A behind the scenes look with the men and women of the South Australian Ambulance Service. This video was produced in conjunction with St John Ambulance Australia Inc.
Most do, I think. LIONEL is "Location, Incident, Other Services, Number of casualties, Extent of Injuries and Location" and is what most emergency dispatchers use
this is meant to be basic treatment until an ambulance arrives, the ARC has the view anything is better than nothing, and current practices are stating if people haven't been trained in CPR, then focusing on compressions is better than confusing people with breathing as well. these calls were simulated, but SA Ambulance Service would see many calls very similar to this on a daily basis
Too many numbers I find that the best is to just say and press 1234 and repeat to keep pace, they don’t know what 5cm is either, that said, anything is better than nothing
That's what usually happens here, but it's just because this call was probably from a mobile. They still ask for where the person is, just for specific instructions for the paramedics.
Question: When was this produced? The reason I ask is because after what happened with my Uncle in 1993, I heard there was an overhaul of the dispatch system. Don't know if that's true but the way in which SA Ambulance dispatch worked back then cost my Uncle his life. He suffered a massive asthma attack one morning in 1993, tried to use his ventilator which on that day did not work. He panicked, ran outside before collapsing on his front yard. My cousin called the emergency services and because she was panicking at the sight of her father, forgot to tell dispatch that he was an asthmatic. The first Ambulance sent did not have the equipment to treat an asthmatic in cardiac arrest. The best they could do upon arriving at my Uncle's house was aid his neighbour in CPR. By the time the second Ambulance with the correct equipment and a Doctor was dispatched, my Uncle's brain had been without oxygen for more than 35 minutes. He was DOA by the time the paramedics got him to the R.A.H. The CPR his neighbour and the first response paramedics performed on him did manage to restart his heart & they were able to salvage that for donation. Proof that when it really comes down to the wire - mere minutes, even seconds can mean the difference between life and death.
I do get frustrated when they insist on asking SO many questions before giving instructions on how to do resuscitation! It was seriously ONE WHOLE MINUTE 04:45 - 05:55 between the time he said that his father was not breathing and the time that instructions where started on how to give CPR !!! Even if you take the specific answer NO to the question "Is he breathing?" at 05:08, it still took nearly 50 seconds. He was asked his father's surname, which is surely not a necessary piece of information at that stage. And that waiting time will vary depending on the speed of the response given by the caller, and whether they know the answer to the various questions, and a number of other variables. Very frustrating, and I would say a waste of very valuable time.
Honestly, “is he breathing” “no” should stop all further questions and go straight to cpr. Ambos can ask the other questions when they get there if there’s a need.
@@twoblackwidowsYou sound like someone who wouldn't handle the job. The scripts are very specific and tell the operators when to ask each question, it is important it's followed as there is a reason for each question. Although I understand it can be frustrating to answer questions when you are in an emergency situation, this can help you get the right team at the right time....otherwise you can do more harm than good.
I just noticed: Its really smart to ask for the adress FIRST, so if something happens (person faints ect.) you can send an ambulance anyway!! Why dont other countries do that?
@@imtheoysterbunnyGenerally the more modern technique in most countries is actually to ask the address first. Although categorizing the call is important....if they stop answering after they said their symptom you are playing blind on where to send people....(there are tools but they are not always accurate). If they stop answering when they said their address well with sound and situational awareness, you can at least send a first responder to check.... That being said each country has to do assesments based on the resources they have and the population they have. These decisions are made with a lot of thought into them and aren't taken lightly. Emergency stats are very strict
+Kron Don Yeah there are quite a few studies backing this statement up over the last few years, compressions are far more important than the breaths unless you have a defibrillator
Even though the blood has some oxygen at the time of the cardiac arrest it is only good for the first 4 minutes. after that it is not oxygenated so try to give the breaths, specially if the cardiac arrest was due to lack of oxygen (like drowning or choking) For more info on the Australian protocols visit the Australian Resuscitation Council website.
What is appalling is that you think you can do this job better. Although it's very important to start CPR as soon as possible....you have to also send the right people as quickly as possible to the right location. The right questions NEED to be asked. The system is made and analyzed by proffessionals to have the best outcomes.
In UK the first question to ask is - Ambulances services is the Patient breathing? And then confirm the address. !! Asses the situation and advise CPR. This is absolutely rubbish, wasted lot of time. You better watch your own video and learn out if it. Telling one thing and the example video is completely the opposite.
