It's Friday evening in any town, any county, U.S.A. We're in the car driving home after having dinner 30 miles away. The emergency radio in the car goes off, a 911 emergency call for an ambulance. A woman has been attacked, beaten around the head and is apparently unconscious. Within seconds the ambulance and crew of Emergency Medical Technicians/Medics is screaming down the highway with lights flashing and siren screaming --destination somewhere outside the city limits, into the county, down tiny back roads.
A few minutes later the radio crackles again. At the local ball field a little boy is choking, another ambulance is dispatched immediately. These two ambulances are all the entire county has and now both are dispatched on emergencies. What happens if another call comes in while these two ambulances are busy?
A little earlier in the evening one of these ambulances was sent to a local marina where
they are told a woman with back pain is laying on one of the piers. The medical experts don't know any more than she has a history of back pain.
Also earlier that evening the Air Evac team, medical helicopters manned with the latest in emergency medical equipment and staff, is at first on stand by and is then dispatched to what is described by phone calls to emergency as a multiple car accident on the interstate.
When the police, sheriffs deputies, highway patrol arrive, it is determined that the Air Evac team is not required after all, so the helicopter is ordered to return to base.
What do all these instances have in common? In two cases the emergency workers were refused at the last minute. The woman who was attacked and beaten regained consciousness and refused treatment. The woman with back pain decided, as the ambulance pulled into the marina, that she would go to the emergency room by car. I'm not sure what happened with the boy who was supposedly choking.
In each case trained experts, expensive equipment, wear on the vehicles, and fuel were expended with no reimbursement. No bills were went out to those who called 911 and requested ambulances. Personally I think once an emergency vehicle is dispatched, somebody should have to pay something, a small flat fee to cover at least the fuel, but that's just me.
The bigger question is, what happens when unnecessary calls are placed and ambulances are dispatched and other emergencies arise at the same time?
What if a person is having a heart attack, a stroke, someone falls and has multiple broken bones, or a serious car wreck with injuries? No ambulance is available because they are dispatched on frivolous calls.
I keep saying two ambulances, because as stated earlier, that is all the county has at the moment, two ambulances in working condition. More ambulances are obviously needed, but the local hospital, who must foot the bill, cannot afford to purchase a new ambulance. Yes the hospital has always paid for the ambulances, medical staff, building housing the equipment.
The hospital gets no city, county or federal funds, to my knowledge, to keep it operating in the black. The recently new administrator, who has done yeoman's work getting the hospital back in the black, has made every effort to get help. The local politicians won't even listen to her or give her an audience.
Recent local elections were less than satisfactory in many categories, but there is still hope that at least one newly elected politician will at least give the administrator time to present a proposal to the council.
What's the point in this article? Calling 911 is serious business. It is for emergencies, not for hangnails, not for a taxi ride to the hospital, not for illnesses that has lasted for days and you should have seen your family doctor in his office. A back ache, a head ache, nausea and vomiting, a cough for three days, or granny doesn't feel good are not emergencies.
Emergency means just that -- emergency.
An accidental Injury or a condition that occurs suddenly and unexpectedly
and is life threatening or could result in permanent damage if not
treated immediately -- that is an emergency.
Keep in mind when you call for emergency medical assistance in the form of an ambulance, that you are tying up that medical team and equipment so that they cannot answer calls from others in need. Is your emergency really a life-threatening emergency? If not, drive the car or get someone else to drive you to your family doctor or if he/she is not available go to the emergency room. Time, money, and life are on the line. And remember, somebody has to pay for that equipment, medical expertise.
In your city or county, do you know how your emergency 911 teams are funded? Maybe it's time you found out. Perhaps there is something you can do to help your neighborhood residents be aware of what a real emergency is and the responsibility they have to call that number only when really necessary.
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