The 18:45 Derby to Edinburgh train is delayed for this reason that I've never heard before. Must be a fairly serious disturbance because it's a 49 minute delay.
Anyone know more?
hopefully a police car turned up instead
I doubt it, Ambo will have turned out the crew would have assessed the person found zero untoward, but their duty bound to take said wasted to hospital just in case.
Meanwhile, people in real need wait for said ambo or have to wait longer upon overstretched A&E.
Unfortunately most of the scroats know all of the keywords necessary to say to get a full Ambo turnout, or to pretend to have fallen unconscious.Er, no!
A 999 call to the ambulance service will be triaged via the appropriate pathway by the emergency call handler (with additional guidance from control centre medics if needed) and an ambulance dispatched if necessary.
Possible outcomes from the call could be no ambulance required, see GP within xx hours or attend walk in centre.
If an abulance is sent and the patient can be treated at the scene or no treatment is deemed necessary there is no obligation for them to be conveyed to hospital.
Also arrival at A&E by ambulance gets you seen no quicker than by walking in to reception. You will be seen in order of medical need.
Having had two serious medical emergencies in recent years, neither of which were 'spinal or seizures', I can assure you the casualty isn't routinely moved from the train. Quite the opposite.
Nevertheless, the policy is to remove people from the train and get them help on the platform.
Whose policy? The paramedics at one incident made it quite clear that the casualty was not going anywhere until he was stabilised. In fact at one point once the casualty was stabilised (after over an hour with paramedics working on him, having 'lost him' and then brought him back once) they were considering having to dismantle part of the interior of the train to be able to get the stretcher around a tight vestibule and off the train. This was at the height of rush hour at a non-terminal station in central Manchester. The other one was a cleaner on (stationary) empty coaching stock, I was told that under no circumstances was he to be moved from the train. I was eventually instructed to uncouple the leading unit of two units and proceed with that unit leaving the rear unit with the casualty on it, by this time attended to by paramedics.
Er, no!
A 999 call to the ambulance service will be triaged via the appropriate pathway by the emergency call handler (with additional guidance from control centre medics if needed) and an ambulance dispatched if necessary.
Possible outcomes from the call could be no ambulance required, see GP within xx hours or attend walk in centre.
If an abulance is sent and the patient can be treated at the scene or no treatment is deemed necessary there is no obligation for them to be conveyed to hospital.
Also arrival at A&E by ambulance gets you seen no quicker than by walking in to reception. You will be seen in order of medical need.
I would imagine the fear of potential litigation if something goes wrong in moving the ill person off the train onto the platform may have a bearing on the actions of some members of staff.
What the policy actually says is probably words to the effect of "move the person off the train if possible unless there is a medical reason why they should not be moved."
In real life, staff shouldn't and can't be turfing off people when they don't feel capable or even of they don't want to. Staff can't just pick people up and shove them off the train. On board staff are rarely medically trained and have to act on guidance from ambulance service in consultation with the ill passenger. If that means the person can't be moved and the train has to wait then that's the reality despite 'policy'.
Trouble is, in the absence of a doctor, paramedic etc. who happens to be travelling on that train, there will nobody on board who is qualified to make that decision.
It’s a monumentally stupid policy, putting staff into the firing line just to save a few delay minutes.
Correct!
It’s a very sensible policy. The vast majority of ill people on a train must be movable - not going to be many back injuries even on CAF stock!
No, if the 999 operator has said don't move them then that's a medical reason not to move them.So, imagine you’re a DOO driver, your passcom goes off, you walk back to find someone looking very ill indeed.
Are you going to disregard the advice a 999 operator would give you, and attempt to move them before the paramedics arrive?!
So, imagine you’re a DOO driver, your passcom goes off, you walk back to find someone looking very ill indeed.
Are you going to disregard the advice a 999 operator would give you, and attempt to move them before the paramedics arrive?!
No, if the 999 operator has said don't move them then that's a medical reason not to move them.
I seriously doubt that anywhere close to a majority of instances of ill passengers require anyone to call 999 though, and in most cases that do there isn't going to be advice given not to move them.