Addition
to the Open Letter of Mykola Kurianov, presented on May 31 2012
I have to inform you about events, which took place during my duty on May 30, 2012.
That
evening our crew N102 went after the call N1311 to one of the houses
on Heroiv of Dnipra Str., to a person, which had fallen out from the
window.
Been
arrived to that place at 21:03, we found a casualty man, 58 years
old, in grave condition. Estimated the situation, defining vital
signs (more particular is written in the Card
of an ambulance crew`s dispatch
N1311 from 30.05.2012), taken anamnesis, we located the patient into
the ambulance vehicle GAZ-32214 (govern.N362-72KA), (which must not
be used during our work because of shabbiness, emergency condition of
stretchers, absence of attachments for bottles on the ceiling etc.).
Also our team didn’t have intubation tools, appropriate
apparatuses’ for artificial breathing and devices of connection
etc.
We
continued examination there and started intensive treatment:
connected cardio monitor of defibrillator, catheterized peripheral
vein (connected the system for i/v infusion of solutions, started to
infuse Isotonic Sodium Chloride and Dexamethasone 12 mg), set
laryngeal mask and started ALV with a help of breathing bag. We went
to Kyiv City Hospital of Emergency Medical Services near at 21:20.
Risking
our lives, we were going overspeed and missing the rules of road
racing in this too old vehicle. Nearly on the half of our way
condition of the patient deteriorated and we had to conduct the
reanimation. I performed defibrillation and compression of the chest,
a paramedic made and gave solutions, and first aider performed ALV.
During this actions condition of the patient varied from better to
worse. In general we performed few defibrillations, and made
injection of Adrenaline (2mg).
After
arrival at KCHEMS nearly at 21:35 our crew departed the patient into
the Emergency Room (the route there is complicated by 2 rectangular
turns and narrow doors) in the condition of clinical death. In the ER
was only another ambulance crew with their own patient. After a few
minutes reanimation team started to gather. They had done intubation
by endotracheal tube, connected ALV machine. They asked us to stop
reanimation actions at 21:45, put 10 ECG electrodes (4 from
extremities and 6 from pectoral), fixed isoline and announced death
at 21:50.
I
heard wrongful charges about myself, that tracheal intubation and
catheterization of central vein weren’t prepared.
After
this we were recommended to transport the body to Kyiv City Bureau of
Forensic Medical Examination N2 through the police department, what
has been done.
Moreover,
I had worked in crew N115 on June 2 and 3 without having such
important instruments as defibrillator, laryngoscope, endotracheal
tube, airducters, breathing bag, glucometer, aspirator etc. This
enables me to perform my duties properly. I take away responsibility
from myself (I’ve already said about this in the written form to my
management at April 4, 2012) about the deterioration of the patients’
condition, which can happen because of bad equipment of crew and hard
vibration into the old ambulance vehicle. It is a violation of
Ministry of Health Order N500 “On
measures of improvement of emergency medical services
in Ukraine”.
Management
of Kyiv City Station of Emergency Medical Services (Vershigora A.V.
and Bojko L.I.) has officially answered me on May 16, 2012, N542
“Crews of EMS are completed by all kinds of necessary equipment,
which allow to provide EMS completely on prehospital stage .”
However this is not true.
After
the accident in Marganets town, government has emphasized on better
performing of technical observation of vehicles and changing of old.
Why doesn’t it include medical transport?
Also
I’m testifying about the weakness of equipment in ER in KCHEMS and
the difficult route to get there.
Not
only the competent institutions, but NGOs and Media as well should
take part in an estimation of equipment of EMS, because material and
technical maintenance of EMS is critically bad.
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First Complain read here http://forjusticeforhumanrights.blogspot.com/2012/05/attention-grave-condition-of-emergency.html
ОтветитьУдалитьDear all.
ОтветитьУдалитьI’m writing to you, to introduce the real situation in sphere of Emergency Medicine in Ukraine.
Probably, it is important to be known not only in Ukraine, but abroad as well. Nowadays many visitors from different countries are coming to Ukraine. I’d like them not to get into any troubles. Please, help (by information support or by pressing government) Ukrainian people.