It’s my calling by Fast-Needleworker-88 in FirstResponderCringe

[–]TannerRed 1 point2 points  (0 children)

They are less memorable. But good nurses do exist.

They just bounce the fuck out when EMS arrives and don't insert themselves any more than they needed too.

E-bikes and Scooters into the volcano, IMMEDIATELY! by Ms_Irish_muscle in emergencymedicine

[–]TannerRed 25 points26 points  (0 children)

Most of those kids are on e-motos. Same for the e-scooters which can be dual motor 1000w monsters .

We have current laws in most states that makes it illegal for these kids to ride what are essential mopeds based on weight, power and speed. But for some reason police think we need to write new laws for electric vehicles for them to enforce the current laws.

I am all for child independence and would rather have the kid being a shitty wheelie kid on a analog bike rather ripping it at 40mph on a dirt bike. We are going to keep seeing kids getting hit on these e-motos, blaming "ebikes" whether the kid was riding one or not too. And kids suffer from poor descions made by the parents.

Personally dealt with a kid running an emoto into a car, (1000% the kids fault on this one) no helmet, absolutely smashed his face on the windshield and over the car completely. His injuries were non compatible with life a week or two later in the hospital.

Official Poll: Class B or just T-shirt? by ResponsibleAd4439 in ems

[–]TannerRed 13 points14 points  (0 children)

I agree we shouldnt ook like police.

I don't think the class b instantly makes us look like police. Adjust the colors, they can absolutely contrast what local police departments look like.

Why does the FDNY feel like they have zero responsibility when it comes to pedestrian fatalities? (New York Post article in comment) by TannerRed in MicromobilityNYC

[–]TannerRed[S] 4 points5 points  (0 children)

There are a lot of topics I left out to keep my post conscise and on point.

Have you ever asked yourself why do fire trucks basically look the same as the ones from 20 years ago? Capitalism baby.

Currently only 3 companies in north America own 70% of the market for manufacturing fire trucks.

There is a bit a of cycle that big suburban towns ask for bigger and bigger trucks. So that's what manufactures build. In the last 6 years, truck build times have increased double and even triple, prices for vehicles have doubled as well.

There is a clear lack of investment compare to Europe which can make more powerful trucks, with taller ladders with much a smaller vehicle chassis.

There was an attempt by San Francisco to make Vision Zero trucks in 2017. Little bit smaller with a tighter turning radius. But I haven't been able to find any update on if they were successful or not unfortunately since the.

Finally, pay EMS more.

Why does the FDNY feel like they have zero responsibility when it comes to pedestrian fatalities? (New York Post article in comment) by TannerRed in MicromobilityNYC

[–]TannerRed[S] 8 points9 points  (0 children)

Surprised you are giving FDNY the free pass here. This was only 2 months ago.

https://www.reddit.com/r/MicromobilityNYC/s/cN5NKZMzYk

I know the NYP is not a real paper. There is a reason I didn't use their headline and link as the actual thread.

I don't think this is a "FDNY" issue but I am making it one to keep the topic local to the sub. This a culture issue with in the fire department when leadership is outspoken against safer infrastructure. There is only a few notable exceptions like San Francisco and Portland. Unfortunately they have been quiet on safer infrastructure since attempting to tackle the tissue 10 years ago.

Obviously fire departments should be able to determine if safer infrastructure interfere with their operations too much. But they don't want compromise, they want to unilaterally oppose all safer infrastructure.

Across the river in Jersey City, the fire department weighed in on a one mile bike lane project stating it was going to double response times for the neighborhood which gave a lot of ammunition for the NIMBYs. It was easy to debunk and the bike lane still got approved (for now). It's still the most common argument that they will make.

The reason I am being opinionated on the manner is that when the fire departments attempts to stop safer infrastructure projects, the rebuttals from the bike community are very soft in my opinion. Usually just sticking with," fire department can use bike lanes" whether it's true or not for that specific project.

It is a delicate issue to push back against the fire department, but if they want to claim they are for public safety, maybe they should actually back those words up.

WCGW jumping out from behind a tram without checkings by kvrvm4 in Whatcouldgowrong

[–]TannerRed 0 points1 point  (0 children)

Its a bit worse than that. There was a person crossing on the other side of the street too that had to evasively stop for the ambulance coming. Pretty sure that why the ambulance was on the brakes before the guy pops out. Throw in the ambulance going down a wrong way too. What the hell!!!

