To help "911"

In Samara hospital specialists should appear on interaction with "ambulance service"
In Samara medicine looming conflict. Doctors "Ambulance" feel that they have to do others' work, and offer improved mechanism for interaction with other medical institutions.
With the advent of natsproekta affairs in service of "Emergency" went to the amendment. Now on the urban station in Samara car park upgraded by 100 per cent, worked 69 new carriages with modern equipment. And after the local authorities immediately to seven million rubles raised drivers "Skoroy" wages, the machines have permanent drivers. Of course, problems remain with the medical staff (to become a doctor "Skoroy", physician should be taught year on their money), but they believe in service, be resolved. However, there are new difficulties.
-- Natsproekt brought in to "Skoroy" not only positive but also increase the number of challenges - chief doctor tells urban stations Vladimir Molokov. -- From the media people know that we have machines, new equipment, and therefore have more calls. Thus, in 2006 gave an increase of 26 thousand hits, the last year - plus another 29 thousand calls. Of the nearly four hundred thousand applications for the year forty percent - frivolous challenges. This abnormally. We have a serious service, rather than boys, girls on a summons. Indeed, while we do not serve an urgent challenge, somewhere may perish person who really needed emergency assistance.
Among the daylight in "Soon" often call people with chronic diagnoses, whose condition was deteriorating. But that should not engage in service "03", and doctors from general practice clinics. Indeed, apart from substations "Skoroy" in the city, with 15 - ty clinics there is an urgent assistance. This is the same carriages as the "Skoroy", only to go on the Challenges of general practitioners, who diagnosed the patient is familiar, because he lives and treated at their station.
Moreover, when medical-care facilities, there are schools for patients with chronic illnesses.
-- Gramotny patient when the first symptoms of deterioration may be withdrawn attack alone - said clinic chief Lidiya Fedoseeva № 15. -- Therefore, on the ground need to intensify preventive line of work with patients and doctors at the sites that allow unfounded challenges "ambulance service", must be punished.
Recently, older samartsy increasingly have to resort to the challenges of night, when they simply become lonely. Call also to get quick free survey (ECG, ultrasound), because in his clinics sometimes have to wait for months.
It happens that the relatives of elderly people trying to use "Soon", to finally put a patient old man in hospital. This is especially true of patients with psychoneurological and cancer diagnoses. Doctors from the clinics do not provide direction, and "Skoroy" at the hospital did not seek. But to use "Soon" as the carriage is fundamentally wrong. Head of Health Samara Vladislav Romanov promised that in urban hospitals appear social beds for the elderly, to unload and "Soon", and the separation of medical institutions, but so far it is not.
Vladimir Molokov believes that an ambulance should be especially true emergency:
-- For ourselves we operational challenges on the eight types. The first four - this is the work of "Skoroy", the rest - the level clinics. A man lying on the street without traffic, accidents, the situation with children, childbirth, accidents - is the first degree. Pain in the chest - the second type. Pressure, pain in the abdomen - the third. Due to the fact that we have entered calls and sorting machines on walkie administration directly into the path (zaezzhaet crew to the station only at lunch), we were able to reduce the time for the first type of restaurant to fifteen minutes, even though in 2005, "ambulance service" in Samara arrived for thirty-seven minutes.
For savings minutes - saving lives, who also managed to calculate the service. This year, as compared with the past, at the stage of emergency died at less than 137 people. But you can save even more, doctors believed "Skoroy", if it has been made clear interaction with doctors in hospitals. Vladimir Molokov invites doctors to determine responsible for working with "Skoroy" in each LPU. Judging from the reaction of Chief Samara hospitals they can not delight from such a question. But their leader Vladimir Romanov has promised to consider how best to develop interaction, the price of which - lives.

Commentary
Vladimir Molokov,
Chief visiting specialist to provide ambulance and emergency care Minzdrava Samara region:
-- Today is difficult to trace, at what point the doctors worked poorly - with emergency or already in hospital. You need to enter hospitals in office specialist operational links with "Skoroy" service. Overseeing the work of doctors through them "Skoroy" and condition of the patient, will be easier to determine at what stage the patient received unskilled assistance. Then we will have no cases in which doctors in hospitals do not take into account preparations, which have entered a patient at the prehospital stage, prolonging the time will not assist in the hospital. Fewer mistakes will be our teams. To be precise monitoring of the work as doctors in the service of "Skoroy", and in hospitals.