frdude1000
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How does NYC ems work. Is it all through FDNY? Do private companys take 911 calls? If so, how do they decide if FDNY or a private take a call?
New York City EMS
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Cory
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I was wondering the same thing. I know there are a lot of hospital employed ambulance services. But, the FDNY EMS is the biggest EMS system in the world, I think they respond to most calls. I used to know alot about FDNY EMS, and when my friend and I used a scanner once, and we set it to FDNY, there were a LOT( at least 1 every 5 - 10minutes) of calls for EMS. So I think they take the bulk. I don't really know from there.
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JPINFV
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HNcorpsman
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i dont know a whole lot but i do know that private CO. do respond to calls... they are usually hospital ambulances, and supposedly they are better. not really sure on how they decide who goes though...
BLSBoy
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The privates respond to a geographic are surrounding their hospital.
firecoins
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FDNY runs the whole system. Hospitals get assigned certain units. Some of the hospitals outsource their units to private companies.
The units are assigned a geographical area. Ususally its related to their hospital. The units are assigned to a "10-89" based on the FDNY geographical matrix.
FDNY is suppossedly the biggest in the US. It reports to get the most "calls" however multiple calls on 1 incident will get counted separatly despite their being just 1 incident.
The units are assigned a geographical area. Ususally its related to their hospital. The units are assigned to a "10-89" based on the FDNY geographical matrix.
FDNY is suppossedly the biggest in the US. It reports to get the most "calls" however multiple calls on 1 incident will get counted separatly despite their being just 1 incident.
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Cory
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I'm pretty much positive the statistic is correct, for EMS at least. And I do not doubt it either.
firecoins
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Yes NY is a very busy system but nearby systems of nearby cities are just as busy. Newark, Jersey City and Yonkers get the same high call volume. NY is most likely the biggest in the US but their reported volume is different from reality. They caount each phone call as a call. They may get several calls on 1 incident. Hence 1 incident get counted several times depending on how many people called in.
my theory though is in some areas in the boroughs people are sicker, more non-compliant, have weird socio-economic constraints and go to the ERs more that anywhere else because of lack of PCP or insurance.
Which would lead to more calls.
I thought I read it was 60% FDNY and 40% outsourced to the private 911s. Plus you must remember there are a lot of critical care transfers between hospitals.
Which would lead to more calls.
I thought I read it was 60% FDNY and 40% outsourced to the private 911s. Plus you must remember there are a lot of critical care transfers between hospitals.
It's like firecoins said. FDNY has it's own units as well as hospital based/private units, which operate under the same SOP's and protocols. OLMC is the same for all units, the "doc in the box".
Units sit at their "89", their cross street location to await a job. BLS units are named by their batallion first, then their name, such as 49 Frank, 50 Henry, 53 Young, etc. The beginning of the alphabet is for BLS units, A-Q I believe. R-Z are for ALS units. This goes for FDNY as well as others. FDNY suppression only does medical aid at the CFR-D level.
BLS generally get lower priority jobs, such as 5-abd pain, 6-sick, 7-EDP(no lights), 7-intox, etc. ALS units get pri 1-arrest, 2-diff breather, 3-cardiac condition, 3-unconscious, etc. Arrests automatically get 1 ALS and 1 BLS. If an ALS unit has a "greater than 10" eta, they get BLS back. All ALS are double medic, BLS can have either two BLS, one and one, or even two medics, but their scope is only BLS when assigned to that unit.
Notifications to the hospital are given only for serious pts, like an active Cx pain, CVA, APE, multi trauma. The note is given by the driver, who gives it via radio to the dispatcher, who then gives it to the hosp. It's brief, such as "Male, 52, R/O MI, 152/94, 92, 20, ALS established, 6 min ETA".
Updates are required onscene after 20 mins, and every 10 thereafter. Same when you're in the ED.
You're only clear from the ED when you give the 98 or 97 signal. They can pester you, but they can't assign you another job until you're ready to handle.
There's a cap on consecutive work hours at 16 + late job. You can circumvent that by jumping between providers. If I do 53 Young for a 2/3 double, then jump on 51 Victor for a 1/2 double, I can work 32 out of 33 consecutive hours without being flagged.
If you want benefits and a pension, you go FDNY EMS. If you want a much higher salary, with better working conditions and schedule, you go hosp. based.
Any more questions, just fire away.
Units sit at their "89", their cross street location to await a job. BLS units are named by their batallion first, then their name, such as 49 Frank, 50 Henry, 53 Young, etc. The beginning of the alphabet is for BLS units, A-Q I believe. R-Z are for ALS units. This goes for FDNY as well as others. FDNY suppression only does medical aid at the CFR-D level.
BLS generally get lower priority jobs, such as 5-abd pain, 6-sick, 7-EDP(no lights), 7-intox, etc. ALS units get pri 1-arrest, 2-diff breather, 3-cardiac condition, 3-unconscious, etc. Arrests automatically get 1 ALS and 1 BLS. If an ALS unit has a "greater than 10" eta, they get BLS back. All ALS are double medic, BLS can have either two BLS, one and one, or even two medics, but their scope is only BLS when assigned to that unit.
Notifications to the hospital are given only for serious pts, like an active Cx pain, CVA, APE, multi trauma. The note is given by the driver, who gives it via radio to the dispatcher, who then gives it to the hosp. It's brief, such as "Male, 52, R/O MI, 152/94, 92, 20, ALS established, 6 min ETA".
Updates are required onscene after 20 mins, and every 10 thereafter. Same when you're in the ED.
You're only clear from the ED when you give the 98 or 97 signal. They can pester you, but they can't assign you another job until you're ready to handle.
There's a cap on consecutive work hours at 16 + late job. You can circumvent that by jumping between providers. If I do 53 Young for a 2/3 double, then jump on 51 Victor for a 1/2 double, I can work 32 out of 33 consecutive hours without being flagged.
If you want benefits and a pension, you go FDNY EMS. If you want a much higher salary, with better working conditions and schedule, you go hosp. based.
Any more questions, just fire away.
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I know what FTM-PTB means, but what about the other TLA's? (Three Letter Acronyms)
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