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June 10th, 2005 10:17 PM #11
No that is not an anomaly. That is how it really works. That's why you have to call the rescue/emergency people first instead of calling the hospital directly. Hospital ambulances are in charge of patient management once they have been extricated from the scene. None of our personnel are officially trained for rescue work. Even in the U.S., you call 911 first instead of the hospital. Then they will send a government rescue unit or one of their accredited third-party units.
This is the reason you rarely see hospital ambulances responding to on-site emergencies, those things are usually handled by rescue organizations which have their own patient transport.
Yes, emergency transfers are VERY VERY rare. Because we at the hospital have to stabilize the patient (therefore no longer becoming an emergency) before transferring unless we are transferring the patient because the relatives wish for him to expire at home at home or somewhere away from the hospital (DAMA/HAMA).
But our drivers are trained to respond should an emergency occur en route to wherever they are going.
Ski Jerze,
All UST ambulance conductions have at least one physician on board and have emergency nurses on board. Other ambulance companies have a similar set up while others use Paramedics and EMT's along with physicians since they also cover on-site rescues. IMHO, our nurses are better than the EMT's and paramedics when it comes to actual transport though by not a very wide margin.
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