“Rescue everything that you wanted to know about “ambulance“
, the person dies!“ - these words dispatchers of “ambulance“ hear by phone not once or twice in day. The specifying questions “from what where also who dies?“ on other end of a wire not always find understanding. Here precious time leaves, and the girl on phone mutters some questionnaire!
meanwhile, depends on answers to the asked questions not only what crew will go to the patient (resuscitation, cardiological, pediatric, usual or medical assistant`s - from among free, of course), but also opportunity to accept a call. So far the dispatcher will not fill in the map which is the main document on this call, he has no right to transfer him to crew.
we Communicate with the dispatcher
the Operator on the line surely will ask: a floor, approximate or exact age of the person to which call “ambulance“ that happened (where hurts, character of injuries if they are, whether in consciousness of the patient), the address (the street, house number, an entrance, the floor, a code, features of access roads) and your phone and a surname if “ambulance“ is caused not by the victim. Even if you very much are nervous, try to answer all questions most accurately.do not underestimate
and do not exaggerate danger. For example, “the head very much hurts“, “the head hurts, there was a loss of consciousness“, “the person complained of a headache, now unconscious“ - different categories of urgency of a call. Here, however, there is a temptation to cause crew on a life-endangering state at its absence. The ordinary inhabitant cannot even present how many alcoholics, addicts and just easy patients are served by “ambulance“ according to the complaint of “heartache“ on which try to come tearing along as soon as possible. And at this time without medical care there is a person with the real heart attack...
How many to wait for “ambulance“?
According to the order of the Ministry of Health and Social Development of the Russian Federation “About an order of rendering an emergency medical service“ substations have to be in limits 20 - minute transport availability. But not always “ambulance“ will reach the patient in these most 20 minutes. Time depends on that the call, from existence of free crews and, alas, from traffic jams belongs to “fast“ or “urgent“ cases.
Besides traffic jams, detains “ambulance“ and congestion calls. So, one crew of “ambulance“ relies upon 10 thousand people. But, for example, the number of crews 954 that is calculated on the official population in 10,4 million people, and really lives in the capital 13 - 15 million
In Moscow all calls are divided into four categories. States get to the first, directly life-endangering - on such call the car has to arrive at most in 20 minutes. The second category - exacerbations of chronic diseases - 30 minutes. The third - urgent polyclinic calls - 1 hour. And the fourth includes not urgent transportations between medical institutions. At the same time in the absence of free crews at first calls of the first category and calls to children are served.
What to do the doctor goes so far?
- of Follow instructions of the dispatcher or consulting physician
“ambulance“ is not engaged in Remote treatment, but in certain cases the account can go for minutes. Therefore if you told urgently to turn the patient sideways, but not to leave on a back, it is really important. > “Fast“ it is desirable for li to meet
our numbering of houses is not ideal, and doctors are not telepathists. Can long look for the third entrance in the fifth case. If the call is accepted, it is necessary to leave to the meeting place at once. You cannot meet - attract someone else.
- to Prepare the place and conditions for work
If “ambulance“ was called on the street - it is one, and here in the apartment it is worth preparing a chair for the doctor, the place for a box with tools and medicines, a pure towel and a plate for ampoules in advance. It is not necessary to call on survey of all who are in the house - enough 1 - 2 adult family members who will be able to follow instructions of the doctor. And, please, close in the neighboring room or in kitchen of animals. Every second employee of “ambulance“ can show on himself places into which some “not biting“ pets who suddenly beheld the syringe stuck.
