Scottish Ambulance Service Part 1 (Scottish EMS)

hello we are permeated with passion and we are in a Scotland our host Mary Magdalene these are all Mercedes printers they are 6-speed gearbox think they’re 2.2 litre I’m not sure some of them are bigger than other people in their manual shows deformed so we just replaced all of these these ambulances kind of the last two years and just in case anything breaks and then all our new ones are all Mercedes or repeatable use this is the standard setup in all the ambulances in the Scottish Ambulance Service everything’s run from these two terminals this is our Tara fix terminal and this essentially is a map that shows us the entire Knesset II and this covers the whole of the United Kingdom so anywhere we go we can navigate exactly to the house that we want to go to or the side street or whatever using this and it also gives us their current instance in this case it’s off so it will give you jobs the job will come up on the screen and and it will tell you information about the person who you’re going for where you’re going what type of quarters and and you can hit mobile that scene that sort of thing so that all the times get locked for it dispatch ok please tell me about the priorities of course so there’s there’s different branches of call so an as1 is an emergency response quality and there’s within that there’s a red priority code which you have to respond to within 8 minutes there’s a yellow fire to the coal which has a 14 minute response time and there’s a green priority call I mean it’s just kind of as soon as we can so we can get away yeah it can wait but it’s still an emergency so you want to kind of get there within an hour maximum maybe somebody who’s in the house and has fallen and badly twisted an ankle and can’t move but but they’re not they’re not going nothing’s going to happen to them if they don’t have an American like I’m thirty minutes and then we have an s2 level of coal which are usually they’re called urgent and they can have a response within an hour within two hours within four hours um and usually a GP will go to somebody’s house decide they need to go to hospital they are not quite well enough to make their own way then or they’re not quite mobile enough to make a long wait and so they will call the ambulance service and say it’s not an emergency so your dog will sort of trust yes but they need but they need some medical attention on the way sometimes these become emergencies sometimes are very unwell by the time we get there and so it that’s why you send an any crew to do it there’s Thursday’s ignatiev ambulances that do that now I’m doing service but all of the any crews if they’re not busy will do as well and these obviously we keep on her person the whole thing’s jobs get sent down to these as well so they get sent down to here and that it goes on to the main computer terminal here as well you’ll receive a message we get a message that it’ll buzz and it will see just as a brief overview of what the job is the main thing will come through here and but in case you’re through I’m having your lunch or something then yeah and you can also directly control contact control by pressing the kind of buttons and they’ll call you back and stuff here and obviously you can control them pick up the call you just you just press that personal button okay and what is the time for response as soon as possible we have to we have to hit Mobile on this if we get a job within a minute receiving the first dose is quite nice and roomy there’s obviously a couple of ways to get in the back as well the trolley you will fit in here it’s currently I’m cleaning at the minute but our trolley system can be moved anywhere in the ambulance so it can be in the middle or it can be at the site it depends on where you need to we tend to keep them to the site because that gives us more working room right that’s been in time you can also put one cheese and clips in so that you can hold wheelchairs and things down as well and to get that kind of search eat this is the handheld system of the one in the front and this is also our system that allows us to put all the information about the patient and about their health their blood pressure temperature what kind of response it is that sort of thing and allows you to write about them and once you’ve finished putting you in portal open up our board addition to the hospital it’s a we were right here a new system not very low in the next year of saw that will allow us to telemetry things directly to the hospital and slightly smaller versions of these but right now what we do is we can plug it back in and we Press print and we get a printout of it that we can hand into the hospital we have the direct line with dr. Yeoh and we can we can call directly and there’s kind of numbers that allow us to call radio directly into the hospitals we can tell them we’re coming and if we need to be we can speak directly to our doctor if we desperately need it and again our new system that’s good that we’re about to kind of bring out will allow us to kind of face tape doctors and the ER and if there’s kind of something we would really like their advice on then that we’ll be able to kind of do to laboratory with that and speak to someone and they’ll be able to see the patient so we we have a manual defibrillator it can also be an automated defibrillator if required and manual defibrillator it also does all the other kind of monitoring your your oxygen levels your cardio and carbon dioxide levels your pulse rate your it does 12 lead ECGs blood pressure that sort of thing pretty useful machine it can cardio piece and it can cardio Barre but we don’t do that and here only a doctor will do it and that’s not intake so has two settings on monitor setting then this side works so it has the blood pressure cuff your oxygen saturation levels and your 12 lead ECG attached it we would do the 12 leads and once we acquired it we can then telemetry it to the National Jubilee Hospital which is the National Heart Hospital okay no we well do it but we would if it’s somebody who is having an mi we would take them there so that they then end up getting stented and ruined and as quickly as possible and if it’s inconclusive and they’re not 100% sure then we might go to the leave me as an e first and then transfer them over just so they can do a few more tests like the troponin tests and such like to be 100% sure that kind of what’s happening obviously it’s quite an expensive process so you know if there’s any Canyon people ever get it it’ll send them to the other any first so we have a puck which will go on top of the person’s chest and it helps to make sure the CPR is done correctly because I’ll tell you if you’re going too fast too deep and the Machine will talk to you and I’ll tell you Bill the information from this and once you have the cap negraph in and your breathing it’ll also show you what your rate of date for ventilations is and obviously this will show you your rhythm and you can start and stop CPR and down here your cap negraph will show you your co2 levels and this can be set for adult or pediatric you just have to decide you put once you put the pads on pediatric or the adult ones it’ll automatically tell you large city but you told us about the rural areas well we have several things that are available for heart attacks in rural areas so there will be first responders and there will be ambulance isn’t such like there they can respond to them if either one of the helicopters is available then they will go and you’ll bring them for PCI back to the National Heart Hospital you can a helicopter can be over in one of the islands and back to the National Heart Hospital within 45 minutes and so it’s the same kind of response time some place faster actually than the city center and doing it by ambulance if they’re in a very rural area and the ambulances nor helicopters not be immediately available then the crews carry and those ones they carry to nectar please and take to please as thrombolysis agent and the drugs are a lot of contradictions to it so they’ll read it through if the patient and suchlike and if they’re more than an hour away then they’ll throw implies a patient before heading up to the National Hospital it has a few complications it can cause some issues with PCI because if you thrown Bligh’s them and the court becomes loose when they then stent them the closer move and they having to do it again and it’s a pain in the bum but obviously keeps people alive because it can reproduce heart tissue for a period of time then you have to run the patient through the protocol yeah for sure I’m onboard ambulance here yeah over them is here we also carry heparin so if we know we’re going for PCI we will have policies of heparin to prepare them ready to go as well as cappella girl and you are the mr. creepy the roller to the patient where am I yeah yeah yeah it’s the standard protocol standard protocol yeah aspirin GTN you pretty girl you

9 comments

  1. dobrze niech polska sie uczy od nich tego jak sie ratuje ludzkie zycie a nie tylko o fundusze i kase w lape 😉 fajny odcinek ciekawy czekam na kolejke pozdrawiam 😉

  2. Dzięki majorze 🙂 będą i wierz nam, że mocno wciągające. Pozdrawiamy, ratownicy z pasją, Marcin i Tomek

  3. Bardzo podoba mi się ta seria z pokazywaniem sprzętu/szpitali w różnych krajach. Jednak bardzo ciekawi mnie jak technicznie pod tym względem wyglądają nasze polskie służby. Fajnie by było zobaczyć też taki materiał z Polski, gdyż wielu może nawet nie wiedzieć jakim sprzętem dysponujemy. 

    Pozdrawiam!

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