Cold Emergencies
A. Remove the patient from the cold environment.
B. Protect the injured areas from pressure, trauma, and friction.
C. Perform initial assessment.
D. Administer high concentration oxygen.
E. Remove the clothing from the injured areas.
1. If patient has an early or superficial local cold injury:
a. Remove jewelry.
b. Splint and cover the extremity.
c. Do not rub, massage, or expose to the cold.
2. If patient has a late or deep local cold injury:
a. Remove jewelry.
b. Cover the exposed area with dry dressings.
c. Do not break blisters, rub or massage area, apply heat, rewarm, or allow the patient to walk on the affected extremity.
F. Transport, keeping the patient warm.
G. When an extremely long or delayed transport is inevitable (transport time in excess of 30 minutes) then active rapid rewarming should be done.
1. Immerse the affected part in warm water bath (not to exceed 105° F)

A ferry from New Jersey made a crash landing at a dock in NYC.
FDNY Paramedics and EMT's respond to the mass casualty incident
A ferry from New Jersey made a hard landing at a dock as it pulled up to lower Manhattan during Wednesday morning rush hour, injuring as many as 50 people, at least one critically, officials said.
The ferry crash happened near the South Street Seaport at about 8:45 a.m The Seastreak Wall Street ferry from Atlantic Highlands, N.J., banged into the mooring as it arrived at South Street around 8:45 a.m. Wednesday. One person is in critical condition with head injuries. Police and fire officials said 30 to 50 people were injured. Some patients were carried out strapped to flat-board stretchers, their heads and necks immobilized. About a dozen passengers on stretchers were spread out on the dock, surrounded by emergency workers. A corner of the ferry is ripped open like a tin can. A passenger, Ellen Foran of Neptune City, N.J., said people tumbled on top of one another, hysterical and crying. Ferry company officials are at the scene.

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The State Emergency Medical Services Council adopted the National Educational Standards to be used in NYS. With over 62,000 certified EMS providers in the State of New York, we need to assure that the transition moves forward as smoothly as possible.