#FDNYEMS20
Time goes by so quickly. Here we are 20 years after the FDNY takeover. It's also 20 years since I made my first post about FDNY's mistreatment of their newly
acquired NYC EMS EMT's and Paramedics. FDNY decided to publicly celebrate our 20 years of captivity by using the Twitter hashtag #FDNYEMS20 to post up
clever highly polished sound bites and photos of post merger FDNY EMS EMT's and Paramedics along with photos of horse drawn ambulances from the 1800's
and 1900's. I will not bother you with a rehash of everything that FDNY posted. But I will go over some things that FDNY, for obvious reasons, failed to mention.

FDNY would like to celebrate the past 20 years with EMS but of course they don't want anyone to take a good look and see all the carnage they caused along the
way. Keep in mind as you look at everything FDNY posts about the merger and the past 20 years that history is always written by the victor. FDNY goes through
an enormous amount of effort to make sure the public only sees what FDNY wants they to see.

This page, these posts, are meant to show you what is behind FDNY's curtain. This was always about giving those who worked with me in NYC EMS a voice and
letting people know all the things that have happened in the last 20 years. The page was also here to serve as a warning for other EMS systems across the globe
that when Firefighters come to your door ...don't answer. They are not looking to "help" you EMS system but they are looking to save their jobs. They are well
aware that the world has changed, fires are down, EMS calls are way up and firefighters have found without EMS ...they have every little to do. Basically the fire
service in America is a victim of their own success. They reduced fires to the point where there isn't a need for so many of them. So the International Association
of Fire Fighters is looking to save Firefighter jobs ...and they are looking to EMS in order to do that.
Let's look at what really counts. The FDNY Certified First Responder Program aka The Jobs for Firefighters Program. The point of the merger was to get medical
care to the people of New York City as fast as possible. The whole plan was to reduce EMS response times. Well lets take a look back and see where we are
today with that. Numbers never lie.
Lets take a look at how much FDNY reduced EMS response times over the last 17 years. 17 years is a long enough amount of time to figure out how to improve
EMS and get the overall response times down. On the left 1998 and on the right 2015.

So here is the breakdown of FDNY EMS response times from 1998-2015

There was a 3 second drop in Seg 1 response time.

There was a 12 second drop in seg 1-3 response time.

But when you look at all the response times put together there is a 1 minute and 23 second increase in Seg 1-8 response times. That means all call types, over a
17 year period, FDNY could not bring the overall response time down. It only went up and not by a little ...by a lot.

Well, lets have a look at Certified First Responder response times by FDNY Firefighters. Here we can look back 21 years.
If you look closely here, you can see a clear patten. Over the last 21 years, structure and non structure fires combined have dropped from 76,874 in 1995 to a low
of 45,476 in 2015 but life and death EMS calls (Cardiac and respiratory arrest) for FDNY firefighters have risen from 66,408 in 1995 to 269,151 in 2015.

This is a massive increase in EMS runs for Firefighters. So what about the effort by FDNY to ensure that FDNY Firefighters get to the life threatening calls as
quickly as possible?

None. No effort at all. In the last 21 years FDNY firefighters responded faster to a fire than a cardiac arrest  for a total of 18 out of 21 years. Only 3 out of the past
21 years did FDNY Firefighters respond faster to EMS calls than fires.

You may ask why. Simply put, they don't care. It isn't like the EMS calls are further away than the fires. When it is all mapped out it is the same. Firefighters simply
don't put the same effort into driving to a cardiac arrest as they do to driving to a fire.