the 100% directionless thread

[chaz90]

We just finished 4 days of rescue task force training with several municipal police departments and fire departments. I'm really encouraged that we're finally getting the wheels moving on this locally. There's still a lot of ground to be covered before we get complete buy-in from state police, but this is a big step. At least it feels like we're moving in the right direction with some great inter-agency cooperation.

 

[NomadicMedic]

I haven't had a street bike in years. I want another one before too long.

I'm a little more "mature" than you guys I think, so I'll probably go with something like a lightly used Honda ST. Also love BMW's but they are a bit pricier.

I picture something more along these lines ...

 

[Jim37F]

Hmm...according to the email from work, LA County Fire is gonna start tiered dispatching....

 

[redundantbassist]

I picture something more along these lines ...

View attachment 2878

Don't rip on powerchairs bro

 

[Chimpie]

Doing medical standby at the Warped Tour in St. Pete, Florida today.
http://vanswarpedtour.com/dates/st-petersburg/

This is going to be interesting...

 

[Carlos Danger]

I picture something more along these lines ...

View attachment 2878

Ha you are probably right!

 

[Mya]

Hmm...according to the email from work, LA County Fire is gonna start tiered dispatching....

Just for medical calls though, right? I'm not that experienced in ems but its seems more logical for us to upgrade to ALS instead of them always being there.

 

[Jim37F]

Just for medical calls though, right? I'm not that experienced in ems but its seems more logical for us to upgrade to ALS instead of them always being there.

Medical calls as compared to what? Fires?

But yeah, here's the email from work:

message from LACOFD (Emergency Medical Dispatch Coordinator): Effective Friday, July 1, 2016 at 0800 hours, the Department will commence its Tiered Dispatch Program. This means that for the first time, we will respond on certain medical calls without a paramedic squad (ALS). The following call-types will respond with an engine (or truck or other BLS unit such as a Haz-Mat squad) and an ambulance only: SICKB (Sick BLS) INJB (Injury BLS) One of concerns is that when an ambulance arrives first and is with the patient, they may assume that a squad is responding when they are not. Also, if they notice the patient may require ALS interventions, you can always advise Command and Control of the situation and we can upgrade the call. Keep in my mind that we anticipate to expand this to more call types in the future.

(Some curious language....why mention Haz-Mat units? Those are specialized units that only get dispatched to Hazmat incidents (surprise surprise) and aren't staffed by a dedicated crew, instead the engine/qunit crew at the station they're at will staff those on the HM calls, same with USAR, not like those units are just driving around to get run of the mill EMS calls........

Also what's with the concern of the ambulance being first on scene and expecting a Squad to arrive? 1) We arrive on scene first plenty of times, and the engine/quint captain will cancel the Squad that's enroute if it's gonna be a BLS transport anyway, I run on plenty of calls and only ever see the Engine crew without the Squad plenty of times (and vice versa if the Squad gets there before the Engine they'll cancel them if they don't need to extra manpower with us Ambulance on scene......2)anyways because FD is officially in charge we can't transport without fire (either the Engine/Quint or Squad) completing a trip ticket so they're there with us all the time anyway, not like anyone is gonna tell the Engine Captain we can't transport the BLS patient yet cuz not enough flashy lights are on scene yet lol)

 

[CALEMT]

Also what's with the concern of the ambulance being first on scene and expecting a Squad to arrive? 1) We arrive on scene first plenty of times, and the engine/quint captain will cancel the Squad that's enroute if it's gonna be a BLS transport anyway, I run on plenty of calls and only ever see the Engine crew without the Squad plenty of times (and vice versa if the Squad gets there before the Engine they'll cancel them if they don't need to extra manpower with us Ambulance on scene......2)anyways because FD is officially in charge we can't transport without fire (either the Engine/Quint or Squad) completing a trip ticket so they're there with us all the time anyway, not like anyone is gonna tell the Engine Captain we can't transport the BLS patient yet cuz not enough flashy lights are on scene yet lol)

 

[ViolynEMT]

I've been working out really diligently lately and I'm at the point where I'm starting to notice a difference in my strength. I'm actually finding myself stoked about going to the gym. Never thought I would ever say that. Lol.

 

[CodeBru1984]

I've been working out really diligently lately and I'm at the point where I'm starting to notice a difference in my strength. I'm actually finding myself stoked about going to the gym. Never thought I would ever say that. Lol.

I need a workout buddy!


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[STXmedic]

(Some curious language....why mention Haz-Mat units? Those are specialized units that only get dispatched to Hazmat incidents (surprise surprise) and aren't staffed by a dedicated crew, instead the engine/qunit crew at the station they're at will staff those on the HM calls, same with USAR, not like those units are just driving around to get run of the mill EMS calls........

Do their HazMat and Rescue teams not still respond to medical runs? Our teams are dedicated HazMat/Rescue, but will still make medical runs.

 

[Chimpie]

Twelve hours at the Warped Tour. Sum 41 and We The Kings played at the stage next to our medical tent. Saw over a hundred patients. I'm exhausted.

 

[Tigger]

Do their HazMat and Rescue teams not still respond to medical runs? Our teams are dedicated HazMat/Rescue, but will still make medical runs.

Same here, our Hazmat and rescue company will respond to medical calls if they are the closest unit. Same goes for companies returning from out of district training. Usually the local company will cancel them, but sometimes we show up to find a peeved hazmat crew far from their station...

 

[Jim37F]

My understanding is that the HazMat and USAR crews are normal Engine/Quint companies (staffed by FFs with the additional HazMat/USAR certs/training) and they'll take the engine or quint out to "normal" EMS/traffic collision/fire alarms/actual fires/etc but then if given a HazMat assignment will take the HM truck out to that call.

At least that's how it was when I was at Glendale, Haz-Mat 24 was crewed by Engine 24, USAR 22 was crewed by Engine 22 (Brush 21 was staffed by Truck 21, etc) and everything I've heard LA County staffs the same way.

 

[Chris07]

The LACoFD Hazmat unit is staffed as dedicated unit. The one we have in our area is for sure staffed with a dedicated crew and is the 2nd due unit in its area. Must be nice to sit around and MAYBE get 1 call a day.

It's always funny to see this big semi-truck on a medical call. First time I saw it is was like...Hazmat? Should we even be here right now?

 

[Jim37F]

Huh. Wierd. Def doesn't happen in my area, we got engines, quints, the odd light force...but no big honking HazMat or USAR truck running medicals in my little corner...I could see something like if the squad sized USAR tender was returning from a drill and right around the block from a call, but sending a HazMat truck from quarters..?

 

[NomadicMedic]

Seattle sends a tiller truck on Medicals.

 

[CALEMT]

My understanding is that the HazMat and USAR crews are normal Engine/Quint companies (staffed by FFs with the additional HazMat/USAR certs/training) and they'll take the engine or quint out to "normal" EMS/traffic collision/fire alarms/actual fires/etc but then if given a HazMat assignment will take the HM truck out to that call.

Same for us. Station 81 is the hazmat station for our area. That station has engine 81, hazmat squad 81, and hazmat 81. The engine and squad are regularly staffed. When there's a hazmat call the engine will downstaff and will staff hazmat. Every now and again we'll run medical calls with the squad (regularly staffed with 2 company officers i.e. Capt. and engineer) when the engine is busy. The squad is just BLS while the engine is ALS.

 

[CodeBru1984]

Two of the BLS department's local to me run either a patrol/engine combo, an engine, or a tiller to medical aides.


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