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What happens to the body while you wait for an ambulance? | UK News

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What happens to the body while you wait for an ambulance? | UK News

Emergency care suggests a quick response, but it is a sector weakened by delays.

Patients wait for their 999 call to be answered, for paramedics to arrivefor ambulance crews to deliver to hospital crews. They fill A&E waiting rooms, being served on carts, chairs, even on the floor, while they wait to be admitted.

The worst result of delays is death. This week a senior doctor warned even 500 people could be dying every week as a result of problems with emergency care.

But what happens to a patient’s body and condition while they wait for care?

Even where the worst result avoided, delays can cause the patient to deteriorate and develop complications, requiring further treatment and longer hospital stays.

As staff and resources stretch, care is “watered down”, Royal College of Emergency Medicine vice-president Dr Maya Naravi told Sky News.

She said long ambulance waits mean that by the time a patient is seen at A&E, their problems have been compounded.

An elderly person who falls

Dr. Navari says, “If you’re lying on the floor and haven’t eaten or drunk for days, with a hip fracture, then not only are you dealing with an acute hip fracture, but often you’re dealing with issues like hypothermia, pressure sores as a result of lying on a hard floor for so long, severe dehydration and kidney function problems, and potentially added pneumonia.”

Complications arising from delays can create more problems, he explained. If someone is dehydrated, paramedics may have difficulty giving them fluids or antibiotics, or a CT scan for a stroke might have to wait until the patient has warmed up.

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With A&E’s increasing wait times – a third of patients waited more than four hours in October: Dr Naravi, a consultant in emergency medicine at Bradford Royal Infirmary, said it was inevitable to see patients deteriorate rapidly during their wait.

That could mean a patient going into cardiac arrest in the middle of a hallway or a child fitting into a waiting room, incidents that were distressing to the patient, the people waiting around them and the staff.

Waiting too long for care after having a stroke

For stroke patients, getting prompt treatment can mean the difference between recovery and a return to independence or lifelong disability. For every minute that a stroke goes untreated, 1.9 million brain cells die.

Thrombolysis treatment to “break up the clots” must be given within four and a half hours of the onset of symptoms, while there is a six-hour window to perform surgery to reopen a blocked artery in the brain, the professor said. Martin James. News from heaven.

Professor James is a Stroke Consultant at the Royal Devon and Exeter Hospital and leads SSNAP, the UK’s largest stroke data capture project. Data shows that around 1,000 fewer people in England, Wales and Northern Ireland have received anticoagulant treatment in the last 18 months than did before the pandemic.

Surgeons perform an operation

Several hundred of them are likely to have been left with disabilities (paralysis, loss of speech, disruption of their cognition) because they did not receive treatment in time, which could leave them dependent on caregivers.

“Obviously, that can have lifelong consequences for the patient, but also long-term consequences for the health service,” he added.

heart attack patients

For patients who have had a heart attack, every minute matters, said Professor Nick Mills, British Heart Foundation professor of cardiology at the University of Edinburgh and consultant interventional cardiologist at the Royal Infirmary, Edinburgh.

“The diagnosis of a heart attack requires prompt treatment, because the longer you wait, the more heart muscle will die and the less likely it will be to survive, and the more likely it will continue and develop failure in the future. Minutes mean muscle.”

He said that while NHS Scotland had continued to prioritize patients calling 999 with acute chest pain, he was concerned that people would say they did not want to seek medical help because they knew about the pressures the NHS faces.

“If patients choose not to call for help…they will inevitably show up late with larger heart attacks and are much more likely to die.”

He urged people concerned about their hearts not to delay seeking help: “We are working 24/7 and we want to see you as soon as possible.”

More than 24 hours trapped in an ambulance

A paramedic in the east of England, who wishes to remain anonymous, told Sky News that they have had patients waiting for more than 25 hours to be unloaded from an ambulance.

“Sometimes we deliver patients to an oncoming team, come back the next day and take care of the same patient. I spend most of my 12-hour shifts in the back of an ambulance with patients.”

They said it was “not uncommon” to hear seven or eight overt category one calls, life-threatening calls that must be answered within seven minutes, without being covered in one shift.

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