Things happen in threes

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BetteTheRed said:
If you're in a situation where a slow response in Emerg is likely to cause a negative outcome, you're better off biting the bullet and calling the ambulance. They triage ambulances over walk-ins.
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Not here lately. Just last night someone I know posted on facebook, she called an ambulance for her daughter (a child). None available, driving was faster.
Last summer my parents called and were doing CPR. Ambulance took way too long. Despite CPR appearing to do what it needed to do ie. keep the blood flow going, colour returned the paramedics declared death on site with doctor on the phone.. I don't even think they loaded the neighbour into the ambulance.

As for triage? They sit in the waiting room the same as everyone else, the paramedics just drop off now to get back onto the streets faster.
 
Must depend on provincial/health unit rules. At my local (large) hospital, there are triage rules that prioritize ambulance admissions.
 
BetteTheRed said:
Must depend on provincial/health unit rules. At my local (large) hospital, there are triage rules that prioritize ambulance admissions.
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There are also professional practices around triage.

Alberta's ambulance service is a mess. The union posts notices of staffing issues that lead to severely reduced ambulance availability. Some shifts are pretty desperate. I am not surprised that paramedics (or whatever they're called) drop patients off instead of waiting as they traditionally do. They know there are others waiting.
 
Normally paramedics do wait with patients, but that doesn't mean a patient is triaged earlier. I think with the shortage it may have swayed some opinions on triage priority though, even subconsciously.
A year ago, I did sit in the emergency room with a paramedic and a patient on a stretcher. We were both there for quite some time. Normally, the patient is the paramedic's responsibility until they can be seen in the emergency room.

Because of the shortage though that policy change this past year. The paramedics drop off and go because ambulances are always code red these days.

Giving priority to patients based on how they come in sounds like a bad strategy IMO. It encourages people to use a resource unnecessarily plus also creates more of a system where people with the means get ahead - really not something I support for the emergency department. I'm rather surprised that is how other provinces do it.
 
In the aura of what goes up .... imagine we rose from a developing nation ... and now a turn for whatever ... something denied? All for private profit nonetheless! Public service is just imaginary ... one has to have something of an abstract to see it! Ever research the definition of abstract? It is a word servicing multiple fields, Wahls and baffling applications ...

Even rose goes to seed ... what it comes down to in descent ...
 
BetteTheRed said:
Agreed. In Ontario, we have TeleHealth, which is totally government run, but all they do is tell everyone to go to Emerg...
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That hasn't been my experience here, but some of the practitioners do a better job than others. Some seem to work strictly according to a script. Others ask insightful questions and listen carefully to the answers. One response recently was
"This would be a drug reaction. It isn't dangerous in any way and doesn't have to be addressed immediately. You could make an appointment to see your family doctor - but I recommend checking with your pharmacist."
 
Waterfall said:
Hospital admissions?
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I don't think hospital admissions are the cause for red alerts with ambulances, especially with the drop and go policy although I don't recall when that was put in place. If it wasn't in place this past May clearly it should have been!
 
ChemGal said:
I don't think hospital admissions are the cause for red alerts with ambulances, especially with the drop and go policy although I don't recall when that was put in place. If it wasn't in place this past May clearly it should have been!
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Actually I should have been clear....and asked what a red alert is in Edmonton. I was just guessing if that's what you were talking about.
 
Oh sorry, I guess there wasn't as much of a continuation in the conversation as I had in my head. Yes ambulance, it means there isn't a free one. So if one is needed a patient has to be offloaded and the ambulance prepped before it can show up.
 
Is social order collapsing because of he fallacies surrounding efficiency studies cut too thin?

I recall in the east a study about too many Drs. being cranked out and few could see upcoming retirements and attrition rates ... thus something died! Could have been Psyche and Sophia as disliked et ud es ... as Brutes say ... E Tu? You 2 as a twin or gestalt form in essence?

What did this have to do with desire for power w/o knowledge, etc.?
 
@KayTheCurler , just reading your long list of items happening with your family. That is clearly a wow . I am glad that some are resolving. Do take care of yourself.
 
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