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My dad could still be alive, but he's not

jenn.site

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Re: My dad could still be alive, but he's not

#231

Earlier quoted context omitted.

What country was this?

Australia.

In this post alone there's at least one other comment from someone very familiar with Melbourne's emergency response system deriding its shortcomings. I think it's clear there's always gonna be a ton of variation

Re: My dad could still be alive, but he's not

#232

Earlier quoted context omitted.

At least in my area, King County area, a call of severe chest pain would immediately get units rolling code (lights+sirens) for CHEST PAIN. Pulse point, which works in our area, would also start paging BLS certified people in the neighborhood who have the app. When I've called 911, the dispatchers grilled me going right down the list of signs and symptoms and did an excellent triage job. I'm a volunteer EMT / FF at a…

FWIW, Seattle is famously one of the top cities in which to have a serious medical emergency. Very fast response and state-of-the-art care.

what other cities are good?

Re: My dad could still be alive, but he's not

#233
post #7

This is horrible. What is going on in Toronto that ambulances take 30 minutes to respond?

like in many places people live too scattered (higher density would provide more healthcare facilities closer to people), service costs are enormous, and productivity is abysmal

Re: My dad could still be alive, but he's not

#234
So sorry for your loss. Some months ago I was very angry to found out that a person was dead for a bike injury that can be easily solved but he had to wait for almost 50 minutes for the ambulance. Not because he was far away, but because he was in between two regions and the 112 was discussing who should send the ambulance. In fact, they initially send one and later told the driver to go back while in the highway. He's dead just because he happened to have the accident near the border of two regions of the same country, each one with its own public health system.

Link (Spanish): https://www.elespanol.com/alicante/vega-baja/20251028/hijo-c...

Re: My dad could still be alive, but he's not

#235
post #155

Earlier quoted context omitted.

Every time I give this opinion I’m labeled as an a to science/anti vaxxer. Hopefully this context will help: I have virus induced asthma where even a simple cold can have me gasping for breath. I took every precaution imaginable before the vaccines were available, stayed home, got groceries delivered, masked up when I did have to go somewhere, asked my wife to retire from working in the school system as a special nee…

> But let’s not pretend that many of the precautions and policies weren’t performative. Mask mandates were always dumb. Most people didn’t wear effective masks and many didn’t cover their noses. We have specific evidence that not masking and not distancing caused superspreader events . Before there were too many cases, contact tracing backwards showed that specific parties, weddings, etc. were responsible for acceler…

I didn’t say that properly worn N95 masks don’t work. I said it was stupid to have a mask mandate when most people wore ineffective cloth masks and even then didn’t cover their nose. I said it was equally dumb to require masks on airplanes and then everyone take them off at the same time while eating.

Re: My dad could still be alive, but he's not

#236

Earlier quoted context omitted.

Sounds like Hatzolah Melbourne, https://hatzolah.org.au since 1994 Since 1998, in Melbourne for anything that might need a defibrillator a fire engine is sent at the same time as the ambulance (EMR Emergency Medical Response Program). https://www.mja.com.au/journal/2002/177/6/cardiac-arrests-tr... Medical Journal of Australia article. There is also GoodSAM https://www.ambulance.vic.gov.au/goodsam/ for individual help…

What about helicopters? Does Melbourne not have/use theirs in those cases or is the system just overwhelmed? Asking because (different country) when we had a person present with stroke symptoms and called 911, they sent both an ambulance and the helicopter. The heli came first but it had to land a ways off on a field and they had to walk over and basically arrived around the same time as the ambulance. A couple minut…

I was under the impression that air ambulances in Victoria are mostly for rural areas - either responding to incidents in the middle of nowhere, or flying patients to Melbourne for urgent specialist care. Most of them aren't even based in Melbourne, they're out in regional centres like Bendigo and Warrnambool[0].

A helicopter seems like it would be pretty useless for landing in an urban area. I can't imagine winching is risk-free or would save much time, and you can probably put many more ambulances on the ground for the cost of a single air ambulance.

[0] https://www.ambulance.vic.gov.au/air-ambulance-victoria

Re: My dad could still be alive, but he's not

#238

Earlier quoted context omitted.

Wow. I didn’t know that things are this way. I am a recent immigrant living close to the city and always seem to be able to see a GP on the same day. Is that because I have private insurance and I pay out of pocket anyways? If I were a citizen, I wouldn’t be able to go to those places (at least for “free healthcare”), and will have the same wait times? Or is it geography dependent with rural Victoria having issues an…

It depends on the location and it depends on what services you're after. If you have private healthcare insurance, you get to skip the wait times at hospitals and get a choice of public or private hospitals. For clinics, it's a different story and can get quite detailed. The private insurance can help you with the payment there but not wait times. For some regional and rural locations, the wait times can be better or…

> The private insurance can help you with the payment there but not wait times.

That must be a great deal for the insurance company. If it takes multiple years to get an appointment, they must pay out significantly less claims as well.

Re: My dad could still be alive, but he's not

#239
post #207
post #191

Earlier quoted context omitted.

Melbourne has an excellent ambulance response time (defined from the moment 000 call is received to when the first ambulance resource arrives on scene): * Average Code 1 response time: 12 minutes 47 seconds * Code 1 responses within 15 minutes: 77.2% * Number of Code 1 first responses: 12,375 This places Melbourne among the faster councils in the state, and well ahead of the statewide average response time. Source: T…

Perhaps my understanding here is lacking, but that doesn't sound good at all. Feels like if someone has some sort of cardiac event, or, worse, isn't breathing, by the time the ambulance gets there, they'll be dead, with too much brain death for any resuscitation effort to be worth it.

Yes, I believe your understanding is lacking. Ambulances are dispatched for other medical emergencies as well. Compared to many other parts of Australia and even the world, the response time statistics claimed are very good.

Sadly, A heart attack can be fatal even with immediate medical intervention at a hospital. A defibrillator can only correct certain kinds of abnormal heart electrical activity.

In my experience as soon as the dispatcher understands it's a medical problem, has confirmed the address and that the patient is not breathing, they will begin talking the caller through performing CPR.

I suppose if I was concerned about it, the burden would be on me to move somewhere closer to the hospital or wherever the ambulance stages between calls. Unfortunqtely, there's always a chance no ambulance is available or that an accident has blocked the road.

How soon do you believe assistance should arrive?

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