Don't call an ambulance. Memo
There are people who call an ambulance at the slightest deviation in their health, when the help of a doctor is not needed at all. But there is a category of people who will tolerate deviations in their health until the last moment and sit at home and wait for it to go away on its own, but there are cases when wasted time will harm your health and situations will arise that will threaten not only your health, but also your life.
Now we will look at cases in which it is necessary to seek help from an ambulance.
This primarily concerns bleeding, regardless of what type it is. It would even seem nosebleed, which in most cases is safe, if prolonged, can cause a dangerous situation for the health, and sometimes even for the life of the patient. After all, this type of bleeding can indicate the presence of such serious diseases as blood and liver diseases. If the bleeding from the nose does not stop within ten minutes, you need to contact an ambulance.
Secondly, you need to call an ambulance if you have abdominal pain; if the pain does not go away within an hour, you should not sit and wait for something unknown. And you need to remember for the rest of your life that for abdominal pain, when its cause is unknown, it is forbidden to give painkillers, which will affect the clinical picture of the disease, which makes it difficult to make a diagnosis. Pain in this area may occur with intestinal obstruction, peptic ulcer, acute appendicitis or for various gynecological problems.
Abdominal trauma always requires hospitalization of the patient in medical institution to prevent organ rupture abdominal cavity and the development of internal bleeding.
For head injuries, since these injuries are most often accompanied by a concussion, and such patients require treatment and observation in a hospital.
Heart pain that does not go away and headaches associated with increased blood pressure, impaired speech and coordination, or numbness of some part of the body require seeking medical help. Such conditions may indicate the development of conditions such as circulatory disorders in the brain or heart.
High temperature that does not go down medicines, especially at night and in children, requires calling an ambulance.
When a grid appears before the eyes, nausea, weakness, if a person ate dried fish the day before.
The presence of prolonged vomiting or diarrhea, general weakness requires urgent hospitalization, since such conditions quickly lead to general dehydration of the body and the development of intoxication.
You especially shouldn’t hesitate when it comes to small children and don’t self-medicate. Please note: the ambulance number should always be in your address book, especially given that some have abandoned home phones in favor of cell phones. Each mobile operator has its own number. Please clarify this point in advance so that you do not encounter problems in the future if you need to call a doctor.
Is it possible to call an ambulance without a policy: rules for providing medical care and expert advice
Waiting for an ambulance - common occurrence. Sometimes you have to wait a long time for the visiting team. But what to do if the ambulance personnel came to the call, but refused medical services oh because of the lack of insurance document? Can an ambulance accept you without insurance? What rights does its owner have? Let's try to figure it out.
Insurance medical care
In our country, the state guarantees the provision of free medical services to citizens who need them. But in reality it looks different. You can forget about the availability of free medicine. In fact, specialized assistance has long been paid. The only question is, who pays for it? We are not talking about private clinics that live off clients. The state has long established a number of free medical services available to citizens without emptying their own pockets. Specialized assistance moved into the insurance category. Free medical services are paid from the Mandatory Fund health insurance where everyone able-bodied citizen makes monthly contributions. Free insurance is available to every owner compulsory medical insurance policy.
Rights to compulsory medical insurance
The compulsory medical insurance policy is an indefinite document that guarantees the receipt of free medical care in our country. The purchase of paper is not affected by place of residence, registration, age and social status person. The insurance policy is available to all Russians and those who do not have Russian citizenship. In the second case, the paper gives the right to receive free help for a limited period of validity. The holder of a compulsory medical insurance policy is under the protection of the insurance company with which the contract is concluded. No one has the right to refuse him specialized medical care.
List of services
The list of free medical services provided under the compulsory medical insurance policy is the same for all regions of our country. The differences that occur most often relate to organizational work with patients. Basic medical services include the following forms:
- Emergency (ambulance) is assistance that is provided by a team of specialists who come to the call.
- Outpatient care is treatment at home with a mandatory visit to a doctor at the clinic, which involves a number of diagnostic, treatment and prophylactic, rehabilitation measures under the supervision of a specialist.
- Inpatient treatment is treatment that is provided to citizens during a 24-hour stay in hospital facilities.
The compulsory medical insurance policy guarantees the right to hospitalization, appointment with specialist doctors, participation in innovative ways treatment, carrying out surgical operations, obtaining medications, as well as assistance to pregnant women and newborns. Full list free medical services must be checked with the insurance company that issues the compulsory medical insurance policy.
