kids and everyone should get excited about you beautiful hearted and gorgeous ems you deserve to be LOVED!

i hope you are healthy and happy for the rest of your life!

First off, a national study was conducted a while back about siren use, and on average sirens only save about forty five seconds... something to think about. Second, the caller requested a silent approach. Third, this is more than a siren usage video. Put your whacker instincts away for one minute and concentrate on the actual emergency. The thought process of what should be done when you get to the scene... great video, lots of good information to think about.

@TRIXSTER03 Good points and thanks so much for your input

such an exellent video!!!!

people ive been a paramedic for almost three years now,theres diffrent protocalls everywhere,just stop being rude,in some states you have to use sirens know matter what call,some states,you have to keep the sirens off(use them if someone is not getting out of the way)if you are going to a school

@TRIXSTER03 That actually depends. Where I work sometimes there in not a Medic available so sometimes if the patient has the signs and symptoms of an acute coronary episode we will go hot the facility without a monitor to confirm everything. The only time I have gone hot to the hospital with a paramedic aboard is for a cardiac arrest and stroke.

Like I said, you can transport at cardiac pt hot. By protocol standards this is technically the correct mode of transport. There is some research being conducted in regards to using audible and visual warning devices and the effect that it may have on a cardiac pt. According to Mosby's Paramedic Textbook 3rd Edition, there is a passage that suggests not to use these emergency warning devices because of negative effect that can occur in regards to a cardiac pt. It is more streetwise knowledge,

Excellent

Really nice and informative video!

@Kheldarren I dont know if you actually watched the video. There is siren use. This was brought up since many people might question why request an ambulance at all if you dont want lights and sirens. The suggestion regarding students was made to bring to light possible reasons for this. Thanks for the comment.

@rsizemore12 FDNY has a noise ordinance in place so that is why for the siren usage on and off.

good video where i work as a firefighter/emt our county standard operating procedue states that if we recieve a medical or fire response and even if requested non code it is mandatory we respond code on all fire or medical call i think its a good idea because granted if you have an emergency and you request non code response it makes some question the nature of the emergency so as county police we alwas respond code liability thing

@nyqs81-It's also different if you live in the U.S. I beleive in most states and county's within those states, you have EMT-A's EMT-B's and then Paramedics. In Canada, we have paramedics. Starting with BLS ---->ALS--->Critical Care/ CCP---> then Infant Transport/ ITT. I guess we all have different protocols.

@nyqs81--Like I said, although it is technically, a code 3 run, most paramedics go routinely because the lights and sirens can raise the HR/ BP of the cardiac pt. Even if it is an AMI, many still paramedics choose to go routine Also, I guess it's different where you live, but most cardiac pt. should be place on an ECG while enroute. If you live in the U.S. it's different I guess. Each state/ county has there own local protocols.

Like I said, by book, it says to go code 3. However, protocols differ from country to country. Our protocols over here are "guidlines." As paramedics we can use our heads a little bit. Also even if they are a cardiac pt, that doesn't mean that they are not oriented/ alert. Pt with chest pain may still infact have the mental capacity to understand things. What I am saying is more street knowledge. Read Mosby's paramedic textbook. There is a passge in their regarding what I am saying.

good driving

@ParamedicRescue0246 Hey, thanks for the feedback. I am not bothered. I encourage everyones point of view. EMS is so fractured and we need to stop. Just a little thing like this you can see how many differences of opinion there are. I invite people to come to the live EMS radio show and comment or join in there as well.

I like the vid the comments are good

@nwvfd22 thanks for the feedback. These videos are indeed meant for anything but the siren use.

code 3 is different fore different places. if youve noticed fdny does the siren on siren off. i dont think its right to critisize these medics by saying it was an unsafe response bc from what i saw it was a very safe response, they used the siren when needed if there was no one around they didnt use it and if they knew they were coming up somewhere they used. I really liked this video especially with the talking in the background. good job

Also, if the pt was unstable then code 3 would be best. But if overall, they are stable then using no L&S may ultimately be of benefit to them.

@emssafe hey man great video,i hate the people that are saying always use the lights apparently they have dif. protocall,hope those posters dont bother you anymore,hope you stay safe.

Of course you could upgrade to code 3 if the pt was very unstable or their condition shows signs of deterioration. Just because you may not agree with something, doesn't mean it is not true.

It doesn't matter what they want....paramedic safety is always first.

