Richard B the EMT

I'm probably going to kick myself, but...what is/are a/an RTC?

Probably. I'd speculate the ER doctor would be given the OLMC phone #, and advised to speak to the control doctor. If I were a paramedic, I'd dial it myself, explain to to my control doc, then pass the phone to the ER doc, and let them discuss.

No offence taken, reaper. The information I quoted was from a Paramedic who teaches HazMat in another state than where we met.

The anti-bark shock collars and electronic perimeter fences had not yet been put on the market when my dog was alive, possibly had not been invented yet. We had my dog for 14 years, the ambulance mascot dog, possibly related as both were street strays from the same street, for 17 years.

I mentioned this string to an associate of mine, a haztec guy from another jurisdiction. He mentioned that the decon should be done on a concrete flooring, so as to not introduce whatever the chemicals at work here don't get into the ground, and then the groundwater. He also mentions most sewage treatment plants are not set up for this type hazardous or biohazard material, so by doing the well intentioned home shower decon, all the pipes from that drain to the treatment plant are now contaminated, spread out over how many miles? His final cautionary is, even in the double plastic bagging of the victim's clothing, it becomes the responsibility of the hazardous materials team. The ambulance does not transport the clothing. This is supposed to be New York State law.

I forgot something... 4) Don't use the rolled up newspaper to swat the dog as a corrective measure, even if it doesn't hurt the dog, and might just scare him with the noise. The dog learns to associate the newspaper with discipline, and then along comes the newspaper delivery kid on the bicycle, carrying numerous "disciplines" in the bag over the shoulder, and the dog attacks. I spent 5 years delivering newspapers.

A 2 year old, a 4 year old, and a really young puppy are a bad mix. 1) Puppies that young think all living creatures are puppies just like them, and they operate under "puppy" rules, thinking the human puppies will just accept being nipped or bitten. 2) Children that young seem to think that puppies are animated stuffed animals. If the child, or children, do something upsetting, startling, or hurting the puppy, the puppy will react like the puppy it is: biting or nipping. 3) I mention here, under NYC law, if any dog bites a total of 3 reported incidents, the animal is going to be put down. 3-A) A 90 year old man was attacked by 2 Pit bulls on Staten Island, New York, and, for all reports on TV and in the newspapers, they started to eat him alive! The animals had been terrorizing the block for a long time, before they crawled under the fence (again!), to attack the man. The animals were tranquilized, transported to an animal control hospital, where, due to them having eaten human flesh, they were destroyed. The man died of his injuries about a month later. The dog's owner has been to court on charges related to the dog attack, and is due back in court for additional charges related to the 90 year olds death.

OK, now I can resume "Defcon 1" from the "Defcon 2 point five" alert status. Good to hear all are home, with stories to tell in years to come.

Just mentioning in passing, but has anyone read a book called "The Second Son"? It opens with a high iron worker falling 50 stories, and walking away from it unscathed. Spoiler alert! Religious overtones, a possible younger brother, in our own time, of a guy possibly you've heard of, by the name of Jesus of Nazareth?

1) "Questionable Drunks" are placed under NYPD's protective custody, and they go to the hospital, cuffed, if the LEOs feel it nessesary. 2) The FDNY EMS has a small office in Maspeth, from which we have our OLMC. It is not even in a hospital. We have agreements with a few hospitals to act as backup OLMCs, should call volume get too large, or the rarity of not having a doctor (multiple reasons) actually at the department's own OLMC.

Somewhere in the distant past, on this site, someone revealed he had asked a double amputee to walk down the stairs to the ambulance. He hadn't checked the patient fully. WAS NOT ME! Don't feel too bad about it. Mistakes happen, it's how you deal with the results, and correct them if you can, that will be the telling factor.

1) They do talk that way in Ireland, where the event described happened. 2) The man who fell 47 floors when the scaffolding broke survived, his brother, who also fell, was pronounced DOA at the scene. 3) My defibrillators are all self contained. Do any models have a "shore cord" to recharge, or perhaps during transport, use power from the vehicle to maintain and recharge while enroute? Edit: 4) Oops! just reread Leprechaun's post, and see mentioned a model that does just that.