Innovations in emergency medical services
In 2018, the Ministry of Health of the Russian Federation made a number of changes to the procedure for providing emergency medical care. According to the new requirements, a mobile medical team will be required not only to deliver patients to the nearest hospital, but also to provide services in accordance with the individual types, profiles, diseases or conditions of the patient. Ambulance staff will deliver the patient to where he will receive comprehensive qualified care. In case of burns - to the burn center, in case of poisoning - to the toxicology center, and so on.
Two types of emergency medical care
Timely medical care Emergency doctors are what patients expect. Human life and health directly depend on its quality. Few people know what this concept includes. Doctors who respond to a call provide two types of assistance: emergency and emergency.
Emergency
Is it possible to call an ambulance without insurance? In the presence of an acute threat to life, primary health care services, which are carried out by a visiting team of doctors, are provided to everyone without exception. The emergency ambulance team is required to respond to the call within 20 minutes after the call is received at the duty station. The lack of an insurance policy in this case should not be an obstacle. An immediate and free right to emergency medical care is possible in the following cases:
1. Impaired breathing, circulatory system, loss of consciousness.
2. Mental disorders, which are accompanied by the patient’s actions that are dangerous for himself and others.
3. In the presence of pain.
4. In cases of injury, poisoning, injury, as well as bleeding of any kind. For thermal and chemical burns.
5. During childbirth, threats of termination of pregnancy.
In such situations, even the uninsured and unidentified in the system Compulsory medical insurance citizens receive the right to call an ambulance without insurance and provide medical services at the expense of regional budget funds. Refusal by medical staff in such situations is unacceptable.
Urgent Care
An emergency form of medical care is provided for by the law of the Russian Federation and is also provided by a visiting team of doctors. It is not subject to the 20 minute time limit. Arrival time varies within two hours. After a call is received at the duty station, the nearest available general field team is dispatched to respond to the call. There are several reasons to call an emergency ambulance. The service is provided in case of sudden acute diseases, conditions, with exacerbation of chronic diseases that are not life-threatening. These include a significant increase in temperature, a severe form of influenza or ARVI, sudden severe pain. A runny nose, dizziness, and cough are not reasons to call emergency medical help.
Is it possible to call an ambulance without an insurance policy if you have one? serious reasons? Such actions are possible. But in practice, ambulances without insurance often do not accept patients. Such a refusal contradicts constitutional law every citizen to provide free medical services.
Calling an ambulance without a compulsory medical insurance policy: reality or myth?
Everyone is accustomed to the fact that when providing medical services, employees are asked to present a medical insurance policy. But a person does not always know when illness, illness, or injury will happen to him. What to do in such cases when medical help is required, but for some reason the document is not at hand? Is it possible to call an ambulance without insurance? Providing qualified assistance is possible without an insurance document, but not all employees visiting team are taking this step.
Ambulance actions in the absence of compulsory medical insurance
Having dealt with the question of whether it is possible to call an ambulance without a policy, let’s try to answer one more. What should a patient do if qualified assistance is refused?
It doesn’t matter for what reason the patient does not have a paper with him giving him the right to provide free medical services. The doctor who comes to the call is obliged to conduct an examination. The diagnostic results lead to the following actions:
1. Hospitalization is possible when a patient in need of emergency care, the current situation will worsen in the near future. Medical services are provided to such a person in urgently without presenting a compulsory medical insurance policy.
2. The doctor has the right to refuse hospitalization to a patient if his condition is stable, there is no likelihood of deterioration and there is no threat to life. The representative of the ambulance team is obliged to transfer information about the patient to the clinic at the place of residence.
Medical assistance to citizens not registered in the compulsory medical insurance system
An insured person, even in the absence of a compulsory medical insurance policy, has the right to the provision of medical services by an ambulance team. The details of the missing document are clarified via insurance company. But what about patients who are not identified and not registered in the compulsory medical insurance system? They have the right to call an ambulance without insurance only in case of a threat to life. When providing emergency ambulance services, field team employees more often refuse the patient or demand payment for the provision of services. How much does it cost to call an ambulance without insurance? Prices may vary in regions. Thus, in Moscow, the final cost of medical services is influenced by the distance of the destination from the Moscow Ring Road, the doctor’s specialization, and the degree of urgency and complexity of medical care.
