I had a guy yesterday who went through a list of questions before pronouncing that I was eligible for FIT for a solar PV installation. I pointed out that there was an important question he had omitted - Did I already have one?
We then moved on to discussion of TPS, and the semantics of whether his activity was related to sales, which he seemed unwilling to prolong.
Chris
So how many better trained and equipped paramedics could there be if the air ambulance money had been spent on them?
How many less would there be if the NHS had to fund the helicopters?
Same to you with raw sewage in the wounds.
However her life was probably saved by the ambulance that arrived before the helicopter was even asked for.
It would be interesting but rather costly in lives to see what happened if they didn't send an ambulance and only sent the air ambulance. Totally impractical of course as the helicopter wouldn't be able to land without someone else being there.
Yet again you display your total ignorance. The "someone else" does not need to be ambulance crew, or even medically trained.
MBQ
Irrelevant. More staff doesn't get the patient to the operating theatre any faster.
It does if an increase in staff means they are not so thinly spread.
How does more staff handle a traffic jam? Air ambulances are often deployed where a road transfer would take too long.
indeed, a couple of days ago it was reported that ambuances were taking over 2 hours to unload patients at a hospital in Norwich
That is a staffing problem at the hospital, isn't it? Waiting time in A&E doesn't start ticking until they are unloaded.
Quite, and it doesn't have to be traffic just the distance and the roads. Seems that many posting in this bit of the thread are townies and expect a paramedic ambulance to arrive in 5 mins and they are only 15 mins by road from an major A&E department.
The nearest A&E to here is 40 mins away in a car, without traffic, motoring well. Ambulance with patient on board will be much nearer, if not over, an hour. The roads are mostly narrow, single carriageways, with many blind bends. If truck comes the other way on a straight bit you breath in, meeting on a bend makes the heart beat faster... Oh and you will have waited about 40 minuets for the paramedic ambulance to arrive in the first place.
The nearest A&E isn't a major trauma A&E either. The nearest of those is over an hour by car... Flying time to the major A&E is a couple of tens of minuets, if that. Flying time in is hardly enough to warm the engines up properly as one of the GNAS helos is based 10 miles away. B-)
As for spending the money on more paramedics so they can reach any part of the UK land mass in say 10 mins. You'd have an awful lot of very bored and very skilled people sitting about doing nothing virtually all the time. We did have a (singular) paramedic based on The Moor for a while but they hated it. 1 (One) call a week on average is not exactly what they spent years training for. There was some talk of rotating them round, come out here for some peace and quiet after taking the physical and verbal abuse from the vomit covered drunken clubbers in the center of Carlisle for a couple of weeks. I think that was far too radical for the suits in charge...
The paramedic was taken away, it really was very hard to justify. We still have, just, an Ambulance and first responders but the NHS Trust (ha!, "trust" wouldn't trust 'em further than I could throw 'em) wanted to take that away as well. Damn suits looking at the age of the ambulance and the qualifications of the first responders and not seeing them serve any useful purpose with out spending money. Their minds have been changed once it was pointed out that the average response time for an ambulance off The Moor to here *is* 40 mins and that some one will die if they take away even the limited local service. We'd also make sure the media knew the background if that did happen as well... Some one with half a clue and basic kit is better than none at all, particularly for the best part of the "golden hour". I think they are going to spend the money on upgrading the vehicle and some more training, but it's all gone worryingly quiet...
Our A&E is 28 minutes away (Google maps estimate - while that is possible in quieter times, it is not in rush hours or snow or when there has been an accident on the very busy road). And that is despite living in an "Urban Area" with over 115,000 population - not a couple of people and a few sheep. :-)
We do have the advantage of ambulance stationed around.
Beg to correct U as always, but back in July 2009 my very existence was saved by an air ambulance. If that hadn't got me quite some distance to a specialist unit I'd have been history;!....
No always so...
Go on then, phone up and ask for an air ambulance and see what they say.
Fat bastards stuck in the rear doors again?
The LAS HEMS helicopter is funded by Guvmint.
The Denboi idiot strikes again. Helicopters have two useful functions,
1) being that they can get to remote or difficult areas faster and 2) that they can get the patient to hospital faster.I am pretty sure you are talking out of your rectum again.
Is the correct answer.
None.
You don't get seen in A&E any faster if you arrive in an ambulance. You get triage'd and are seen according to your needs.
Once again Denboi shows his ignorance.
The decision to send out the HEMS would be made by the silver paramedic on scene, but it's landing area doesn't have to be attended by an ambulance crew.
We've got three A&E inside half-an-hour. Two twenty minutes away, and one 28. (Google maps outside rush hour yadah...) You can guess which one serves this area :) The local hospital is gradually being downgraded and now only has a "minor injuries unit".
Of course the disadvantage of having good motorway links (we're stuck between M3 and M4) is that they are all the other side of a motorway that stops every rush-hour.
And I can't see an ambulance getting here from our local station in 10 minutes either.
Andy
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