Like I said, it depends on the patients situation and if the pt is very unstable. Most hosptitals where I live are only 6-8 minutes away anyways. But my statement is general street knowledge.

lol, I love how people don't understand code 3 driving and transport of the cardiac pt. When transporting a pt c/o C/P, audbile/ visual warning devices should not be used even though these pt may be RTC. One reason for this, is because the sound of the siren and the sight of the strobes/ beacons can raise the HR/ BP of the C/P pt ultimately increasing their stress levels and increasing the workload of the heart. Increasing the stress level of the C/P pt, is not good patient care.

but keep in mind, many of the calls we come across are rarely ever, "textbook," calls.

Also, what does the NY State certification have to do with anything? I never mentioned anything about NY State protocols. I was referring more to street knowledge and research. Hence, why I wrote the previous comment regarding transport of the cardiac pt.

@jatilsau you said that already. I think you mean - "stop being "A" dj..." not "i" dj. Thnks for the post - Stay safe

Sorry if its in the comments but is this saugerties NY ?

In a city, I agree with you, but where I work our company covers over 500 square miles, with a minimum of a 30 minute transport to the hospital, I can save 5 to 10 minutes in my transport time which as we all know time is heart/brain/lung tissue.

@emssafe-Hey your welcome, no problem :)

i disagree. it may slightly raise the Pt's heart rate or BP but TIME IS MUSCLE and i doubt the severe chest pain Pt is thinking about the lights. Plus, if you're waiting at red lights or stuck in traffic it could take you 45 minutes to get to an emergency room as opposed to 15 minutes code 3. Nitro doesn't always open a total coronary occlusion and your patient may die en route.

I am going to be a paramedic

Yes, but I believe that I mentioned earlier, most hospitals where I live are within 6-8 minutes on a routine drive. Also, keep in mind that driving code 3, does not necessarily mean that the time to get to the ER/ CATH lab, will be minimized. Going faster doesn't always mean you will get to your destination any faster. The pt may not be thinking of the lights/ siren however, they are proven to create a sort of alarm reaction/ stress response in people.

what happens if the the C/P Patient is having a STEMI? Time is Muscle ..

@rudeboystu69 Yes, most protocols at the paramedic level do allow for NTG administration based on patient condition, complaints and assessment. I bet in the casino it is hard to get a better picture when responding. R u in Las Vegas? Next time I go to the Expo maybe we could meet.

I do have experience actually. Calming measures may work. Like I said, by the book, C/P patients are required to transport code 3. However, sometimes, due to street knowledge we transport routine. It was also published in either Mosby's paramedic textbook or Brady EMT text, which also stated what i'm saying. Also, I didn't say all patients should not be transported code 3, I was referring more to C/P patients. In addition, I said the sight of the lights and sound of the siren places stress on

Yes, the healthcare system is broken, but the men and women who serve it are fine individuals.

Maybe if you have some experience and have the ability to calm a nervous patient and expertly and succinctly explain what is going on then then you can decrease their stress level. By your rationale, no patient should be transported code 3 because it could increase their HR and BP. Everyone is stressed to some degree when they are in the back of an ambulance. Also, I don't understand how the sight of flashing lights from inside the ambulance would place undue stress on a patient.

the pt.

squad car at :18?

Fire lieutenant.

In an emergency yes, by all means burn up the sirens. But in this case as was stated, not much pre arrival is given, the callers requested a silent approach, and it was at a school where there is already a nurse there. Also it lessens your respectability when you resort to cursing and name calling in a conversation. But I've given you all the time I'm prepared to waste today. Peace, ching-wah TSAO duh liou mahng. dzai gee'en

Awwww, isn't that cute. It's like it's trying to pretend like it knows what it's talking about. So cute, and watching the news? All by yourself? I'm so proud of you :) Haha, a busy city street? No. Not by a long shot is any of those streets busy. More over, how about thinking of the patient; what is the issue going to be, what medication am I going to need,... any true responder's though process should never dwell on 'How much siren noise can I make?'

Seriously what?

better not use your siren around me or I will get excited!

Seriously....?

love you! "im sure that was really tasty" love that! :D

You're not using a siren on an unknown chest pains call because the students might get excited?!? You're fired and please never go into EMS work again because you obviously have poor judgement. This turned out fine, but you had no way to know that en route. I hope no one like you ever responds to an emergency I am in.

@Irishb61589 ssshhhhhhh. lol