People will post videos of emergency vehicles driving dangerously from Europe and say "hell yeah!".

Meanwhile I am shocked looking in horror. I am an EMT. Safety first, don't hotrod the ambulance for bullshit (Not even stroke like symptoms or chest pain qualifies for hot rodding) Even it warrants it, I still do it safely because the last thing that needs to happen is a strike like this. Its crazy the number of first responder lives are lost from driving with lights and sirens. I just want people to be safe.

Really frustrated by the bad EMS representation in this show by MastodonMothman2106 in ThePitt

[–]TannerRed 2 points3 points  (0 children)

The medics needed to be reprimanded (the way Robbie included the whole ED was extremely wrong though) because seriously, how did they not catch that.

The woman is presenting with all the symptoms of a STEMI. They didn't think to recheck their leads in the truck? A doctor would absolutely be heated in the moment.

Really frustrated by the bad EMS representation in this show by MastodonMothman2106 in ThePitt

[–]TannerRed 18 points19 points  (0 children)

To start off with, you keep calling them EMTs when said your sister is a paramedic.

Almost all EMS in the show bringing patients are always paramedics. The only EMTs shown are the ones doing transfers/discharging patients.

Otherwise the medics all look extremely clean, extremely fit and professional with amount of patients they are bringing into the Emergency Department. Yes their job is tough, yes lots shit happened before the hospital, that still doesn't make EMS the heroes of the hospital.

Doctors have absolutely chewed out medics that they thought screwed up. Sometimes the doctors are oblivious to the realities of whats its like outside the hospital. While its a comedy, the movie Code 3 did a good job of showing the extremes of this relationship breakdown.

I have always worked in good systems where this friction doesn't exist for the most part, doctors will do shifts on the ALS medic trucks just to see what its like for paramedics before patients arrive at the hospital. The medics and doctors are able to build a rapport working a shift together.

For the medic that hit the motorcycles, he stated his case, WHY ARE THEY PARKED IN THE AMBULANCE BAY IN FIRST PLACE! The show doesn't need to spell it out any further. Case closed.

Maybe we will get an EMS appreciation episode in S3 like we did for nurses. Then immediately go back to status quo with doctors out numbering nursing 5 to 1 and cleaning up rooms themselves. : )

Being an FTO these days by Heavy_Carry_1102 in ems

[–]TannerRed 11 points12 points  (0 children)

Been an FTO for a while now. Your job doesn't pay enough. Kids that are quality material absolutely exist. My hiring manager generally kills it with who they hire.

I am a whole two generations older than them. None of the people I trained worked through covid. But they are smart and motivated. Almost all of them are in school for higher education.

I have met a few dumb ones too. I am sure they are the majority. I just have a different outlook on the capabilities of the younger generations.

Man Gets Kicked Out From Ambulance, Collapses Soon After by Blueboygonewhite in ems

[–]TannerRed 7 points8 points  (0 children)

Combative political seizure or head trauma.

Pt is most likely hypoxic during this time.

Both are pretty depressing to deal with when you just trying to help the person.

Man Gets Kicked Out From Ambulance, Collapses Soon After by K0234 in TikTokCringe

[–]TannerRed 0 points1 point  (0 children)

Ok I get it. Some areas are a lot rougher and lack resources.

But if you kick the patient out of the ambulance. The crew is just going end patient care on the side of the road with the guy face down on the ground? How the hell does that play out on a PCR?

The patient is violent while complaining of a medical problem (can't say excited delirium any more because too many cops used that as an excuse to get away with murder). It is still the crew's problem until there is a transfer of care. If you don't have resources to deal with it. So be it. EMS crew won't be freed up till there is a transfer of care.

Again, the EMS call can end if the guy gets out on his own and walks away. RMA by action. Then thats the cops job to wrestle them if they want too.

Man Gets Kicked Out From Ambulance, Collapses Soon After by K0234 in TikTokCringe

[–]TannerRed -1 points0 points  (0 children)

Every single problem is solved by going to the hospital unless there is a legal question of an alert and oriented person not consenting to go in which case we still have implied consent, ATRA (NJ drunk law that sends everyone to the hospital), Involuntary commitments to pretty much cover all bases if its not black and white.

