Thanks for your ideas.
The issue over hear about setting up a volunteer response system is that it can only be activated by the Ambulance Service due to the dispatch system in use in Victoria. At our Station for example we did attempt…"
"To save money, it is now considered acceptable to leave a town uncovered for many hours with the only emergency Ambulance undertaking non urgent clinic transport work, and when an emergency comes in, the next available Ambulance from 40 to 70 kms be…"
It wasn't perfect when Victoria was 16 Regions, but the attitude has been, "well it's not perfect so lets make it bigger, that will fix it', rather than looking at how to fix the problem at that level first. That…"
"We've had 3000 Ambulance regions and that didn't work.
We'll spend so much time on the consultation process nothing will get done.
Helplessness through a lack of opportunity to contribute or be heard is certain a huge barrier in our…"
You have hit the nail on the head!!!!
Local areas have little or no impute into what they need and are forced to comply with the global statewide system approach. The differing needs in different regions of Victoria, are all being managed…"
"In a locally-based delivery system, the locals can set their own resource levels and don't have to depend upon a state or national system to allocate resources to them.
A socialized system is one in which the locals don't get to determine…"
This is not a reflection on the road staff, but the system that managers the use of resources. You are also right in that it is not about throwing resouce after resource, but rather the correct utilisation of that resource. You are…"
"It is a statewide system, not national (we only have 6 states and Two territories). One of the many many reasons or metro and rural system combined was service delivery.
Only this year did the rural system come under AMPDS and the same dispatching…"
"This is one reason I don't prefer my EMS socialized. When the rural areas can't get adequate coverage despite a national system that's supposed to provide that coverage, then one of the supposed big advantages of the socialized EMS…"
"I don't get it you could do a google search and come up with the same number of news stories on any ambulance operation in the world good or bad....the nature of the work we do is inherently more risky that any other operation.
"So that also reflects on me.
A lot may be said of our shortcomings of late-- after all an election is coming up, why wouldn't you?
What are the solutions--I'm being serious--so many complaints, many misinformed at times but very little…"
The public shame of a once world class Ambulance Service in Australia. Statistically published delays and deaths on the increase, and massive staff resignations as staff cannot cope with the strain of working for what is alledged to be a failing and uncaring organisation: …See More
"Our Service uses Scoops, Vacuum Mattresses and a curved Long Spine Board. Padding of the Board (using full body length pads as well as occipital and lumber padding) is also a requirement.
Reality is when you look at the studies on padded curved…"
"Major problem I found was airway compromise. When applied correctly, the mouth is clamped shut. Vomiting in the conscious pateit, not to mention the unconscious patient is a real issue. Doesn't matter how good it is at immobilisation, this is a…"
The design was well thoughtout and allowed cleaning that is easier than cleaning the stretcher. This never seemed to be a problem even in the real. Ther is also a rear facing seat at the head of the main stretcher (usually used for airway…"
I closely followed the discussion 'KED's vs. / plus LBB's' and used the opportunity to download your publication about proper immmobilization techniques. This is really great stuff and thank you for publishing it to everyone. We are traditionally using vaccuum mattresses here in Germany and introduced Spineboards in our agency just three years ago. So your manual will help us very much to compensate our low experience with this tool.