Ask an ambulance dispatcher anything....

Ask an ambulance dispatcher anything....

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S100HP

Original Poster:

12,686 posts

168 months

Wednesday 4th November 2020
quotequote all
Having read this awful, misinformed article in the Mail, I thought it might be worth setting up a post that might be able to add some context to certain situations etc.

https://www.dailymail.co.uk/news/article-8914153/E...

So, this will probably die on its arse, but go ahead and ask me anything and I'll try and answer.

21TonyK

11,533 posts

210 months

Wednesday 4th November 2020
quotequote all
I'll get in with the obvious one...

Do you despatch and ambulance before going through all the questions? ie.. three "nos" of "yes's" and its on its way then follow with the rest of the questions?

Edit to add: had need of you and your colleagues services recently... thank you!!!

Steve H

5,304 posts

196 months

Wednesday 4th November 2020
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What’s the strangest thing that someone has phoned up to admit is inserted/stuck in them?

ETA, I thought this was the most obvious questionpaperbag

Shaw Tarse

31,543 posts

204 months

Wednesday 4th November 2020
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Do you/ crews get pissed off with carers phoning in with"gran down"?

Muzzer79

10,024 posts

188 months

Wednesday 4th November 2020
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What's the most ludicrous reason you've had for someone requesting an ambulance?

i.e TV not working, run out of fags, Sky TV cut off, etc.

RowanF

72 posts

161 months

Wednesday 4th November 2020
quotequote all
Steve H said:
What’s the strangest thing that someone has phoned up to admit is inserted/stuck in them?

ETA, I thought this was the most obvious questionpaperbag
Barely 30 mins after the thread was started I clicked on it to ask this exact question, and you've beaten me to it wink

Red9zero

6,869 posts

58 months

Wednesday 4th November 2020
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How annoyed do you get with frequent flyers ? My neighbour is forever calling 999 with either alcohol related issues or threatening to harm herself. This is always late night / early morning and can often be every night for a 2-3 week period before she calms down for a while.

S100HP

Original Poster:

12,686 posts

168 months

Wednesday 4th November 2020
quotequote all
21TonyK said:
I'll get in with the obvious one...

Do you despatch and ambulance before going through all the questions? ie.. three "nos" of "yes's" and its on its way then follow with the rest of the questions?

Edit to add: had need of you and your colleagues services recently... thank you!!!
Good question.

When you call in, a pre alert is created with a location (this will be a confirmed location if a land line, a confirmed location if your phone has AML turned on or an approximate location based off mobile triangulation).

The first question you will be asked is if the patient is conscious and breathing. If the answer to that is no, it becomes a CAT1 NOC. We then will dispatch the nearest free resources or divert a resource which is on its way to a lower priority call. As you go via the triage pathway, the call will then be coded/graded accordingly. Should it be downgraded the resource might be stood down or diverted to a more pressing emergency or a longer outstanding incident of the same category.

If you answer yes to the initial question, your call sits as a pre alert until the call taker gives it a category. A CAT2 NOC call won't be dispatched on until 4mins into the call or when coded. A CAT3 NOC and CAT4 NOC will only be dispatched on when the call is coded.

S100HP

Original Poster:

12,686 posts

168 months

Wednesday 4th November 2020
quotequote all
Steve H said:
What’s the strangest thing that someone has phoned up to admit is inserted/stuck in them?

ETA, I thought this was the most obvious questionpaperbag
Had a youngish lad call with a child's doll up his bum. He was told to make his own way to ED. Can't imagine what he told his parents.

monkfish1

11,076 posts

225 months

Wednesday 4th November 2020
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What is "NOC" ?

Jasey_

4,888 posts

179 months

Wednesday 4th November 2020
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Has there been a noticeable increase in calls involving mental illness since covid lockdown(s) started ?

