Thread: NJ EMS Task Force/ Shark River Hills FAS MAB 2 "the BUS" - Photo Heavy

Originally Posted by nightwolf

looks like just a transport? definitely no als equipment on-board from what i can see...i don't even see oxygen in the pictures

It's an emergency medical transport vehicle affiliated with a state EMS task force. Wouldn't it have to be licensed and equipped the same as an ordinary BLS or ALS ambulance?

Originally Posted by jprleedy4680

What is this unit licensed as? Would I be correct to assume dual (ALS or BLS depending on available staffing)?

It is only BLS, it could always be staffed with Medics from the surrounding hospitals. ALS in NJ is only hospital based.

Originally Posted by NJEMT

It is only BLS, it could always be staffed with Medics from the surrounding hospitals. ALS in NJ is only hospital based.

No municipal ALS? Why it's that?

I'm going out on a limb and say it is because of the small geography and sheer cost. It's a lot cheaper to have one or a few paramedics in fly cars to assist on ALS calls than staff a medic 100% on a squad when a sheer majority of calls can be BLS'ed. Obviously I can be wrong but just my educated guess.

In my area fly cars would never work because the time frame. It's best to have them on squad, for instance.

That's interesting...there are four ALS agencies in my county alone, two of which are staffed with two crews on a full-time basis.

Back on topic, cool bus!

Originally Posted by jprleedy4680

No municipal ALS? Why it's that?

EMS in NJ is stuck in the late '60-early '70's.

They tried to pass new regs several times and the FIRST (Gr)Aid Council fighs it and we cant get it passed.

NY stopped having ALS hospital based agencies a long time ago. Its time for NJ to let the Vol EMS units become ALS. I dont understand why monoc has the monopoly on ALS making tons of money.
The ALS response time would be a lot faster if the First Aid Squads were allowed to be Paramedics.

Originally Posted by Fluffy126577

I'm going out on a limb and say it is because of the small geography and sheer cost. It's a lot cheaper to have one or a few paramedics in fly cars to assist on ALS calls than staff a medic 100% on a squad when a sheer majority of calls can be BLS'ed. Obviously I can be wrong but just my educated guess.

In my area fly cars would never work because the time frame. It's best to have them on squad, for instance.

Actually to be a paramedic truck you need to have 2 medics. And some companies run medics in ambulances even though ALS is not allowed to transport patients in NJ. The University of Medicine and Dentistry in Newark are the only paramedics that have a waiver from the state to transport. It does help that it is currently a state school. Also the only time a medic is a medic is if he is riding on a truck. As soon as his shift is over he is a regular EMT. NJ is f up

And not to sound cocky but NJ medics are some of the more skilled medics in the nation, there are very few medics, since the 1970s when the medic program started there have only been about 4000 medics. Also most medics ride for multiple companies, so they spend a lot of time on the truck.

They are not licensed by anyone.... yet. After we compile a list of equipment we will be sending it to the state who will start it and establish a MAB License for them. So within the next year they will all be licensed.

These are BLS apparatus. If any ALS is needed we pull from the local ALS provider or nurses/doctors from the facility we will be operating from/evacuating.

We carry enough oxygen in an onboard bank to supply 20 patients 10l/m for 72 hrs, then have a secondary onboard setup to supply for another 36hrs roughly.

We had a little training today on this with 2 of the other MABs. See the below for some pics.

nice to have those resources available

Originally Posted by kenton1979

wowsers I like that. I would hope that thing never gets used to its full potential though.

This unit actually got used for a 5 alarmer yesterday. http://elightbars.org/f23/long-branc...rm-fire-27345/

Originally Posted by NJEMT

even though ALS is not allowed to transport patients in NJ. The University of Medicine and Dentistry in Newark are the only paramedics that have a waiver from the state to transport.

Huh? Our ALS (read Monoc) transport all the time in the event that their BLS unit doesn't show up. This holds especially true for places where Monoc has a BLS contract where the Medics always end up transporting an ALS call because Monoc never has any BLS units available.

Originally Posted by Bonanno

We carry enough oxygen in an onboard bank to supply 20 patients 10l/m for 72 hrs, then have a secondary onboard setup to supply for another 36hrs roughly.

Holy Fack, thats allot of o2... I would not want to see that catch fire..

Mostly b/c I have seen the after effects of a single M tank catch fire... (and a D, but the M did the damage)

Wow thats a big sob !

Originally Posted by ffemt88

Huh? Our ALS (read Monoc) transport all the time in the event that their BLS unit doesn't show up. This holds especially true for places where Monoc has a BLS contract where the Medics always end up transporting an ALS call because Monoc never has any BLS units available.

You answered your own question its MONOC, Vince does not like to follow the rules, and the state allows it to happen. They officially cannot transport 911 ALS but they do.

And thats is an amazing explosion.

I heard on the county hotline the bus almost got some action yesterday. They initially called for it for the fire in Long Branch but then cancelled a minute later.

edit: nvm guess I was wrong. saw the LB fire thread

Originally Posted by iCrash

I heard on the county hotline the bus almost got some action yesterday. They initially called for it for the fire in Long Branch but then cancelled a minute later.

edit: nvm guess I was wrong. saw the LB fire thread

yeah.... we are supposed to be automatic to any 3 alarm incident. We didn't get dispatched till around 12:40ish when 3rd alarm was called between 11 and 1130. It was an uneventful call for us, did zero treatment and zero rehab. Due to being a defensive operation and not being extremely cold or warm it ended up working out well for rehab since none of the FF were really exerting themselves, plus store owners opened up their doors to responders.

Originally Posted by NJEMT

You answered your own question its MONOC, Vince does not like to follow the rules, and the state allows it to happen. They officially cannot transport 911 ALS but they do.

And thats is an amazing explosion.

That's funny because I work at several different EMS agencies in NJ (including MONOC) and we have transport ALS units at the others too. In fact, I was told by one employer at our last staff meeting (a hospital in Bergen County) that starting in two weeks one of our Suburbans is being replaced with a transport ambulance and from now on will will ONLY be purchasing ambulances for both the ALS and BLS. The days of sitting on scene waiting for a volunteer BLS unit to arrive are starting to fade.