Richard B the EMT

Some Muppets were created and used during the first season of SNL. I was not able to watch, when they replayed episode 1, from season 1, as tribute to George Carlin, after he died.

Reply:

Does that mean that Paul McCartney really died?

Then you are lucky.

Timing is everything. I just saw one of those "Incredible Videos" shows on SPIKE TV, and they had a woman who stole the police car she was cuffed into! Anyone who steals a cop car usually has potential to make the fastest getaway known!

Best hope she has a sense of humor, or you'll be referring to her as your "Ex-fiancee".

I'm of no help, as my "artistry" is music, specifically, guitar. I'll monitor this, as you got me curious. Keep us updated.

Without looking at it, I find frightening the fact that one exists!

I have not yet viewed the NC link, and what I posted was from a relay from the New York State Department of Health. I didn't attempt to actually reproduce the 4 page form the article refers to.

Can I make a comment from the BLS area? Even if not, here I go. (lol) I worked both Vollie and proprietary EMS, prior to municipal EMS employ, and we didn't have, either because there was no ALS yet in the geopolitical area, or we didn't employ them, the relative luxury of Paramedics available. On the Vollies, back in the early 1970s, we could either be as few as 2 persons, or as many as 4, on the ambulance. If we started CPR, we'd simply get the patient onto the streacher as quickly as possible, on top of a "CPR Board", continued CPR to the ambulance, either with a "Positive Pressure" valve-mask, or a non-disposable BVM (Bag Valve Mask), and transport L&S, trying for the "Ride that's a Glide". Dispatch would be notified via radio of our ETA, and would telephone the ER that we were inbound. Same deal with the proprietary ambulance services I worked for, except the answering services that acted as dispatch at night sometimes did not place the call to the ER, and the ER crew would be caught unaware that we had a Cardiac Arrest. Their first inkling at the ER was an ambulance pulling up on them with the siren at full scream at the doors to the ER. The old NYC Health and Hospitals Corporation EMS (around when I started with them in 1985), and then the FDNY EMS, due to the multiple layering of response, always had either a Paramedic team, another BLS crew, or even an engine company, to lend a hand, and, of course, allow the paramedics to do the ALS "Thang" while BLS pumped, and then drove the ALS ambulances to the ER (ALS in the back of one of the vehicles, and BLS driving both vehicles). Sidenotes: One of the founding officers of my Volunteer Ambulance Corps was from the first class of Paramedics that the NYC HHC EMS put out. Even as my VAC was formed, due to our perceived lack of municipal BLS ambulances, the HHC CUT BACK on the number of ambulances in the Rockaways area, from 4 to 2! Their reasoning was they were not needed, as there now was a volunteer ambulance service working in the area! The Rockaways communities didn't get ALS until, perhaps 1978, claiming that due to call volume being "low", ALS wasn't financially reasonable. This, despite Queens County having 1/3 the nursing homes in the city overall, and half of them being in the Rockaways communities, if you can believe it. FDNY EMS currently runs 4 BLS and 2 ALS ambulances in the Rockaways, and one of those ALS units is also the HazTac unit, for Hazardous Materials calls in the Rockaways, and the southern half of Queens County. Summertime, for day and evening tours (not overnight), we have a "supplemental" BLS unit, staffed by overtime "volunteers", meaning we don't usually mandate for overtime to staff this unit.

Jonny Carson, on the (Pre-Jay Leno version) "Tonight" Show, did a version of that, before Sesame Street even came on the air. He took the noisemaker from a CooCoo Clock, and "sensored" kids rhymes.

Is that the village that called to ask if we knew where their missing idiot was?

Almost as bad as a story I have been trying to verify for 20 years... Not only did burglars steal everything from a Security Alarm Installation firm in Brooklyn, they even stole the guard dog!

From the New York State Department of Health, Emergency Medical Service Bureau, courtesy of the New York State Volunteer Ambulance and Rescue Association... STATE OF NEW YORK – DEPARTMENT OF HEALTH INTEROFFICE MEMORANDUM To: Regional Emergency Medical Service Councils Regional Emergency Medical Advisory Committee Members From: Edward G. Wronski, Director Bureau of Emergency Medical Services Subject: Medical Orders for Life Sustaining Treatment (MOLST) Date: July 18, 2008 This is to advise you that on July 7, 2009 the Governor signed Chapter 197 of the Laws of 2008 which allows for the use of the MOLST form. The law is effective immediately. The Bureau of Emergency Medical Services is preparing a policy statement discussing this law and the use of the MOLST form that will be sent to you and all ambulance and EMS services. MOLST may be honored immediately and used instead of a non-hospital DNR order. The non-hospital DNR order is still a valid document and is an option for a patient. The MOLST form has now been approved as an alternative form. Ambulance services and others may call you with questions. Please remember that the MOLST form and process is not a Department of Health program although it is supported by us. You may refer them to the WEB page housed at the MOLST Training Center at http://www.compassionandsupport.org. It is my understanding an updated EMS page is being prepared by Excellus BlueCross BlueShield to address the training needs of EMS providers since passage of this legislation. Some key points that will help you answer questions about this law, MOLST and the existing DNR form are: 1. MOLST may be used instead of a non-hospital DNR form. 2. The non-hospital DNR form is still a valid form. 3. The MOLST form provides DNR information. It also contains instruction for advanced life support providers on whether to intubate the patient or not when the patient has progressive or impending pulmonary failure without acute cardiopulmonary arrest. 4. The MOLST form is a bright pink, multiple paged form that is easily identified. 5. The MOLST includes information to be used in other health care settings such as the hospital. Once the bureau policy is finalized we will place it on the WEB and include a link to the MOLST site. Please call me if you have any questions. Cc: Dr. Mark Henry Dr. Deborah Funk EMS Program Agencies DOH Regional Offices Bcc: Central Office Supervisors and Professional Staff

Thank you, Spenac, all I was able to get was through the search modes.

Going back to my dinosaur-pulled ambulance... In 1974, when I first was in class for what now is New York State EMT-B, not NREMT, which I wouldn't hear of for a few more years, the initial (basic) class was 45 hours, refresher was 20-25 hours. In 2007, I am told the classes for the initial class is something larger than 125 hours. My last refresher, in that year, was about 64 hours, as taught by the FDNY EMS Academy, for FDNY EMS personnel. Could some other New York State EMT who is NOT trained by the FDNY give an update as to the current refresher class length? Just putting this in as food for thought.

Whaddyawant? "Anarrow?" lol

You might want to check out the string entitled "Why did you end up in EMS?"

While old, and from multiple sources, it is still funny.

Wow. That is at least 3 potential nuke incident sources. More if the fleet is in.

On presumption that the crew will consist of you and your partner, you do the Carnagie Hall routine.

Local protocols here in New York City/New York State would have us putting the patient on O2 @ 10-15 LPM via Non Re-Breather (NRB) mask, not a Nasal Canula, unless the patient is unable to tolerate the NRB. Other than that, I generally concur with treatments given, with me being unable to comment on ALS as I am BLS.

Evacuate the state? Well, NORAD and it's predecessor, CONELRAD, have, several times in recent years, accidently transmitted the "Imminent Nuke Attack, seek immediate shelter" alarm! Just mentioning, I have Nuclear Emergency Search Team (NEST) frequencies on my scanner. If I EVER hear any traffic on them, I'm digging a hole, hiding in it, and pulling the hole in after me!

I'd add all the bugs we've creamed just driving in any vehicle, including POVs. How many millions? Unfortunately, there's several more million bugs to be hit. As a former manager of mine used to say,