The quality of care provided by the state ambulance, often leaves much to be desired. "Oh, well, if we come to a call about pain in the heart, and we of drugs only noshpa and with Dimedrol analgin? in the hearts exclaims the doctor Kiev ambulance Alexander Sinelnikov. Lack of funding does not allow us to have a better set of drugs".The problem in both machines. "Gazelle", where we go, not intended for the transportation of patients, " says Alexander. - When carrying a man with a serious fracture, it will nutrasense (and every hit is a pain), and on the way to the hospital in time for us to curse more than once. Among the participants of the machine is equipped with a special suspension, allowing the patient to drive comfortably".
Of course, not all so bad. "State "emergency" is not inferior to private in the provision of care to patients with acute heart attack, the doctor said. In "heart attack" machine has at hand all, in order to assist the patient. But that's where the pros end. As for the kit, medicines, transportation, diagnostic equipment, private she is, without a doubt, better." But in the paid ambulance also has its minus is the price of the services.
10 reasons to cause the carriage
"Unfortunately, not always the patients call the team indicated. For example, in my practice there was a case when the ambulance came to the person whose temperature has risen up to 37, 2 °C," says the doctor, mark majors, who has worked on an ambulance for over 30 years. Unfortunately, these challenges are not uncommon. They are dangerous because at this time the medical team will be waiting for really dying man. The second extreme, when unknowingly neglect the danger and an ambulance is not called. So we asked Mark Mayorova to tell in which cases need to call the ambulance.
So, the team should be called if...
...you see, that man lost consciousness.
Loss of consciousness may say that he has a shock (for example, cardiac observed in myocardial infarction (heart muscle), or anaphylactic, which is observed for allergies to medications), internal bleeding, and many other life-threatening conditions. Without emergency people can die;
...you feel sharp pain in the chest. She can talk about myocardial infarction. It is also typical performance (irradiation) pain in left arm and under the left shoulder blade, and that this pain is not removed by the usual cardiac medications, such as sedatives and nitroglycerin;
...you have seizures. Cramping is a sign of such dangerous diseases as tetanus, brain tumor, as well as hypertensive crisis, acute insufficiency of the adrenal glands, etc. Without medical care convulsive status can result in lethal;
...you feel a sharp pain in the abdomen or lower back.
This condition can talk about the deadly disease peritonitis (inflammation of the peritoneum), the attack of biliary colic (caused by stones in the gallbladder) and low back pain of renal colic (caused by kidney stones). When peritonitis for life roads every hour, and bouts of colic is not always possible to remove the usual drugs, and they may even require the appointment of narcotic painkillers;
...your headache began to nausea and dizziness.
This may talk about such life-threatening conditions like hypertension stroke, meningitis, predisolone condition (acute ischemic attack). Without treatment, it could end in death;
...you vomited blood. Vomiting blood speaks of bleeding from the digestive organs, for example from esophageal varices. In this condition required emergency surgery;
...temperature is not less than 39, 5 and not break antipyretic. This condition is called hyperthermic syndrome, it speaks of a severe infectious disease, is urgently in need of hospitalization;
...you at the same time concerned about nausea, vomiting, diarrhea and fever.
These are all signs of acute poisoning. In severe case, without medical care you can die from dehydration;
...you suddenly felt speech. For example, if you suddenly stopped to clearly articulate words (say "as if he had taken something"), it may indicate a stroke. In this case, the sooner doctors will begin treatment, the less likely to become disabled;
...you have been bitten by a dog. Through the bite of a dog is transferred to the deadly disease of rabies. In this case it is necessary to have a prophylactic injection protivoanemicheskoe serum - without it, the disease may acquire mortally heavy character.
How much is a call to an ambulance assist in Kyiv
Only in Kiev there are 5 private ambulance services. We decided to find out how much is in each of them call a private ambulance crews when an acute attack of pain in the heart. Services of physicians in this case consist of at home, doctor's consultation, ECG diagnostics, emergency care (the introduction of the necessary medicines and so on) and admission to the hospital (if necessary).
Since morning, and at rush hour on the Kiev highway frequent traffic jams, we gave the location database ambulance - in some cases, as the saying goes, he who hesitates is lost and not need to call the ambulance, which is cheaper, and the one that is closer to your home. Then there is less chance that it will be stuck in traffic. But this is not always true. "Not necessarily the machine will go from the base. If the team is on call, she can go from another district. In any case, the operator communicates with the machine and selects the one that can come quickly", - told us the Manager of one of the private "soon".
Author:
Gozalo D.
Source:
Today
No comments:
Post a Comment