Edited out by Richard B, real deal below.

The link has an article written by a reporter who allowed the designer to shoot him with a ".38mm" handgun while wearing one of the garments. Someone with firearm experience enlighten me on this. Is it a ".38", or a "38mm"? I have never seen these 2 references together, so could the writer not have a clue either? Also, I have friends who load their own rounds. They had told me, years ago, of magicians who "caught" fired bullets in their teeth. It turns out that they had also loaded their own rounds, and had loaded them with a lot less than standard load of "gunpowder" (using the word, not knowing if it is the correct one for use in this area). This gave a loud "bang", but a bullet traveling a lot slower than a standard factory loaded round. Not knowing the individual, the Kevlar like material reputedly used, or the firearms expertise of the reporter, while not calling anyone a charlatan, could someone have conned someone else? Just thinking out loud here.

Far as I know, despite my constant references to the Inwood and Lawrence/Cedahurst Volunteer Fire and Ambulance Departments, nobody has "combined" volly/paid departments. Anyone from Nassau County knows differently, I will then be in correct knowledge when they post. Perhaps you should contact the 9-1-1 center at Nassau University Medical Center, the officers there might be able to help you better than I could.

Wait one...! I have proof that there is intelligent life "out there". You don't see "them" spending zillions of bricks of gold plated latinum to find out if there is intelligent life "down here", do you? (See ST/DS9) Lieutenant Commander Spock, of Star Fleet Command, reputedly said

If the patient is alert as to who they are, where they are, when they are, and the one not in my protocols but I'm going to use anyway, aware of whatever events led the 9-1-1 system to be activated for them, and I still have doubts, the protocols I operate under then require contact with the On Line Medical Control physician. My partner and I give recommendation as to if the patient really needs to be seen by higher medical authority, or not, and most times the Doc will speak directly with the patient. If the OLMC Doc is unable to communicate with the patient (deaf, language barrier, other), OLMC will request dispatch to send a "conditions boss" (field lieutenant, or higher ranking supervisor, if closer), for an "eyes on" evaluation of situation, and update OLMC. If needed, THEN the LEOs are brought in to place the patient into "protective custody" and "on their authority" the patient is transported to the Emergency Department. Of course, if the crew, the supervisor, and the OLMC agree with the patient that they do not need to be seen, OLMC will advise the crew to accept the RMA (Refused Medical Assistance). In all cases requesting RMA, OLMC must be contacted if the patient is under 5, or older than 60.

Sorry, my brother and sister animal lovers, the dog is DOA, as I read it in the text. This is also my first time hearing the "Dumbell" acronym, as I was trained with "Sludge". Due to lack of need, hopefully to continue, I need reminders of it, so thanks.

Eydawn and I seem to be following the same path. Have we had him expose his body or legs, to see if there is any skin reaction to whatever he may have come into contact with? What about the dog (don't touch, either you'll expose yourself to the chemicals that might be on the dog, get bitten, or both). Gross decontamination might be attempted with either the regular shower, or a garden hose, prior to arrival of an engine company, but there could be possibility of the unknown stuff being water activated. I'd also attempt the hose decon outside of the house, so the patient won't be stepping back into the contamination by walking out of the shower onto contaminated flooring or carpeting. Reminder: I am BLS.

Hmm? As we in EMS are about as strange as one can get (lol), the dog should be trying to channel Cujo to either get at the EMS team, or go all defensive of it's property (the person). I'd say we have 2 patients, one human, the other canine. Of course, we'll concentrate on the human, and if the canine can be helped, we will. OK, is any new building construction going on nearby, or farming? Both man and mutt slid into a ditch, and possibly are contaminated by an as yet unknown substance or substances, singly or in combination. Said chemical(s) might be either deliberately dumped in the ditch, or is rain wash-off from the surrounding area, going into the ditch, and it's muddy banks. Am I getting warm, J. P.?