They ask for their address first so that they can immediately dispatch the ambulance and then they send details to them while they’re en route to the patient
And it`s not neccessarly better, without the address no one is being sent. Doing CPR but having no medics on their way is quite useless. Especially if you are giving CPR for your first time. Some of the questions are also important to know BEFORE giving CPR....if you know CPR you'll have already done the scene and primary survey but most people don't know how to do so. So the dispatcher is actually walking them through the process. It`s super important.
Why the hell u need to ask so many questions and let person die? First send ambulance then ask question later. This is not helpful. By the time paramedics reach there the patient is dead
When u ring up the and give ur address they dispatch the ambulance straight away and then they send the rest of the info to the paramedics while they’re heading to the location, that’s why their location was the first thing that she asked the caller
Maybe calm down and learn how the system works. Dispatch is done between 45-60 seconds. That is the target that NEEDS to be reached. So as you are speaking they are preparing to dispatch. If you answer your address and what symptoms they are experiencing....(for the first triage) they can determine AND send people right away. Afterwards there still isn't enough info for the paramedics, so they keep asking questions and updating the system live...this way when the paramedics come...they can waste little to no time since THAT would be the biggest waste of time. YOU are trying to kill people and that's not okay
Most do, I think. LIONEL is "Location, Incident, Other Services, Number of casualties, Extent of Injuries and Location" and is what most emergency dispatchers use
Thank you for the video, have just applied to St John's New Zealand, here's hoping!
this is meant to be basic treatment until an ambulance arrives, the ARC has the view anything is better than nothing, and current practices are stating if people haven't been trained in CPR, then focusing on compressions is better than confusing people with breathing as well. these calls were simulated, but SA Ambulance Service would see many calls very similar to this on a daily basis
This is the reason I enjoy my job. Actually helping people. I'm an emd in the UK and we use the exact same ampds system. Good job :)
British: “Ambulance is the patient breathing?”
this was really interesting. In in WA and thinking of joining the emergency centre so the mock calls were very interesting
@terryyouth most services in the UK use the same system. Same questions. Its an international qualification we have to do the job.
400 compressions? I was taught 30 compressions, then blow 2 regular breaths...
i got a question. is this similar to how they operate in different states of aus?
good video to bad it isnt shown say on TV
@krisDM3000 They are told to give compression only CPR. No rescue breaths
Mr Jones was so sweet :)
Great video! We should have something like this in London Ambulance !
@krisDM3000 in the USA, however it varies from country to country.
I'm sure that they have similar capabilities here, I'm guessing it's more about confirmation of the data?
Are those actual calls? Never heard of those numbers in Adelaide
Too many numbers I find that the best is to just say and press 1234 and repeat to keep pace, they don’t know what 5cm is either, that said, anything is better than nothing
Did Dave's dad survive?
+duck8718 These are just mock/scenario (practice/fake for the camera)
That's what usually happens here, but it's just because this call was probably from a mobile. They still ask for where the person is, just for specific instructions for the paramedics.
Question: When was this produced? The reason I ask is because after what happened with my Uncle in 1993, I heard there was an overhaul of the dispatch system. Don't know if that's true but the way in which SA Ambulance dispatch worked back then cost my Uncle his life.
He suffered a massive asthma attack one morning in 1993, tried to use his ventilator which on that day did not work. He panicked, ran outside before collapsing on his front yard. My cousin called the emergency services and because she was panicking at the sight of her father, forgot to tell dispatch that he was an asthmatic. The first Ambulance sent did not have the equipment to treat an asthmatic in cardiac arrest. The best they could do upon arriving at my Uncle's house was aid his neighbour in CPR. By the time the second Ambulance with the correct equipment and a Doctor was dispatched, my Uncle's brain had been without oxygen for more than 35 minutes. He was DOA by the time the paramedics got him to the R.A.H.
The CPR his neighbour and the first response paramedics performed on him did manage to restart his heart & they were able to salvage that for donation.
Proof that when it really comes down to the wire - mere minutes, even seconds can mean the difference between life and death.
C21L01 dcdfcg the d with D's. D do so v cc d c can dqweedfvch cc bonly can a decision-makers sccc hi x
Is there a reason, why during the first call, I hear a beep every now and then?
