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What's the best way to call an ambulance? How to call an ambulance? For the first time there was a strong pressing pain behind the sternum

Before you pick up the phone and dial 03, decide what you really want? Relieve pain or resolve an acute life-threatening situation? Get sick leave or get an injection? Remember that emergency, including specialized emergency medical care is provided in case of diseases, accidents, injuries, poisoning and other conditions requiring urgent medical intervention. When responding to a non-core call, the ambulance wastes precious time, which jeopardizes the lives of other patients who really need help. ARI, ARVI, temperature up to 39.5 are not a reason to call an ambulance, if only because the emergency doctor has a different training. Here you need a therapist from the clinic who will prescribe the best treatment.

If help is required for a patient suffering from one or another chronic disease without an exacerbation, there is no need to contact emergency doctors. The fact is that ambulance teams do not have the right to prescribe systemic treatment and drugs for regular use (for example, for hypertension, etc.), leave any certificates and write prescriptions. In case of a minor injury that is not life-threatening, you should go to the emergency room at your place of residence.

Ambulance is provided in two forms: emergency and emergency.

Emergency ambulance It appears in case of sudden acute diseases, conditions, exacerbation of chronic diseases that pose a threat to the patient’s life. Urgent Care implies the same thing, but without a threat to life.

An ambulance can be called by calling 03, 103, 112 and (or) the telephone numbers of the organization providing it, via SMS and by contacting the organization directly.

In the event of an emergency medical emergency call, the nearest available general-profile mobile ambulance team or a specialized mobile emergency medical team is dispatched to the call.

Reasons to call an ambulance in an emergency:

a) disturbances of consciousness that pose a threat to life;

b) breathing problems that pose a threat to life;

c) disorders of the circulatory system that pose a threat to life;

d) mental disorders accompanied by the patient’s actions that pose an immediate danger to him or other persons;

e) sudden pain syndrome that poses a threat to life;

f) sudden dysfunction of any organ or organ system that poses a threat to life;

g) injuries of any etiology that pose a threat to life;

h) thermal and chemical burns that pose a threat to life; i) sudden bleeding that poses a threat to life;

j) childbirth, threat of termination of pregnancy;

k) duty in the event of a threat of an emergency, provision of emergency medical care and medical evacuation in the event of liquidation of the health consequences of an emergency.

Reasons to call an ambulance in an emergency:

a) sudden acute diseases (conditions) without obvious signs of a threat to life, requiring urgent medical intervention;

b) sudden exacerbations of chronic diseases without obvious signs of a threat to life, requiring urgent medical intervention;

c) declaration of death (except for the opening hours of medical organizations providing medical care on an outpatient basis).

Can a challenge be refused?

In general, the legislation of the Russian Federation does not contain grounds for refusing citizens to provide emergency medical care for any reason. In accordance with Part 2 of Article 11 of the Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation,” emergency medical care is provided by a medical organization and a medical worker to a citizen immediately and free of charge. Refusal to provide it is not allowed.

At the same time, a large number of visits by emergency medical teams to patients in need of emergency support of vital functions are carried out untimely. And the majority of claims related to violation of the rights of citizens during the provision of emergency medical care are filed to recover moral and material damage caused by the death of a patient as a result of the organization of medical care not meeting established requirements. This is usually expressed in the untimely arrival of an ambulance team to a call, the departure of an incomplete team, the lack of necessary logistical support on the road, etc.

Depending on the nature of the offense, medical organizations and medical workers are subject to civil liability in accordance with Chapter 59 of the Civil Code of the Russian Federation, and may also be brought to criminal liability under Art. 124 of the Criminal Code of the Russian Federation - failure to provide assistance to a patient in accordance with the program of state guarantees. There is also responsibility for collecting fees when providing assistance to organizations and their employees participating in the implementation of this program.

If the patient does not have a medical insurance policy or it is invalid, this should not be a reason for refusing to call a team.

What to look for when calling an ambulance?

Try to formulate in the very first sentence why you are calling an ambulance. For example: “My heart hurts” or “I fell and injured my leg, I can’t step on it.” Some are embarrassed to say that the patient drank alcohol. You shouldn't do this! Drinking alcohol is not a reason to refuse to accept a call. Describe the situation in as much detail as possible so that the dispatcher can decide which team to send to you. At many substations, in addition to linear teams, there are specialized teams. This could be: a cardiology, pediatric, psychiatric team, etc. In order to make it easier for the dispatcher to figure out which specialist is needed for your specific call, you must clearly and correctly report what happened.

