Ambulance: what we complain of?
This conversation will not be a lung. Because now I will tell about the unpleasant moments which in our work are enough. As well as everywhere, of course. Just at us all troubles look brighter, more sharply and more fatally.
- Yesterday the head hurt me, called an ambulance - so they, parasites, an hour and a half went! Here you will die earlier, than you will wait for them!
- Also do not speak, the neigbour! All of them such - go about the own business while people wait for them!
Familiarly? Still. One of my colleagues, the remarkable doctor with forty years` experience, in such cases put eyebrows the sympathizing lodge and spoke: “You understand, we wanted to arrive to you by helicopter quicker to give help. But on the road it became clear that on a roof of your house there is no helipad. It was necessary by car“. Kind elderly women reverentially faded, and further process of interaction of the patient and crew nothing was saddened any more.
Now seriously. The problem of fast arrival exists as much how many and service of ambulance. We too very much would like to have an opportunity to reach before any visit for ten - fifteen minutes and to do without the unnecessary conflicts, threats and unfair charges. But houses actively are under construction, born children, there come relatives, population quickly increases. Cars on roads every day become more, roads at the same time for some reason do not extend automatically. And the number of crews remains the same.
The doctor of a mobile team himself is not able to solve this problem. And yes, temperature, a headache and even a sore stomach and arrhythmia can wait for about an hour. Why does that happen? Now I will explain.
In general the system of reception and transfer of visits works everywhere approximately equally - the patient, the victim or people around decide that they need ambulance. Our number is dialed. The call comes to the central dispatching office. The dispatcher writes down visit, defines category of a call (emergency or urgent) and gives him on a network or by phone to the dispatcher of substation around which service there is a patient. One leaves on this action - two minutes. All calls are fixed also on a magnetic tape that it was if something happens possible to listen to record.
Then the dispatcher of substation gives visit to crew. And here options are possible - if on substation there is a crew of the corresponding profile, then it leaves within four minutes, and there are no problems with arrival. But pretty often, especially in a flu epidemic or in days of mass holidays, all crews are occupied.
What is done by the dispatcher? On a handheld transceiver or by the mobile phone rings round crews to find out which of them will be released earlier. If there are no free crews nevertheless, then the emergency visit of the first category (road accident, a gunshot wound, chokes, got poisoned, lies unconscious etc.) it will be readdressed on other substation. Respectively, time of arrival is extended for about seven minutes - ten - fifteen... depending on distance. And the headache and temperature, a sore back and even wait for a high pressure when the crew from the area is released.
You already understood that the mobile team does not accept any participation in reception and transfer of visits? We do not sort calls by categories and we do not receive calls. We work at departure. And to snatch on the doctor with shouts: “Where you gad?“ - to put it mildly, unreasonably. The crew does not gad. The crew for days does not go out of the car. I am not pleased too by the visits which lay before transfer of minutes forty, and even hour or so, and I understand that for the person waiting for the ambulance, time passes especially slowly - but it happens and.
What to do if there is no crew, and to the patient, from your point of view, it becomes worse and worse? To call back to the dispatcher. Quietly, without spending precious time for threats and insults, to explain what specifically happens to the patient (turned pale, became covered then, fainted). Then to you will send crew from other substation - or will report that the car already in way. Besides, will explain to you what you can make before arrival of the doctor. The most important - not to panic and to attentively listen to instructions of the consulting physician. (Yes, we have such position too. This is the person to whom in such cases you are connected by the dispatcher.)
The morals following from a real-life problem of fast arrival very simple - do not pull to the last, citizens! If the organism reports to you about problems - address to policlinic or to us in time, do not wait when it remains to life for fifteen minutes. Circumstances can develop in such a way that we will not be in time. And it will be very unpleasant to all.
A subject, very heavy for all, - the patients dying of long diseases. That situation when all are powerless, that situation in which extreme the ambulance is most often given. Unfortunately, to win against chronic insufficiency of blood circulation, a chronic renal failure, cirrhosis in a terminal stage or oncology with metastasises on all organism it is impossible. It is possible to alleviate suffering only.
Such patient most of all needs care and attention which to provide in power only to the family. It is possible to explain it, unfortunately, not always. If relatives, despite everything, nevertheless insist on hospitalization that they “made though there something“ - there`s nothing to be done, I carry the person to hospital. I carry with an aching heart because, instead of worthy leaving in an environment of relatives, the hopeless patient is doomed to lonely death in the state house.
One more bottleneck in the relations “the patient - the crew“ is a hospital. “Arrived, pricked something and left at home, in hospital did not take away. Correctly, to whom we, kind elderly women, are necessary!“ - one of the most beloved subjects for discussion on a shop before an entrance.
Again - seriously. There is absolutely certain list of the states which are subject to urgent hospitalization. It is long, and all of us, workers of mobile teams, we know it. Also be sure, in case of need the crew will be turned inside out, persuading the whimsical patient to go to a hospital. Several times I even had to frighten pigheads by prospect of a call of a police squad and people in shoulder straps will forgive me.
As for hospitalization of chronic patients - it happens according to plan. In turn, in the direction of the doctor of policlinic. But as in policlinic as all know, doctors it is even worse, than on the ambulance, many decide to pass this stage for themselves. Especially as in policlinic it is necessary to reach still, and the ambulance - here it, only dial number.
Personally I ask in such cases only about one - citizens if you categorically were going to hospital, then tell me about it at once, and we will not spend time. Because, among other things, we provided hospitalization at the patient`s insistance. Another thing is that the patients brought on such good motive seldom break further a reception - but about it I too always honestly and sincerely I warn.
About “the crews extorting bribes“, the boors and murderers reveling in the power - a question not to me. Where I work half-lives, there are no such problems.
We can a lot of things. But not all. Depends also on you, our dear patients much, - on whether how fast and on business you address us. How responsibly you treat the one and only life. As far as you trust people who come to help.