Continuing the discussion, from the New York Daily News http://www.nydailynews.com/ny_local/queens...=1&page=all Parkgoers not all convinced by the city's safety claims with artificial grass BY DARANEE NASONGKHLA AND NITZIA SCOTT Children's PressLine Tuesday, August 19th 2008, 3:39 PM Gonzalez/CPL Jonathan Penos, 2, plays on the artificial turf at Rufus King Park in Jamaica. Some parents are happy with the updates. Others remain skeptical. When it comes to artificial turf, parkgoers at Rufus King Park in Jamaica wish the city had kept it real. At the 89th Ave. and 150th St. park, there's much talk about the new $1.7 million renovation that included artificial turf made of synthetic grass and recycled-tire rubber crumbs on the athletic field - and whether that is the best option. "It's, like, natural. I'd prefer to play on it," said Tony Aniagba, 17, about natural grass, as he sat on the even, bright green artificial field. Hydia Cohen, 17, liked real grass because "it's good for the air and trees." New York City Park Advocates president Geoffrey Croft said living grass "cleans the air, filters harmful particles and cools the earth, and can be up to 70 to 80 degrees cooler than the artificial turf," making it more environmentally friendly. There is also concern that the city allowed the turf to be used even though there are still ongoing tests to determine if the material is potentially hazardous. Last month the U.S. Consumer Product Safety Commission released a report that stated the risk of lead exposure from synthetic grass is not harmful. The report, however, did not address the rubber crumbs used as infill in some fields. After hearing from coaches and umpires that utilize the parks every week, Croft said he found several claims of foul-smelling fumes emerging from the hot turf, which can reach temperatures of up to 162 degrees, causing headaches and dizziness. Parents, too, feel that the turf should have been tested before being put into use. "The testing should be done before they put it down," said Queens dad Kareem Palmer. But Department of Parks and Recreation Commissioner Adrian Benepe said there are drawbacks to both surfaces. "From what we understand, from what the Health Department has told us, from what the experts have told us, there is no reason to be concerned about this. The greater risk, really, is kids not getting exercise in the fight against childhood obesity," said Benepe. According to Benepe, natural fields require expensive, constant preservation with seasonal use. Artificial grass can be used year round, intensively, with less overall expense for maintenance and a greener, attractive look, he said. "The main event with the synthetic turf fields is allowing children, adults, athletes to get the maximum amount of use of the field," said Benepe. Parkgoer Keith Kimloch felt the turf was a big improvement from the condition of the surface before. "It looked horrible. They had wood chips and dirt," said Kimloch. Michael McBean didn't mind the risks from the turf. "As of right now, I don't see anything wrong." However, he said, "I would prefer real over fake anything. The more natural, the better it is. When you get down to it, that's all we are, nature." In the meantime, the synthetic fields will be left as is - but Benepe promised "if we find that there is a public health risk, we'll take the necessary steps after that." While children, families and teams continue to use the same artificial turfs as major universities and pro sports, "The real grass is more natural . . . better to sit on," said Catherina Martinez, 16, "and this one feels all spongy." Additional reporting by Hanifah Abdullah, Tatyana Bellamy-Walker, Kevin Chen, James Dawson, Jahleel Irby and Nylejah Lawson

While I am laughing at the "Redneck Barbie", it is just so...WRONG...on so many levels!

It's haunted! Get your ouija board (spelling?), and then call the clergy for an exorcism.

I ask if his "chew" is chewing tobacco? Also known as a "chaw"? While available here in NYC, I know of nobody who actually uses this stuff. Oh, I echo the question on this possibly being a chew/chaw/chewing tobacco airway obstruction, in addition to whatever is causing the nipple line and up discoloration?

Anyone else see that, in one instance depicted, the ambulance doors are not secured? When the doctor is reading between calls, it was an old Atomic Energy Commission (predecessor to the Nuclear Regulatory Commission) publication, showing what might be a Bikini Atoll Hydrogen Bomb test. And, true to form, the ambulance doesn't move until someone gives the double pat to the back doors!