphan. Or the guy jumps into the water to successfully save a child, but the cops lock him up for swimming when the lifeguards are off duty. Or the thief, who, after crossing over 3 fences, innermost one electrified, and, on opening the barn door to plunder and pillage, is shot in the knees by a "trap-gun" (rigged to a string to fire on the door opening), and then sues the barn owner for being shot, injuries and medical bills thus incurred (supposedly happened, and the thief won the case!).

That was like the one I related on another string, where dispatch called the anti crime team, reporting a suspicious car on the pathways of a notorious projects houses complex. Turned out the suspicious car was the anti crime vehicle!

Didn't the vehicle have a device to allow the engine to run on, with the key removed? Most of these systems have a safety device to kill the engine when the vehicle's brake pedal is pressed to enable the gear shift to shift out of park, when the key is removed on activation of the system. Therefore, if a fire fighter attempted to move the command car, it would have automatically stalled. Further, if the fire fighter was able to move it, it must mean the supervisor left the key in the ignition. I see a charges package being prepared against the supervisor, by HIS supervisor.

I also wonder. Then, again, what, aside from water, do those who use a Hookah, put into the jar?

Sounds reasonable, and also what I intended to say. However, Give the EMTs and Paramedics some good judgement as to who needs the higher level of care at the ER, as opposed to the lower level (my viewpoint) of the clinic or "doc in a box".