Quote:How bad is the whine and flicking with all of the strobes going?  Who does the installs on vehicles like that? Shops or do they get purchased? 

 

-Steve

Quote:what i mean to say is no ALS available, Ed can explain better than I

Quote:Mr. Burke, What are the 2 small doors behind rear wheels on passenger side? Look like some sort of cylinder slots?

Quote:1) Nebulized Albuterol was started in Boston as a "Special Project Waiver" with the state several years ago. It was successful enough that the state adopted it as a BLS intervention. Intranasal Narcan started the same way.

 

2) For the most part, Boston operates as a non-transporting ALS service, just in ambulances. There has been talk over the years about putting the medics in SUVs, etc, but there has been concern that they may end up on a scene and a BLS truck would either be delayed or unavailable and the medics would be stuck there. There is only one medic supervisor per shift. With rare exception they do not actually "work" as medics and transport in BLS trucks.

 

3) Except when extremely busy, a BLS truck is always sent with and ALS truck. Typically, if the ALS crew is going to work the patient, they will go in the ALS truck. Sometimes, for a variety of reasons they may end up in the BLS truck. In this case everything in the ALS truck is duplicated in a portable form. For critical patients, both medics will ride in back and the BLS will drive. In less acute cases, if in the ALS truck, the medics will transport by themselves, leaving one medic in back and the other driving.

 

4) I guess this depends on your definition of "needs". Without getting into a philosophical discussion about what ALS can and should do, I would say that its fairly rare for someone who "needs" ALS intervention not to get it. That being said, Boston is unique in the fact that 90% of the transports go BLS. There are other systems, one just on the other side of the river that ALS' 90% of their transports. Plus, there a numerous private ambulance companies around town that are used for mutual aid when needed and available.

 

 

 

 

Quote:Does anyone know of a live feed that is JUST for Boston EMS?

Quote:My current ride, a 2001 GMC Yukon, formerly Chief of Department Serino's (retired) vehicle.  The vehicle is officially assigned to Research, Training and Quality Improvement and generally shared by the Captains responsible for the Academy and the ALS Coordinator.

 
<a class="bbc_url" href="http://www.firepics.net/groupboards/index.php?app=core&module=attach&section=attach&attach_rel_module=post&attach_id=333775">2168.jpg</a>

Quote:So I'm walking past E4/L24 in Beacon Hill tonight and i see this car, with what looks like Mr. Burke driving... That the case?

Quote:Boston EMS utilized this 1996 Chevrolet 3500HD/Horton as a spare in 2003. It was previously assigned to Ambulance 8.

 

<a class="bbc_url" href="https://flic.kr/p/21FYCP2"></a>

 

<a class="bbc_url" href="https://flic.kr/p/21FYCP2">Boston EMS</a> by <a class="bbc_url" href="https://www.flickr.com/photos/x635photos/">Seth Granville</a>, on Flickr

Quote:Great pic Seth. These were good trucks. The fords after them had more leg room and balls but had a terrible turning radius. If you have any more pics from this era please share or let me know where they can be purchased.

Quote:Ed, sounds like you have a fun job right now.  Are you on the streets doing clinical shifts anymore, or just admin?