Totally makes sense - I think this is a foundational principle that every system ought to have. My closest ALS might be the hospital, in a phrase!
Troubling to see folks skell like that...bad consequence of a policy!
That's interesting -- how do they monitor that these handoffs are appropriate?
My first agency was like this -- left when they started to transition but it really...left much to be desired. I feel like EMD is harder than it looks to implement well!
BLS can cancel ALS even when there's an ALS indication? No standard criteria?
Does your agency have standards or assessment requirements before a patient can be "downgraded" to BLS transport? I've only been in agencies where there is an ALS co-response or ALS resource assigned to all calls, and have seen various practices by various providers.
I don't think anybody is going to disagree that there are legitimate policy, tactical, and strategic disagreements with Israel. That said, I'm inclined to generally believe the IDF before I believe anything the other side says, especially when it is entirely plausible based on historical...
Great State of New York seems to suggest against the AR-15 :rolleyes:, so I think a 10/22 or 20-gauge kinda makes the most sense, coupled with cost of ammo. I definitely would need some training --will look into classes!
Apparently there is not an "official" state patch. The tombstone style and the bigger one (not sure what it's called) are all available online. I bought some recently from Code-2 in the Rochester area (https://code-2.com/collections/ny-patches), I was pretty satisfied.
For better or worse, it's real (supplemented by a town over's non-profit medics -- but only 1)...in a town that has somehow only has volunteer fire and a household income in the $200k range...
Just another example of the dysfunction of CT.