- Prepare things for hospital not to waste time for collecting
the Most necessary: documents, insurance policy, slippers, replaceable clothes, cup and spoon, toothbrush and paste, mobile phone and charger. And also money, at least, for a way back, “ambulance“ back carries nobody.
of the Problem with “ambulance“
Option 1. At you do not accept a call
For a start it is necessary to be defined whether there corresponds the call reason for in what “ambulance“ is engaged. All states, life-endangering and to health of the person enter competence of the ambulance. These are accidents; sudden diseases, life-endangering the patient (symptoms - spasms, a coma, long loss of consciousness, asphyxia, “a sharp stomach“, serious violations warmly - vascular activity etc.) ; childbirth and any violations of a course of pregnancy; children`s diseases; mental disorders, dangerous to people around. And it is not important where there is a patient: houses, on the street, in shop or at work.
the dispatcher has no right not to accept a call at above-mentioned situations - the idle elevator even if you live on the 22nd floor, and old age of the patient - not the bases for refusal.
If hung up, call back again 03 (most likely, you will get to other dispatcher) or address to “hot“ lines of public health departments which are in the majority of the large cities. In the capital it “The hot line“ of Department of health care of the city of Moscow (495) 251 - 14 - 55 in working hours and (495) 251 - 83 - 00 round the clock. In St. Petersburg - the doctor on duty of Healthcare Committee of SPb, (812) 571 - 09 - 06.
Option 2. There is no car everything and is not present
of Exits here a little - to call 03 and to find out why “ambulance“ is late or to go to medical institution independently if the state minimum allows. In the second case it is necessary to cancel a call. And to understand, the stopper or someone`s negligence is guilty, it is better already when threat for life is removed.
Option 3. The conflict with the crew which arrived on a call
In case medical care seems to you insufficient, unreasonably refuse to you hospitalization or demand a reward, call 03 (all calls to dispatching office of stations of the fast and urgent help register) or on the respective hot lines. > it is important to p to know
that “ambulance“ do not hospitalize patients whose diagnosis is clear also the further forecast normal, those who need out-patient treatment. Refusal in hospitalization on age in the presence of indications, is illegal. It should be noted, however: weight of care of the aged relative after a stroke, etc. the indication for hospitalization is not.here the insurance policy and even the identity card for “ambulance“ are not necessary to
A. And if such question arises, one threat to find out usually is enough: since what time it for the emergency help the policy is necessary? Moreover, for hospitalization according to vital indications existence of an insurance is also not obligatory.
But before complaining, it is necessary to know, than “ambulance“ is not engaged:
- polyclinic calls (if the patient himself can reach the expert and be given assignments);
- exacerbations of chronic diseases (without direct threat of life and to health),
- in case of deteriorations at the patient who is observed by the district doctor.
Also doctors of “ambulance“ do not remove a hungover syndrome, do not carry out procedure within planned treatment, do not render stomatologic services (an exception - severe bleeding after removal of teeth), establishments of drug and alcoholic intoxication do not leave for survey of corpses, do not issue references and sick-lists and do not appoint treatment.
For a fee or free of charge?Practically in any large city can cause
not only state, but also paid “ambulance“. Commercial services have advantages: the new, perfectly equipped cars, the wide range of medicines, precautionary doctors and readiness to leave on the first sneeze. They will put a dropper, will remove intoxication to the alcoholic and will even just listen to complaints to life whereas they in “03“ such calls just do not accept.
the Price list depends on the region and the company. So, the call of paid “ambulance“ in Nizhny Novgorod of Novogorode will cost about 3500 rubles, and in Moscow, within MKAD - 3500 - 7000, for ring - to 12 - 14 thousand. At the same time drugs, a margin for a call of cardiocrew or resuscitators, descent are separately paid for a ladder on a stretcher (from 100 to 300 rubles for the floor), a trip to hospital etc. And in the capital it is necessary to fork up also for information on existence of empty seats in hospitals.by
However, not always the call of commercial service is justified: if the call urgent, then state “ambulance“ arrives quicker just from - for bigger number of substations and crews. And doctors paid “neotlozhek“ are a being or acting employees of regular “ambulance“, but did not shine medicine though, undoubtedly, for money with you will be polite and kind. Besides, paid “ambulances“ usually carry clients only in those hospitals with which they concluded agreements, but it is better to specify it in concrete service.