After questions about well-being, you need to answer exactly who is calling the ambulance: last name, first name, patronymic, age, gender of the sick person; who calls the ambulance - a relative, a colleague, a passerby. Give the exact address indicating the entrance number and floor. It is advisable to explain how best to approach your house and it will be very good if someone can go out to meet the team. Then additionally tell us where exactly you will meet her. At the end of the conversation, give the phone number from which you are calling the ambulance. This is important. If you still mess up something and the ambulance can’t find you, they will call you back on this phone number and clarify. When the car arrives, give some sign that you are not just a passer-by, for example, raise your hand or, at night, flash a flashlight. If you cannot meet the brigade, unlock the door. Additional doors, fences, combination locks, etc. leads to a delay in the arrival of the ambulance team.

In cases of a road traffic accident, it is necessary to indicate the approximate number of victims, whether there are children among the victims or not, what is the severity of the condition of the participants in the accident, etc.

If you are calling an ambulance at home and you have pets, remove your pets for a while. The animal may react inappropriately to the presence of the team, rush at 03 employees, interfere with an adequate medical examination, etc.

Will they be hospitalized or not?

The need for hospitalization is determined upon examination of the patient. Patients with stroke and such cardiac diagnoses as heart attack and unstable angina, diseases requiring emergency surgery, severe injuries, a number of infections, etc. are definitely subject to hospitalization. The diagnosis is made by the emergency physician. The patient or his legal representative has the right to refuse the proposed hospitalization (for children under 15 years of age - parents, for persons over 15 years of age - only a guardian appointed by the court). If a patient is indicated for hospitalization for health reasons, neither the spouse, nor the immediate family, nor those living with him have the right to refuse for him, even if the patient himself is unconscious.

The ambulance takes you to the hospital not at the patient’s choice, but where the hospitalization department directs.

Compulsory hospitalization is carried out in cases of mental illness that pose a danger to the patient or others, as well as particularly dangerous infectious diseases. Did you like the article? Share the link

The site administration does not evaluate recommendations and reviews about treatment, drugs and specialists. Remember that the discussion is being conducted not only by doctors, but also by ordinary readers, so some advice may be dangerous to your health. Before any treatment or taking medications, we recommend that you consult a specialist!

COMMENTS

Svetlana / 2016-08-08

Once upon a time I called an ambulance. My 30 year old son was unconscious. I told the duty officer O3 about this. A team of two young and frail girls arrived, who stated that the patient’s blood pressure and pulse had dropped significantly and he needed to be hospitalized urgently and offered me to take him to the ambulance. Me - the same small and thin woman. The ambulance driver refused to help, saying that he was a driver, not a porter. And he doesn't get paid extra for it. I ran outside, there was a taxi there. I started asking the driver to help. Thanks to him, he agreed. Another driver of a car standing nearby also responded to my request. The world is not without good people. And so these two drivers and I dragged our son to the ambulance. What if these drivers weren’t around? But the ambulance dispatcher knew that an unconscious adult man needed help. This is the kind of ambulance we have in Kaliningrad"

I / 2018-05-10

If there was an opportunity, a men's team would come. So you are small and weak, and 2 little girls should have the powers of Schwarzenegger? Your son, it’s up to you to solve the problem of porters. This is not an emergency room problem.

Nina / 2018-05-10
Dear Me, do you even realize the answer to what you write?????????

Dmitry / 2018-11-06
He writes everything correctly. Doctors should not sacrifice their health for someone else. It's just a job for money. We all work for money. Or are you working in your bank for good purposes, sheep!!! Nina, you live in the wrong world. There is not a word about Pity in our employment contract.

Yuri / 2018-12-10
Here is an example to illustrate the struggle of women for equal wages with men: “I’m a woman, I won’t drag you,” but you demand the same salary, remembering the nurses who dragged the wounded into the war. When going to such a job, you have to be prepared to carry patients under 100 kg. Especially not under bullets. It's better not to go right away.

Russian / 2018-12-29
This is why doctors are being beaten more and more often, because they are for money... and not for their conscience. And they do it right!!!

Valentina / 2019-12-09
The way medical workers talk is disgusting. So let the person die, but you don’t care, there’s no one to carry it, you weren’t paid! Well what can you say! Selling skins. And if you put money in your pocket, you’ll immediately run like you’re scalded and it’s not hard.

20 minutes is the uniform standard for ambulance arrival. But is it worth rushing to dial “03”?