Actions in case of refusal to provide services
There are cases when, when calling an ambulance without an insurance policy, a person is faced with a refusal from the dispatcher and a group of doctors. In case of untimely provision of medical services for any reason, including in the absence medical policy, the patient or his representative must immediately contact the police. Deviation from the professional activities of the field team will be regarded within the framework of the law. Ambulance workers and the dispatcher may fall under Article 124 of the Criminal Code of the Russian Federation “Failure to provide assistance to a patient” and Art. 125 "Leaving in danger."
The measures taken and the threat of a criminal article discipline medical workers. In cases where the dispatcher accepted the call, and the medical team itself is in no hurry to come to the patient, it is recommended to call back to the ambulance post and remind that delay in providing qualified services is also regarded by law as failure to provide assistance to the patient and leaving him in danger. According to the law, everyone in need in the country applies for certified assistance, regardless of location and availability of relevant documents, including a compulsory medical insurance policy.
More than once I come across comments here when, at normal temperatures (even over 39 - it’s just a temperature), they advise calling an ambulance... just today the comment “the ambulance is free - why not call” what a great reason...
My godparents have both worked in the children's emergency room for more than 30 years. and they constantly tell me how inexperienced (and even experienced) mothers call them for trifles, and at the same time some child who REALLY needs hospitalization and rescue is waiting for an ambulance to come to him... and there were even cases where they did not wait - the child died on in the hands of the mother... and all the teams on trivial calls... bring down the temperature... which mommy herself could have brought down or had already brought down by the time they arrived... but the ambulance is free... why not call
I’ll probably move on to the topic itself... in fact, many people simply don’t know when to call an ambulance, and when it’s enough to call a doctor at home.
read carefully. remember. and we don’t bother the ambulance over trifles that you can handle yourself. More confidence))) healthy confidence of course...
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Assistant at the Department of Pediatric Surgery, Russian National Research Medical University named after R.
I. Pirogova, surgeon at the emergency surgery department of the Children's City Clinical Hospital named after N.
F. Filatova, Candidate of Medical Sciences Maxim Golovanev.
You should contact the emergency room in the following situations:
1. If a child complains of abdominal pain and at the same time has severe vomiting and/or bloody diarrhea.
At acute pain in the stomach the child lies in an uncomfortable, forced position or walks crouched.
Probable Causes: Trauma internal organs, acute appendicitis or peritonitis (inflammation of the peritoneum), intestinal infections, poisoning, including medicinal poisoning, acute pancreatitis, intestinal obstruction.
What to do before the doctor arrives?
2. If the child has severe vomiting that is not accompanied by diarrhea. The presence of temperature in such cases is not important. The vomit is greenish in color or contains traces of blood and mucus.
Probable causes: botulism, appendicitis, poisoning, including medicinal, some infectious diseases, intestinal damage or obstruction, concussion, meningitis.
What to do before the doctor arrives?
Children are placed on their side so that in case of sudden vomiting, secreted masses do not reflux into the upper respiratory tract. Drinking and feeding are completely excluded until an accurate diagnosis is established.
3. If high temperature does not decrease after taking antipyretics or lasts more than three days.
Probable causes: influenza, ARVI, infectious diseases (including serious ones), heat stroke, poisoning with toxic substances.
There is no clear connection between the child's body temperature and the severity of the disease. But for a baby with a temperature above 38.0–38.5 °C, an ambulance must be called.
What to do before the doctor arrives?
Give the child something to drink at room temperature - preferably boiled water, undress him, and wipe him with a damp towel. Remove the diaper from the baby. Change your baby into dry clothes if he is sweating a lot.
4. If your child's stool is black and has an unusual consistency, or you notice blood in the stool. Remember if you have given your child medications that can cause a similar effect ( activated carbon and iron supplements, bismuth), or food (beets or treats with artificial colors) of an intense red color.
Probable reasons: peptic ulcer stomach and duodenum, dysentery, polyps and rectal fissures.
What to do before the doctor arrives?
You cannot give an enema or give any medications.
5. If a child has dry lips and tongue, urine production stops, he cries, but without tears, his eyes are “sunken,” and the baby’s fontanel is slightly pressed out.
Probable causes: dehydration. Occurs with frequent diarrhea or vomiting. With a sore throat, when it hurts a child to swallow and he drinks little, with heat stroke.
What to do before the doctor arrives?
Give your child a sip at a time, with pauses, to prevent vomiting.
Hydration solution: 0.5 tsp salt, 1 tsp. soda, 4–8 hours. l. sugar per 1 liter of water. You can add 150–200 ml of any juice as a source of potassium. For a child under two years old, it is enough to give 50–100 ml of this liquid after each bowel movement; for older children, 100–200 ml. If vomiting occurs, continue to drink 1 teaspoon every 2-3 minutes.
