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    Buffing Calls @ Private NYC Ambulances

    In NY if im driving lights & sirens patient on board or not a flagger is going to assume im coming for their emergency. This is strictly Duty to Act & Abandonment Im a NYS Emt or Medic in a NYS Certified Ambulance i am in service im responsible. I see the patient or am being directed to a...
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    Buffing Calls @ Private NYC Ambulances

    Im not saying you have to even get out of the bus, but you at minimum have to acknowledge the flaggers existence & tell them you're notifying dispatch. I agree with you its not in your patient on boards best interest however like i said you really don't have a choice. & forbid the patient is...
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    Buffing Calls @ Private NYC Ambulances

    If you were to be on the way to a call regardless of the priority & get flagged down you have to stop (or put on blinders) but you really wouldn't know what it is until after you stop. & once you stop you have to act. If someone is waving you down youre obviously going to stop & then obviously...
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    Buffing Calls @ Private NYC Ambulances

    There are a lot of different topics being thrown around here. Firstly (from my understanding) the OP both Volunteers outside of NYC & operates as an EMT with a Private based Contract & IFT EMS service. Very different areas, different rules, etc. Within NYC you have 4 types of services FDNY...
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    FDNY flexible w/ going to college?

    You're schedule rotates 5 on 2 off 5 on 3 off, repeat 8 hour tours Units run different start & end times during tour change If you work tour 1 (any 8 hour period between 10pm & 10am (approximately, i.e. 2200-0600 or 0100-0900hrs) its fairly easy to go to school, in fact most people who i work...
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    FDNY EMS Candidates

    No they don't, if they have someone drop out last minute or something, they'll call Friday to show up Monday morning
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    Transport Vents: Crossvent VS LTV 1200

    Used the LTV1200s frequently never had any issues, had ~3ish REVEL units (that replaced the LTV1000s before I started), didn't use them as often but most of the Medics liked them a lot more once they were comfortable with them
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    FDNY EMS Candidates

    From just having gone through the process Good luck to everyone If you are low on the list, expect to start roughly a year from Submitting Date If you are a little higher expect 1.5 years (i was in the 400's i fell in here) For those of you who just got letters expect an agility test...
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    FDNY EMS Candidates

    Me & my friend, both working for the same service, both got the call yesterday, see you guys the 10th And neither of us got a choice on class, both of us got the evening class
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    NYS Collaborative Protocol Rollout

    As a bls provider definitely not An ALS provider, I dont know, I dont think so, however a call to the receiving MD med control could always change that
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    "DO Prehospital Emergency Medical Technicians Diagnose?" (References and citations)

    I agree with this, i'm in NY and in class we were taught you are not definitively diagnosing (this is at the BLS level however paramedics are a certification also not a license so id assume its the same), but my paramedic partner I think said it the best, to provide an appropriate treatment you...
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    How many on your ambulance?

    Municipal 911 Minimum (rare) - 1 Driver 1 EMT Usually - 1 Driver/EMT 1 EMT 1 Support (or second EMT) Often/Maximum - 2 EMT/Drivers 1 EMT 1 Support/Probationary/Orientee or some combination thereof With Single Medic Flycar Intercepts (Support Member will usually drive the flycar so the Medic can...
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    NYS Collaborative Protocol Rollout

    And yes, im in a semi-rural area but with all my available ALS being privates i've been dispatched to AMS with a quote of no ALS available from dispatch & a ~20 minute ETA to the hospital after getting the pt in the ambulance & a few months prior to that we had a coach bus mci with a 30 min ETA...
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    NYS Collaborative Protocol Rollout

    Fair enough
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    NYS Collaborative Protocol Rollout

    No obviously if your an AEMT you dont need to call for the bls stuff before your AEMT interventions can be done etc. & i really just posted the actual protocols because i was getting annoyed reading peoples responses to what was stupid and arguing over stuff they obviously didnt read or know...
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    NYS Collaborative Protocol Rollout

    Pediatric protocol IN Order For Basics & Intermediates 3 Nebulized Albuterol treatments - If no improvement contact MED Control for Epipen use CCT - after Basic/Intermediate Interventions (Substitute Duonebs for regular Albuterol treatments above) Epi .01mg/kg IM max .5 IM Paramedic...
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    NYS Collaborative Protocol Rollout

    Adult protocol is as follows IN order Basics 3 nebulized albuterol treatments Intermediate after basic intervention CPAP ( with inline nebs) Contact med control for use of epipen or more albuterol CCT/Medics after basic & intermediate interventions (except use duonebs instead above) Epi .3-.5...
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    NYS Collaborative Protocol Rollout

    No we don't carry mag or solumedrol Yes the protocol for basics & intermediates for adult & peds asthma is 3 nebulized albuterol only treatments After 3 treatments with no improvement contact med control for authorization for more albuterol or use of an Epipen
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    NYS Collaborative Protocol Rollout

    I was simply speaking for the BLS/Intermediate level of care for Non-improving Exacerbated asthma with extended ALS intercept or transport time. Having another option other than 3 albuterol treatments, contacting med control for more, & praying they don't go into respiratory failure, ill...
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    NYS Collaborative Protocol Rollout

    Link http://www.hvremsco.org/wp-content/uploads/2013/10/Collaborative-Protocols-Hudson-Valley-Rollout-2014.pdf
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