False patients

Officials said: in 30% of cases people call an ambulance in vain. However, there are other figures: only 20% of people go to an ambulance at the first signs of a heart attack or stroke, when even a minute of delay can cost their lives.
“In my opinion, the cases when an ambulance is not required are not 30%, but 80%,” says Dmitry Belyakov, chairman of the independent trade union “Feldsher.ru”, ambulance paramedic. - An ambulance should be called only in one case - when it comes to the life and death of a person, it does not matter whether on the street or in an apartment, that is, when there are obvious signs of a sudden illness that threatens the life and health of a person. For example, severe chest pain, impaired movement, impaired consciousness, breathing and other vital functions. This is a direct indication for calling an emergency service - an ambulance. In all other cases, you need to call your local doctor or, in extreme cases, the emergency room. This is a medical service that belongs to the clinic. In case of a sharp increase in blood pressure, severe headache, or high temperature, a doctor from the clinic comes to your home around the clock and prescribes treatment or gives medications.”

Called - wait

“There was an incident recently,” continues Dmitry Belyakov. - The girl, having quarreled with her boyfriend, told him that she had cut her wrists and sent a photo to prove it. The young man called an ambulance. Needless to say, we came in vain. Another example: a passer-by called us to a drunk sleeping on a bench, and he went home. I would like to remind our readers that this is a violation of the law. If you called an ambulance and left the victim alone, this can be regarded as a failure to provide assistance. Such actions may be subject to criminal prosecution. Therefore, they called an ambulance - stand and wait.
And be sure to clearly answer the dispatcher’s questions about what happened, what the symptoms are, what assistance has already been provided. Then doctors will be able to decide which team to send (there are general teams - medical or paramedic, pediatric, intensive care, psychiatric with the appropriate composition of doctors and equipment. - Ed.). In real life, a typical dialogue between an ambulance dispatcher and a patient is something like this: “What happened?” - “I feel bad.” - “And how does this manifest itself?” - “You know better, you are doctors.”
By the way, now the ambulance is obliged to take the patient to the nearest hospital, regardless of the borders of the region. Excuses like “you are registered in another region, go to your place for treatment” are unacceptable. If five years ago one region refused to give money to another for the treatment of “its” patient, now a system of a single off-budget compulsory medical insurance fund has been introduced, which redistributes financial resources depending on need. Simply put, the money follows the patient wherever he goes.

Call an ambulance if:

Man lost consciousness
You feel an acute lack of air. You experience severe chest pain, burning and squeezing in the chest (signs of a heart attack)
In case of severe injury, severe poisoning, burns, accident
Sudden unbearable pain appeared
There is weakness and numbness in both the arm and leg, slurred speech, sudden loss of vision, gait disturbance (signs of stroke)
Bleeding lasts longer than 10 minutes
Labor begins or there is a threat of miscarriage
Mental disorders have arisen, and the patient’s actions pose a danger to himself or others
Expert opinion
President of the National Agency for Patient Safety and Independent Expertise, Doctor of Medical Sciences Alexey Starchenko:
- If there is no emergency medical care, it is not organized in the area as a class, an ambulance goes to the patient in any case. Arrival time is 20 minutes, no matter whether it is a heart attack or a broken leg. Moving a patient from an apartment to a medical facility is called medical evacuation. A doctor or emergency paramedic is responsible for its proper organization. By definition, there can be no reproaches to patients from doctors (such as “Why did they call you? They could have come to the hospital themselves”). Reproach is possible only when the doctor prescribes treatment and the patient does not comply with it. In all other cases, this is a violation of current legislation.

You can call an ambulance at any time of the day. You just need to dial a certain number or go to the emergency department, which is located in a healthcare facility.

What should you do when calling an ambulance?

Tell the dispatcher the exact address where the victim is located. It would also be appropriate to name some landmarks located nearby: shopping centers, monuments, cafes, shops. Leave the call taker your phone number. State the patient's first and last name, his age and the reason for visiting the doctor.

Try to meet the called team of doctors at the entrance or entrance to the house. Provide the necessary conditions for doctors so that they can quickly provide assistance:

  • lock pets in another room, as they can cause harm to emergency room workers and their medical equipment;
  • remove things from the aisle so that medical workers can get to the victim and carry special equipment;
  • assist in transporting the patient to the ambulance.

In what cases do you call an ambulance?

Ambulances are called in case of disasters and disasters associated with natural disasters, accidents, injuries of varying degrees, or when health and well-being deteriorate. Doctors will quickly come to the victim, even if he is at work, on the street, or in a public place.

