Rescue Medics attached to Rescues 2 & 5

[Skyler Fire]

Anyone have pic of them? How do they have enough room to carry everything?

Clearly wouldn’t have room for the SCBAs

 

[Capttomo]

 

[Lebby]

View attachment 51817

The Internationals have all been decommissioned

 

[Capttomo]

The Internationals have all been decommissioned

Any newer photos available

 

[Elmerj]

Exactly what problem or issue is this new procedure designed to address?

It always puts Rescue Medics at every assignment the Rescue Company responds to. In this case R2 & R5. Now think about everything the Rescue Company responds to. Puts them in the right place at the most appropriate time.

 

[Elmerj]

A question, what happens if the FAST Truck becomes a "Working Truck"? Does the ALS Bus stay until another FAST Truck arrives with a second ALS bus?

I would imagine the Rescue Medics stand fast until the next FAST truck arrives and pairs up with them.

 

[Capttomo]

NYPD ESU has several of its members certified as Paramedics operating under medical direction who ride on the trucks and REPs and are deployed to critical ESU jobs as needed eg Barricade jobs. So it makes sense to have Rescue Medics responding with Rescue Companies as well. In both situations having trained ALS members who can enter any type of hazard zone with SOC personnel.

 

[NikFDNY]

A question, what happens if the FAST Truck becomes a "Working Truck"? Does the ALS Bus stay until another FAST Truck arrives with a second ALS bus?

Well the Rescue Medic is coming in with the Rescue, so you wont typically have a 2nd rescue medic unless its a 2nd alarm or a highrise job..etc (and thats IF they add a 2nd rescue medic, not sure how they are doing the mci matrix for rescue medics rn)

 

[entropychaser]

It always puts Rescue Medics at every assignment the Rescue Company responds to. In this case R2 & R5. Now think about everything the Rescue Company responds to. Puts them in the right place at the most appropriate time.

Thank you for your response. It is still unclear to me what the problem or issue was that this procedure was going to solve.

 

[Elmerj]

Thank you for your response. It is still unclear to me what the problem or issue was that this procedure was going

Problem : Getting appropriately trained and equipped individuals into position in a timely fashion. In this case the Rescue Medics.

Background: Rescue Medics during their normal day are considered available for any ALS call type the CAD recommends. Rescue capability is almost considered secondary to them being an available ALS unit. As I’m sure you are aware that everything a 911 caller tells the ARD is not always accurate or might I even say true.

So the assignment is typed as life threatening (based solely on the fairy tale presented by the caller) and assigned to in this case the Rescue Medics. They get to the scene and the presenting problem is not as described ( surprise !) and does not require any ALS and maybe not even an ambulance. Individual still wants transport to the hospital, Medics take them and at the hospital go into the endless queue for Triage and because the patient is low/no acuity they wait as other higher acuity patients are managed first. All of this time they are unavailable. (I don’t know what the average cycle time is today but with a certain degree of confidence I will say it’s likely over 60 minutes)

Now mind you this exact thing is likely happening to the adjacent Rescue Medic unit ( I think we only have 11 and that’s if all are in service). This also makes them unavailable for any Rescue type assignment and in certain situations like times of high call volume the BLS may be the only asset available and sent by themselves to manage a situation that a Rescue Medic is specifically trained and equipped to manage more efficiently/ effectively / safely.

Remedy: prevent the Rescue Medics from ever having to respond to the individual described above and focus their responses on what their additional specialized training enables them to do.

In the end , It’s a good pilot program and I hope they expand it.

 

[Capttomo]

Problem : Getting appropriately trained and equipped individuals into position in a timely fashion. In this case the Rescue Medics.

Background: Rescue Medics during their normal day are considered available for any ALS call type the CAD recommends. Rescue capability is almost considered secondary to them being an available ALS unit. As I’m sure you are aware that everything a 911 caller tells the ARD is not always accurate or might I even say true.

