MIL OSI Translation. Region: Russian Federation –
How many visits does the ambulance team make per day, why calls to children are the most difficult and what helped to overcome the pandemic, said the employees of substation No. 59.
In 2020, a new professional holiday has appeared in Russia – the Day of the Ambulance Worker. It is celebrated on April 28th. Prior to this, the holiday had an unofficial status. Read about how one of the Moscow substations works and how they live – in the mos.ru report.
Severny district, substation number 59 Ambulance and emergency medical stations named after A.S. Puchkova… “150th brigade!” – is carried across the territory from the speakers.
Not even a minute passes as two girls in blue jackets and trousers get into the ambulance. One of them is paramedic Olesya Manko. By her first education, she is a manager-economist in the tourism business.
“I came to the ambulance deliberately. When the child was born, I had some kind of rethinking, I wanted to change something in my life, to be useful to my family and people. The whole family of my husband and he himself are medical workers. I graduated from a medical school and have been working as a medical assistant for four years, ”Olesya says.
The girl believes that this is her calling. She plans to go to medical school and become a doctor. “Every morning we come in, put on our uniforms and take a shift. This means checking the equipment of the machine: all the packing, the preparations must be in place, the equipment must be in good working order and charged, ”the paramedic explains.
Particular attention is paid to the orange suitcase – perhaps, it has been seen by everyone who has ever called an ambulance. Such a suitcase weighs about 10 kilograms.
“The case contains antiallergic, hemostatic, drugs for the gastrointestinal tract, various saline solutions. It is often necessary to use drugs that lower blood pressure. Psychotropic and narcotic drugs are on special account, they are used only in certain cases, ”Olesya Manko shares her professional secrets.
The ambulance must have dressing harnesses – they are used for injuries (included in the trauma kit), anti-burn wipes and bandages (included in the anti-burn kit), syringes, sterile wipes and much more.
“The ambulance has breathing apparatus – an artificial lung ventilation apparatus, an anesthesia apparatus. There are also several oxygen cylinders, an electrocardiograph, a defibrillator, a bedside resuscitation monitor that allows you to monitor such patient parameters as blood pressure and heart rate. In addition, there is a nebulizer for inhalation, a syringe dispenser, a pulse oximeter – it monitors the level of oxygen saturation in the blood, which is especially important in patients with coronavirus infection, ”says the head of substation No. 59, ambulance doctor Yevgeny Danilov.
Particular attention should be paid to a modern resuscitation system that can be used when transporting a patient. This device automatically gives the patient an artificial heart massage. Also, some machines have an ultrasound machine.
In addition to the trauma and anti-burn kits, the car must always have an obstetric kit, resuscitation kit, and personal protective equipment. If necessary, doctors can use a spinal shield to carry patients with injuries, a gurney, a wheelchair.
From the control room
All calls from Muscovites by numbers 103 and 112initially arrive at the centralized dispatching office of the city. From there they are transferred to the control room of a specific substation, depending on the area. It happens that the calls are received by the teams of substations located in neighboring areas, but which are currently closer to the place of call. The main task is to get to the patient as quickly as possible.
“If the team is at the substation, then we announce the number, the person in charge comes up to us, takes the printed call card, goes to the car and leaves with his colleagues. If the brigade is already in the city and free, then they accept the call, which comes to them on a special tablet. The reason, time and other important information are already indicated there. Using the tablet, we can contact the brigade, and they can contact us, ”says Svetlana Klyueva, a paramedic for receiving and transmitting calls.
She has been working in the ambulance for 37 years. At first she was a visiting paramedic, then she moved to the control room. Svetlana Eduardovna admits that she has been able to help people for so many years only thanks to her love for her work.
“We come half an hour before the start of the shift to find out what the operational situation is, whether all the brigades are on the line, whether all employees have gone to work,” she explains.
In the control room, each employee has a telephone and two monitors: one displays a call map, where all the brigades are located and how long, and the other displays a map with the geolocation of all substation machines. An experienced paramedic is sure that only a professional can work in a control room, and it is mandatory with a medical education.
“We have different types of brigades. And it is very important to correctly understand which challenge to which one needs to be sent. Human life may depend on this, ”explains Svetlana Klyueva.
According to Olesya Manko, the most difficult challenges for her are associated with children: “It doesn’t matter what age and what happened. Having your child, you always feel heightened responsibility. And you try to carry out all the necessary measures as quickly and efficiently as possible. “
It is very difficult after difficult calls to recover, return home and live a normal life, the paramedic admits. “Initially, I passed every challenge through myself, it was not easy. But then she began to work on herself and realized that work should be left outside the home. Now I try to do it. I try to switch at home. My daughter helps me with this. Together we go swimming, learn foreign languages, walk in the park, ”says Olesya.
More than 100 calls per day
A small two-storey building of substation No. 59 was built quite recently, in 2018. There are 12 ambulances “registered” in the garage, as well as a reserve car – it is used if the main car breaks down or is sent for maintenance. During the day, the brigades of this substation leave for 120-150 calls.
“We have three types of brigades at the substation. A general-profile medical team – a doctor and a paramedic, a general-profile paramedic team with two paramedics, and a team for transporting patients with one paramedic work in it, ”says Evgeny Danilov.
Everything in the substation building is organized so that the personnel can work and relax comfortably. On the ground floor there is a garage and a control room nearby. There is also a room for a two-day supply of medicines. This is where the ambulance staff can restock the orange suitcase when the pharmacy and the senior paramedic are not working.
“The substation has a room for outpatient treatment of citizens. Often people from neighboring houses come and ask for help. It has all the necessary equipment, and it is also designed for people with disabilities, ”adds Evgeny Danilov.
On the second floor there are lounges and psychological relief rooms with TV, books and comfortable armchairs. There is a canteen nearby where the crews can eat during their break. There is also a room for backup equipment in case the main devices fail.
Also on the second floor there are the offices of the head and senior doctor, a conference room, a methodological office with dummies. There are classes for practicing cardiopulmonary resuscitation, practice with young specialists and not only.
The main value is the team
The substation manager says that in recent years the metropolitan ambulance has changed for the better: equipment has been updated, for example, ventilators, defibrillators.
“Our doctors have become more aware of the patient to whom they are going. If he has a compulsory health insurance policy and is registered in the Unified Medical Information and Analytical System (UMIAS), then his medical card is displayed on the tablet. By comparing all the information about the patient from the system with the reason for the call, the doctor or paramedic can already understand what to prepare for, ”says Evgeny Danilov.
The substation employs 85 people, including 10 doctors, 50 paramedics, 10 control room employees and 15 administrative and service personnel. According to Evgeny Danilov, it was the people, their resilience and fortitude that allowed the substation to work fully during the pandemic.
“I think the Moscow ambulance was ready for this. We have a clear structured work structure that allowed us to pass this period with dignity. Although the situation has stabilized, we still pay special attention to patients with acute respiratory viral infections and pneumonia. Doctors do not relax, ”the substation manager shares his opinion.
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EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.