6. If the child has difficulty (noisy, hoarse, intermittent) breathing that lasts more than half an hour.
Probable causes: asthmatic attack, swallowed foreign body, allergic edema, pneumonia, pleurisy.
What to do before the doctor arrives?
Provide your baby with an influx fresh air– dress him warmly and open the window, you can take him out onto the balcony. Drink warm boiled water or sweet tea. If you cannot rule out the presence foreign body V respiratory tract, you should refrain from drinking.
7. If a child has causeless aggression or, conversely, excessive drowsiness, consciousness is confused, convulsions (rhythmic jerking of the head or other parts of the body) appear, behavior is sharply different from usual. If he went to bed after the fall and you can’t wake him up after an hour, if the child is vomiting...
Probable causes: brain contusion, high fever, accidental ingestion psychotropic drugs, household chemicals, inflammation of the brain (encephalitis) or inflammation of the lining of the brain (meningitis).
What to do before the doctor arrives?
During seizures, you should not give your child food or drink - he may choke. Put the baby to bed and provide him with peace. If the child is already big, ask him to understand what causes this condition.
80% of emergency calls in Voronezh these days are related to flu and cold symptoms and elevated temperature. As we have already written, due to mass hysteria with the flu epidemic, sometimes things reach the point of absurdity - when people call an ambulance with a temperature of 37.2. How to call an ambulance correctly, which calls are answered first and when is it better not to call an ambulance at all? We talked about all this with the emergency medical service staff.
How long should it take from the call to the arrival of the ambulance?
First of all, it is necessary to separate the ambulance and the ambulance. Ambulance comes to citizens' requests when there is a threat to life (severe injury, impairment of consciousness, breathing, blood circulation, etc.) or if the patient becomes ill on the street. The ambulance arrival time is 20 minutes.
An ambulance arrives if a person complains over the phone about fever or exacerbation chronic illness when there is no immediate threat to human life. Ambulance arrival time is 2 hours.
Which calls are answered first?
As they told “MY!” ambulance workers, there are unspoken priorities within the service. The following challenges are considered the most important and urgent:
- to an accident;
- calling a child under 3 years old with a high temperature (because this is fraught with seizures);
- heart attacks, suspected stroke, breathing problems, loss of consciousness;
- childbirth, threat of miscarriage;
- severe injuries, burns, bleeding.
How to call an ambulance correctly?
You can call an ambulance by phone: 03 (only from a landline number), 112 (single emergency number), 103 (from all numbers) , 003 (for Beeline subscribers), 030 (Megafon, MTS, Tele2).
When you call an ambulance, you need to list all the patient’s symptoms as clearly as possible and, if necessary, answer the dispatcher’s questions. Please enter your address correctly and be sure to specify the waiting time. But the ambulance staff also have their own secrets.
“There are such cherished words: “I have a bad heart, 35-40 years old,” shares one of the former ambulance employees Denis. “These are the kinds of challenges for which you can get punished later, if something goes wrong... After all, this is the age of a person in full bloom and the disease cannot be attributed to old age.” This person has relatives, a husband and wife, who will not stop later. And the heart - this can be very serious. Therefore, at this age they try to go to the “bad heart” without delay.
— What if they come and a pensioner is sitting there?
- Well, of course, he can always say that he was mistaken in age, they say, excuse me. True, doctors can take a little revenge for such things. For example, inject furosemide (a diuretic - “Yo!”) with a sleeping pill. It’s not dangerous, it’s not painful, but it’s offensive,” Denis laughs, and it’s unclear whether he’s joking, or whether this really happened in his practice...
When can you do without an ambulance?
- If you have a high fever, a headache, or aggravated chronic disease(for example, your lower back is so tight that you can’t get up) and it’s a weekday, call a doctor at home, advises emergency paramedic Natalya. - The waiting time will be about the same as the emergency room, but the GP will at least prescribe medication for you. And if the local doctor decides that you need hospitalization, he will call for transportation. Ambulance does not cure! We often think that an ambulance will come, give you a magic injection or give you a pill - and you’ll be healthy. No! The ambulance provides first aid. Clinics and hospitals provide treatment. And when calling an ambulance for fever or lower back pain, keep in mind that, perhaps, you are separating this team from those patients for whom the issue of life and death is being decided at these moments. If, of course, a high temperature or pain catches you on a day off, when clinics are closed and you can’t stand urine, then, of course, it makes sense to call an ambulance.