Monday, November 9, 2009

USS NEW YORK CAP





Maybe this hat should become the official cap for all
New York First Responders. After the commissioning of the USS New York this weekend it is being seen on a lot of heads.




USS New York LPD 21 Ship's Crest

Dark blue and gold, the colors traditionally associated with the Navy, represent the sea and excellence. The crossed swords represent the US Navy and Marine Corps. The red is for sacrifice and valor and the white recalls purity of purpose. The gray chevron and two vertical bars represent the bow of LPD 21 and The Twin Towers respectively. They are conjoined to emphasize the use of 24 tons of steel recovered from the World Trade Center, to construct the 7.5 ton bow stem of the USS New York. The phoenix rising personifies the hope and determination of this nation to rebuild and regroup to fight terrorism. The shield on the phoenix's breast honors the New York City Fire Department, New York City Police Department and the Port Authority of New York and New Jersey. The vertical red stripe is for the Fire Department, the dark blue stripe is the traditional blue for the Police Department and the light blue stripe is for thePort Authority Police Department, The Celeste is taken from the patch of the Port Authority of New York and New Jersey. The Celeste also alludes to costal waters and the port of New York. The red drops represent blood shed and the ultimate sacrifice made by the men and women of 9/11. The stars commemorate the three battle stars the USS New York Battleship earned during World War 2. The border of the shield is adapted from the New York State Seal.The sunburst represents the crown of the Statue of Liberty. They represent the seven seas and contenents of the world and also suggest a direct connection to the littoral missions of the USS New York anywhere in the world, past and present. The mountains and lakes surrounded by the maple leaves represent the natural beauty of the State of New York.Source, Northrop Grumman LPD 21 Christening

QOD 11 9 09

Which statement regarding conducted electrical


weapons (ie, Tasers®) is true?

a. They are known to cause cardiac arrhythmias.

b. They cause involuntary contractions of regional skeletal muscles leading to immobilization of the victim.

c. They utilize only DC currents.

d. Patients with a Taser® injury should always be admitted for cardiac telemetry.

With increased use of conducted electrical weapons (ie, Tasers®) by law enforcement agents and by civilians

seeking personal protection, emergency clinicians can expect to see more patients in the ED with

Taser® injuries. Tasers® use compressed nitrogen to fire 2 metallic darts up to 35 feet and transmit an

electrical impulse through up to 2 inches of clothing. The Taser® causes involuntary contractions of the

regional skeletal muscles and makes it impossible for the target to move voluntarily. The peak voltage

across the target’s body is approximately 1200 V (delivered in rapid pulses over 5 seconds), and the average current is approximately 2.1 mA.

The electric shock delivered by the Taser® is neither pure AC nor pure DC and is probably similar to rapid,

low-amplitude DC shocks. After reports of deaths in police custody following

Taser® use, concern has been raised regarding its safety. However, a recent small prospective study

by Ho et al found no evidence of Taser®-induced cardiac arrhythmias, ECG changes, or electrolyte

abnormalities. Additionally, a prospective series involving 218 patients shot with the original Taser® in

the early 1980s described 3 deaths secondary to cardiac arrest; however, all 3 of these patients had high

levels of phencyclidine (PCP) in their blood, and this was cited as the cause of death. The authors

concluded that the death rate in their series was no higher than that reported for PCP toxicity alone.

Although data regarding the effects of the Taser® are limited, it appears most healthy subjects may be

safely discharged from the ED after dart removal and evaluation for any other injuries. Although

some authors recommend an ECG in patients who have been shot with the Taser®, no current evidence

supports this practice


Answer: b






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CME Yearly plan

New York-Presbyterian
EMERGENCY MEDICAL SERVICES

Continuing Medical Education

Dear Fellow EMS Professionals,

In an effort to help you plan your schedules, I am posting the dates for the following months for the 4 hour CME sessions. As you can see it will be a cyclical schedule to enable as many people as possible to attend.

Dr. Wallace Carter will continue to run the Adult Call Reviews on the first Tuesday* in March, June, September and December from 4:00 pm till 5:30 pm in room M-107.
Dr. Eachempati will have Trauma call Review from 5:30 pm till 6:45 pm.
Dr. Lupica will have Pediatric Call Review from .6:45 pm till 8:00 pm.

October 7, 2009 Wednesday
November 5 , 2009 Thursday

December 1, 2009 Tuesday*
January 6, 2010 Wednesday
February 4, 2010 Thursday

March 2, 2010 Tuesday*
April 7, 2010 Wednesday
May 6 , 2010 Thursday

June 1, 2010 Tuesday*
July 7, 2010 Wednesday
August 5, 2010 Thursday

September 7, 2010 Tuesday*

ANY QUESTIONS OR IDEAS
PLEASE CONTACT CME COORDINATOR
STEVE SAMUELS EMT-P 516-383-7248
SSAMUELS@OPTONLINE.NET