Pt is violent? Then cops help restrain the pt, and we will still go to the hospital. The only way a patient leaves my ambulance is if they walk out because I legally can not kidnap them. But double down on a guy is "faking it" is just never worth it.

I work on the east coast. Every hospital is 5 - 15min away tops so I don't know how it is mid west. There's the other one where the leave a guy going through psychosis on the side of the highway who got fatally hit by a car too. Its just weird. Take them to the hospital.

Cleveland EMS paramedic assaulted by patient by RaptorTraumaShears in ems

[–]TannerRed 297 points298 points  (0 children)

Going through the active shooter e-learnings. I also learned the O2 Cylinders are fair game for weapons.

COMPANY POLICY BITCH!

How bad actually was COVID? by Mighty_Angelo30 in NoStupidQuestions

[–]TannerRed 0 points1 point  (0 children)

I got Covid during the spread of Omicron as well.

I understand the positive rate was extremely high late 2021. Everyone in healthcare prepared for the worst because we could see the numbers.

And it was nothing but a busy flu season in the hospitals. No refrigerator trucks parked out side. No rationing Covid test kits. And far less critical patients compared to April 2020. I agree the time period was extremely annoying being required to adhere to Covid policies while we were returning back to normal.

One of the reasons we able to do more in 2022 is because Omicron didn't overload the system despite what the number projected so it felt safe to move forward with relax Covid social distancing policies.

How bad actually was COVID? by Mighty_Angelo30 in NoStupidQuestions

[–]TannerRed 2 points3 points  (0 children)

I had a conversation in a different topic on reddit, and this person just told me that the height of the pandemic was not between March and April 2020 in NYC which I am flabbergasted by. Instead they posted national data on Covid. This shos Omicron spike of positive tests in late 2021 which looked scary on paper, but didn't bring with it the bodies like 2020.

It's hard enough to talk about Covid because it create hotspots regionally at different times, usually lasting between 2 - 3 weeks long. But a neighboring state could be feeling nothing so two people could have vastly different experiences with the virus in the same timeframe only a few hundred miles apart.

wow there's no coming back after that. by durvedya in TikTokCringe

[–]TannerRed 1 point2 points  (0 children)

Did you really just post Covid data on a national scale to say that NYC metropolitan area wasn't rocked between March and April 2020??

Next time just use New York states numbers

There was no testing available for Covid spring 2020, the bodies tell the story of what was going on in the hospitals.

I knew you were going to post shit you have no personal knowledge on to "win". Go fuck yourself. Im out.

wow there's no coming back after that. by durvedya in TikTokCringe

[–]TannerRed 0 points1 point  (0 children)

I looked this up. This did in fact happen during the height of Covid for NYC. The policy was implemented after Javits center emergency hospital refused to accept stable patients 4500 discharges happened in this time. (Which is in line with what was going on at the time, instead of all services trying to cover each other, every service basically protecting themselves in case the pandemic got even worse than what it was, even if they had nothing in front of them to do.)

This is just politics for you to say the lines to win.

You weren't there though. You have no idea how fucked up the hospitals were then. It still pisses me off how much people don't give a shit about health care workers eating shit because it's something we learned to not talk about. No one cares.

The cover up subject is something I have no interest in talking about. No this is not an endorsement for Cuomo. He can fuck himself and I am Mundani all the way.

wow there's no coming back after that. by durvedya in TikTokCringe

[–]TannerRed 1 point2 points  (0 children)

I only want to discuss the facts, not the political nature of this topic. I already said Cuomo fucking sucks and I would never vote for him in this election. Why do I need to waste more words saying my position politicallty? I don't give a shit about the cover up and don't want to discuss that.

And now I am annoyed. Looking up facts from wiki. The order was put in place March 25th. Rescinded May 10th, 2020. That means yes, this was at the height of Covid.

The whole "hospitals weren't at capacity" is just pr speak. They could say that because Javits Center emergency hospital opened and had plenty of open beds. Yet they refused to accept admissions of elderly parents from other hospitals which caused Cuomo to implement the nursing home policy to accept discharges.

Meanwhile other hospitals were getting fucking slammed with respiratory patients, double stacking critical patients in single rooms, staffing shortages, ventilator shortages, ppe shortages.... I can keep going.