Sheepshanks

32,799 posts

120 months

Wednesday 4th November 2020
quotequote all
S100HP said:
The first question you will be asked is if the patient is conscious and breathing. If the answer to that is no, it becomes a CAT1 NOC. We then will dispatch the nearest free resources or divert a resource which is on its way to a lower priority call.
Is this information, and the TV programmes that show us the same thing, causing people to learn the things to say in order to jump the queue?

S100HP

Original Poster:

12,686 posts

168 months

Wednesday 4th November 2020
quotequote all
Shaw Tarse said:
Do you/ crews get pissed off with carers phoning in with"gran down"?
Gran down/Nan down. It's so unbelievably common you wouldn't believe it. Sometimes the same person multiple times a day. It made me quite sad at the start, but I certainly don't want to get to that stage.

Far more infuriating is the fall detectors/care alarms. They go off so often in error, and we have to send crews who then have to let themselves into Doris house via a key safe and startle the poor woman at 3am.

Chozza

808 posts

153 months

Wednesday 4th November 2020
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I've a few - since you've offered !

Do applications like what3words really work/are used ? Or do you just use the emergency mobile location service information from the mobiles. ?


How long has your longest wait been from call to ambulance on site ( for something critical say heart attack ) ?


What is the youngest person you have spoken to on a 999 call ? And the youngest person you have talked through a procedure ?



S100HP

Original Poster:

12,686 posts

168 months

Wednesday 4th November 2020
quotequote all
Muzzer79 said:
What's the most ludicrous reason you've had for someone requesting an ambulance?

i.e TV not working, run out of fags, Sky TV cut off, etc.
The person who rang 999 as his phone wasn't working for any other numbers was pretty high up the list. I happened to listen into that one (I don't take calls).

We get a fair share of hoax calls too as you'd expect.

Mr MXT

7,692 posts

284 months

Wednesday 4th November 2020
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No question just thanks for doing a good job.


ETA, actually +1 on the up the arse question.

S100HP

Original Poster:

12,686 posts

168 months

Wednesday 4th November 2020
quotequote all
Red9zero said:
How annoyed do you get with frequent flyers ? My neighbour is forever calling 999 with either alcohol related issues or threatening to harm herself. This is always late night / early morning and can often be every night for a 2-3 week period before she calms down for a while.
We have many unfortunately. You can get 10/20 calls a day from some people. They often have a PMP (patients management plan) in place which help the call takers and clinicians to manage the need for an ambulance, often they'll be put in a callback queue for the Clinical Support Desk, but if they don't answer the callbacks then worst case is assumed and an ambulance is triggered.

S100HP

Original Poster:

12,686 posts

168 months

Wednesday 4th November 2020
quotequote all
monkfish1 said:
What is "NOC" ?
NOC is nature of call. A heads up based on the initial information provided.

An RTC rollover would be a CAT2 NOC initially, if it then turns out during the triage that the caller has climbed out, feels fine but their arm hurts a bit it would probably code CAT3, meaning it's much less of a priority.

S100HP

Original Poster:

12,686 posts

168 months

Wednesday 4th November 2020
quotequote all
Jasey_ said:
Has there been a noticeable increase in calls involving mental illness since covid lockdown(s) started ?
Yes, significantly in my opinion. Mostly younger people.

S100HP

Original Poster:

12,686 posts

168 months

Wednesday 4th November 2020
quotequote all
Sheepshanks said:
S100HP said:
The first question you will be asked is if the patient is conscious and breathing. If the answer to that is no, it becomes a CAT1 NOC. We then will dispatch the nearest free resources or divert a resource which is on its way to a lower priority call.
Is this information, and the TV programmes that show us the same thing, causing people to learn the things to say in order to jump the queue?
Initially yes. People might not like their initial disposition and the wait time so will call back and state breathing difficulty which is a CAT1 NOC, but during the triage it becomes obvious it's not serious and therefore downgrades and normally just gets duplicated into the original incident (unless they've genuinely worsened)