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  1. R

    Unregulated cities

    In NYC, an ambulance is an ambulance so there are no issues (besides response time) with calling an IFT company to go to the hospital.
  2. R

    Needle cricothyrotomy

    Thanks guys, I appreciate the input.
  3. R

    Needle cricothyrotomy

    I believe part of the reason the city doesn't allow needle crics is because of the ineffectiveness of using a BVM through a 14 gauge catheter. It might be coming back into our protocols but through utilizing the "Quick Trach" kit.
  4. R

    Needle cricothyrotomy

    The "ramming" of the tube is only after visualizing the ET going through the cords but unable to ventilate. Unfortunately I am only able to repeat what my CIC says and that would be it is more beneficial to ventilate one lung than unable to ventilate at all. Needle cricothyrotomy is not...
  5. R

    Needle cricothyrotomy

    Would putting the ET down far enough to go past the carina and into one lung provide better ventilation than trying to ventilate through a 14 gauge catheter? @Merck it's protocol here.
  6. R

    Needle cricothyrotomy

    We are learning about advanced airways but a question popped up in my mind after class (should've occurred during), so I am asking here: if advancing the ET to its deepest depth and returning it to the previous depth still does not remove the obstruction and allow ventilations of the...
  7. R

    Females

    I believe having a bariatric patient is a trigger for "consider additional resources". My back aches thinking about picking up a 450 pound guy with just one partner :blink:
  8. R

    TransCare/SeniorCare/FDNY EMS

    Staff at metro tech mentioned that there were almost 900 people from EMS who are on the promotional exam to move to fire side :o That's a lot of spots to fill if the court doesn't throw out the FF exam.
  9. R

    Be honest. Do you wear your seat belt in the back of the ambulance?

    All the time. We have those parachute type harnesses as well.
  10. R

    TransCare/SeniorCare/FDNY EMS

    Well since she didn't say that you were missing documents and thus unable to be submitted, I'd take that as good news, no? What I heard from friends that got into either PD or EMS is that there was very short notice about when to report to the first day of their respective academies. One guy...
  11. R

    TransCare/SeniorCare/FDNY EMS

    I was told by a couple reliable sources that Oct 9th was the next class, followed by one in january.
  12. R

    Your first code

    At that age, I wonder if the trauma her body will suffer from the MI and resuscitation efforts will be worth it.
  13. R

    the 100% directionless thread

    Me too. A year of BLS was more than enough for me :glare:
  14. R

    Let's just take oxygen out of standing orders.

    That's because step 2 in like every protocol we have is "Administrate Oxygen" :blush: Edit: In NYC.
  15. R

    the 100% directionless thread

    I'd love to but since medic school starts in a week, I don't think its a good idea :wacko:
  16. R

    first post, took the NY emt-b exam on May 17... hoping for the best

    I didn't get my results for about four-five weeks after I took the test. I didn't know about on-site scoring until it was too late.
  17. R

    Senior Care EMS Bronx, NY

    Are you really disagreeing with it's easier and more convenient to do your assessment in the patients room? Even if the pt lays on their right side and you can't use their left arm for BP? Some people don't use their vital vision to plug in numbers on non-emergent calls either, so the BP is...
  18. R

    Senior Care EMS Bronx, NY

    If it's a non-emergent call, why wouldn't you take the vitals in the patient's room where you have plenty of space to roll up some sleeves? When you get the dementia pt w/ upper extremity contractures, you'll wish you did them upstairs.
  19. R

    At what point do you stop protecting your partner?

    Sounds like person A needs to graduate high school.
  20. R

    Paperless PCR's - pros..cons?

    "OK thanks nurse, can I just get your signature for my PCR? Sorry, it'll just take a sec for it to come out of standby mode... sorry just a few more seconds while I type in my passwords and the program boots up... OK you can't rest your hand on the touchscreen while you're signing, you have to...
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