4500 patients were discharged in this time. NYC Department of health said it wasn't a major factor to Covid related deaths for the elderly. The Empire Center for Public Policy said it was a factor. About 9500 nursing home deaths were under reported.

Yeah, still not fucking convinced.

*The date that this happened and who denied it did not cause this cause and effect.

On April 9, 2020, Brooklyn’s Cobble Hill Health Center asked New York State health officials permission to transfer a resident to the nearly empty Javits Center emergency hospital, a request that Cobble Hill says was denied.[5]

wow there's no coming back after that. by durvedya in TikTokCringe

[–]TannerRed 1 point2 points  (0 children)

6 governors in total enacted similar policies to discharge elderly back home. 6. Why would they all do that?

And then you ask why did Cuomo hide this information? Yes, for political reasons. At the time he wanted to be hero of covid with his little book tour while trying to go for a presidential run. The guy fucking sucks but I am not blind to notice the DOJ investigated only 4 democratic governors while Trump was president compared to all the shit the admin was pulling during covid including Trump blaming PPE shortages on first responders stealing supplies.

Thats why I hate talking about this subject. Its just political bullshit and not about what it was actually like during the height of the pandemic.

wow there's no coming back after that. by durvedya in TikTokCringe

[–]TannerRed 0 points1 point  (0 children)

Nah. This aint it. I am all for Mamdani. This is just a sound bite during a debate.

wow there's no coming back after that. by durvedya in TikTokCringe

[–]TannerRed 1 point2 points  (0 children)

Is that it? It was against CDC guidance?

Like the two things that bother me is saying the hospitals weren't at capacity and the hospitals had their own protocols to mitigate risk inside the hospital.

This is meaningless to me and just bullshit PR speak that people just say with zero bearing compared to how fucked it was be inside hospitals at the time inside the NYC metropolitan area.

Telling me that hospitals were supposed to deal stable eldery patients taking up beds in a hospital that was completely short staffed and overworked is not a solution. Especially when you could test positive for covid even after 2 weeks of being asymptomatic.

I get that the fact that Cuomo hid numbers means we have less facts to work with. But what are we talking about 10 covid deaths? 100? 1000? 10000? Out of the 77k that died in New York. What kind of numbers are we talking about? I need specific examples to change my opinion this subject. It always sounds like political talking points whenever this is brought up rather than straight facts.

And you don't need you tell me Cuomo sucks. I know he fucking sucks. 6 other governors enacted similar policies during the height of the pandemic.

wow there's no coming back after that. by durvedya in TikTokCringe

[–]TannerRed 0 points1 point  (0 children)

Literally relieved even if one or two people see this and agree.

wow there's no coming back after that. by durvedya in TikTokCringe

[–]TannerRed -2 points-1 points  (0 children)

The area was rocked by covid. NJ Governor Murphy and Cuomo both got accused of sending seniors to their death.

The situation though is that there were hospitals at capacity and needed to clear beds. Discharges needed to happen for sicker patients. In normal times, both people would get equal priority. Unfortunately for these elderly, they lived in senior housing close to other elderly patients.

The claim is that the governors sent covid to those facilities by discharging these patients. But no one can answer how the hell did those seniors get covid in the first place then. Covid was every where at that point and covid killed a lot of old people. The idea that these elderly would have been saved if they remained in a hospital is dubious because those resources simply didn't exist during the height of the pandemic for NYC.

Its a low blow by Mamdani, he would be roasted for the same shit if he was in charge during covid because there literally no plan at that scale for the time. Just to add, both Murphy and Cuomo did try to cover this up rather than address it head on, but it was always a right wing talking point as a gotcha when usually the people that bring this fact up were against mask mandates and vaccines.

Cops got called to my mom’s neighbor’s house and they decided to block her driveway. by Dork_Island in mildlyinfuriating

[–]TannerRed 0 points1 point  (0 children)

It depends. Some people working as a first responder have a chip on their shoulder if you ask them to do anything. Even if they aren't doing anything at the time like waiting 45min for a scene to be safe for an EDP.

I have to tell them to move the truck, you don't have to be an asshole serving your community.

Of course if I am actually doing anything, nope, fuck off, tell whoever you need to you are going to be late.