The team that provides direct emergency care to the sick or injured usually consists of 3 employees: a doctor, a paramedic and a nurse. There may be various deviations from this composition due to the type of the brigade itself, as well as the number of employees registered to work at the station. For example, transporting a patient from an injury station to a hospital does not require any assistance, so the presence of a doctor is not necessary; a paramedic or nurse is sufficient. However, the teams that go to traffic accidents, to cardiac patients or young children necessarily consist of all necessary employees (including an ambulance doctor).
Often, due to a staff shortage, the brigades do not have corpsmen, so patients have to be transported on stretchers by doctors and paramedics themselves, and sometimes they are helped by special vehicle drivers. Each of the employees carries out certain activities in the ambulance service.
An ambulance doctor is the most important person in the brigade, who is responsible for its work. He must have a higher medical education in the specialty “emergency medical care”, regularly undergo advanced training and prove his professional aptitude.
He inspects a sick or injured person, talks to him, his relatives or witnesses of the incident. As soon as possible, he must determine the main diagnosis that caused the sharp deterioration of the condition. He then decides what the emergency plan should be. Unlike the paramedic of the ambulance, the doctor makes the main decision: whether the patient or victim needs hospitalization in the hospital, or he can continue therapy at home under the supervision of the district doctor. Also, if necessary, a doctor of the linear team may call a specialized team (resuscitation, cardiology, emergency psychiatric care).
An ambulance doctor is a hard and responsible job, which not everyone can do. Permanent night duty, the need to make vital decisions in seconds, the ability to navigate in extreme conditions and cope with various conflict situations make this specialty one of the most difficult in general, and in medicine in particular.
First aid paramedic
An ambulance attendant is the chief physician’s assistant in providing emergency care to patients or victims. He is the “right hand” of the doctor, because he performs all necessary medical manipulations that the doctor deems necessary (injections, bandages, pressure measurements, etc.). However, in some emergency teams, the paramedic is the only one who makes the diagnosis, decides on therapeutic tactics, and performs all the necessary manipulations. This is the case in small towns, villages and towns, as well as when there is a shortage of personnel among ambulance doctors at stations.
The paramedic of the ambulance has a secondary special education in the corresponding specialty, which gives it a special status: higher than a nurse or brother, but lower than a doctor. If the latter is present, he acts as a nurse, and if not, as a doctor. A nurse practitioner, like a doctor, must regularly improve his or her qualifications, meet ambulance standards, and improve his or her professional skills.
In addition to a doctor and a paramedic, the quick-aid brigades also include other employees who help them in their work. They include medical assistants (orderlies) and drivers of special ambulances.
The paramedics help carry the sick and injured, fix the raging patients (psychiatric ambulance), maintain order in the car and perform various tasks of doctors and paramedics. Drivers of ambulances must be able to get a serious patient to the hospital as quickly as possible, without creating an emergency on the road, to monitor the condition of the car, to navigate well in the locality, so as not to waste precious minutes to find the right home or access. Sometimes, the driver can be an attendant at the same time, which is very common.