the 100% directionless thread

Jim37F

Forum Deputy Chief
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All I gotta say is that fire budgets are ridiculous...
We had our three ambulance providers do visits today in our Academy: AMR, City&County EMS, and Fed Fire. The C&C EMS guys, despite being Govt Third Service primary 911 provider straight up said they're not allowed to do a 1 for 1 replacement of items we use (i.e. we use an NRB from the medical bag on the engine) they're not supposed to automatically give us one from their supply, specifically because we as Fire have a larger budget than tgey do, and they literally wouldn't be able to afford to do that. Also in that same vein, the Fed Fire guys (dual role Fire/Medics, primary providers for the military bases on the island) were showing off the Auto Pulse device they have, and everyone agreed the C&C should buy them, but they can't because of budget (I personally think they should at least try to get them for their district chiefs if nothing else.. but that's a bit above my paygrade as a recruit ha). (Though AMR was showing off that they have Power Load and Power Gurneys for their rigs...vs C&C and Fed Fire have Ferno pro flexx gurneys...they also brought their 1600lb capable bariatric unit that has ramps and a winch)
 

Qulevrius

Nationally Certified Wannabe
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Powerload Strykers are nice. Until they aren’t. EMTs are like grunts, they destroy anything they touch.
 

beaucait

Forum Crew Member
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Powerload Strykers are nice. Until they aren’t. EMTs are like grunts, they destroy anything they touch.
there was someone who loaded a power stretcher on an uneven surface, and just about destroyed the mount on the rig.. like bent it sideways and everything..... \

40,000$ Later and their only response was... "Those fire guys know how to break everything"... hahahaha
 

Jim37F

Forum Deputy Chief
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there was someone who loaded a power stretcher on an uneven surface, and just about destroyed the mount on the rig.. like bent it sideways and everything..... \

40,000$ Later and their only response was... "Those fire guys know how to break everything"... hahahaha
Funny because when I still worked in LA, there was a couple LAFD ambulances selected to test out Stryker Power Lift gurney with the Power Load system, the other rig was testing Fernos power lift/load system....we often held the wall with both those crews at the hospital and the firefighters universally seemed to hate both setups. They said they were actively trying to bust them so they could go back to their preferred Ferno manual gurneys. "Oh we're testing them, so we're supposed to be extra rough with them!"
 

CALEMT

The Other Guy/ Paramaybe?
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If only the power gurneys weighed as much as the manual gurneys.
 

Jim37F

Forum Deputy Chief
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If only the power gurneys weighed as much as the manual gurneys.
If only if folded as compact as the manual gurney so I could actually bring it in the house to the patient vs leaving it on the front porch because it's too bulky/unwieldy and end up lifting/carrying even more patients (for further) just to get them to the gurney......but I suppose I can't b*** t oi much anymore as my new job is officially "patient lifter and carrier" lol
 

RocketMedic

Californian, Lost in Texas
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Reported a nursing home to aps after they ignored a respiratory failure over the course of a day. Dude only is alive because he managed to get his phone. Lvn is both incompetent and a liar. I can tolerate the incompetence cake, but the frosting of lies and garnish of haughty refusal to provide even minimal assistance like records makes me mad. Refusing to identify herself beyond a nickname is the cherry on top. Have fun with APS and maybe the state...
 

EpiEMS

Forum Deputy Chief
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not allowed to do a 1 for 1 replacement of items we use (i.e. we use an NRB from the medical bag on the engine) they're not supposed to automatically give us one from their supply, specifically because we as Fire have a larger budget than tgey do, and they literally wouldn't be able to afford to do that.

Wow. That's pretty messed up. What's the call volume mix for you guys? 80% medicals?

showing off the Auto Pulse device they have, and everyone agreed the C&C should buy them, but they can't because of budget

I'm so mixed on the AutoPulse/Lucas. I love the idea of not having to have somebody do compressions, but the staffing that we have gives us lots of well-paid fire guys who can do them (not like they have fires to fight - we get 2 structure fires a year, maybe). And since we shouldn't really transport most arrests anyway, is it worth $40k a piece to have one in every unit like we do (could just throw one in the medic fly cars)...
 

StCEMT

Forum Deputy Chief
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Wow. That's pretty messed up. What's the call volume mix for you guys? 80% medicals?

I'm so mixed on the AutoPulse/Lucas. I love the idea of not having to have somebody do compressions, but the staffing that we have gives us lots of well-paid fire guys who can do them (not like they have fires to fight - we get 2 structure fires a year, maybe). And since we shouldn't really transport most arrests anyway, is it worth $40k a piece to have one in every unit like we do (could just throw one in the medic fly cars)...

I've had a few moments where it's been helpful. Particularly a refractory vfib I transported and could not get to convert. One or two bathroom/tight hallway arrests. That or when you get tired of trying to constantly make sure that good CPR is being done even with plenty of space.
 

Jim37F

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Wow. That's pretty messed up. What's the call volume mix for you guys? 80% medicals?
I'm still in Recruit Academy so I only have what the instructors claim to go off of, but I've heard (different numbers from different people) as low(high?) as 60% up to 80%.

I forget the numbers they quoted, but they said Fire only went like maybe half of the calls EMS did, so it's not like LA where every 911 automatically gets Fire lol

We do also get more than 2 structures a year lol...just following the local union Facebook page, of course they love to post news stories of every Fire related story from across the islands, there's a multi alarm structure every couple of weeks or more it seems (There was one in the Bn where I live this weekend)....though still, for the individual FF it's still low incident, may not get one for weeks or months.
 

EpiEMS

Forum Deputy Chief
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We do also get more than 2 structures a year lol

The sarcastic figure I give is 2, it's actually - Fire claims - like 25. Still don't believe their figures ;)

I'm still in Recruit Academy so I only have what the instructors claim to go off of, but I've heard (different numbers from different people) as low(high?) as 60% up to 80%.

I'd bet that is the range that is common nationally - I think FDNY is something like the higher end.
 

Lo2w

Forum Captain
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Started the process to register and enroll for medic school yesterday - looking forward to my year of hell in the fall.
 

Jim37F

Forum Deputy Chief
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Wellp, I'm officially signed up to take the NREMT computer based test......





















Guess it's time to start about 50 threads asking variations on how to properly study for it, which apps are the best....then after I walk out of the testing center a few more new threads about how well you guys think I did based on time and number of questions
 

Qulevrius

Nationally Certified Wannabe
997
545
93
Guess it's time to start about 50 threads asking variations on how to properly study for it, which apps are the best....then after I walk out of the testing center a few more new threads about how well you guys think I did based on time and number of questions

Not sure if serious, but if you are - if you know it, then you know it. Before I took mine, all I did was going through the review questions at the end of ea chapter in the book. There might be some tricky ones, such as questions on Venturi mask/CPAP, which you, in most likeliness, have never dealt with, but other than that, it’s all from the textbook.
 
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