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...
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...
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...
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...
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...
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
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...
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
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
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...
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...
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...
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...
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...
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...
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
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...