this post was submitted on 17 Jun 2023
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You Should Know

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Why YSK: If you're injured or ill but it's not life or limb threatening and you decide to call an ambulance thinking it'll be faster and you'll be seen first... WRONG. Ambulance crews very frequently will advise the hospital staff that you "can wait". Then we'll plop you into a wheel chair and push you into the waiting room with everyone else.

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[–] [email protected] 32 points 1 year ago (2 children)

Don't worry. As an American, I don't entertain the thought of calling an ambulance for anything less than life threatening.

[–] [email protected] 13 points 1 year ago (1 children)

If it's merely life-threatening, then I'll wait for an Uber.

[–] [email protected] 1 points 1 year ago* (last edited 1 year ago)

Yeah I gotta actively be on the way out before I'm gonna hop in the ambulance willingly.

[–] [email protected] 3 points 1 year ago (1 children)

A lot of places are moving to “soft billing” where you’ll be sent a bill but if you don’t pay it’s written off; or no billing for residents. (Assuming you habe government run EMS and not private)

As an volunteer EMT I hate hearing that a pt doesn’t want to be transported because of the price. Life saving care shouldn’t be cost prohibitive, I’m glad my jurisdiction changed as this became more common.

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago)

American healthcare sounds fun... It's like they always have to be on their toes and learning new tips and tricks to save money on it.

[–] [email protected] 24 points 1 year ago (3 children)

Also.. In the US a lot of people don’t want to call an ambulance because of the cost, BUT it doesn’t cost anything for them to show up and assess whether you need to go in an ambulance or not. So if you are in a potentially life threatening situation, you should call 911. They can show up, potentially save your life, and then have a friend transport you.

[–] [email protected] 24 points 1 year ago (1 children)

It isn’t common but some places do charge for an “assessment” in the US. It’s relatively cheap compared to a transport, like $50-75 at least that’s what I know from my experience and I’ve only ever worked at one place that did that.

[–] [email protected] 3 points 1 year ago

Huh, seen this bug on Reddit and now Lemmy, weird.

[–] [email protected] 10 points 1 year ago (1 children)

It isn’t common but some places do charge for an “assessment” in the US. It’s relatively cheap compared to a transport, like $50-75 at least that’s what I know from my experience and I’ve only ever worked at one place that did that.

[–] [email protected] 7 points 1 year ago

Lemmy just upvote all three of these just because i am also new.

[–] [email protected] 9 points 1 year ago

It isn’t common but some places do charge for an “assessment” in the US. It’s relatively cheap compared to a transport, like $50-75 at least that’s what I know from my experience and I’ve only ever worked at one place that did that.

[–] [email protected] 24 points 1 year ago (1 children)

This is quite true, with one exception: It would be very wrong for any medic or EMT to tell a receiving nurse "that you can wait". I am a paramedic in Virgina, USA, and that's not how we do things. We deliver the patient to the ER, tell the nurse the patient's chief complaint, our findings, and any other pertinent information. We do not presume to diagnose the patient or suggest treatment modalities or strategies. The nurse passes our information and any new findings to the doctor. It is ALWAYS the doctor who tells the nurse to find a staff member to wheel a non-emergent patient out of the emergency room. very often, as you point out.

[–] [email protected] 6 points 1 year ago

When hubby & wife meet you at end of driveway. Hubby has "flu like symptoms" and wifey follows the ambulance for the 2.5 minute ride to the ER... you better believe the first words out of my mouth to the triage nurse will be: "This guy can wait."

[–] [email protected] 14 points 1 year ago (1 children)

Comes up to the country.

In Germany if you think you have something serious CALL 112 and ask for an ambulance ASAP you will be put in the next hospital with space put instantly in and get care ASAP

While going on feet / yourself to emergency care can take literarily hours.

[–] [email protected] 8 points 1 year ago (1 children)

And it will either be free or cost almost nothing.

Why it's important to know? There was a question from American student in Germany on r/germany. They had an abdomen pain and roommate called an ambulance without asking. Student was terrified as they thought it won't be able to pay the bill afterwards. American health system sucks :(

[–] [email protected] 4 points 1 year ago (1 children)

ye it will cost you in worst case 40 euro for the ambulance and 10 € per day for max 24 days per year if you need to stay in hospital. thats it.

[–] [email protected] 2 points 1 year ago (1 children)

10€ per day for a hospital stay just absolutely blows my mind. A quick google says the average cost in the U.S. is around $2800 per day. So 28,000% higher. This is why two thirds of bankruptcies in the US are from medical debt. U.S. #1!

[–] [email protected] 2 points 1 year ago

And you know what 10 per day is any station doesn't matter if normal ems or intensive care, surgery's or whatever and for max 24 days per year. I just was at the hospital with my mother she had a grade 1 burn that was close to 2 and no doctors had open so yeah she didn't pay a cent and got enough stuff for the weekend to go on Monday to a normal doctor.

[–] [email protected] 12 points 1 year ago

Could you please add a "Why YSK:"? Thank you. :)

[–] [email protected] 11 points 1 year ago (2 children)

If you want to be treated sooner, arrive with a more serious injury.

spoilerI do not recommend this.

[–] [email protected] 8 points 1 year ago

Thus is the first use of a spoiler I've seen on Lemmy, and I like it.

[–] [email protected] 1 points 1 year ago

Does jerboa support spoilers?

[–] [email protected] 5 points 1 year ago (1 children)

Oh? Here in Canada the paramedics actually stay with you until you get admitted.

[–] [email protected] 3 points 1 year ago

Yeah, that's what they did with me when I went in a couple of weeks ago here in Australia (non-critical car accident). The paramedics hung around and I stayed on their ambulance stretcher until I went into an Emergency bed.

[–] [email protected] 4 points 1 year ago

Congratulations! You actually just learned about triage.

When we called an ambulance for my wife, they were able to diagnose her on the way in and she went straight into a room for immediate care. It was urgent.

Ambulances are not a Fast Pass to be seen. They're medical care on the way to the hospital.

[–] [email protected] 3 points 1 year ago

At the same point though, isn't that like the ambulance crew acting like a first step of triage? Like it sounds like they're doing their job, assessing your security and prioritizing those that do need it? I mean if you have a broken arm or feeling not well and called an ambulance, i want to be taking care of the guy that came in coding and needing CPR not focusing on someone who will likely be alive in the next minute, compared to the guy who isn't breathing

[–] [email protected] 2 points 1 year ago

In my jurisdiction this is false. (USA near DC). This realt depends on the hospital system. If you come in on an ambulance (with a legitimate illness or injury) you will get placed in a room by EMS and EMS will transfer your care to hospital staff (either a RN or MD) before leaving you. On the rare instance that I have moved a patient to the waiting room at thr request of hospital staff is with a patients that did not need present with any need to be seen.

I have never recommended that a patient can wait, that is outside of my scope of practice and is not advocating for my pt. The extent of my interaction with the hospital is laying out the facts of the pt conditions (vitals,  pertinent medical information, and history)

[–] [email protected] 2 points 1 year ago

Can you add "Why YSK:" to the start of your text body as stated in Rule 2? Thanks!

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