Friday, January 16, 2009

I do not want to be served by them - but can I choose ?

I went out earlier as there is currently 10 patients under my service. I need to do rounds and attend the govt specialist clinic by 8:30am. So I left home early.
I saw this accident scene at the T-junction not far from my house. I stopped my Z along the roadside and approached the scene. There was a middle-aged guy standing beside a lady who was lying on the ground – she hardly move.
I introduced myself and approached the lady. The lady was alert but confused. The accident involved 2 bikes. I did a quick examination – C-spine injury and Cerebral concussion at least. Weakness of limbs over left upper/lower and right lower. Her vital sign was ok and I thank god that no one had moved her. I hold her hand and tried to pacify her. She told me that she was working in my ex-hospital and wanted to be sent there. I called the ED and told them that I am sending someone over. The police came minutes later but the ambulance arrived late – 8 mins later. One of the EMTs(the national service man) came down with the C-collar. The senior one took the trolley stretcher and came to us. I told them who I am and brief them with the scenario:
Me: “the casualty (bla, bla ,bla)…”
EMT: “then we need to sent her fast …”
(EMT walked faster toward the patient)
Me: “Do you have any scoop stretcher ?”
EMT: “No, we didn’t bring any…”
Me: “then we need to use the long spine board”
The EMT unwillingly walked back to the ambulance and took the long spine board.
Then I saw him put the long spine board beside the lady and waited. I asked him where was the “head cushion”(head immobilizer to be precise but it looks like cushion). The EMT gave me a queer look and I explained that I need something to immobilize the head. He finally realized what I said and went back to the ambulance.
I saw him opened up every cabinet but did not seem to find what I want. I approached him and he grumbled that the ambulance went to an exercise yesterday and the immobilizer might be left elsewhere. I told him to call the HQ and ask someone to send it over. He answered that it might take a long time. However he complied and call the HQ with the cellphone – but they had radio ?!!!
After the call, he lifted up the EMT’s seat and retrieved the immobilizer from there.
From the preparation – I could see that he was not very familiar with the use of the long spine board. We finally get the patient onto the ambulance…
1st class equipment – 3rd class service…


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