Wednesday, Jan 05, 2005 at 00:03
Hi JohnR,
The last person I feel like defending at the moment is Aunty Bronny but unfortunately
Ambulance Stations have to be placed according to workload.
Road accidents make up about 7% of our work or less in many areas. Stations aren't placed to attend accidents, they are placed to deal with medical emergencies which included cardiac, respiratory and other problems and they occur at higher frequency in areas which have more substantial populations for the whole of the year. They occur less frequently in areas with fluctuating/seasonal populations.
This means (unfortunately for those who live out of towns) that stations are generally in areas with a larger and constant
population base.
There are other issues too. With the high level of care Victorian Paramedics provide (near world leading in range of drugs and skills) there are issues of skills maintenance in low workload areas. It is very hard to remain competant in a station that has a low workload. (This is a bigger issue in remote QLD than here too. They have a station up there where the paramedic statistically will work less than 60 seconds of every shift on a patient!)
Even here in central Victoria we routinely do code 1's to jobs that are 50-60 km away, and rightly or wrongly have towns with populations of 2000+ without stations. Most of the time they work out, but if you have a cardiac arrest more than 10km from your nearest
Ambulance you are almost certainly cactus, if you have it anywhere and no one starts CPR early you are probably cactus anyway.
If it's an MCA it depends what you hit, how hard and whether your number's up. Our response time will help save you but so will good
first aid early at scene. If it's serious it will probably also make a difference how close to
Melbourne you are and if a chopper is available too. (Or often fixed wing is faster at the farther reaches of the state.)
The AEA estimates rural Vic needs another 200 Paramedics to address shortfalls, and the metropolitan areas need 300 to address shortfalls there too.
Unfortunately remote locations are great
places to live but there are tradeoffs. And city dwellers still have to wait for ambulances too as there aren't enough to go around.
Ironically we recently gained approval for a new branch near here, construction will start soon. The minister announced (public media release) she had employed the 5 paramedics required to staff it and provided two brand new ambulances for them to work from our branch until theirs was completed. The ambulances certainly turned up, only thing was the positions were never advertised, and certainly never filled. More political BS.
Dave
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