On the eve of the World Emergency Day, the state of affairs with the emergency groups in our nation is more and more tragic. There’s a everlasting scarcity of 500 docs within the system, though the wage of a health care provider in an ambulance has reached BGN 4,000.
Greater than half of the seats stay unoccupied. In most EU nations, it has lengthy been analyzed that medical work in ambulances is extraordinarily costly, and that’s the reason single medical groups are left there, which tackle solely strictly specialised instances. In all different conditions, the emergency is offered by paramedics.
The paramedic can not change the physician, however his particular coaching permits for stabilization, upkeep of important indicators and emergency transport to the closest medical facility, the place the sufferer is taken over by a skilled medical group.
It has been confirmed that in nations the place paramedics have been carried out within the Emergency Service system, accident mortality has decreased by over 70%.
There isn’t any will in our nation for a reform that may permit paramedics to be legally assigned to emergency facilities.
All of that is measured in lives misplaced as the shortage of crews slows down service to addresses and emergency transport. On a big scale and in lots of areas of the nation, it’s fully unimaginable to look at the “golden hour” in extreme emergencies and accidents.
The Union of Paramedics in Bulgaria has been engaged on this case for an entire 12 months, however regardless of dozens of conferences, participation in committees and dealing teams, the steps ahead are very gradual.
Paramedics proceed to be employed in emergency facilities in different positions with out exactly regulating their duties. Others despair and select emigration as the one chance of realization within the career. Nonetheless others begin working in medical amenities or use their abilities to offer sports activities competitions, movie productions, kids’s camps.
The Union of Paramedics analyzed the vacancies introduced by the 27 emergency facilities within the nation. They’re in search of at the least 10 docs in every of the CSMPs.
There are sometimes appeals similar to “pressing appointment” and but there aren’t any appointments. There are additionally vacancies for nurses and paramedics. Reworking them into paramedic positions would assist the system and sufferers tremendously.
In line with a reply to our letter from the Ministry of Well being, that is throughout the authority of every director of the CSMP and can’t be centrally ordered by the ministry. Though a number of the CSMP have included of their improvement plans the appointment of paramedics, this occurs with problem.
There’s a constructive apply in CSMP – Sofia, Plovdiv and Burgas, however in different areas of the nation – not, though someplace the vacancies attain 60%. Within the Vratsa area, for instance, they’re in search of 10 docs. The state of affairs is analogous in Silistra.
One other downside is that regardless of the existence of uniform protocols for working in emergency care, in every of the areas they work in response to totally different guidelines.
There isn’t any obligatory one-year emergency coaching for all workers – docs, nurses and different employees. With out such coaching, it’s unimaginable to work in Emergency Providers within the European Union, and right here, on account of an absence of employees, docs are appointed who don’t have anything to do with offering emergency medical care, and the standard suffers from that.
Due to this fact, on in the present day’s emergency help day, we should not solely categorical appreciation and gratitude to these employed within the system, but additionally acknowledge errors, take inventory and chart a method ahead, as a result of tomorrow an ambulance could also be ready for every of us.
The Union of Paramedics in Bulgaria will take part within the Congress on Emergency Drugs and Catastrophe Drugs for Southeast Europe SEEEMDC, which will likely be held from Might 29 to June 1 in Romania. It’s an unparalleled platform for studying and exchanging expertise on emergency response, the place sadly the Bulgarian efficiency has been very poor up to now.
The Union of Paramedics will mark the World Day of Emergency Help with an illustration on first help and presentation of the career at PMG “Konstantin Velichkov” in Pazardzhik.
The demonstration will begin at 10 a.m. and is organized by Tsviatko Ludjev, army paramedic and mayor of the village of Ivaylo, Pazardzhik Municipality and with the help of the Pazardzhik Municipality.
#docs #completely #work #ambulances