It's a recorded line
That was a very quick 400 compressions :P
Watching this rn in my class 💀 👋 hi teacher
I do get frustrated when they insist on asking SO many questions before giving instructions on how to do resuscitation! It was seriously ONE WHOLE MINUTE 04:45 - 05:55 between the time he said that his father was not breathing and the time that instructions where started on how to give CPR !!! Even if you take the specific answer NO to the question "Is he breathing?" at 05:08, it still took nearly 50 seconds. He was asked his father's surname, which is surely not a necessary piece of information at that stage. And that waiting time will vary depending on the speed of the response given by the caller, and whether they know the answer to the various questions, and a number of other variables. Very frustrating, and I would say a waste of very valuable time.
ali xena They still need to get the most info to ensure the decision of the call and how serious it is.
Honestly, “is he breathing” “no” should stop all further questions and go straight to cpr. Ambos can ask the other questions when they get there if there’s a need.
please read my comment again@@imtheoysterbunny
@@twoblackwidowsYou sound like someone who wouldn't handle the job. The scripts are very specific and tell the operators when to ask each question, it is important it's followed as there is a reason for each question. Although I understand it can be frustrating to answer questions when you are in an emergency situation, this can help you get the right team at the right time....otherwise you can do more harm than good.
did this today with my mom she fainted
nice
isnt a similar thing in place for UK?
no not really
@@imtheoysterbunny ok
terryyouth omg 8 years later lmaoooo
I just noticed: Its really smart to ask for the adress FIRST, so if something happens
(person faints ect.) you can send an ambulance anyway!!
Why dont other countries do that?
1000ballztoyou they can track your call if necessary
@@max-_-6352 it takes 1 hour to track calls
it’s good to ask of the patient is breathing first so they can categorise the call
@@imtheoysterbunnyGenerally the more modern technique in most countries is actually to ask the address first. Although categorizing the call is important....if they stop answering after they said their symptom you are playing blind on where to send people....(there are tools but they are not always accurate). If they stop answering when they said their address well with sound and situational awareness, you can at least send a first responder to check....
That being said each country has to do assesments based on the resources they have and the population they have. These decisions are made with a lot of thought into them and aren't taken lightly. Emergency stats are very strict
9:07 9:08 9:08 9:08 9:08 9:08 9:09 9:09
Uh, cause if you call from your home number in Canada, your address pre-populates.
Should of skipped the mouth to mouth, wasted to much time. Chest compressions are perfectly fine on their own
+Kron Don Yeah there are quite a few studies backing this statement up over the last few years, compressions are far more important than the breaths unless you have a defibrillator
Even though the blood has some oxygen at the time of the cardiac arrest it is only good for the first 4 minutes. after that it is not oxygenated so try to give the breaths, specially if the cardiac arrest was due to lack of oxygen (like drowning or choking) For more info on the Australian protocols visit the Australian Resuscitation Council website.
yes but this is a relatively NEW thing. Remember this video is old
Absolutely appalling the amount of time wasted to begin CPR
What is appalling is that you think you can do this job better. Although it's very important to start CPR as soon as possible....you have to also send the right people as quickly as possible to the right location. The right questions NEED to be asked. The system is made and analyzed by proffessionals to have the best outcomes.
If anyone else uses AMPDS, you'll understand what I mean when i say i hate card 25 :P
You're an Ambulance.
But not for me.
In UK the first question to ask is - Ambulances services is the Patient breathing? And then confirm the address. !! Asses the situation and advise CPR. This is absolutely rubbish, wasted lot of time. You better watch your own video and learn out if it. Telling one thing and the example video is completely the opposite.
They ask for their address first so that they can immediately dispatch the ambulance and then they send details to them while they’re en route to the patient
And it`s not neccessarly better, without the address no one is being sent. Doing CPR but having no medics on their way is quite useless. Especially if you are giving CPR for your first time. Some of the questions are also important to know BEFORE giving CPR....if you know CPR you'll have already done the scene and primary survey but most people don't know how to do so. So the dispatcher is actually walking them through the process. It`s super important.
Why the hell u need to ask so many questions and let person die? First send ambulance then ask question later. This is not helpful. By the time paramedics reach there the patient is dead
When u ring up the and give ur address they dispatch the ambulance straight away and then they send the rest of the info to the paramedics while they’re heading to the location, that’s why their location was the first thing that she asked the caller
Maybe calm down and learn how the system works. Dispatch is done between 45-60 seconds. That is the target that NEEDS to be reached. So as you are speaking they are preparing to dispatch. If you answer your address and what symptoms they are experiencing....(for the first triage) they can determine AND send people right away. Afterwards there still isn't enough info for the paramedics, so they keep asking questions and updating the system live...this way when the paramedics come...they can waste little to no time since THAT would be the biggest waste of time. YOU are trying to kill people and that's not okay
Great vid, I wish other ambulance services in other countries would do the same!!!