An ambulance arrives in the following cases:

  • wounds, burns, injuries;
  • if a person is struck by electric shock or lightning;
  • poisoning;
  • frostbite;
  • entry of foreign objects into the respiratory tract;
  • suicide attempts;
  • exacerbation of chronic diseases;
  • childbirth

In what cases does the ambulance not arrive?

If there is no threat to the patient’s life, then the ambulance does not go to adults with fever during the clinic’s work. Also, doctors have the right not to come during the opening hours of a medical institution to examine corpses and draw up death documents. "Emergency" does not transport injured and sick people for inpatient treatment on the direction of medical workers, unless there is a need to use special ambulance transport and provide assistance on the road.

On October 15, 2017, Soviet and Russian actor Dmitry Maryanov died on the way to the hospital. According to the actor’s friends, Maryanov lost consciousness at a dacha in the Moscow region, where he was relaxing. Friends called an ambulance, but it did not arrive for technical reasons. The actor was taken in a private car, accompanied by police, to the hospital, but the doctors were powerless.

According to preliminary information, the cause of the actor’s death was a detached blood clot.

In emergency situations, when a person requires urgent medical care, every minute is important, and a promptly called doctor can save a life.

How to call an ambulance from a landline phone?

If you see that someone is feeling unwell and needs urgent medical attention, do not pass by. To call an ambulance from a landline phone, dial "03".

How to call an ambulance from a mobile phone?

If you don't have a landline phone at hand, call "103". The call for any communication will be free.

It is useful to remember the number " 112" is a single emergency number for all telecom operators. After calling this number, act in accordance with the voice instructions of your mobile operator. You can call “112” for help if there are no funds in your account and your SIM card is blocked.

I got through, what next?

The main thing is don't panic. After contacting the dispatcher, clearly answer all his questions about the patient’s condition and his whereabouts. This is important so that doctors can quickly and efficiently reach the victim and provide him with the necessary assistance.

Remember that answering questions is mandatory. The operator asks questions not because he has nothing better to do, but because it is his direct responsibility. You shouldn’t snap at the ambulance dispatcher and demand that the doctors come “urgently and quickly.” Having learned all the necessary data, the dispatcher will record everything and send help to you.

In what cases may a call be rejected?

An ambulance will not arrive if the patient has previously been seen by a doctor, the diagnosis is known, and the prognosis is positive. Also, your call will be refused if you ask the emergency doctors to perform some simple procedure (for example, to give an injection). Ambulance doctors do not come to relieve alcohol and drug intoxication.

Emergency physicians do not provide dental treatment.

The ambulance does not issue certificates of incapacity for work and reports on the state of health; for this you need to go to the hospital.

Remember that ambulances do not transport the dead.

My challenge was accepted. How soon will the doctors arrive?

The ambulance's arrival time will depend on what type of call you are making. Calls are divided into three types: emergency, urgent and urgent.

TO emergency calls Ambulance teams include: road accidents with victims, loss of consciousness, extensive burns, deep and extensive wounds, acute respiratory failure, etc.

TO urgent calls Ambulance teams include: a heart attack, an asthma attack, bleeding, childbirth, a sharp deterioration in the patient’s health (if it is impossible to clarify the reason for the call), etc.

TO urgent calls ambulance teams include: allergies, pain in the abdomen, back, chest, inappropriate behavior, renal colic, vomiting, high fever (if the temperature is not reduced by medication), food poisoning, etc.

Ideally, the ambulance should arrive within 15 minutes.

My challenge was not accepted. What to do?

If your call relates to urgent reasons and there is a threat to the health and life of the patient, then your call must be accepted. If doctors fail to provide assistance, they are held criminally liable. This is evidenced by the articles of the Criminal Code of the Russian Federation: article 124 “Failure to provide assistance to a patient” and article 125 “Leaving in danger”.

If they refuse to send you help, then call the police ( "02" or "102). Police officers must immediately contact the ambulance.

It happens that the ambulance does not directly refuse to go to the patient, but the dispatcher is in no hurry to send an on-site team. In this case, call the ambulance number yourself and remind the health workers that delay is tantamount to failure to provide assistance to the patient and leaving them in danger - Art. 124 and 125 of the Criminal Code (this means a criminal record and up to three years in prison). If it doesn't help, call the police.

Remember that everyone who is on the territory of Russia has the right to ambulance if they find themselves in a condition requiring urgent medical intervention (Article 39 of the Fundamentals of the Legislation of the Russian Federation on the protection of the health of citizens).

It is worth noting that dispatcher failures are now rare. This is due to the fact that all telephone conversations at substations are recorded, and therefore the culprit will definitely not be able to escape punishment.