So the assignment is typed as life threatening (based solely on the fairy tale presented by the caller) and assigned to in this case the Rescue Medics. They get to the scene and the presenting problem is not as described ( surprise !) and does not require any ALS and maybe not even an ambulance. Individual still wants transport to the hospital, Medics take them and at the hospital go into the endless queue for Triage and because the patient is low/no acuity they wait as other higher acuity patients are managed first. All of this time they are unavailable. (I don’t know what the average cycle time is today but with a certain degree of confidence I will say it’s likely over 60 minutes)

Now mind you this exact thing is likely happening to the adjacent Rescue Medic unit ( I think we only have 11 and that’s if all are in service). This also makes them unavailable for any Rescue type assignment and in certain situations like times of high call volume the BLS may be the only asset available and sent by themselves to manage a situation that a Rescue Medic is specifically trained and equipped to manage more efficiently/ effectively / safely.

Remedy: prevent the Rescue Medics from ever having to respond to the individual described above and focus their responses on what their additional specialized training enables them to do.

In the end , It’s a good pilot program and I hope they expand it.

Thank you Elmer

 

[entropychaser]

Problem : Getting appropriately trained and equipped individuals into position in a timely fashion. In this case the Rescue Medics.

Background: Rescue Medics during their normal day are considered available for any ALS call type the CAD recommends. Rescue capability is almost considered secondary to them being an available ALS unit. As I’m sure you are aware that everything a 911 caller tells the ARD is not always accurate or might I even say true.

So the assignment is typed as life threatening (based solely on the fairy tale presented by the caller) and assigned to in this case the Rescue Medics. They get to the scene and the presenting problem is not as described ( surprise !) and does not require any ALS and maybe not even an ambulance. Individual still wants transport to the hospital, Medics take them and at the hospital go into the endless queue for Triage and because the patient is low/no acuity they wait as other higher acuity patients are managed first. All of this time they are unavailable. (I don’t know what the average cycle time is today but with a certain degree of confidence I will say it’s likely over 60 minutes)

Now mind you this exact thing is likely happening to the adjacent Rescue Medic unit ( I think we only have 11 and that’s if all are in service). This also makes them unavailable for any Rescue type assignment and in certain situations like times of high call volume the BLS may be the only asset available and sent by themselves to manage a situation that a Rescue Medic is specifically trained and equipped to manage more efficiently/ effectively / safely.

Remedy: prevent the Rescue Medics from ever having to respond to the individual described above and focus their responses on what their additional specialized training enables them to do.

In the end , It’s a good pilot program and I hope they expand it.

Thanks again. It still unclear to me why they need follow a rescue company.

I would observe that if FDNY joins the twenty-first century and all uniformed members become firefighters/EMTs/paramedics, Rescue Medics will need to disappear because everyone will be one. And best of all, they'll be right next to you on the fire floor.

 

[NikFDNY]

Thanks again. It still unclear to me why they need follow a rescue company.

It's really less of them following the company and more of being positioned at the quarters of that company due to its (mostly ish) central location in the borough.

XR5 (22R) was already around the corner from Rescue 5s quarters so all that's changed for them is that they arnt running endless pointless EMS runs

 

[Elmerj]

Thanks again. It still unclear to me why they need follow a rescue company.

I would observe that if FDNY joins the twenty-first century and all uniformed members become firefighters/EMTs/paramedics, Rescue Medics will need to disappear because everyone will be one. And best of all, they'll be right next to you on the fire floor.

Well luckily we still have plenty of time left in the 21st century to see “If they join” so you never know.

 

[baileyjeff]

Another ALS unit out of the 911 system that won’t be replaced.

 

[Elmerj]

Another ALS unit out of the 911 system that won’t be replaced.

One would hope that in the post pilot analysis you would look at the ALS to ALS to see if you are truly impacting ALS availability. It may just be that the pilot is successful but the system can't support it with the current head count. In that case you could hire/promote more Paramedics or take your existing workforce increase training and reconfigure the staffing model. All options should be on he table.

 

[captaindewey50267021@gm]

I have had the honor of working with Active FDNY EMS personnel, including Rescue Medics while they are on Light Duty at the FDNY W.T.C. Health Treatment Program at the Middletown N.Y. Center. Great women and men who are top shelf. Truly we need more of the good ones on the streets of NYC. The expansion of Rescue Medics is long overdue. Captain Bob Rainey FDNY Engine 26 retired