Carry On Ambulance

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A while back, EMTs had to unlearn all of that -- it turns out CPR actually works better without the mouth-to-mouth rescue breaths. There are studies that show that CPR performed with only chest compressions results in 60 percent fewer dead people. In fact, traditional CPR with mouth-to-mouth is often as effective as doing nothing at all , except when CPR is being performed on small children. Even if he survives, he'll never dance again.

What are they for?

Hey, what about another staple of movie emergency medicine: the tourniquet? You know, somebody is bleeding badly, so they use a belt or rope to tie off the limb to stop the bleeding. Are EMTs supposed to do that? It depends on who you ask, and in fact varies from one ambulance service to the next. Some experts still stand by them, some say they just kill off tissue in the limb. Learn it today, unlearn it tomorrow. Relearn it again next month. And that's par for the course; crews will often be trained on new gadgets, only to see them yanked later when it turns out they don't actually work like medical anti-shock trousers that came in and out of fashion in the '80s and '90s.

Also, the patients are changing. Specifically, they are getting fatter.

Learn more about the inside of an ambulance in case of an emergency | Western Cape Government

A heavy patient is going to need the same kind of attention as an average-size patient, but the methods must be altered dramatically, much like the Boba Fett costume the aforementioned heavy patient purchased from eBay last Halloween. Crews have had to completely rethink logistical problems with getting obese patients out of buildings with narrow halls, doors and stairs without everyone on the crew throwing their back out. It also means new equipment, as ambulance services across the country have to buy vehicles with specialized cots, ramps and winches to lift patients weighing between pounds and Mighty Joe Young.

Via Pantagraph. The ambulances themselves have to change to accommodate this, too -- they have ushered in the use of bariatric ambulances, or "fat trucks. Via Adam Harnett And they're occasionally used to render aid to beached whales. But nothing you see there addresses the difficulty of removing a patient weighing just shy of a ton from the seventh floor of an apartment building when they literally cannot even fit through the doorway. Presumably at this point, the EMTs just start a controlled blaze in the lobby and let the fire department come figure it out.

You might expect EMTs to be relatively safe when dealing with patients -- after all, they are there to help. But in fact, EMTs face a lot of danger in the field , and they do so without the weapons and authority that police officers have. EMTs have been hit with cinder blocks, stabbed by syringes often still filled with drugs , chased by dogs and shot at on a regular basis.

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In Boston, for instance, 28 percent of total EMT injuries in were the result of violent assaults. I'm gonna have to axe you to put that down. One study conducted in found that, over a year period, each paramedic involved was assaulted an average of nine times , with the attacks reading like a laundry list of every injury sustained by Christopher Lambert in The Highlander , including " cases of blunt trauma, 73 lacerations, two gunshot wounds, 10 stabbings, one burn, eight fractures, nine dislocations, one choking and 56 cases of miscellaneous body injuries.

Not all of them are work-related. Sure, part of it is because they have to plunge into the bad parts of town no matter what time of night. But even in the nice parts of town, they're still not safe, and it's often because of the patients themselves. Sometimes patients are panicking, sometimes they're drunk or high or in shock.

Four injured as ambulance flips over carrying patient to hospital

And of course, sometimes they're just insane. And it isn't just the patients who can pose a threat to an EMT -- they can encounter hysterical family members and violent bystanders who attack them out of misplaced blame and rage. At which point we're assuming the universal answer to them is "Hey, just be glad this ambulance hasn't exploded yet. What's Forrest's true motivation for telling his life story to total strangers? Even some of this year's movies have hilariously uncomfortable behind-the-scenes stories. Don't make me do this again. This is our current range of transit chairs, please click the images to get more information on any of the models.

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AMR, for example, recoups about 30 percent of that, he said. When police call an ambulance for an involuntary mental health hold, the patient rarely can afford the cost, he said, and the company has backed away from billing the city of Portland. Portland police alone estimate they typically drive about 1, people to hospitals on involuntary mental health holds throughout the year.

That compares to about 2, general mental health transfers to hospitals that ambulances in Multnomah County already do. Officers usually must wait at hospital emergency rooms, sometimes for hours, until a doctor can do an evaluation and decide whether to maintain the mental health hold or release the patient.


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Under the new approach, ambulances not only would take people to the hospital, but police wouldn't have to follow along as they do now on the occasions when both officers and ambulances are called to a mental health emergency. American Medical Response Inc. Overall, licensed ambulance services in Oregon would be eligible to apply. We don't want to handcuff a behavioral health patient on what could be the worst day of their life,'' said Rick Ralson, Legacy Health's project manager for Behavioral Health Services.


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  4. Police are working out some of the logistical issues, such as sending officers' reports electronically to an ambulance company to submit to a hospital. AMR and MetroWest ambulance companies are training their paramedics and emergency medical technicians to handle the decisions in the field. It's just a different approach. The company's paramedics and emergency medical technicians now are trained to deal with "combative, out of control'' patients using cloth Velcro to tie their arms and legs to a stretcher, in addition to a shoulder harness, he said.



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