Given the nature of the pathology that caused the emergency call, a certain type of team is sent to the ambulance. If there are indications (if the patient’s condition and the expected diagnosis are different from the one originally intended by the dispatcher), the doctor or paramedic may call in specialists of another specialized team so that they can more adequately help the sick or injured person. For example, the general medical team is sent to call an ambulance to a person with acute shoulder pain. If on arrival this symptom turns out to be a manifestation of myocardial infarction, the doctor calls the cardiology team, and if the patient’s condition requires intensive care, they ask for support from the intensive care team.
General emergency ambulance
General ambulance services can be provided by both paramedical and medical teams. This depends on the size of the settlement, the complexity of the call and the personnel situation at the station (substation).
The general paramedical brigade has 1-2 paramedics and a driver (who often also acts as a corpsman).
Usually these brigades visit patients in villages/villages where there are no doctors at all or where they do not work 24 hours a day. They provide any kind of medical assistance, regardless of the severity of the patients’ or injured patients’ illness.
The general medical team has a classic staff: a doctor, a paramedic and a nurse/driver.
They travel to all non-serious calls, which are supposedly the cause of the emergency call. These include high fever, back pain (leg, arm, chest or abdomen), hypertensive crises, various types of injuries and burns, poisoning, etc. In a situation where the patient’s condition is different from the original one, the doctor may cause reinforcements in the form of a specialized team.
Despite the fact that emergency care is provided free of charge under the obligatory medical insurance program, paid private emergency services are gaining popularity in large cities. Usually the composition of such brigades includes the classic three: a doctor, a paramedic and an orderly, and their general nature.
Little patients always deserve special attention. Therefore, they should be assisted by specialists who have the skills to work with children, taking into account the specific diseases and injuries they have. Emergency care for children is provided by a specialized pediatric team, which includes a pediatrician, a nurse and junior staff, or a pediatrician, a nurse and junior staff.
The pediatrician should know the specifics of the most common emergency conditions in pediatrics, taking into account the specific age of the patient and, of course, the individual dosage of medicines. Emergency care for a child is necessary in case of various injuries (fractures, burns, contusions, sprains), febrile conditions, complications of viral infections (laryngostenosis, bronchostructive conditions, febrile convulsions), diarrhea and vomiting, the consequences of traffic accidents, electric shocks, etc. The doctor should be aware of the most common emergency conditions in pediatrics, taking into account the specific age of the patient and, of course, individual dosage of medicines.
A special type of child ambulance – resuscitation of newborns – helps the youngest patients (first month of life), who have life-threatening conditions.
Psychiatric emergency care
Psychiatric emergency care is a special type of medical care. The staff of this team performs an extremely important function – they apply various measures to patients suffering from mental disorders in the acute phase. The most common are acute psychosis with various hallucinations (auditory, visual, etc.). In this state, a person can be dangerous to themselves and others.
In addition, people in a state of drug intoxication, alcoholic delirium, severe depression or active suicide attempts may need the help of a psychiatric team. There are always 1-2 orderlies in the team, who help to record such patients, because in a state of psychosis they can actively resist the medical staff and pose a danger.