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Apr 30, 2019 00:07:33

Emergency Situations

by @phaidenbauer PATRON | 415 words | 216🔥 | 216💌

Philipp Haidenbauer

Current day streak: 216🔥
Total posts: 216💌
Total words: 60732 (242 pages 📄)

Yesterday I was mentioned in a comment from @twizzle 's story. Thanks, @lucjah hopefully, I can make some things clear in this post.

I can only talk about my point of view. I'm not driving an ambulance vehicle for work, but I think with about 1200 hours a year I'm not far off a professional paramedic (they are doing about 2300 hours per year) here in Austria.

I'm taking some sentences from @twizzle 's story, I hope that's okay for you. :)

"I wonder if most paramedics are constantly stressed and near to quitting."

We are not constantly stressed and near quitting, as I've told in another story of mine (Invisible Scars), we have some techniques to release our stress. I know a professional who's in the job for 15 years now.

Also, over time you learn how to not let things come near you. Most of the patients I work with are unknown to me, even thou my family and friends are in "my catchment area". (Fun side fact, I've driven the pregnant girlfriend of a coworker to the hospital so she could give birth to their child).

Another thing you learn quickly is to shut down after you "walk out the door". So you're not taking the stress home with you. Some do workouts, some work at other companies or simply have a family the spend time with. Everybody does what works best for them.

"They all look very calm and in control when I see them but under the surface are they crumbling away through too much stress day after day after day."

Well, we have to stay calm, because if we can't stay calm, how could we expect that from patients?

I'm not calm in every situation, but, at least here in Austria, we are practicing situations and disease patterns so often, when you're coming to such a situation, some kind of "paramedic-instinct" kicks in. 

I don't know how I should describe this, but when you're in this "instinct"-mode you're not thinking how some of our equipment works, you're basically just working with it. Every handle is in place automatically.

The realization comes later when you have time to think about the situation. Don't get me wrong, situations can get overwhelming but somehow the massive amount of training lets you stay "clam".

I don't know how it works, but it works and for me, that's the only thing that matters because it helps me to get a good job done. No matter what happened.

From Philipp Haidenbauer's collection:

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    @phaidenbauer Thank you. From what you wrote and how you wrote that I know that I would feel safe and comfortable waiting for an ambulance in Austria. And.. maybe I would meet you :-)))
    Yes, I only can imagine that this is exactly how good training works. I know it only from my driving experience. I actually started driving a car very recently and I can see how continuously my reactions are more and more a reflex.

    Lucjah avatar Lucjah | Apr 30, 2019 18:59:07
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      @lucjah Much appreciated. I think that's a good comparison. Well, if you ever come to Austria be sure to reach out!

      Philipp Haidenbauer avatar Philipp Haidenbauer | Apr 30, 2019 19:03:01
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    @phaidenbauer Thanks for that insight into your work. It does sound a little different to here in the UK though. I wonder what the workload is like compared to here? There is a TV show (that I don't really watch) called Ambulance - https://www.bbc.co.uk/programmes/b09393rd which follows a shift in or near a major city in the UK and the number of calls these paramedics and ambulances have to get through is amazing. They are under so much pressure and some patients call for an ambulance and have to wait hours and hours to be seen.

    Twizzle avatar Twizzle | Apr 30, 2019 07:36:53
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      @twizzle No problem. We've got a rule in Austria that says an Ambulance has to arrive at a callers location within 15 minutes. So no waiting on the way to the hospital, but most likely you have to wait some hours at the hospital if your case isn't urgently.
      Also, ambulance transport and EMS are done from the same "company" (well, not really a company, Austria Red Cross).
      That's also a special case for Austria as EMS and Ambulance aren't the main fields of the Red Cross.

      Philipp Haidenbauer avatar Philipp Haidenbauer | Apr 30, 2019 08:45:09
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      @phaidenbauer 15 minutes! Wow. There are patients on the show I linked that, for example, are elderly, have fallen and broken a hip and can't get up (or their friend/partner/carer can't get them up) and they have had to wait on the floor for more than 5 hours for an ambulance to arrive. I would be interested to hear your views on the show if you can get it from Austria - there are some episodes on YouTube.

      Twizzle avatar Twizzle | Apr 30, 2019 07:50:51
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      @twizzle I just quickly checked into a few videos on youtube. At least it looks like a legit documentary, not the kind of scripted things we get here.
      Well, the 15 minutes is for "real" emergencies, so if you're not that bad in trouble it could take longer until we arrive.
      But normally (at least as far as I know) nobody waits longer than an hour. Also the district I'm driving in has about 66k people, so nothing to compare against other systems.
      At night we are 4 ambulance cars and two emergency doctors with their own vehicles on different bases around the district.

      Philipp Haidenbauer avatar Philipp Haidenbauer | Apr 30, 2019 19:00:02
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